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Payment Integrity Program Manager Jobs in Kentucky

MCS

Program Manager I

Kevil, KY · On-site

... teamwork, integrity, and continuous improvement. If you're looking for meaningful work and the ... programs and budgets Manages schedules, and prepares status reports Assesses project issues and ...

Kingman Regional Medical Center

$120 - $190/hr

Develops and implements revenue integrity auditing programs, including charge capture reviews ... Minimum of three (3) years of leadership experience managing revenue cycle, revenue integrity ...

New

Pwc

Engineering Manager- Technical Program Manager

Louisville, KY · On-site

$123K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

You are expected to lead with integrity and authenticity, articulating our purpose and values in a ... As a Program Manager, you will lead the charge in driving software and product innovation within ...

Sun Auto Service

$135 - $155/hr

Overview Incentive Compensation Program Manager Reports to: Sr. Director, Compensation Fully Remote ... Collaborate with Payroll, HRIS, IT, and business stakeholders to ensure data integrity, system ...

New

Vālenz Health

$150 - $230/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... management to payment integrity, plan performance and provider verification. With a 99% client ... Employee Assistance Program that includes professional counseling, referrals, and additional ...

New

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Payment Integrity Program Manager information

What is the difference between Payment Integrity Program Manager vs Payment Recovery Specialist?

AspectPayment Integrity Program ManagerPayment Recovery Specialist
CredentialsTypically requires a bachelor’s degree in healthcare, finance, or related fields; certifications like CPC or CPAT are commonOften requires similar healthcare or finance background; certifications like CPC or CPT may be preferred
Work EnvironmentWorks within healthcare organizations or insurance companies, focusing on program oversight and complianceOperates in claims departments or recovery units, focusing on identifying and recovering overpayments
Employer & IndustryHealthcare payers, insurance companies, government programsInsurance companies, healthcare providers, third-party recovery firms

The Payment Integrity Program Manager oversees programs to prevent improper payments, ensuring compliance and efficiency. In contrast, the Payment Recovery Specialist focuses on identifying and recovering overpaid claims. While both roles require healthcare and finance knowledge, the Program Manager has broader responsibilities related to program management, whereas the Recovery Specialist concentrates on claims recovery activities.

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For Payment Integrity Program Manager jobs in Kentucky, the most frequently searched job titles are:

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Cities in Kentucky with the most Payment Integrity Program Manager job openings:

Payment Integrity Program Manager jobs near you
Infographic showing various Payment Integrity Program Manager job openings in Kentucky as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 68% In-person, 9% Hybrid, and 23% Remote job distribution.

Senior Manager, Business Consulting - Payment Integrity Center of Excellence

Hispanic Alliance for Career Enhancement

Frankfort, KY • On-site

$120 - $180/hr

Other

Posted yesterday

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Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Manager - Business Consulting, within the Payment Integrity Center of Excellence (PICOE) team, will help formulate, lead, and champion strategic initiatives in partnership with vendor partners, senior leaders, internal stakeholders across the enterprise, and/or key business partners. Initiatives may range across operational change, new uses of analytics and technology, process standardization, enhanced customer service, and more. Length of project(s) may run multiple months or years in duration.

This position will require continuous collaboration and consultation with vendor partners, leaders, contributors, and various level stakeholders to ensure the desired business outcome is defined and achieved. The ideal candidate is an initiative-taker, detail-oriented, highly organized, and able to work on multiple tasks simultaneously in a fast-paced and ever-changing environment.

This role involves complex, cross-functional stakeholder management and significant exposure to leadership. It requires a strong background in complex program management, business or healthcare consulting, or strategic planning and process improvement, with demonstrated ability to work independently, build collaborative relationships, communicate clearly, gain alignment and consensus, build comprehensive execution plans, and meet difficult deliverables in a dynamic environment. It also requires openness to diverse and often ambiguous objectives, with a proven track record of facilitating and influencing teams, with and without authority.

The Senior Manager, Business Consulting, supports the business by recommending appropriate actions, strategies and/or alternatives to meet healthcare industry business needs. The candidate should exhibit the ability to identify and manage project implementation activities across the enterprise that includes increasing the contractual terms, reimbursement accuracy and performance of our claim editing vendors, proposing opportunities to lowering G&A (reducing appeals, claim rework, and provider settlements), maximizing revenue, centralizing vendor data accuracies and service level agreements, and improving overall consistency and credibility of our Payment Integrity programs.

Role includes, but not limited to, the following core responsibilities:

  • Leads monthly invoice/payment reconciliation and

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