Shift: US Shift/Work from Office Mandatory ask: 12-20 years overall US Healthcare experience with minimum of 7-10 years in Payment Integrity. Role Profile: - As an Ops Leader manage large US Healthcare teams of 500-1000. - Oversee the accurate and timely processing of healthcare claims, ensuring adherence to relevant payment policies, contractual obligations, and industry standards. - Exceptional in PI domain and understands the entire landscape of PI as a market (Claims and Clinical). - Identify opportunities to reduce healthcare costs through improved payment integrity processes, such as targeted audits, recovery efforts, and cost containment measures. - P&L Management (Revenue management, Cost Optimization, Improvements). - Identifying Transformational Value Creation via RPA and Analytics offerings. - Track program performance and its impact on the financial goal. - Delivering Highest Level of Service Delivery requirements. - Mentoring & Coaching Operational & Leadership values. - Creating strong client partnerships - Exposure, experience and knowledge of Medical Coding, Nursing (NCLEX) and customer outreach experience.

Bangalore

AVP - Healthcare Payment Integrity 

Job Description for AVP - Healthcare Payment Integrity  in InnoQuest Consulting in  Bangalore for (12-20) years of experience. Apply Now!