• Manages day to day operations of Program Integrity Department. • Ensures compliance with all federal, state, and other regulations while maintaining the integrity of all auditing data and reports. • Conducts periodic compliance and performance reviews of auditor cases and activity. • Improves the balance of complexity versus-value to increase potential impact and returns. • Successfully promotes and ensures audits are fact based, unbiased, comprehensive, and provides comprehensive informative findings. • Guides others to develop build and update work plans, tasks, timelines, measurements, and reports. • Negotiates settlements and oversees vendor relationships and deliverables that support corporate business decisions. • Compiles and presents summaries of complex audit activities in a professional format to the appropriate internal or external entities. • Prioritizes and manages audits to achieve savings, pursue overpayment recoveries and changes in behavior. • Participates in and coordinates Provider Appeals process specific to overpayment demands. • Designs and implements wide-ranging, global programs. • Organizes and develops initiatives across the enterprise which respond to change in managed care. • Prioritizes time-sensitive requests and meet urgent and tight deadlines. • Act as a resource on compliance issues or questions related to auditing and monitoring activities.