Director of Payment Integrity & Compliance (QA, G&A, FWA)

Posted yesterday

userc dehradunBrooklyn (NY)

Compliance Managers Financial Transactions Processing, Reserve, and Clearinghouse Activities

SENIORITY

Manager

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About the role

SIHO seeks a Director of Payment Integrity to lead QA, Grievances & Appeals, and Fraud, Waste & Abuse teams. You will set strategy, supervise daily operations, and interface with internal departments and external stakeholders to ensure regulatory compliance and program effectiveness. Responsibilities include oversight of investigations, staff development, data-driven process improvements, and coordination with legal and vendors. A strong healthcare regulatory background is essential.

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