Director of Payment Integrity Solutions

To support a growing healthtech startup, the full-time salaried Director of Payment Integrity Solutions will lead client implementations from kickoff to go-live, shaping AI platform configurations and building scalable playbooks in a remote work environment. Key responsibilities Lead client implementations, including scoping, workflow configuration, and launch Translate client payment integrity programs into effective configurations of the platform Build and refine the implementation playbook and best practices for health plan environments Required qualifications 8+ years in healthcare payment integrity with strong knowledge of claims review and coding validation Proven track record in leading complex claims or healthcare technology implementations Experience managing executive-level client relationships and communicating effectively Strong project and program management skills, managing multiple concurrent implementations Comfort with AI-enabled tools and claims platforms, with credibility among PI operators and engineers