Senior Payment Integrity Program Lead

Devoted Health Services, Inc; Waltham (MA); On-site; USD 111,000 - 150,000; Full time

Benefits offered by this job

Employer sponsored health, dental and

Generous paid time off

$100 monthly mobile or internet

Stock options for all employees

Bonus eligibility for most roles

Parental leave program

401K program

Job summary

Devoted Health Services, Inc is seeking a Payment Integrity Program Development Senior Manager in Massachusetts. You will lead complex, multi-phase initiatives across implementation, validation, and optimization of payment integrity edits and audits.

You will collaborate with engineering, product, data science, and operations to drive improvements in savings and provider experience. The role emphasizes independent thinking, leadership across functions, and accountability for portfolio

Qualifications

• Bachelor's degree in a related field and healthcare payment experience.
• Experience with payment integrity edits, audits, and claims logic.
• Ability to investigate complex claims and translate findings into actions.

Responsibilities

• Manage internal and vendor-supported payment integrity programs across implementation and maintenance.
• Evaluate performance metrics, identify risks and opportunities, and drive improvements.
• Lead complex, multi-phase initiatives across functions with limited oversight.
• Collaborate with clinical, coding, engineering, and data teams to implement concepts.
• Monitor compliance, documentation, and escalation procedures.

Skills

Payment integrity expertise

Claims data analysis

Root cause analysis

Cross-functional leadership

Project management

SQL

Education

Bachelor's degree

Tools

Claims editing systems

Automation tools

Job description

Devoted Health Services, Inc is seeking a Payment Integrity Program Development Senior Manager in Massachusetts. You will lead complex, multi-phase initiatives across implementation, validation, and optimization of payment integrity edits and audits.

You will collaborate with engineering, product, data science, and operations to drive improvements in savings and provider experience. The role emphasizes independent thinking, leadership across functions, and accountability for portfolio