Healthcare Integrity & Assurance, Principal

aion-ia.in

Not specified
6-10 years experience in insurance claims
Strong analytical and reporting capabilities
Advanced excel proficiency required
Aion-IA is seeking a Principal for its Healthcare Integrity & Assurance function to lead reporting, audit consistency, and oversight in healthcare claims. The ideal candidate will have extensive experience in insurance claims, audit, or fraud investigation, with strong analytical skills and a collaborative approach

Job Summary

  • The role involves leading the preparation and consolidation of reporting across the Healthcare Integrity & Assurance function including QA audit performance and financial impact reporting.
  • Candidates will support the development and consistent application of audit review methodologies while ensuring clarity and analytical rigor in claims findings.
  • The position requires tracking key findings from QA and MCAT reviews and coordinating with stakeholders across Claims, Risk, and other internal functions.

Matching Summary

Match Score: 85

Aion-IA is seeking a Principal for its Healthcare Integrity & Assurance function to lead reporting, audit consistency, and oversight in healthcare claims. The ideal candidate will have extensive experience in insurance claims, audit, or fraud investigation, with strong analytical skills and a collaborative approach.

Skills & Requirements

Must-have

  • 6-10 years experience in insurance claims
  • Strong analytical and reporting capabilities
  • Advanced Excel proficiency required
  • Experience in claims audit or fraud detection
  • Ability to translate data into management narratives

Nice-to-have

  • Familiarity with Power BI or data visualization tools
  • Strong organizational and stakeholder management skills
  • Experience in compliance or integrity oversight environments

Key Requirements

  • Bachelor's degree in Finance, Healthcare, Business, or related field
  • 6–10 years of experience in insurance claims, audit, compliance, or fraud investigation
  • Experience in claims audit, fraud detection, or integrity oversight preferred

Work Rights

Not specified

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