Serving as a primary liaison for assigned health plans, the full-time remote Payment Integrity Business Partner will manage relationships, facilitate issue resolution, and communicate program performance to ensure alignment with business objectives. Key responsibilities Act as the main point of contact for health plans and stakeholders regarding Payment Integrity programs and initiatives Build and maintain relationships with market leadership, providers, and vendors to support effective communication and alignment Analyze performance metrics to identify opportunities for improving payment accuracy and operational effectiveness Required qualifications Bachelor's degree with 2-4 years of related experience in healthcare operations, managed care, or payment integrity 3+ years of experience in claims operations, provider relations, or vendor management Experience collaborating with cross-functional teams and presenting updates to leadership Preferred experience in Medicare, Medicaid, or Marketplace operations Certification as a Project Management Professional (PMP) or Lean Six Sigma is strongly preferred
Payment Integrity Business Partner in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.