Vice President of Payment Integrity

Job Summary

A company is looking for a Vice President, Payment Integrity.

Key Responsibilities

• Design and execute strategic programs to enhance financial performance and operational alignment
• Oversee vendor relationships and direct audit and compliance initiatives
• Deliver executive-level reporting and insights to senior leadership

Required Qualifications

• Bachelor's degree in finance, Healthcare Administration, Business, Data Analytics, or a related field
• 10+ years of experience in healthcare finance, vendor management, or payment integrity
• Strong analytical skills with experience in cost trending, audit coordination, or claims analysis
• Proven track record of managing complex vendor relationships and leading cross-functional initiatives
• Familiarity with healthcare coding systems (e.g., CPT, HCPCS) and provider reimbursement models