EXL Health · 8 hours ago

Sr. Assistant Vice President - Payment Integrity Account Management & Solutioning

United States

Full-time

Remote

Senior Level

7+ years exp

Maximize your interview chances

Health Care

Insider Connection @EXL Health

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Develop and Refine payment integrity initiatives for clients, including identifying and improving payment accuracies to help streamline processes and reduce abrasion in the healthcare payments cycle.

Build strong partnerships with clients to understand their needs and deliver customized payment integrity solutions.

Liaison with key business sponsors at the client, working closely with Operations, Engagement Management, and Solutions to ensure client satisfaction.

Work with account, operations and solutions teams applying strategic and tactical focus to exceed revenue goals and drive client success.

Drive innovation and bring new ideas to the table to continuously improve payment integrity services.

Mentor and lead teams to drive excellence in payment integrity services.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Payment Integrity InitiativesHealthcare Industry KnowledgeClinicalCoding Policy ReviewsProvider Contracting MethodologiesAdvanced DegreeAdvanced Degree etc.Payer PoliciesRelationship Building

Required

Bachelor's Degree required

At least 7 years of experience in payment integrity initiatives in the healthcare industry, including knowledge of industry and payer policies and procedures, provider contracting methodologies, and related items that impact payment accuracy

Deep knowledge of clinical and coding policy reviews

Strong communication and leadership skills to build relationships with clients and internal teams