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Payment Integrity Program Manager Jobs in Rockledge, FL

Dane Street, LLC

Freelance Medical & Billing Coder

Orlando, FL · On-site

$17.50 - $23.25/hr

Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers ... Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that ...

Dane Street, LLC

Freelance Medical & Billing Coder

Orlando, FL · On-site

$17.50 - $23.25/hr

Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers ... Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that ...

Dane Street, LLC

Freelance Medical & Billing Coder

Orlando, FL · Remote

$17.50 - $23.25/hr

Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers ... Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that ...

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All JobsPayment Integrity Program JobsPayment Integrity Program Manager JobsPayment Integrity Program Manager Jobs in Rockledge, FL

Payment Integrity Program Manager information

See Rockledge, FL salary details

$33.6K

$93.7K

$136.9K

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

As of Aug 10, 2026, the average yearly pay for payment integrity program manager in Rockledge, FL is $93,728.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,300.00 and $115,600.00 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.

What cities near Rockledge, FL are hiring for Payment Integrity Program Manager jobs? Cities near Rockledge, FL with the most Payment Integrity Program Manager job openings:
Payment Integrity Program Manager jobs near you

Integrity Partner - Corporate Integrity

Health First

Rockledge, FL • On-site

Full-time

Medical, Vision

Posted 23 days ago

Health First rating

7.5

Company rating: 7.5 out of 10

Based on 119 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description

Job Requirements
POSITION SUMMARY
The Integrity Partner supports the Health First Integrated Delivery Network (IDN) Corporate Integrity Program, performing core compliance, integrity, and privacy operational functions. The Integrity Partner facilitates and coordinates essential compliance program activities, including but not limited to; data reviews, investigations, regulatory education, risk assessment support, and auditing and monitoring activities across the IDN. The Integrity Partner serves as a subject matter expert for their assigned area, offering guidance to Associates and leadership across the IDN, and that operational practices align with State, Federal, and regulatory requirements, Health First's policies and procedures, and the Code of Ethics and Business Conduct. The Integrity Partner is a key part in identifying risks, cultivating an environment of compliance, and supporting proactive and effective integrity initiatives across the IDN.
PRIMARY ACCOUNTABILITIES
  1. Facilitates and administers compliance program activities within assigned division of the IDN, verifying alignment with IDN Corporate Integrity and Privacy Programs standards and expectations.
  2. Performs compliance and privacy reviews, and assigned facility rounding as appropriate. Collaborates on audit and monitoring activities tied to annual risk assessments and workplans, ensuring to maintain documentation, workflows and required compliance program records in accordance with regulatory requirements.
  3. Tracks, analyze, and trend compliance and privacy-related data to identify potential vulnerabilities, emerging risks, and operational gaps; provides recommendations for corrective action and collaborate with appropriate leaders to ensure resolution of identified issues in a timely manner.
  4. Prepares reports and summaries for leadership to highlight risks, process gaps, training improvement opportunities, or areas requiring oversight.
  5. Maintains metrics, records, and dashboards reflecting compliance activities, trends, and program outcomes.
  6. Conducts or supports integrity and privacy investigations, including but not limited to; data collection, verification, analysis, and documentation of findings, partnering with leadership to ensure investigations are handled confidentially, consistently, objectively, and in alignment with policy and regulatory standards. Assists with external investigations as necessary.
  7. Serves as a resource and subject matter expert for assigned division by the interpreting and communicating State, Federal, and regulatory body requirements relevant to assigned functional areas, while staying informed on updates in regulatory requirements to relay pertinent changes to departmental leaders and staff in a timely and actionable manner.
  8. Delivers and supports compliance, privacy, and regulatory education and training programs to verify Associate compliance of understanding and complying with expectations, reporting obligations, and the impact of regulatory changes.
  9. Collaborates with leadership, IDN stakeholders, and Corporate Legal, to ensure consistency in implementation of compliance practices and standards across the IDN, by participating in cross-divisional meetings, workgroups, or project teams to provide compliance insight and support strategic initiatives.

Work Experience
MINIMUM QUALIFICATIONS
  • Education: Bachelor's degree.
  • Work Experience: Two (2) years' experience in either healthcare, compliance, risk management, quality, regulatory, or a related field.
  • Licensure: None
  • Certification: None
  • Work Experience In Lieu of Education: Any one of the following:
  1. Associate's degree in healthcare administration or related, and an additional two (2) years' experience either healthcare, compliance, risk management, quality, regulatory, or a related field OR
  2. High School Diploma and an additional four (4) years' experience in either healthcare, compliance, risk management, quality, regulatory, or a related field
  • Skills/Knowledge/Abilities:
  1. Proficient in Microsoft Office - Outlook, Word, Excel, PowerPoint.
  2. Demonstrated proficiency in understanding and analyzing federal and state health care rules and regulations, including HIPAA.
  3. Excellent interpersonal, written, and verbal communication skills and ability to work with all levels of health care personnel, including Executive management.
  4. Excellent time management, planning and organization skills, detail oriented.
  5. Strong critical thinking and analytical skills needed to identify key controls, business process improvements, evaluate alternatives and develop effective audit/monitoring recommendations.
  6. Ability to work independently with minimal supervision and exercise professional judgment regularly.
  7. Self-confidence and composure to handle stressful, emergent, and dynamic work situations in a team environment often while managing multiple, concurrent, high- priority tasks.
  8. Persistence and attention to detail to produce high-quality, professional-looking work products and to continuously improve personal performance.
  9. Demonstrates strong customer service skills.

PREFERRED QUALIFICATIONS
  • Certification: Certification in healthcare compliance or a similar field.

PHYSICAL REQUIREMENTS
  • Majority of time involves sitting or standing; occasional walking, bending, and stooping.
  • Long periods of computer time or at workstation.
  • Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
  • May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
  • Communicating with others to exchange information.
  • Visual acuity and hand-eye coordination to perform tasks.
  • Workspace may vary from open to confined.
  • May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Benefits
ABOUT HEALTH FIRST
At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

What Health First employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Health First logo

About Health First

Sourced by ZipRecruiter

Health First has been providing quality care to Brevard county residents for over 23 years. Health First delivers healthcare services throughout Brevard County with a network comprised of 4 hospitals with 868 beds, a health plan, and outpatient/wellness services including diagnostics, home health care, sleep centers, fitness facilities, pharmacy, cardiac rehabilitation, physical therapy, aging services, a hospice program, and bone/wellness center.

Industry

Health care and social assistance and medical equipment and supplies manufacturing

Company size

5,001 - 10,000 Employees

Headquarters location

Rockledge, FL, US

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