Lead, Payment Integrity Policy & Implementation

Cambia Health Solutions; Lewiston (ID); Híbrido; USD 122.000 - 186.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage

401(k) with company match

Paid time off

Work-from-home options

Descripción de la vacante

Cambia Health Solutions is recruiting an Assistant Director to lead Payment Integrity policy and implementation. You will steer reimbursement policy, coding reviews, and ideation initiatives, aligning legal, compliance and healthcare informatics with leadership.

You will oversee policy committees, manage teams and budgets, and drive performance metrics and governance across enterprise partners.

Formación

• Masters (or higher) in a health-related field required.
• Experience in managed health care systems or related health care delivery industry.
• Strong policy, coding and operational understanding to implement PI initiatives.

Responsabilidades

• Lead reimbursement policy, coding disputes and PI ideation initiatives.
• Develop budgets, policies, workflows and change management plans.
• Oversee Reimbursement Policy Committee with enterprise stakeholders.
• Direct innovation teams for new affordability initiatives.
• Provide strategic roadmaps for reimbursement policy and payment integrity.

Conocimientos

Policy

Coding knowledge

Strategic planning

Communication skills

Project management

AI tools familiarity

Educación

Masters in health-related field

Masters in public health / MBA / public administration

Herramientas

None

Descripción del empleo

Cambia Health Solutions is recruiting an Assistant Director to lead Payment Integrity policy and implementation. You will steer reimbursement policy, coding reviews, and ideation initiatives, aligning legal, compliance and healthcare informatics with leadership.

You will oversee policy committees, manage teams and budgets, and drive performance metrics and governance across enterprise partners.