Offshore Implementation Lead - Payment Integrity

Offshore Implementation Lead Payment Integrity

Key Responsibilities:

- Should have set up and led high performing teams with cross- functional experience in implementation of end-to-end Payment Integrity programs in both Pre Pay and Post Pay not limited to Data Mining, DRG, Home Health, SNF, HCD/DME audit types

- Monitor onboarding and off boarding of resources activity including access management

- Support Artifact / Deliverable Management processes, including:

- Monitoring and reporting timely submission of client deliverables

- Collation and initial quality review of deliverables for submission

- Maintain process documents and template updates

- Maintain and configure Project Management tools

- Maintain resource trackers and other forecast information of the project

- Assist project teams with the timely identification, management and resolution of action items, risks, and issues

- Prepare executive status reports with high level of accuracy

- Independently prepare project and program communications

- Participate and prepare materials for meetings

- Monitor Quality Assurance Activities like adherence to compliance items and escalate risks/ issues to team leader

Qualification:

- A Bachelor's Degree / MBA 8 + years of relevant experience in Payment integrity Project Management Certification,

- Six Sigma Business excellence and transformation experience

Required Skills and Experience:

- 3+ years' experience in end-to-end new client implementations on data mining/clinical/coding programs

- Intermediate level of experience with MS Office - Excel, Word, MS PowerPoint, MS Visio

- Shows intermediate skills in power BI, Tableau and advanced skills in SharePoint, Microsoft Project Plan (MPP)

- Effective handling of highly sensitive, and often highly confidential, information using exemplary judgment, tact and diplomacy

- Exposure to budget, forecast and resource management

- Knowledge of Project management methodologies such as Agile, Waterfall

- Good written/ verbal communication including effective interpersonal skills