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Director Reimbursement Integrity & Payor Analytics

Role overview

Qualifications

  • Experience in reimbursement variance analytics
  • Strong analytical and data strategy skills
  • Knowledge of payor performance insights
  • Leadership experience in revenue cycle management

Responsibilities

  • Lead enterprise strategy for reimbursement variance analytics
  • Transform expected vs. actual reimbursement data into actionable intelligence
  • Partner with the Expected Pay Configuration team to validate model accuracy
  • Develop analytics, reporting, and data strategies for revenue cycle enhancement

Key facts

Other skills

  • Problem Reporting
  • Decision Making
  • Collaboration

About the company

Envision Healthcare logo

Envision Healthcare

Hospitals & Health Care

Envision Healthcare is a leading medical group that delivers physician and advanced practice provider services, primarily in the areas of emergency and hospitalist medicine, anesthesiology, radiology/teleradiology and neonatology. Envision’s medical group offers a differentiated suite of clinical solutions on a national scale with a local understanding of our communities, creating value for health systems, payers, providers and patients.

Company details

IndustryHospitals & Health Care
Company size10,001+

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Job description

The Director, Reimbursement Integrity & Payor Analytics leads the enterprise strategy for reimbursement variance analytics, payor performance insights, and revenue integrity. This role is responsible for transforming expected vs. actual reimbursement data into actionable intelligence that drives underpayment recovery, reduces overpayment risk, and ensures payor contract compliance. The Director partners closely with the Expected Pay Configuration team to validate model accuracy, support pre-go-live testing, and continuously improve reimbursement modeling outcomes. This position also leads the development of analytics, reporting, and data strategies that enhance transparency and decision-making across revenue cycle and payor relations functions

Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

 

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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