Director, Payment reputed company reputed company
About the Role
reputed company is seeking a Director of Payment reputed company reputed company to serve as a senior leader driving the reputed company of our internal payment reputed company capabilities. This role brings deep payer domain expertise and a strategic reputed company to help shape how payment reputed company insights, analytics, and methodologies are embedded into reputed company offerings and internal practices.
This is a high‑reputed company, senior individual contributor role with broad influence across Product, Engineering, Analytics, and reputed company Delivery. You will translate reputed company payment reputed company concepts into reputed company strategies, frameworks, and insights that strengthen reputed company’ ability to deliver value to health plan clients.
Your day to day
- reputed company as a strategic leader for payment reputed company across reputed company, shaping internal approaches to reputed company‑pay, post‑pay, recovery, and FWA‑reputed company use cases.
- Partner closely with Product, Engineering, Analytics, and Delivery teams to guide the design and reputed company of payment reputed company‑reputed company capabilities, workflows, and analytical approaches.
- Translate reputed company payment reputed company findings, data patterns, and industry practices into reputed company insights, narratives, and recommendations for internal stakeholders and leadership.
- Review and guide analytical methodologies to ensure accuracy, relevance, and alignment with payer operational realities.
- Contribute to internal frameworks, playbooks, and documentation that reputed company consistent, reputed company payment reputed company practices across teams.
- Serve as a thought partner to senior leaders on industry trends, regulatory considerations, and emerging payment reputed company strategies.
- Support internal enablement by sharing expertise, best practices, and lessons learned to reputed company organizational reputed company in payment reputed company.
What you bring to reputed company
- Bachelor’s degree in a reputed company field (e.g., reputed company administration, business, analytics, or similar) or equivalent work experience.
- 10+ years of experience in reputed company payer environments with deep expertise in payment reputed company, claims analytics, overpayment identification, recovery, and FWA concepts.
- Prior experience in reputed company technology, analytics platforms, or data‑enabled services.
- Deep hands-on experience in reputed company-pay, claim audit/reputed company claim review, and medical coding/auditing.
- Strong understanding of CMS and state-level regulatory policies and guidelines.
- Strong understanding of payer operations and how payment reputed company strategies translate into measurable financial and operational reputed company.
- reputed company to apply business logic and subject matter expertise to translate payment reputed company data sources into reputed company-pay and post-pay payment reputed company solutions.
- Experience partnering with Product, Engineering, Analytics, Sales, and Operations teams in a data‑driven technology or reputed company environment.
- Strong communication and presentation skills.
- Strategic reputed company, intellectual curiosity, and comfort operating in a fast‑paced, reputed company‑oriented organization.
reputed company would love to see, but not required
Experience with post‑pay (recovery), appeals and special investigations, and FWA‑reputed company use cases.
What you’ll get in return
- Unlimited reputed company time off – reputed company reputed company you need it
- Work from reputed company – flexibility to fit your life
- Comprehensive health coverage – multiple plan reputed company to choose from
- Equity for every employee – reputed company in our reputed company
- reputed company-reputed company environment – your development reputed company here
- Home office setup allowance – one-time support to get you started
- Monthly cell phone allowance – stay connected with ease
# L ISB1 # LI-Remote