Payment Integrity Specialist – Strategic Initiatives

This is a fully remote position, open to applicants in Florida, +5 more locations.

📋 Description

• Drive the development of business cases for proposed initiatives, assessing opportunities, risks, and potential return on investment.

• Assist in strategic and business planning, initiative prioritization, and ensuring alignment with the strategic business plan.

• Transition approved business cases into actionable initiatives with well-defined documentation and responsibilities.

• Oversee large-scale, cross-functional initiatives aimed at enhancing performance, achieving financial benefits, improving customer satisfaction, and ensuring compliance.

• Provide strategic direction and policy guidance for designated initiatives.

• Organize work teams, create project plans, facilitate meetings, cultivate consensus, document recommendations, and supervise implementation.

• Evaluate data, workflows, policies, procedures, staffing organization, and required skills.

• Utilize project management tools such as Excel, PowerPoint, Visio, and Microsoft Project.

• Lead the team responsible for operating-plan initiatives and assist in their development and successful completion.

• Support project leaders with facilitation, analysis, process mapping, brainstorming sessions, and project management challenges.

• Craft and communicate messages across all levels of the organization.

• Offer related support to enhance overall business performance.

• Perform additional assigned tasks as necessary.

⛳️ Requirements

• A Bachelor's Degree in a relevant field or equivalent experience is required.

• A minimum of 6 years of project management experience is required.

• Certification as a Project Management Professional (PMP) from PMI is mandatory.

• A Master's Degree in a related field is preferred.

• Experience in the healthcare and/or insurance sectors is preferred.

• Process quality certification is preferred.

• Compliance with all policies and standards is essential.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Potential for additional incentives included in total compensation.

• An equal opportunity employer dedicated to promoting diversity.