More jobs:
Director, Payment Integrity & Claims Quality
Job in
New York, New York County, New York, 10261, USA
Listed on 2026-08-22
Listing for:
Capital Rx
Full Time
position Listed on 2026-08-22
Job specializations:
-
Management
Healthcare Management -
Healthcare
Healthcare Management
Job Description & How to Apply Below
Judi Health is seeking a Director of Payment Integrity to build and lead the program from inception. The role defines reimbursement policies, develops prepay edits, and expands into DRG audits and FWA initiatives.
You will recruit and mentor a team, partner with Compliance, Legal, and Product, and drive cost savings across commercial plans. The position requires 10+ years in payment integrity with CPC/CCS credentials, strong coding knowledge, and demonstrated leadership in a build environment.
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