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Payment Integrity Jobs (NOW HIRING)

SmartLight Analytics

Director of Payment Integrity

This role oversees payment operations, quality assurance, carrier engagement, and experience. The Director of Carrier Engagement leads the execution, and continuous improvement of payment integrity ...

Cotiviti

Oversee and drive quality performance across payment integrity solutions, ensuring continuous improvement and operational excellence. * Collaborate with cross-functional business units to measure ...

Cotiviti

Director Quality (Payment Integrity)

Oversee and drive quality performance across payment integrity solutions, ensuring continuous improvement and operational excellence. * Collaborate with cross-functional business units to measure ...

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How much do payment integrity jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for payment integrity in the United States is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.71 per hour, depending on experience, location, and employer.

How much does a payment integrity analyst make?

A payment integrity analyst typically earns between $50,000 and $75,000 annually, depending on experience, location, and certifications. Entry-level roles may start lower, while experienced analysts with specialized skills can earn higher salaries. The role often requires knowledge of healthcare billing, claims processing, and data analysis tools.

What does payment integrity do?

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

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 are the key skills and qualifications needed to thrive in the Payment Integrity position, and why are they important?

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 jobs pay 4000 a week without a degree?

In the field of Payment Integrity, high-paying roles such as claims managers or senior auditors can sometimes earn around $4,000 weekly, especially with extensive experience and specialized skills. These positions often require strong analytical abilities, knowledge of healthcare or insurance systems, and certifications like CPC or CPA, but may not require a traditional college degree.

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.

More about Payment Integrity jobs
What cities are hiring for Payment Integrity jobs? Cities with the most Payment Integrity job openings:
What are the most commonly searched types of Payment Integrity jobs? The most popular types of Payment Integrity jobs are:
What states have the most Payment Integrity jobs? States with the most job openings for Payment Integrity jobs include:
What job categories do people searching Payment Integrity jobs look for? The top searched job categories for Payment Integrity jobs are:
Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in the United States as of June 2026, with employment types broken down into 78% Full Time, 16% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $37,422 per year, or $18 per hour.
Senior Lead Payment Integrity

Senior Lead Payment Integrity

SmartLight Analytics

Plano, TX • On-site, Remote

Full-time

Posted 5 days ago

Job description

Position Overview
The Senior Lead of Payment Integrity is responsible for the end-to-end performance, satisfaction, and operational excellence of the company's carrier network. This role develops, manages, and strengthens strategic carrier relationships while ensuring accuracy, compliance, service quality, and a consistently positive carrier experience. Acting as the primary liaison between carriers and internal teams, the Senior Lead drives alignment, transparency, and continuous improvement across communication, operations, payment processes, and partnership programs.
This position oversees key functions including payment operations, quality assurance, carrier engagement, and experience management. The Senior Lead initiates and maintains savings and performance improvement initiatives with carrier partners, identifying opportunities for operational enhancements and friction reduction. The role also provides analytical insights and performance reporting during internal and external business reviews, representing the organization in client and carrier facing discussions.
Additionally, the Senior Lead collaborates closely with IT and cross functional teams to enhance tools, processes, and technology impacting carriers and the carrier engagement team. By championing operational integrity, strengthening partnerships, and driving data-informed improvements, this role ensures a seamless, reliable, and transparent end-to-end experience for carriers, partners, and internal stakeholders while supporting organizational growth.
Responsibilities
  • Attend monthly Business Review meetings with clients providing detailed and analytical data insights as it relates to carrier engagement.
  • Attend monthly Carrier meetings providing referral findings and leading data-driven discussion
  • Facilitate feedback loops to understand carrier needs and drive continuous improvement
  • Hands-on delivery of the carrier experience vision, standards and service models
  • Lead initiatives that strengthen trust, transparency, and partnership with carriers
  • Identify performance gaps and lead cross-functional improvement plans
  • Manage escalations and ensure timely resolution of carrier issues
  • Champion a consistent, high-quality experience across all carrier and client touchpoints
  • Serve as an executive liaison for carrier and client relationships focusing on service, performance and partnership
  • Develop team capabilities in communication, analytics, relationship management, and problem-solving

Qualifications
  • Bachelor's degree in business, operations, or related field; advanced degree preferred
  • Payor/Carrier experience is required
  • 5 - 10+ years of experience in payment integrity operations, financial operations, or quality management
  • Experience managing the payment integrity operations process, workflow patterns and complex operational programs
  • Experience managing external partners or vendors preferred
  • Strong analytical, problem-solving, and process-improvement skills

Skills & Competencies
  • Strong relationship-building and communication skills
  • Ability to navigate, understand and explain claims and billing data
  • Some combination of coding/medical records or carrier payment integrity work
  • Analytical mindset with the ability to interpret large data sets and drive decisions
  • Excellent organizational and project management abilities
  • Ability to navigate complex issues with diplomacy and accountability

Success Indicators
  • Carriers consistently meet or exceed performance expectations
  • Strong, collaborative relationships with carriers and internal teams
  • Reduced escalations and improved issue-resolution timelines
  • Clear, consistent communication and documentation across all carrier interactions
  • Measurable improvements in carrier satisfaction and operational efficiency

Who is SmartLight Analytics
SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight works for self-funded employers to reduce wasteful spending in their healthcare plan through our proprietary data analysis. Our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.

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