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Revenue Integrity Jobs in Raleigh, NC (NOW HIRING)

Qualys

Revenue Operations Manager

Raleigh, NC · On-site

$110 - $140/hr

## Revenue Operations ManagerApplylocations: Raleightime type: Full timeposted on: Posted 3 Days ... Ensure data integrity, system adoption, and workflow automation.* Build, optimize, and maintain ...

Litera

Senior Manager, Revenue Accounting

Raleigh, NC · On-site

Why this Role Matters As our Senior Manager, Revenue you'll play a key role in ensuring the ... Work alongside people who collaborate, support one another, and lead with integrity. * Global Reach.

Pwc

Managed Services Revenue Cycle - Manager

Raleigh, NC · On-site

$99K - $232K/yr

... Revenue Cycle Manager, you will play a pivotal role in providing financial advice and strategic ... You are expected to lead with integrity and authenticity, articulating our purpose and values ...

New

Qualys

Senior Revenue Operations Manager

Raleigh, NC · On-site

This role sits within Revenue Operations and plays a pivotal part in unifying GTM execution across ... Ensure data integrity, system adoption, and workflow automation. * Build, optimize, and maintain ...

Qualys

Senior Revenue Operations Manager

Raleigh, NC · On-site

This role sits within Revenue Operations and plays a pivotal part in unifying GTM execution across ... Ensure data integrity, system adoption, and workflow automation. * Build, optimize, and maintain ...

Canals

Director of Revenue Operations

Raleigh, NC · Remote

Ensure data integrity across the full lead-to-revenue lifecycle Drive GTM strategy & execution * Partner with leadership on segmentation, territory design, and pipeline strategy * Translate growth ...

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Showing results 21-40

All JobsRevenue Integrity JobsRevenue Integrity Jobs in Raleigh, NC

Revenue Integrity information

See Raleigh, NC salary details

$34K

$93.8K

$162.3K

How much do revenue integrity jobs pay per year?

As of Aug 20, 2026, the average yearly pay for revenue integrity in Raleigh, NC is $93,837.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $104,500.00 per year, depending on experience, location, and employer.

What is a revenue integrity?

A Revenue Integrity job focuses on ensuring accurate billing, coding, and compliance within healthcare organizations to maximize revenue while adhering to regulations. Professionals in this role analyze financial and clinical data, identify discrepancies, and implement corrective measures to prevent revenue loss. They collaborate with coding, finance, and compliance teams to optimize reimbursement processes and maintain regulatory compliance.

What are the typical challenges faced by professionals in revenue integrity roles?

Professionals working in Revenue Integrity often encounter challenges such as keeping up with rapidly changing healthcare regulations, identifying and correcting billing errors, and ensuring proper documentation for compliance. They must regularly collaborate with clinical, coding, and billing teams to resolve discrepancies and maintain accurate patient records. Balancing efficiency with accuracy is vital in this role, as even small mistakes can lead to denied claims or revenue loss. The fast-paced nature of the healthcare industry makes adaptability and continuous learning important for success.

What are the key skills and qualifications needed to thrive in the revenue integrity position, and why are they important?

To thrive in Revenue Integrity, you need a solid understanding of healthcare billing, coding compliance, revenue cycle processes, and regulatory guidelines, often supported by a degree in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, billing software, and certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) are highly valuable. Strong analytical thinking, attention to detail, effective communication, and problem-solving abilities set top performers apart. These skills are crucial to ensuring accurate billing, preventing revenue loss, and maintaining compliance in a complex healthcare environment.

What does the revenue integrity department do?

The revenue integrity department ensures accurate billing, coding, and reimbursement processes within healthcare organizations. It reviews claims, monitors revenue cycles, and implements compliance measures to prevent revenue loss and ensure adherence to regulations.

What are the most commonly searched types of Revenue Integrity jobs in Raleigh, NC?

The most popular types of Revenue Integrity jobs in Raleigh, NC are:

What are popular job titles related to Revenue Integrity jobs in Raleigh, NC?

For Revenue Integrity jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Revenue Integrity jobs in Raleigh, NC look for?

The top searched job categories for Revenue Integrity jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Revenue Integrity jobs?

Cities near Raleigh, NC with the most Revenue Integrity job openings:

Revenue Integrity jobs near you
Infographic showing various Revenue Integrity job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $93,837 per year, or $45.1 per hour.

VP, Payment Integrity

Blue Cross And Blue Shield of North Carolina

Durham, NC • On-site

Full-time

Posted 14 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

195th of 310 rated insurance

Job description

Job Description

To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and correct coding to drive savings. Leads strategies for reimbursement policy development, claims editing, post payment analytics and recoupment efforts, provider education, coordination of benefits and development of new innovative programs to drive downstream cost savings for the organization. Has direct or matrixed accountability for SIU integration with or other payment integrity activities. Ensures alignment and compliance with industry standards and accountable for cost of care initiatives and assigned targets to provide affordable care to members.

Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence.

As a key member of the leadership team, this executive will oversee initiatives designed to prevent, identify, and recover inaccurate healthcare payments while enhancing provider experience and supporting sustainable healthcare costs. The Vice President will partner across Finance, Medical Economics, Provider Network Management, Clinical Operations, Technology, Compliance, and Legal to drive measurable impact through analytics, automation, and process innovation.

What You'll Do

  • Assess the Payment Integrity ecosystem, prioritize high-value opportunities, and establish KPIs for savings, operations, and performance tracking.
  • Develop and execute an enterprise-wide Payment Integrity strategy aligned with organizational affordability and performance goals.
  • Lead programs focused on payment accuracy, claims integrity, coding validation, recovery operations, coordination of benefits, and related payment integrity functions.
  • Leverage advanced analytics, automation, and emerging technologies to identify opportunities, reduce waste, and improve outcomes.
  • Establish performance metrics, governance frameworks, and reporting to measure business impact and value realization.
  • Partner with provider-facing teams to balance payment accuracy with a positive provider experience.
  • Manage a high-performing multi-vendor portfolio by enforcing SLAs, optimizing fee structures, and minimizing provider abrasion.
  • Serve as a trusted advisor to executive leadership on payment integrity trends, risks, opportunities, and industry best practices.
  • Build and develop a high-performing team while fostering a culture of innovation, accountability, and continuous improvement.

What You'll Bring

  • Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or a related field.
  • 12+ years of progressive leadership experience in payment integrity, healthcare economics, claims operations, health plan operations, revenue cycle, or a related healthcare function.
  • Proven success leading large-scale strategic initiatives and high-performing teams within a payer, health plan, consulting organization, or healthcare enterprise.
  • Deep knowledge of healthcare reimbursement methodologies, claims administration, payment accuracy, and regulatory requirements.
  • Strong financial, analytical, and business acumen with the ability to translate complex data into actionable strategies.
  • Exceptional executive presence, communication skills, and ability to influence across diverse stakeholder groups.

Why Blue Cross NC

At Blue Cross NC, we're committed to making healthcare better and more affordable for the people we serve. This role offers a unique opportunity to shape the future of payment integrity, influence enterprise strategy, and drive meaningful impact on affordability, operational performance, and healthcare outcomes across North Carolina and beyond.

Join us and help transform healthcare through innovation, integrity, and strategic leadership.

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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