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Payment Integrity Program Manager Jobs (NOW HIRING)

CERiS

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely ...

Devoted Health

Director, Payment Integrity

Nottingham, MD · On-site +1

$182K - $217K/yr

Our Payment Integrity Department ensures that provider claims are paid correctly by the responsible ... programs to Compliance, Network Management, and Operations leadership to ensure total ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely ...

HealthOne Alliance

Payment Integrity Analyst

Dalton, GA · On-site

... Management) to resolve findings. • Work closely with internal and external vendors to review ... Program Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely ...

SmartLight Analytics

Director of Payment Integrity

Experience managing the payment integrity operations process, workflow patterns and complex operational programs * Strong data analytics, use of data visualization tools, relationship building ...

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Payment Integrity Program Manager information

See salary details

$38.5K

$107.5K

$157K

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

As of Jul 1, 2026, the average yearly pay for payment integrity program manager in the United States is $107,460.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,500.00 and $132,500.00 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.

More about Payment Integrity Program Manager jobs
What cities are hiring for Payment Integrity Program Manager jobs? Cities with the most Payment Integrity Program Manager job openings:
What states have the most Payment Integrity Program Manager jobs? States with the most job openings for Payment Integrity Program Manager jobs include:
What job categories do people searching Payment Integrity Program Manager jobs look for? The top searched job categories for Payment Integrity Program Manager jobs are:
Payment Integrity Program Manager jobs near you
Infographic showing various Payment Integrity Program Manager job openings in the United States as of June 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $107,460 per year, or $51.7 per hour.
Supervisor, Payment Integrity-Spokane-In Office

Supervisor, Payment Integrity-Spokane-In Office

Molina Healthcare

Long Beach, CA

$83K - $123K/yr

Full-time

Posted 19 days ago

Key responsibilities

  • Leads and supervises a team responsible for payment integrity activities including recovery operations.

  • Executes and monitors payment integrity programs and inventory to ensure performance, quality levels, and compliance with regulatory requirements.

  • Hires, trains, develops, mentors, and manages team members to execute projects and activities involving inventory management, quality control, and timely turnaround.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description

JOB DESCRIPTION Job Summary

Leads and supervises team responsible for payment integrity activities including recovery operations.  Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards and production targets.

Essential Job Duties

Supports implementation and execution of initiatives that include one or all of the following payment integrity activities: overpayment recovery, pre and post-pay coordination of benefits (COB), subrogation, premium enhancement managed service provider (MSP), datamining, pre-pay editing for correct coding and medical payment policies, and supplemental oversight and vendor inventory management processing activities.
Hires, trains, develops, mentors, and manages team responsible for executing projects and activities involving inventory management and prioritization, information reporting, data management, quality control procedures and workflows, and timely turnaround. 
Leads recovery processing, offset reconciliation, refund posting and reconciliation, provider dispute resolution, claim referrals and health plan special projects.
Ensures team meets or exceeds production targets.
Executes payment integrity programs that prioritize, identify and resolve payment/recovery issues.
Establishes procedures and techniques to achieve payment integrity operational standards.
Executes and monitors recovery inventory to ensure maintenance of performance and quality levels in payment integrity business products and processes.
Demonstrates expertise in claims processing, claims payment issue resolution, payment/adjustment error troubleshooting, and quality controls recovery adjustments.  
Professionally communicates and responds to health plan/provider inquiries and understands when to escalate issues for resolution as appropriate.
Manages inventory production queues, and assigns and prioritizes work. 
Analyzes complex data driven reports and develops actionable insights for resolution and leadership reporting. 
Collaborates with payment integrity leadership to resolve recovery issues in collaboration with health plan operations.  
Executes tasks and projects to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, overpayment recovery, COB and subrogation - ensuring improved encounter submissions, general and administrative (G&A) reduction, and positive operational and financial outcomes for the payment integrity function.
 

Required Qualifications

At least 5 years of experience supporting health care operations, including 3 years payment integrity/claims experience, or equivalent combination of relevant education and experience.
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Strong organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.
 

Preferred Qualifications

Management/leadership experience.
Managed care payor experience, preferably with Medicare/Medicaid.
Understanding of ICD-9/10CM, MS-, AP- and APR-DRG reimbursement.
Electronic medical record (EMR) and medical record repository experience.
 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $83,252 - $123,164 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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