Work in a flat organizational structure -- direct access to Leadership #J-18808-Ljbffr
Work in a flat organizational structure -- direct access to Leadership #J-18808-Ljbffr
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Key Responsibilities * Claims Operations Leadership Direct all aspects of claims intake ... Payment Integrity Program Management Design, implement, and continuously improve a comprehensive ...
Key Responsibilities * Claims Operations Leadership Direct all aspects of claims intake ... Payment Integrity Program Management Design, implement, and continuously improve a comprehensive ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Payment Integrity Program Development Manager
Waltham, MA · On-site
$73K - $120K/yr
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject‑matter ...
Payment Integrity Program Development Manager
Waltham, MA · On-site
$73K - $120K/yr
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject‑matter ...
Direct all aspects of claims intake, adjudication, configuration, and operational support functions ... Payment Integrity Program Management * Design, implement, and continuously improve a comprehensive ...
Direct all aspects of claims intake, adjudication, configuration, and operational support functions ... Payment Integrity Program Management * Design, implement, and continuously improve a comprehensive ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and ... payment integrity vendor, or healthcare revenue cycle environment. * Proven subject matter ...
Direct all aspects of claims intake, adjudication, configuration, and operational support functions ... Payment Integrity Program Management * Design, implement, and continuously improve a comprehensive ...
Direct all aspects of claims intake, adjudication, configuration, and operational support functions ... Payment Integrity Program Management * Design, implement, and continuously improve a comprehensive ...
Cotiviti is seeking a licensed MD/DO to join the Go To Market team as Client Medical Director for the Prospective Payment Management client. The CMD will act as a medical payment policy SME, partner ...
Cotiviti is seeking a licensed MD/DO to join the Go To Market team as Client Medical Director for the Prospective Payment Management client. The CMD will act as a medical payment policy SME, partner ...
Program Integrity Director
Fargo, ND · On-site +1
$104K - $172K/yr
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Program Integrity Director
Fargo, ND · On-site +1
$104K - $172K/yr
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Program Integrity Director
Fargo, ND · Remote
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Program Integrity Director
Fargo, ND · Remote
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Saint Louis, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Saint Louis, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Jefferson City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Jefferson City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
... directors is essential. Experience working in a leading Health Plan software and service vendor in ... Experience working in a leading Health Plan software and service vendor in the Payment Integrity ...
... directors is essential. Experience working in a leading Health Plan software and service vendor in ... Experience working in a leading Health Plan software and service vendor in the Payment Integrity ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Program Integrity Director
Fargo, ND · Remote
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Program Integrity Director
Fargo, ND · Remote
... Director Job Summary The Program Integrity Lead defines and leads Noridian's enterprise Program ... payment integrity, medical review, provider audits, data analytics, and compliance operations.
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Jefferson City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Jefferson City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Saint Louis, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Saint Louis, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Kansas City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Supervisor, Payment Integrity- Coding & Clinical (DRG)
Kansas City, MO · On-site +1
$87K - $157K/yr
Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance ... Payment Integrity vendor or payer experience required 3+ years DRG encoder/grouper experience ...
Director Payment Integrity information
What does a director of payment integrity do?
How does a director of payment integrity typically collaborate with cross-functional teams to ensure accurate claims processing?
What are the key skills and qualifications needed to thrive as a director of payment integrity, and why are they important?
What is the difference between Director Payment Integrity vs Payment Integrity Analyst?
| Aspect | Director Payment Integrity | Payment Integrity Analyst |
|---|---|---|
| Credentials | Bachelor's degree, often advanced certifications in healthcare or finance | Bachelor's degree, relevant certifications preferred |
| Work Environment | Leadership role overseeing teams and strategies | Analytical role focused on data review and issue resolution |
| Employer & Industry Usage | Healthcare payers, insurance companies, large healthcare organizations | Healthcare providers, insurance companies, claims processing units |
| Search & Comparison Intent | Understanding managerial responsibilities and strategic oversight | Focus 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 cities are hiring for Director Payment Integrity jobs?
Cities with the most Director Payment Integrity job openings:
What states have the most Director Payment Integrity jobs?
States with the most job openings for Director Payment Integrity jobs include:
What are popular job titles related to Director Payment Integrity jobs?
For Director Payment Integrity jobs, the most frequently searched job titles are:

Recruiter, Payment Integrity Services
Manhattan, NY • On-site
Other
Medical, Dental, Vision, PTO
Posted 8 days ago
Job description
Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We’re here to change that paradigm.
Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.
We’re a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.
For those in the NYC-area, this role is onsite 3-4 days/week based out of our SoHo office in NYC.
About the RoleWe're seeking an experienced Recruiter to join our Talent Acquisition team and own full-cycle hiring for our Managed Services business, with a dedicated focus on Payment Integrity and Managed Service Operations. You'll handle high volume requisitions and will need to balance the need to move candidates quickly to offer with the discipline of building durable talent pipelines for future hiring.
Payment Integrity roles span both clinical and non-clinical positions, including specialized areas such as Appeals & Disputes and DRG (Diagnosis-Related Group) review. The ideal candidate has a proven track record in healthcare or healthtech recruiting, understands how to navigate clinical hiring requirements, and knows how to balance speed with quality when filling volume roles against strict time-to-fill targets, all without sacrificing candidate experience.
What You'll be Doing- Manage 3-4 open requisitions simultaneously, with multiple headcount in each
- Own the entire recruiting process from intake to offer acceptance: sourcing, screening, coordinating interviews, managing feedback, and closing candidates
- Partner with hiring managers to understand role requirements, ideal candidate profiles, and advising on role prioritization and expectations based on market and talent trends
- Build and maintain talent pipelines for current and future hiring needs
- Leverage multiple channels including job boards, employee referrals, networking, and direct outreach
- Participate in (and at times lead) recruiting-related events (both virtually and in-person)
- Maintain accurate and up-to-date candidate records in our ATS (we use Kula, but experience with any of Greenhouse, Ashby, or Gem is advantageous)
- Provide regular updates to hiring managers and Recruiting lead on pipeline status, bottlenecks, and forecast
- 3-8 years of experience recruiting within the Healthcare/Healthtech space
- Strong knowledge of the healthcare landscape
- 2+ years of experience with volume-based recruiting (5+ openings per unique role)
- Strong sourcing skills with demonstrable experience building pipelines from scratch
- Proficiency with modern ATS platforms (Greenhouse, Lever, Ashby, or similar)
- Experience with modern sourcing tools (Pin, Juicebox, etc.)
- Recruiter/Hiring Manager Screen (45 min)
- Cross-functional Interview (30 minutes)
- Final Round:
Stakeholder Interview (30 minutes)
Peer Interview (30 minutes)
Timeline: We aim to complete the process within 2-3 weeks of initial contact. We're looking to move quickly and will be interviewing candidates on a rolling basis.
Our CultureAlaffia was born out of our founders’ personal connection to the inefficiency of the U.S. healthcare system. We are deeply mission-driven, with an abiding belief that technology can help create a better future for everyone — and we’re looking for others who share our passion for change to join the team.
What Else Do You Get?- Competitive compensation package
- Medical, Dental and Vision benefits
- Flexible, paid vacation policy
- Work in a flat organizational structure — direct access to Leadership