Director, Payment Integrity (Analytics & Strategy) - REMOTE
Molina HealthcareUnited States only
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JOB DESCRIPTION
Job Summary
Responsible for leading the strategy, governance, implementation, maintenance, and optimization of the organization’s Payment Integrity post-pay data mining program.
This role leads a team of Business Analysts, Data Engineers and Data Analysts, responsible for developing and maintaining concept requirements, analytical logic and workflow solutions supporting Molina’s portfolio of post pay concepts.
The Director provides both business and technical leadership across the concept lifecycle, ensuring healthcare reimbursement policies, coding requirements, and payment integrity opportunities are translated into accurate, scalable, and maintainable analytical solutions.