VP, Payment Integrity

Gravie

VP of Payment Integrity overseeing health claims accuracy and compliance initiatives for Gravie. Driving improvements in payment strategy and managing a high-performing team.

Posted 6/25/2026full-timeRemote • 🇺🇸 United StatesLead💰 $207,000 - $304,000 per yearWebsite

About the role

Key responsibilities & impact

Lead payment integrity strategy and execution, including pre- and post-payment reviews, fraud, waste, and abuse (FWA) prevention, and recovery efforts
Design and lead solutions to address leakage throughout the claims lifecycle, including developing internal capabilities and implementing external vendor programs
Assess the current payment integrity program ecosystem and prioritize opportunities to deliver additional savings
Build and manage a high-performing multi-vendor portfolio, enforcing rigorous SLAs and optimizing contingency fee structures to maximize financial yields while actively mitigating provider abrasion
Provide executive leadership over all payment integrity operations, ensuring high performance of all internal and external PI programs
Lead strategy and execution to insource payment integrity opportunities as appropriate
Establish and monitor savings and operational KPIs
Develop, scale and optimize payment integrity operations to support business growth, new products, and regulatory requirements
Partner with Finance and Med Econ to ensure detailed savings tracking of payment integrity initiatives
Build, mentor, and lead a high-performing leadership team with a strong culture of accountability, collaboration, and continuous improvement
Build strong leadership and career pathways within the organization to support retention and succession planning

Requirements

What you’ll need

15+ years of progressive leadership experience in healthcare claims or payment integrity operations
Deep expertise in medical claims operations, payment integrity, claims configuration, and regulatory compliance
Proven experience scaling operational organizations in high-growth or complex environments
Strong understanding of healthcare regulations, audit requirements, and industry best practices
Demonstrated ability to lead large, distributed teams and manage complex vendor relationships
Strategic thinker with strong analytical, financial, and operational acumen

Benefits

Comp & perks

Health insurance
401k program
Flexible PTO
Up to 16 weeks paid parental leave
Paid holidays
Cell phone reimbursement
Transportation perks
Education reimbursement
1 week of paid paw-ternity leave

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

payment integrityclaims lifecyclefraud preventionwaste preventionabuse preventionoperational KPIsclaims configurationregulatory compliancefinancial yieldsvendor management

Soft Skills

leadershipstrategic thinkinganalytical skillsfinancial acumenoperational acumencollaborationcontinuous improvementmentoringaccountabilitysuccession planning