Product Specialist Lead - Grand Rapids

Only for registered members Grand Rapids, United States

3 weeks ago

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+Job summary
We are seeking a highly skilled Lead Payment Integrity Specialist to drive cost containment initiatives and ensure optimal payment accuracy across our healthcare programs.


This role requires a strategic thinker with deep expertise in payment methodologies, medical spend analysis, and trend identification.

+Qualifications
  • Bachelor's degree or equivalent in health care or business.
  • 7 years of relevant experience in product development lifecycle
  • Familiarity with state and federal regulatory and legislative processes required; must be able to read and interpret complex statutes and regulations
  • Ability to quickly grasp and describe health plan products and benefit designs
  • Extensive experience in healthcare payment integrity, claims analysis, and cost containment strategies.
+Benefits

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