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Director Payment Integrity Jobs (NOW HIRING)

... 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 ...

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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.

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Infographic showing various Director Payment Integrity job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Recruiter, Payment Integrity Services

Manhattan, NY • On-site

Other

Medical, Dental, Vision, PTO

Posted 8 days ago


Job description

About Alaffia & Our Mission

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 Role

We'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
Who You Are
  • 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.)
Interview Process
  1. Recruiter/Hiring Manager Screen (45 min)
  2. Cross-functional Interview (30 minutes)
  3. 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 Culture

Alaffia 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
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