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Director, Payment Integrity

WorkSource Oregon - Portland, OR

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Job Description

Essential Responsibilities ' Technical/Operational Leadership 'Strategic/Operational Planning ' Financial/Resource Management 'Relationship Management ' Employee Supervision ' Experience and/orEducation Required ' Minimum 10 years' health operations experience,including a minimum of 4 years' experience in various functions ofPayment Integrity, such as claims editing, enrollment, coordination ofbenefits, overpayment identification, claims auditing, pharmacy, Fraud,Waste and Abuse, and health care subrogation/third party liabilityPreferred ' Minimum 4 years' experience in a supervisory position 'Minimum 8 years' experience in managed care or health insuranceindustry ' Coding certification ' Large scale project oversightexperience ' Financial management experience ' Tableau or Power BIexperience CareOregon is an equal opportunity employer.

Created: 2026-02-16

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