Behavioral Health Group (BHG) is seeking an experienced Director of External Audits & Program Integrity to lead the organization's response to external healthcare audits, payor investigations, and regulatory reviews, including those conducted by commercial payor Special Investigations Units (SIUs), Medicare and Medicaid program integrity contractors such as Unified Program Integrity Contractors (UPICs), and other government or third-party auditing entities. Because these requirements vary significantly by state and by payor, the candidate must be able to locate, analyze, and apply each state's and payor's specific criteria chart by chart, claim by claim, including: The Medicare OTP benefit, including weekly bundled payment codes (G2067–G2080) and add-on services, and the documentation elements required to support each billed service, including who may provide and sign the service, required timeframes, and what must appear in the chart.