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Payment Integrity Jobs in California (NOW HIRING)

Currance Inc

Payment Poster II

Irvine, CA · On-site

$19 - $22/hr

The Payment Poster is responsible for accurately posting payments and adjustments from various ... protect the integrity of federally funded programs, the clients we support, and to prevent ...

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Payment Integrity information

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$9

$17

$25

How much do payment integrity jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for payment integrity in California is $17.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $19.47 per hour, depending on experience, location, and employer.

What is a payment integrity job?

A Payment Integrity job involves reviewing healthcare claims, payments, and policies to identify errors, prevent fraud, and ensure compliance with regulations. Professionals in this role analyze data, conduct audits, and collaborate with providers and payers to recover overpayments and prevent improper billing. Their goal is to enhance cost efficiency, reduce financial losses, and ensure accurate reimbursement in the healthcare system.

What are the key skills and qualifications needed to thrive in a payment integrity position?

To thrive in a Payment Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of healthcare claims, payment processes, or insurance operations, often supported by a bachelor's degree in a related field. Familiarity with claims processing platforms, data analysis tools such as Excel or SQL, and knowledge of industry certifications (like CPC or CPMA) is valuable. Exceptional problem-solving abilities, effective communication, and the capacity to collaborate with cross-functional teams set outstanding candidates apart. These skills are crucial for accurately identifying discrepancies, preventing fraud, and ensuring efficient payment processes in complex healthcare or financial settings.

What are some typical challenges faced in a payment integrity position?

Professionals in Payment Integrity roles often encounter complex claims data, evolving regulatory requirements, and the need to identify subtle errors or irregular billing patterns with precision. Balancing high-quality analysis with efficiency, while navigating between multiple systems and large datasets, can be challenging. The role often requires close collaboration with other departments such as provider relations, compliance, and IT to resolve issues and implement process improvements. Successfully overcoming these challenges helps organizations minimize losses, maintain compliance, and promote fair payment practices.

What does a payment integrity specialist do?

A payment integrity specialist reviews healthcare claims and payments to identify and prevent errors, fraud, and overpayments. They analyze data, ensure compliance with regulations, and use tools like claims processing software to improve payment accuracy and reduce financial losses.

What does payment integrity do?

Payment integrity professionals ensure that healthcare or insurance payments are accurate, valid, and compliant with policies. They review claims, identify errors or fraud, and implement processes to prevent improper payments, often using data analysis and auditing tools.

What are the most commonly searched types of Payment Integrity jobs in California?

The most popular types of Payment Integrity jobs in California are:

What are popular job titles related to Payment Integrity jobs in California?

For Payment Integrity jobs in California, the most frequently searched job titles are:

What job categories do people searching Payment Integrity jobs in California look for?

The top searched job categories for Payment Integrity jobs in California are:

Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in California as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $36,932 per year, or $17.8 per hour.

Manager, Payment Integrity Enablement

Inland Empire Health Plan

Rancho Cucamonga, CA

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Inland Empire Health Plan rating

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

268th of 311 rated insurance

Job description

Overview

What you can expect! 

Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!

Reporting to the Director of Payment Integrity, the Manager, Payment Integrity Enablement provides strategic and operational leadership over enterprise-wide payment accuracy education, provider billing guidance, and compliancealigned intervention programs. This role oversees the end-to-end design, development, governance, and execution of training, and enablement strategies that reduce payment errors, enhance coding accuracy, and promote compliance with state and federal guidelines.

The Manager leads a team responsible for curriculum development, operational workflow standardization, and performance improvement across Payment Integrity functions. This position collaborates crossfunctionally with Claims, Provider Relations, Compliance, and SIU/FWA to ensure audit readiness, operational consistency, and alignment with contractual and regulatory requirements. The Manager drives proactive identification of risk areas, supports provider coding accuracy to further billing accuracy, and ensures that Payment Integrity Enablement initiatives deliver measurable financial and operational outcomes.

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

 

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

  • Competitive salary
  • State of the art fitness center on-site
  • Medical Insurance with Dental and Vision
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development
  • Wellness programs that promote a healthy work-life balance
  • Flexible Spending Account - Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance
Key Responsibilities
  • Program and Curriculum Design: Manage and oversee the design, implementation, and continuous improvement of Payment Integrity Enablement programs and training materials, recorded modules, and job aids focused on coding accuracy, claim edits, and medical cost containment. Ensure Payment Integrity Enablement programs are executed consistently, documented clearly, and aligned with regulatory, contractual, and financial expectations.
  • Provider & Internal Staff Education: Direct training delivery for healthcare providers, billing staff, and internal claims analysts to prevent common billing errors and support improved coding accuracy. Establish delivery standards, evaluate training effectiveness, and drive adoption of best practices.
  • Policy, Compliance, & Risk Tracking: Establish frameworks to identify and assess enablement risks such as coding gaps, provider misunderstanding, and emerging regulatory vulnerabilities. Ensure that significant findings are escalated to Payment Integrity leadership, SIU/FWA, or Compliance and collaborate with cross functional partners to drive timely remediation and continuous improvement. Oversee the monitoring and interpretation of federal/state regulations (CMS, DHCS, and/or similar regulations) and IEHP compliance standards to direct and guide the development, continuous maintenance, and delivery of training and educational materials that ensure accurate billing, coding, and reimbursement practices accordingly.
  • Performance Analysis: Develop and track Key Performance Indicators (KPIs) related to training effectiveness, coding accuracy improvements, reduction in spend, and error rate trends. Report program impact and adoption metrics to Payment Integrity leadership. Partner with internal leadership to assess root causes of payment errors and ensure the adoption of findings into training programs to resolve recurring trends.
  • Vendor & Cross-Functional Collaboration: Collaborate with SIU/FWA leadership and analytics teams to identify highrisk provider patterns and adjust enablement programs accordingly. Partner with Claims, Provider Relations, and external vendors to ensure alignment on payment integrity guidelines.
  • Stakeholder Communication & Engagement Strategy: Serve as the operational driver for Payment Integrity Enablement interventions, ensuring programs scale effectively, are audit-ready, and deliver measurable reductions in inaccurate or wasteful spend. Develop communication plans to ensure providers and internal teams receive timely updates about billing changes, regulatory shifts, and new payment integrity expectations.
  • Content Governance & Version Control: Establish standardized workflows, documentation, and quality review expectations across all Payment Integrity teams. Maintain a central repository of all training materials, job aids, policies, and curriculum updates. Oversee version control and approvals, ensuring materials remain accurate, compliant, and current.
  • Operational Readiness: Lead change management initiatives, ensuring adoption of new billing standards, regulatory updates, and Payment Integrity policies across the organization and provider network. Oversee operational readiness assessments for new enablement programs, ensuring that Claims, Provider Relations, IT, and vendors are prepared before rollout.
  • Operational Management: Oversee the daily operations of the Payment Integrity Enablement unit. Provide leadership, coaching, and guidance to the team to ensure high performance, accountability, and engagement. Support employee development, reinforce operational standards, and create a collaborative environment that aligns with departmental and organizational goals.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
    • Qualifications

    Education & Requirements 

    • A minimum of seven (7) years of experience in a combination of healthcare payment integrity, revenue cycle, and/or fraud, waste, and abuse (FWA) prevention required
    • Prior leadership experience mentoring, coaching, or training team members required
    • Experience with all lines of business offered by IEHP (i.e. Medi-Cal, Medicare, and Commercial managed care) preferred
    • Bachelor's degree in healthcare administration, Business, or a related field from an accredited institution required.
    • Master's degree in healthcare administration, Business, or a related field from an accredited institution preferred
    • Certification such as Certified Professional Coder (CPC), Certified Healthcare Auditor (CHA), Certified Coding Specialist (CCS), PMP, or related certification is required

     

    Key Qualifications

    • Must have a valid California Driver's license
    • Deep understanding of managed care operations, ICD-10/CPT coding, and state/federal billing regulations
    • Strong ability and knowledge to analyze market trends, anticipate future changes, and develop long-term strategies that align with the company's goals
    • Strong knowledge of SIU/FWA methodologies and risk indicators
    • Communication skills with excellent presentation and instructional abilities to translate complex billing policies for diverse audiences
    • Strong analytical, problem-solving, and compliance monitoring skills
    • Strong project leadership and management skills
    • Proficiency of Microsoft Office suite, including Word, Excel, Teams and PowerPoint
    • Strong interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment
    • Excellent ability to set clear goals, develop strategic plans to achieve those goals, and inspire others to work towards a shared vision
    • Skills in mediating disputes and resolving conflicts in a fair and constructive manner
    • Skills in SQL, BI tools, or data mining platforms preferred
    • Proven ability to:
      • Prioritize, plan, and handle multiple tasks/demands simultaneously with a strong attention to detail
      • Work collaboratively and influence across multiple functional areas
      • Guide and support team members
      • Work effectively with cross functional partners to navigate workflows and resolve issues
      • Balance day-to-day oversight with longer term strategic improvements
      • Manage multiple priorities while maintaining attention to detail and compliance standards
    • Some travel involved to conduct training with providers onsite, as needed

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Work Model Location

    This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)

    Some travel involved to conduct training with providers onsite, as needed

    Pay RangeUSD $104,041.60 - USD $137,841.60 /Yr.Employment Type: FULL_TIME

    What Inland Empire Health Plan employees say

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