Director, Claims & Payment Integrity (Remote)

Job description

OneHome, Miramar, FL, seeks a Director, Claims Processing and Payment Integrity to oversee adjudication of claims and apply data mining to audit claims for accuracy, detect anomalies, and identify over- or under-payment. The role requires deep Medicare/Medicaid claims experience and cross-functional leadership to advance payment integrity across payer systems.

The candidate will drive strategic programs, improve provider satisfaction, and lead initiatives to reduce cost while ensuring timely and

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.