Global Real Estate Sr Director overseeing property strategies and regional team collaboration at Johnson & Johnson. Directing real estate activities and ensuring alignment with global business strategies.
About the role
- Director of Payment Integrity at IEHP ensuring payment accuracy, compliance, and cost containment. Leading strategic initiatives to optimize reimbursement and prevent healthcare fraud.
Responsibilities
- Find joy in serving others with IEHP!
- Provide strategic leadership and oversight for all Payment Integrity functions, ensuring payment accuracy, regulatory compliance, and cost containment.
- Develop and drive the vision and strategy for payment integrity programs and operational excellence.
- Partner across the enterprise to optimize reimbursement, prevent fraud, waste, abuse, and improve member affordability.
- Ensure the financial sustainability and regulatory compliance of the organization by preventing, identifying, and recovering inappropriate healthcare payments across all lines of business.
Requirements
- Minimum of seven(7) years of progressive healthcare administration experience in payment integrity, special investigations, or healthcare anti-fraud, inclusive of a minimum of two (2) years of experience with an HMO or managed care experience.
- Proven leadership experience, mentoring, and developing a team at a leadership level
- Experience in Vendor Partner Oversight; contracting and vendor management of external payment vendors and/or audit firms
- Preferred: Medi-Cal and/or Medicare claims experience
- Bachelor's degree in Business Administration, Accounting, or Healthcare from an accredited institution required
- Preferred: Master’s degree in a related field from an accredited institution
Benefits
- Competitive salary
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development
- Wellness programs that promote a healthy work-life balance
- Flexible Spending Account – Health Care/Childcare
- CalPERS retirement 457(b) option with a contribution match
- Paid life insurance for employees
- Pet care insurance
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