Director, Reimbursement Integrity – Payor Analytics

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Envision Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

🤝 B2B

Healthcare • B2C • B2B

Envision Healthcare is a leading national medical group of physicians and advanced practice providers delivering acute, perioperative, emergency and specialty clinical services across hospitals, ambulatory surgery centers and other care settings throughout the United States. The organization supports millions of patient encounters annually—including emergency department care, radiology reads, anesthesia cases and newborn deliveries—while partnering with health systems to improve clinical workflows, patient access, telehealth imaging, clinician wellbeing and operational performance.

📋 Description

• Lead the development and execution of reimbursement integrity and payor analytics strategy across the organization • Oversee analysis of expected versus actual reimbursement to identify trends, risks, and opportunities • Establish frameworks to categorize reimbursement variances, including underpayments, overpayments, configuration defects, operational exceptions, and contract interpretation issues • Partner with Expected Pay Configuration leadership to support model QA, validation, and pre-go-live testing • Identify systemic payor performance and noncompliance trends and translate findings into actionable insights • Direct development of dashboards, scorecards, and executive reporting for financial and operational decision-making • Enable prioritization of variance recovery efforts through data-driven insights for Revenue Cycle teams • Drive reduction of false-positive variance volumes through improved analytics, logic refinement, and data quality • Collaborate with IT and data teams on data architecture, ETL processes, and reporting optimization • Lead reimbursement intelligence efforts, including contract interpretation support and insights informing pricing and negotiation strategies • Build and lead a high-performing analytics team, fostering technical excellence and strategic thinking

🎯 Requirements

• Demonstrated success leading reimbursement analytics, revenue integrity, or healthcare data analytics functions • Strong expertise in healthcare reimbursement methodologies, payor behavior, and contract structures • Proven ability to translate complex data into actionable business insights and strategic recommendations • Experience supporting contract modeling QA, testing, or validation processes • Strong understanding of data architecture, reporting tools, and analytics methodologies • Excellent leadership, communication, and cross-functional influence skills • Ability to identify systemic issues and drive enterprise-level improvements • Experience collaborating with IT and data engineering teams on analytics and reporting solutions • High attention to detail and commitment to data accuracy and integrity • Bachelor’s degree required • 8–12 years of experience in healthcare analytics, reimbursement, or revenue cycle functions • 4+ years of leadership experience • Demonstrated success leading analytics, reporting, or reimbursement integrity initiatives • Progressive experience in data-driven healthcare financial operations • Employment eligibility verification through E-Verify

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and Parking FSAs • HSA • Paid time off (PTO), minimum 20 days and up to 25 days per calendar year depending on position • 9 observed holidays • Paid family leave • Benefits eligibility from day one for qualifying employees • Comprehensive benefits package