Manager Payment Integrity

Manager Payment Integrity Location: VA, United States. Remote eligible for candidates residing in VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Job ID: 682979 | Posting Date: 06/24/2026 | Job Schedule: Full time | Locations: Inova 8095 - Fairfax East (Remote) Inova Health is looking for a dedicated Manager of Payment Integrity to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m. Remote Eligibility Position is eligible for remote work for candidates residing in the following states: VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Featured Benefits Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules. Job Responsibilities Creates and enforces work standards, quality measures, and process improvements consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority. Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow‑up claims/actions are submitted via the appropriate medium with all required attachments. Evaluates the impact of new or upgraded systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools. Ensures timely and accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream. Ensures follow‑up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards. Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems. Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes and/or ensures billed claims receive timely and appropriate follow‑up based on established protocol or SRG. Oversees assigned department or functional area to ensure it is performing effectively, which may include but is not limited to hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks. Minimum Qualifications Experience: Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; two years in leadership roles. Education: Bachelor’s Degree or lesser educational degree with four additional years of experience. Preferred Qualifications Bachelor's degree in Accounting, Finance, Supply Chain, Healthcare Administration, or a related field preferred; advanced degree or certification a plus. Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards). Proven experience in financial analytics and reporting across areas such as revenue cycle, accounts payable, and/or supply chain operations, including performance metrics (Net Revenue, AR, Denials, Cash, payment accuracy). Experience with payment processing, claims adjudication, accounts payable workflows, or supply chain financial operations, with a strong understanding of compliance and cost control. Skilled in process improvement, workflow optimization, and ensuring accuracy, timeliness, and completeness of financial and operational data across functions. Strong communication and presentation skills, with experience translating complex financial and operational data into actionable insights for leadership. About Us We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world‑class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. From best‑in‑class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Equal Opportunity Employment Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy‑related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law. #J-18808-Ljbffr Direct Jobs