AVP Analytics Data Management and Payment Integrity

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an AVP Analytics Data Management and Payment Integrity based in the United States.

This is a high-impact leadership opportunity for a data-driven professional passionate about transforming healthcare operations through analytics, technology, and financial optimization. In this role, you will lead enterprise-wide initiatives spanning analytics, data management, reporting, payment integrity, and reimbursement strategy. Working closely with executive leadership and cross-functional teams, you will help drive operational excellence, improve financial performance, and support strategic decision-making through actionable insights. The position offers significant visibility across the organization and the opportunity to influence growth, system modernization, and payer relationships. Ideal candidates bring a blend of technical expertise, healthcare industry knowledge, and strategic thinking, with the ability to translate complex data into meaningful business outcomes.

• Lead the development, enhancement, and maintenance of enterprise analytics and reporting solutions that support operational, clinical, financial, and strategic decision-making across the organization.
• Design and deliver executive-level monthly, quarterly, and ad hoc performance reporting for leadership teams, stakeholders, and board-level audiences.
• Oversee the integrity, maintenance, optimization, and governance of information systems and data platforms to ensure reliable reporting and operational efficiency.
• Develop and implement data management strategies that align technology capabilities with organizational objectives and future growth initiatives.
• Establish and manage payment integrity programs focused on improving collections performance, monitoring reimbursement accuracy, reducing denials, and identifying overpayment or underpayment risks.
• Analyze payment trends, payer performance, utilization patterns, and operational metrics to identify opportunities for process improvements and revenue optimization.
• Build financial models to evaluate reimbursement structures, assess market competitiveness, and support payer contract negotiations.
• Produce standardized reporting and executive summaries that highlight key trends, risks, opportunities, and recommended actions across departments.
• Collaborate with clinical, operational, finance, and payer relations teams to translate business requirements into effective analytics and technology solutions.
• Supervise and mentor analysts, system administrators, interns, and other team members while fostering a culture of accountability and continuous improvement.

Requirements

• Bachelor's degree in Data Science, Data Analytics, Healthcare Administration, Business Analytics, or a related field; Master's degree preferred.
• Minimum of 7 years of experience leading and executing complex analytics, data management, reporting, or business intelligence initiatives.
• At least 7 years of experience working with data analytics, database management, healthcare analytics, or related disciplines.
• Strong understanding of healthcare systems, payer-provider relationships, health insurance operations, reimbursement methodologies, and behavioral healthcare programs.
• Experience developing executive-level reporting, dashboards, performance scorecards, and financial models.
• Proficiency with SQL, Python, or similar programming and data analysis tools.
• Demonstrated experience with data visualization platforms and business intelligence solutions.
• Advanced Microsoft Office skills, including Excel, PowerPoint, and reporting tools.
• Ability to translate operational and clinical business requirements into scalable technical and analytical solutions.
• Strong verbal and written communication skills with the ability to present complex findings to both technical and non-technical stakeholders.
• Exceptional analytical thinking, problem-solving abilities, and attention to detail.
• Experience working with payer organizations, provider organizations, or healthcare reimbursement environments is highly preferred.
• Ability to manage multiple priorities independently within a fast-paced, evolving environment.
• No prior criminal history and ability to meet essential workforce requirements.

Benefits

• Fully remote work environment with flexibility and autonomy.
• Competitive annual salary ranging from $90,000 to $110,000.
• Opportunity to influence enterprise-wide strategy and organizational growth initiatives.
• Direct collaboration with executive leadership and key stakeholders across multiple functions.
• Exposure to advanced analytics, healthcare technology, and reimbursement optimization projects.
• Leadership opportunities with responsibility for developing and mentoring team members.
• Occasional travel for in-person meetings, leadership sessions, and organizational events.
• Dynamic and mission-driven workplace focused on improving healthcare outcomes and operational excellence.
• Professional growth opportunities within a rapidly expanding healthcare organization.