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Vice President, Payment Integrity (Remote - US) at Jobgether. This position is posted by Jobgether on behalf of Avesis, Incorporated. We are currently looking for a Vice President, Payment Integrity in United States.. This role offers an opportunity to lead enterprise-wide payment integrity initiatives, driving financial performance, operational efficiency, and regulatory compliance. The VP will oversee internal cross-functional teams and external vendor partnerships, leveraging data-driven insights to optimize vendor performance, mitigate fraud, waste, and abuse, and enhance audit and compliance processes. The position requires a visionary leader who combines financial acumen, clinical insight, and advanced analytics with strong communication skills to translate complex data into actionable strategies. This role provides the chance to influence senior leadership decisions, implement innovative programs, and deliver measurable impact in a dynamic healthcare environment.. . Accountabilities. . Lead the strategic design and execution of enterprise-wide payment integrity programs, including the gold carded vendor monitoring initiative.. . Oversee vendor relationships, ensuring performance metrics, contractual obligations, and audit recommendations are met.. . Direct audits, post-audit recoupment, and compliance activities to safeguard organizational financial health.. . Conduct cost trending and risk analyses, providing actionable insights to guide operational and clinical decisions.. . Collaborate with clinical leadership to prioritize focus areas using predictive analytics and data-driven insights.. . Develop and maintain executive dashboards and reporting frameworks to monitor initiatives, vendor performance, and financial impact.. . Advise senior leadership on strategic initiatives, provider agreement optimization, and regulatory compliance.. . Foster cross-functional alignment and drive continuous improvement in payment integrity processes.. . . Bachelor’s degree in Finance, Healthcare Administration, Business, Data Analytics, or related field required; Master’s preferred.. . 10+ years of experience in healthcare finance, vendor management, or payment integrity, with proven leadership of cross-functional teams.. . Strong analytical and strategic thinking skills with experience in cost trending, claims analysis, and audit coordination.. . Expertise in vendor oversight, contract optimization, and performance management.. . Familiarity with healthcare coding systems (e.g., CPT, HCPCS) and provider reimbursement models.. . Professional certifications such as CHFP or CFE preferred.. . Excellent communication, presentation, and mentoring skills to influence senior leadership and cross-functional teams.. . Ability to lead complex initiatives, manage competing priorities, and drive measurable results in a fast-paced environment.. . Company Location: United States.