Director Of Payment Integrity

TL;DR

Director of Payment Integrity (Fintech/Medtech): Overseeing end-to-end payment operations, quality assurance, and carrier engagement with an accent on data-driven analysis and operational excellence. Focus on strengthening carrier partnerships, identifying performance gaps, and leading cross-functional initiatives to reduce friction and ensure transparent payment processes.

Company

hirify.global is a healthcare-focused company that helps self-funded employers reduce wasteful spending through proprietary data analysis without impacting employee benefits.

What you will do

• Lead payment integrity analysis and analytics to ensure accuracy and compliance.
• Attend monthly Business Review and Carrier meetings to present analytical insights and referral findings.
• Manage end-to-end payment processes and quality assurance programs.
• Identify performance gaps and drive cross-functional improvement plans.
• Serve as an executive liaison for carrier and client relationships.
• Develop team capabilities in communication, analytics, and problem-solving.

Requirements

• Bachelor’s degree in business, operations, or a related field.
• 5-10+ years of experience in payment integrity operations, clinical coding, or account management.
• Proven experience managing complex operational programs and workflow patterns.
• Strong proficiency in data analytics and data visualization tools.
• Demonstrated ability in relationship building and process improvement.

Culture & Benefits

• Opportunity to make a meaningful impact on rising healthcare costs.
• Work with a team of industry insiders focused on innovative data solutions.
• Collaborative environment emphasizing transparency and operational excellence.