VP, Payment Integrity: Strategy, Savings & Impact

alignmenthealthcare; Orange (CA); On-site; USD 190,000 - 260,000; Full time

Job summary

Alignment Health seeks a Vice President of Payment Integrity to lead enterprise strategy, build a high-performing team, and optimize the mix of internal capabilities and vendor partnerships across prepay and postpay programs.

The role focuses on evolving the Payment Integrity ecosystem, improving first-pass payment accuracy, and protecting provider relationships, member experience, and regulatory standing. Strong payer-side expertise is required.

Qualifications

• Payer-side Payment Integrity expertise
• Technical and data-driven mindset
• Strong financial and strategic acumen
• Executive presence to influence leaders across multiple functions

Responsibilities

• Develop and lead the multi-year Payment Integrity strategy and roadmap.
• Own the financial plan and validated savings commitments.
• Shift from retrospective recovery to prospective prevention and first-pass payment accuracy.
• Establish governance, policies, and control framework for Payment Integrity.

Job description

Alignment Health seeks a Vice President of Payment Integrity to lead enterprise strategy, build a high-performing team, and optimize the mix of internal capabilities and vendor partnerships across prepay and postpay programs.

The role focuses on evolving the Payment Integrity ecosystem, improving first-pass payment accuracy, and protecting provider relationships, member experience, and regulatory standing. Strong payer-side expertise is required.