About The Position

Senior Director/ Principal Consultants drive innovation within payment integrity analytics by designing new detection frameworks and managing algorithm portfolios. The role strongly influences the Creation and Impact phases of the Sagility Payment Integrity Solutions.

Requirements

  • Advanced PI analytics expertise
  • Algorithm portfolio design
  • Healthcare payer economics
  • 10–15 years in healthcare analytics or payment integrity.

Nice To Haves

  • AI-driven analytics
  • Predictive modeling
  • Healthcare reimbursement modeling

Responsibilities

  • Identify strategic opportunities for payment integrity innovation.
  • Lead cross-functional discovery initiatives.
  • Design enterprise-scale detection algorithms.
  • Build algorithm libraries across clinical, coding, and pricing leakage areas.
  • Develop advanced predictive analytics models.
  • Manage analytics portfolio delivering significant financial recoveries.
  • Collaborate with PI operations leaders and client stakeholders.
  • Drive innovation within PI analytics methodology.
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