Talent.com
Manager, Payment Integrity
Manager, Payment IntegrityINTEGRIS Health • Oklahoma City, OK, US
serp_jobs.error_messages.no_longer_accepting
Manager, Payment Integrity

Manager, Payment Integrity

INTEGRIS Health • Oklahoma City, OK, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Overview

The Manager of Payment Integrity leads strategic oversight of underpayment recovery, reimbursement analysis, vendor performance, and financial evaluation of payer contract compliance. This role combines operational leadership with deep financial analytical capabilities to drive revenue recovery, optimize payer performance, and ensure compliance with contractual agreements.

Reporting to the Director of Revenue Integrity, this leader also supervises a team of analysts and collaborates closely with Revenue Cycle, Payer Strategy, Managed Care, and Finance to support enterprise financial goals.

Responsibilities

  • Underpayments Management

Lead identification, investigation, and resolution of underpayments across all payer types.

  • Develop and implement strategies to recover revenue lost due to contract underperformance, billing errors, or payer issues.
  • Coordinate with Managed Care on escalations and systemic payer performance issues.
  • Reimbursement Contract Analysis

    • Conduct in-depth analysis of payer reimbursement contracts and rate structures.

  • Ensure payment compliance with negotiated terms and flag anomalies, trends, or risks.
  • Support internal contract modeling, rate impact forecasting, and payment methodology assessments.
  • Financial Analysis & Reporting

    • Analyze financial trends, payment variances, and payer behavior; provide actionable insight to leadership.

  • Perform cost-benefit analyses and assist with the development of financial proformas and strategic planning scenarios.
  • Prepare and present dashboards, KPIs, and ad-hoc financial reports to senior management.
  • Vendor & Stakeholder Management

    • Oversee relationships with third-party underpayment recovery vendors; manage performance, reporting, and ROI evaluation.

  • Monitor contract compliance with external partners and recommend changes based on performance metrics.
  • Leadership & Team Management

    • Lead and mentor a team of Payment Integrity Analysts.

  • Ensure accurate reporting, timely follow-up, and consistent use of payment variance tools.
  • Provide education and training on payment methodologies and contract language interpretation.
  • Collaboration & Integration

    • Partner with Revenue Cycle, Compliance, Payer Strategy, Finance, and payer partners to align goals and resolve payer-related issues.

  • Facilitate cross-functional initiatives to enhance payment accuracy and reduce revenue leakage.
  • Contribute to enterprise-wide initiatives on payer strategy and payment reform readiness.

    • Qualifications

  • Experience :

    • Minimum 5 years of experience in healthcare finance, payment integrity, managed care analytics, or contract evaluation.

  • Strong understanding of payer reimbursement methodologies and healthcare finance operations.
  • Experience managing staff and / or external vendor relationships preferred.
  • Skills & Competencies :

    • Advanced proficiency in Excel and financial analysis tools.

  • Excellent communication, negotiation, and presentation skills.
  • Ability to interpret legal and financial language in payer contracts.
  • Strategic mindset with the ability to manage detail-oriented operations.
  • Preferred :

    • Knowledge of Epic, contract modeling software, or claims adjudication systems. Familiarity with Medicare / Medicaid payment methodologies.

  • Bachelor's degree in Healthcare Administration, Business, Accounting, Finance, or related field or Master's degree preferred.
  • CPA preferred.
  • Working Conditions :

    • Office-based with occasional travel to hospital and vendor sites.

  • Must be able to meet deadlines with limited resources in a dynamic environment.
  • Regular interaction with executive leadership and external partners.

    • J-18808-Ljbffr

    serp_jobs.job_alerts.create_a_job

    Manager Payment Integrity • Oklahoma City, OK, US

    Job_description.internal_linking.related_jobs
    International Tax Manager - Remote Eligible

    International Tax Manager - Remote Eligible

    Eide Bailly • Oklahoma City, OK, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    All Locations in the United States.This role serves as a firmwide resource responsible for delivering international tax services to clients and supporting the growth of the international tax practi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tax Senior / Tax Manager / CPA

    Tax Senior / Tax Manager / CPA

    Solid Rock Recruiting LLC • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Known for its collaborative culture and commitment to professional development, the firm is seeking an experienced person to join their team in a fully remote capacity. This is an excellent opportun...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Senior Manager, Tax

    Senior Manager, Tax

    Relativity • Oklahoma City, OK, United States
    serp_jobs.job_card.full_time
    Join our dynamic Tax team, where strategic thinking meets operational excellence.As a Senior Manager, Tax, you'll lead a high-performing group responsible for delivering accurate and timely tax pro...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tax Manager

    Tax Manager

    Eide Bailly • Oklahoma City, Oklahoma, United States
    serp_jobs.job_card.full_time
    A typical day as a Tax Manager in Oklahoma City, OK might include the following : .Prepares, Reviews, and Sign individual, business, and other types of tax returns for clients in various types of ent...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Taxpayer Support Specialist- Taxpayer Resources Center

    Taxpayer Support Specialist- Taxpayer Resources Center

    State of Oklahoma • Oklahoma City, OK, US
    serp_jobs.job_card.full_time +1
    Taxpayer Support Specialist- Taxpayer Resources Center.Job Posting End Date (Continuous if Blank).Applications will be accepted until 11 : 59 PM on the day prior to the posting end date above.The Okl...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Professional Revenue Integrity Specialist

    Professional Revenue Integrity Specialist

    Oklahoma Heart Hospital • Oklahoma City, OK, United States
    serp_jobs.job_card.full_time
    Join Our Team at Oklahoma Heart Hospital (OHH).At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Relationship Manager - Advanced Payments

    Relationship Manager - Advanced Payments

    Global Payments • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services.Our worldw...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Indirect Tax Analyst

    Indirect Tax Analyst

    Loves • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Location : Oklahoma City, OK, US, 73120.The purpose of this position is to ensure indirect taxes are accrued, collected, and remitted to taxing authorities accurately, timely, and efficiently.This p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    CPA / Tax Manager (Hybrid)

    CPA / Tax Manager (Hybrid)

    Solid Rock Recruiting LLC • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Regional public accounting firm that values great service, strong client relationships, and an even stronger team culture!. Preparing and reviewing individual, corporate, partnership, and trust tax ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Taxpayer Support Specialist

    Senior Taxpayer Support Specialist

    State of Oklahoma • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Senior Taxpayer Support Specialist.Applications will be accepted until 11 : 59 PM on the day prior to the posting end date above. Senior Taxpayer Support Specialist- Taxpayer Resources Center •Salary ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Refunds / Credit Balance Resolution Specialist

    Refunds / Credit Balance Resolution Specialist

    Oklahoma Arthritis Center • Edmond, OK, US
    serp_jobs.job_card.full_time
    Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran stat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Tax Manager / Senior Manager

    Tax Manager / Senior Manager

    Jobot • Edmond, OK, US
    serp_jobs.job_card.full_time
    Amazing Work / Life Balance - Unlimited PTO - Quick Path to Manager and Partnership.This Jobot Job is hosted by : Ruby Voight. Are you a fit? Easy Apply now by clicking the "Apply Now" button and sendi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Tax Manager

    Tax Manager

    Veracity • Norman, OK, US
    serp_jobs.job_card.full_time
    Tax Manager Onsite | Hybrid Norman, Ok.A typical day as a Senior Tax Manager in Tulsa, Ok might include the following : Manage and review high-level returns for our clients in various industries.Wor...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tax Manager

    Tax Manager

    LHH • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    LHH is seeking a seasoned Tax Manager to join our client’s close-knit and client-focused team.This is a fantastic opportunity for an experienced professional who thrives in a collaborative en...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Taxpayer Resource Center Service Supervisor

    Taxpayer Resource Center Service Supervisor

    State of Oklahoma • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Taxpayer Resource Center Service Supervisor.The TRC Service Supervisor will lead and manage a team of Taxpayer Resource Center Representatives and Senior Representatives. This leadership role is res...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Analyst- Payor Contracting and Credentialing

    Analyst- Payor Contracting and Credentialing

    Oklahoma Heart Hospital • Oklahoma City, OK, United States
    serp_jobs.job_card.full_time
    Join Our Team at Oklahoma Heart Hospital (OHH).At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Taxpayer Resource Center Service Manager

    Taxpayer Resource Center Service Manager

    State of Oklahoma • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Taxpayer Resource Center Service Manager.Why you'll love it here! Transparency.The Oklahoma Tax Commission is committed to leading Oklahoma with unparalleled customer service.Our mission is to prom...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Agent - Medicaid Fraud Control

    Agent - Medicaid Fraud Control

    State of Oklahoma • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    Agent - Medicaid Fraud Control.Supervisory Organization : Office of Attorney General.Salary Range : $68,000 - $90,000, commensurate with experience and qualifications. The Oklahoma Medicaid Fraud Cont...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Relationship Manager - Private Wealth & Tax Solutions (Southwest Region)

    Relationship Manager - Private Wealth & Tax Solutions (Southwest Region)

    Wilson Hand LLC • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    The Relationship Manager (RM) is a senior business development and client relationship role responsible for cultivating, converting, and managing Strategic Partners (SPs) and high-net-worth clients...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Contracts Manager

    Contracts Manager

    defi AUTO LLC • Oklahoma City, OK, US
    serp_jobs.job_card.full_time
    SOLUTIONS is a pioneer in end-to-end, SaaS loan originations, servicing, and managed servicing solutions.Our customers include the highest volume captive auto lenders, banks, credit unions, and fin...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted