Sr Dir, Enterprise/Blue-Blue Payment Integrity

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: As leading enterprise subject matter expert on Payment Integrity (PI) that is accountable for driving ~90% of Horizon PI savings, this position has enterprise wide responsibility for developing, maintaining and executing on the company’s Payment Integrity Program strategy. This entails sustaining annual savings of approximately $600M while optimizing capabilities to achieve a year over year savings increase of approximately $25M. To achieve these outcomes requires collaboration with senior leaders across the organization. The...