Director, Payment Integrity Implementation jobs in United States
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Director, Payment Integrity Implementation

Gainwell Technologies is a company that aims to enhance the health and well-being of vulnerable communities through innovative technology solutions. As the Director of Payment Integrity Implementation, you will lead project management efforts in process design, requirement gathering, and product implementation, ensuring alignment with business objectives and client satisfaction.

Computer Software

Responsibilities

Lead PI product architect and project management areas to include process design, requirement gathering, product implementation, and project financials across PI for project delivery
Provides direction and oversight for project execution to ensure both client and company business and revenue objectives are met
Partners and collaborates with senior leaders, internal clinical and business stakeholders, and/or external clients to ensure plan and scope is aligned with project objectives
Play critical role in project leadership team, formal departmental reporting, performance metrics, and driving the quality and timely execution of project deliverables
Contribute directly to projects, assist assigned team by providing direction and deadlines to ensure quality, timely completion of tasks, risk mitigation, and meeting internal/external go-live commitments
Strengthen, develop and implement scalable project management strategies, methodologies, models and best practices resulting in timely project delivery, client satisfaction, and meeting/exceeding internal revenue goals
Assist in key inputs and oversight related to capacity and PI product pricing models
Assist in SOW review and input, working collaboratively with Legal, Sales, and/or Account Management
Establish and maintain strong relationships with clients, serving as a contact for process-related discussions and inquiries

Qualification

Healthcare industry experienceProcess optimizationProject managementAccount managementProject governanceLeadershipCommunication skillsCollaboration

Required

Bachelor's Degree or equivalent work experience
Minimum five (5) years previous account management experience in the healthcare industry
Minimum five (5) years of experience with project governance, including adherence to standards, change management, requirements management
Minimum four (4) years working collaboratively with Information Technology and multiple organizational departments
Ability to present and communicate ideas clearly and persuasively at all levels to both internal and external audience
This role requires strong leadership, project management, and process optimization skills

Preferred

Minimum ten (10) years of experience in healthcare audit recovery environment preferred

Benefits

Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies

Company

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