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Payment Integrity Program Manager Jobs in Racine, WI

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Payment Integrity Program Manager information

See Racine, WI salary details

$36.1K

$100.8K

$147.2K

How much do payment integrity program manager jobs pay per year?

As of Jun 8, 2026, the average yearly pay for payment integrity program manager in Racine, WI is $100,763.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,500.00 and $124,200.00 per year, depending on experience, location, and employer.

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.

Payment Integrity Program Manager jobs near you
Clinical Quality & Compliance Program Manager

Clinical Quality & Compliance Program Manager

Novir

Milwaukee, WI • On-site

Full-time

Medical, Dental, Vision, Life, PTO

Posted 29 days ago

Job description

Who We Are
Novir is an emerging diagnostic biotechnology company with an unmatched team of professionals and trusted partners delivering smart, fast and flexible testing solutions supported by reliable, cost-effective screening products and best-in-class technology.
Our Values
Care for Tomorrow. Create a lasting, positive difference in the lives of others. Serve people with compassion and understanding. Recognize what truly matters and center every action around meeting the needs of our community both now and into the future.
Delight our Customers. Appreciate every interaction with our customers and find ways to bring them joy. See through the Customer's eyes, understand and anticipate their needs to consistently deliver solutions exceeding their expectations.
Be Bold - Say It. Be direct and open. Speak with honesty and courage, and respect others for doing the same. Say what you think, embrace passionate debate, and always bring the issue to the table. Communicate with confidence.
Bring Your Best Self. Show up and be authentic. Utilize your greatest strengths and stay true to who you are. Bring positive energy, be genuine in your approach, and continually seek ways to grow. Be uncompromisingly you.
Innovate Relentlessly. Explore new possibilities and be willing to take a risk. Challenge status quo. Try new ideas, learn from mistakes, and rally the team to raise the bar.
About This Role:
Novir is seeking an experienced Clinical Quality & Compliance Program Manager to lead the development and oversight of clinical quality, compliance, education, and governance programs across multiple states.
This role is responsible for strengthening clinical standardization, regulatory compliance, documentation integrity, quality improvement, and vaccine program oversight to support Novir's continued growth and operational excellence.
What You'll Do:
  • Lead and support clinical quality, compliance, and risk management initiatives across the organization
    • >

  • Develop and maintain standardized onboarding, education, and competency programs for clinical staff
    • >

  • Oversee quality assurance activities including documentation audits, corrective action planning, and continuous improvement initiatives
    • >

  • Support regulatory readiness and ensure compliance with HIPAA, CDC, state immunization, and customer requirements
    • >

  • Manage registry and EMR governance, including access oversight, documentation integrity, and workflow standardization
    • >

  • Analyze operational and quality data to identify trends, support reporting, and provide actionable insights to leadership
    • >

  • Partner with operations and clinical leadership on vaccine program implementation, process improvement, and operational readiness
    • >

  • Assist with policy development, program standardization, and scalable clinical infrastructure initiatives
    • >

Key Qualifications We're Looking For:
  • RN required; healthcare administration or clinical operations experience preferred
    • >

  • Experience in healthcare quality, compliance, clinical operations, education, or program management
    • >

  • Knowledge of immunization programs, EMRs, HIPAA, and regulatory requirements
    • >

  • Strong organizational, analytical, and problem-solving skills
    • >

  • Ability to manage multiple priorities in a fast-paced environment
    • >

  • Experience developing workflows, policies, and training materials preferred
    • >

Preferred Experience
  • Multi-state healthcare operations
    • >

  • Vaccine or immunization program management
    • >

  • Long-term care, senior living, or onsite healthcare services
    • >

  • Audit, accreditation, or compliance support
    • >

What Success Looks Like:
  • Improved compliance and audit readiness
    • >

  • Standardized onboarding and competency validation
    • >

  • Improved quality oversight and documentation consistency
    • >

  • Increased visibility into operational and quality metrics
    • >

  • Stronger clinical infrastructure to support scalable growth
    • >

Perks of Working @ Novir
  • Competitive total compensation offerings
  • Generous paid time off policy
  • Medical, dental, and vision insurance, some of which is covered by the company
  • Company provided Disability and Life Insurance
  • Opportunity to build something incredible while being surrounded by intelligent, hardworking and motivated coworkers

Novir is a fast-growing startup with a work hard, play hard attitude. We look for smart, motivated individuals who are excited to build something incredible from the ground up!
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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