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Director Payment Integrity Jobs in Indiana (NOW HIRING)

Coding Payment Resolution Spec

Elkhart, IN · On-site

$18 - $23.25/hr

... directed by the Supervisor Clinical / Coding Payment Resolution. * Interprets data, draws ... Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring ...

Manage budget and payment plan strategies across six states to ensure compliance with business ... and revenue integrity risks. * Partner with Metering, Field Operations, Analytics, Customer ...

Maintain the integrity of the general ledger and balance sheet through appropriate reconciliations ... Oversee accounts receivable, accounts payable, billing, collections, cash receipts, vendor payments ...

Maintain the integrity of the general ledger and balance sheet through appropriate reconciliations ... Oversee accounts receivable, accounts payable, billing, collections, cash receipts, vendor payments ...

$212K - $222K/yr

High Integrity, Future Forward, Multistakeholder, Mindful, and Driven by Excellence. We have built ... Circle Payments Network, and Circle Digital Assets and Services. This role is the primary ...

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Director Payment Integrity information

What does a director of payment integrity do?

A Director of Payment Integrity is responsible for overseeing programs and strategies that ensure accurate payments within a healthcare or insurance organization. This role focuses on identifying and preventing improper payments, such as overpayments or fraud, by analyzing claims data, implementing process improvements, and ensuring compliance with regulations. Directors of Payment Integrity work closely with other departments to optimize payment accuracy, reduce financial risk, and enhance overall operational efficiency. They may also lead teams, develop training, and report on key performance metrics related to payment integrity initiatives.

How does a director of payment integrity typically collaborate with cross-functional teams to ensure accurate claims processing?

A Director of Payment Integrity regularly works with teams such as claims, IT, compliance, and provider relations to develop and implement strategies that minimize payment errors and fraud. Collaboration often involves leading meetings to review audit findings, coordinating the integration of technology solutions, and ensuring all departments are aligned on regulatory requirements. This cross-team approach helps streamline workflows, enhances data accuracy, and supports continuous improvement initiatives to safeguard the organization's financial health.

What are the key skills and qualifications needed to thrive as a director of payment integrity, and why are they important?

To thrive as a Director of Payment Integrity, you need a strong background in healthcare claims management, analytics, and regulatory compliance, often supported by a bachelor's or master's degree in healthcare administration, business, or a related field. Expertise with claims processing systems, data analytics tools like SQL or SAS, and relevant certifications such as Certified Professional Coder (CPC) are commonly required. Exceptional leadership, strategic thinking, and communication skills help drive cross-functional initiatives and foster collaborative problem-solving. These competencies are crucial to effectively identify and mitigate payment inaccuracies, ensuring compliance and optimizing financial performance for healthcare organizations.

What is the difference between Director Payment Integrity vs Payment Integrity Analyst?

AspectDirector Payment IntegrityPayment Integrity Analyst
CredentialsBachelor's degree, often advanced certifications in healthcare or financeBachelor's degree, relevant certifications preferred
Work EnvironmentLeadership role overseeing teams and strategiesAnalytical role focused on data review and issue resolution
Employer & Industry UsageHealthcare payers, insurance companies, large healthcare organizationsHealthcare providers, insurance companies, claims processing units
Search & Comparison IntentUnderstanding managerial responsibilities and strategic oversightFocus on data analysis and claims review processes

The main difference between a Director Payment Integrity and a Payment Integrity Analyst lies in their level of responsibility and scope. The Director oversees teams, develops strategies, and manages overall payment integrity programs, while the Analyst focuses on data analysis, claims review, and issue resolution. Both roles require relevant healthcare or finance certifications, but the director's role is more strategic and leadership-oriented.

What are popular job titles related to Director Payment Integrity jobs in Indiana?

For Director Payment Integrity jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Director Payment Integrity jobs in Indiana look for?

The top searched job categories for Director Payment Integrity jobs in Indiana are:

What cities in Indiana are hiring for Director Payment Integrity jobs?

Cities in Indiana with the most Director Payment Integrity job openings:

Director-Payor Provider Payments Analytics - Revo Health

Bloomington, IN • On-site


Twin Cities Orthopedics
Outpatient Health Care • 1 - 5K employees

8.2

Company rating: 8.2 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

Great coworkers

People enjoy working here

Good employer


$130 - $202/hr

Other

Medical, Dental, Vision, Retirement

Posted 17 days ago


Job description

Director-Payor Provider Payments Analytics - Revo Health

Job Category : Revenue Cycle

Requisition Number : DIREC010035

  • Posted : August 11, 2026
  • Full-Time
  • Salary Range : $130,175 USD to $201,750 USD
Locations

Showing 1 location

Revo - Bloomington
3500 American Blvd W
Suite 300
Bloomington, MN 55431, USA

The Director of Payor/Provider Payments & Analytics is a strategic and hands-on leader responsible for overseeing payment analytics, reconciliation, and financial performance reporting across all payor contracts for a growing independent physician group. This role requires a unique blend of technical expertise (SQL, data modeling), operational leadership, and the ability to translate complex financial data into clear, actionable insights for physicians and executive stakeholders.

This role is critical to unlocking financial performance and transparency across the organization. By combining rigorous analytics with strong physician engagement, the Director will directly influence reimbursement optimization, provider satisfaction, and long-term sustainability in an evolving healthcare landscape.

The ideal candidate thrives at the intersection of finance, analytics, and healthcare operations—bringing rigor to data while effectively “telling the story” behind performance trends to drive clinical and financial decision-making.

This is a full-time role working standard business hours. Opportunity for hybrid, out of Bloomington.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Essential Job Functions:

  • Lead and develop a high-performing team responsible for payor analytics, provider compensation support, payment integrity, and credentialing
  • Serve as a strategic partner to executive leadership and physicians on financial performance, reimbursement trends, and contract optimization
  • Define and execute analytics strategy aligned with organizational growth, value-based care initiatives, and contracting priorities
  • Establish best practices, controls, and scalable processes for data governance and reporting
  • Oversee analysis of payor reimbursement, contract performance, and payment variance (expected vs. actual)
  • Lead initiatives to improve revenue capture, identify leakage, and enhance payment accuracy
  • Partner with revenue cycle and contracting teams to evaluate payor agreements and model financial impact
  • Support provider compensation models with accurate, transparent data and insights

Technical Analytics & Data Management

  • Serve as a hands-on leader in data extraction, transformation, and analysis using SQL and related tools
  • Design and oversee data models, reporting frameworks, and dashboards (e.g., Power BI, Tableau, or equivalent)
  • Ensure data integrity across multiple systems (EHR, billing, payor feeds, financial systems)
  • Translate business questions into data requirements and analytical outputs
  • Present complex financial and operational data to physicians in a clear, concise, and compelling manner
  • Develop intuitive dashboards and visualizations that enable physician leaders to understand key drivers of performance
  • Act as a bridge between technical teams and clinical stakeholders, ensuring insights are actionable and relevant
  • Facilitate discussions with physician leadership on productivity, reimbursement trends, and improvement opportunities
  • Work independently with minimal supervision.
  • Other duties as assigned.

Education and Experience:

Required

  • Bachelor’s degree in Healthcare Administration, Data Analytics, Finance, or related field
  • 8-12+ years of experience in healthcare analytics, finance, or revenue cycle, with at least 3-5 years in a leadership role
  • Advanced SQL skills (data extraction, joins, aggregations, performance tuning)
  • Experience analyzing healthcare claims, reimbursement methodologies, and provider compensation
  • Demonstrated ability to lead teams while remaining hands-on technically
  • Strong communication and presentation skills, with experience working directly with physicians or clinical leaders

Preferred

  • Experience in an independent physician group, MSO, or multi-specialty practice
  • Familiarity with value-based care models, risk arrangements, and population health analytics
  • Experience with BI tools (Power BI, Tableau) and data warehousing concepts
  • Knowledge of CPT/HCPCS coding, fee schedules, and payor contract structures
  • MBA, MHA, or related advanced degree
  • Strong analytical skills and experience in healthcare analytics.
  • Strategic thinker with operational execution
  • Strong data storyteller—able to simplify complex analytics for non-technical audiences
  • Technical depth—credible and capable in SQL and data architecture discussions
  • Physician partnership mindset—collaborative, credible, and solution-oriented
  • Continuous improvement focus—drives efficiency, accuracy, and scalability

Benefits & Compensation:

  • Actual starting pay will vary based on education, skills, and experience.
  • We offer a comprehensive benefits package - to learn more clickhere .
    • Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans, as well as Tuition Reimbursement.
    • All employees, regardless of hours, are eligible for 401(k) Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, Home, Auto, & Pet insurance savings programs & more.

Working Conditions:

  • Ability to sit for extended periods (up to 8 or more hours per day).
  • Frequent use of hands and fingers for typing, writing, and handling documents.
  • Occasional standing, walking, bending, or reaching within the office environment.
  • Ability to lift and carry office supplies or files weighing up to20 pounds.
  • Visual acuity to read electronic and paper documents.
  • Auditory ability to participate in phone or video calls clearly.
  • Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).

Ability to:

  • Comply with company policies, procedures, practices, and business ethics guidelines.
  • Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
  • Demonstrate prompt and reliable attendance.
  • Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines.Prioritize workload effectively.
  • Communicate respectfully and professionally in face-to-face, phone and email interactions. Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions.

Notes

  • Revo/ i-Health is an Equal Opportunity Employer. We are committed to fostering an inclusive and accessible workplace. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential job functions. Applicants or employees who wish to request an accommodation may do so by emailing HR@RevoHealth.com . For more information, please review the Know Your Rights notice from the U.S. Equal Employment Opportunity Commission.
  • Please note: This job description is intended to describe the general nature and level of work being performed by individuals assigned to this position. It is not an exhaustive list of all duties, responsibilities, and qualifications required. Revo/ i-Health reserves the right to modify job duties or descriptions at any time, with or without notice, in accordance with applicable laws.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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