Director, Healthcare - Payment Integrity

<div class="content-intro"><p><span style="color: rgb(7, 1, 84);"><strong><span class="TextRun SCXW237594961 BCX0" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW237594961 BCX0">Are you ready to make an impact?</span></span></strong></span></p></div><p></p> <h2>Healthcare Payment Integrity Director</h2> <p>West Monroe has an immediate opportunity for a Director aligned to the Healthcare Practice. This role will focus on delivering business and technology consulting solutions for payer organizations, with a specialization in Payment Integrity, claims operations, reimbursement methodologies, and healthcare finance transformation.</p> <p>Working alongside leaders across our National Healthcare Practice, this role will be responsible for developing and growing client relationships, identifying and pursuing new business opportunities, leading complex consulting engagements, and delivering exceptional value to clients. Candidates should be passionate about healthcare transformation, client service, and working in a collaborative, entrepreneurial environment.</p> <h3>Client Development</h3> <ul> <li> <p>Develop and expand relationships with payer organizations, including medical and ancillary insurers.</p> </li> <li> <p>Serve as a trusted advisor to client executives by bringing deep expertise in Payment Integrity, claims processing, reimbursement recovery, and provider revenue cycle operations.</p> </li> <li> <p>Identify and originate opportunities within existing and prospective client accounts.</p> </li> <li> <p>Participate in business development activities including client meetings, industry events, networking, and proposal development.</p> </li> <li> <p>Support the sales cycle by helping shape solutions, work plans, pricing approaches, and value propositions.</p> </li> <li> <p>Leverage market insights and industry expertise to position West Monroe as a trusted advisor and thought leader.</p> </li> <li> <p>Collaborate with Healthcare Practice leadership, Business Development, and Marketing teams to support go-to-market activities and client growth initiatives.</p> </li> <li> <p>Contribute to account growth through cross-selling and expansion of existing client relationships.</p> </li> </ul> <h3>Client Delivery</h3> <ul> <li> <p>Serve as an engagement leader on Payment Integrity and payer transformation engagements.</p> </li> <li> <p>Manage all aspects of client delivery including scope, budget, staffing, workstreams, deliverables, and overall engagement profitability.</p> </li> <li> <p>Provide strategic and operational guidance to clients on Payment Integrity programs, claims operations, reimbursement methodologies, and recovery optimization.</p> </li> <li> <p>Communicate project status, risks, recommendations, and outcomes to executive stakeholders.</p> </li> <li> <p>Ensure value creation is identified, measured, and articulated throughout the engagement lifecycle.</p> </li> <li> <p>Mentor and develop consulting teams while maintaining high standards of quality and client service.</p> </li> <li> <p>Act as a point of escalation for client concerns and drive issues through resolution.</p> </li> <li> <p>Apply deep industry expertise to solve complex client challenges and deliver measurable business outcomes.</p> </li> </ul> <h3>Practice Development</h3> <ul> <li> <p>Contribute to the growth and evolution of West Monroe's Healthcare Practice through knowledge sharing, thought leadership, and solution development.</p> </li> <li> <p>Develop Payment Integrity methodologies, tools, and best practices that enhance client delivery.</p> </li> <li> <p>Support recruiting, onboarding, and mentoring efforts across the practice.</p> </li> <li> <p>Actively participate in performance management and career development of team members.</p> </li> <li> <p>Foster a culture of collaboration, inclusion, innovation, and continuous improvement.</p> </li> <li> <p>Contribute to thought leadership through industry participation, conference speaking opportunities, and market-facing content.</p> </li> </ul> <p>Qualifications</p> <ul> <li> <p>Bachelor's degree required; advanced degree preferred.</p> </li> <li> <p>10+ years of consulting, healthcare payer, or healthcare operations experience with significant exposure to Payment Integrity, claims operations, reimbursement, and recovery programs.</p> </li> <li> <p>Demonstrated experience leading complex client engagements and managing executive-level stakeholder relationships.</p> </li> <li> <p>Proven ability to identify, develop, and support new business opportunities within existing and prospective accounts.</p> </li> <li> <p>Strong understanding of healthcare payer operations, claims processing, reimbursement methodologies, provider payment models, and Payment Integrity programs.</p> </li> <li> <p>Experience leading business and technology transformation initiatives within health insurance organizations.</p> </li> <li> <p>Strong program and project management experience, including scope, budget, risk, issue, and stakeholder management.</p> </li> <li> <p>Excellent verbal, written, and executive presentation skills.</p> </li> <li> <p>Demonstrated ability to mentor and develop team members.</p> </li> <li> <p>Commitment to fostering an inclusive culture and embracing diverse perspectives.</p> </li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p>Based on pay transparency guidelines, a reasonable expectation for the salary range for this role is listed below. <span data-contrast="auto">Information on our competitive total rewards package, including our bonus structure and benefits is </span><a href="https://www.westmonroe.com/careers/benefits"><span data-contrast="none">here</span></a><span data-contrast="auto">.&nbsp; Individual salaries are determined by evaluating a variety of factors including geography, experience, skills, education, and internal equity.​</span><span data-ccp-props="{&quot;335559739&quot;:180}"> Employees in proximity of our Seattle, Washington DC, Los Angeles, New York, and San Francisco offices will have a geographic premium applied to this salary scale.&nbsp;<br><br></span><span data-contrast="auto">Employees (and their families) are covered by medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan, purchase shares from our employee stock ownership program and be eligible to receive annual bonuses. Employees will also receive unlimited flexible time off and ten paid holidays throughout the calendar year. <span data-usefontface="true" data-contrast="none">Eligibility for ten weeks of paid parental </span><span data-usefontface="true" data-contrast="none">leave will also be available upon hire date.&nbsp;</span></span></p></div><div class="title">National</div><div class="pay-range"><span>$200,000</span><span class="divider">&mdash;</span><span>$250,000 USD</span></div></div></div><div class="content-conclusion"><p>&nbsp;</p> <h3><span style="color: rgb(7, 1, 84);">Other consultancies talk at you.</span><br><span style="color: rgb(7, 1, 84);">At West Monroe, we work with you.</span></h3> <p><span style="color: rgb(7, 1, 84);">We’re a global business and technology consulting firm passionate about creating measurable value for our clients, delivering real-world solutions.</span></p> <p><span style="color: rgb(7, 1, 84);">The combination of business and technology is not new, but how we bring them together is unique. We’re fluent in both. We know that technology alone is not the answer, but how we apply it is. We rely on data to constantly adapt and solve new challenges. Actions that work today with outcomes that generate value for years to come.</span></p> <p><span style="color: rgb(7, 1, 84);">At West Monroe, we zero in on the heart of the opportunity, getting to results faster and preparing people for what’s next.</span></p> <p><span style="color: rgb(7, 1, 84);">You’ll feel the difference in how we work. We show up personally. We’re right there in the room with you, co-creating through the challenges. With West Monroe, collaboration isn’t a lofty promise, but a daily action. We work together with you to turn vision into clear action with lasting impact.</span></p> <p>&nbsp;</p> <p><span style="color: rgb(7, 1, 84);"><strong><span data-contrast="auto">West Monroe</span></strong><strong><span data-contrast="auto">&nbsp;</span></strong><strong><span data-contrast="auto">is an Equal Employment Opportunity Employer </span></strong>&nbsp;</span><br><span style="color: rgb(7, 1, 84);"><span data-contrast="auto">We believe in treating each employee and applicant for employment fairly and with dignity. We base our employment decisions on merit, experience, and potential, without regard to race, color, national origin, sex, sexual orientation, gender identity, marital status, age, religion, disability, veteran status, or any other characteristic prohibited by federal, state or local law. To learn more about diversity, equity and inclusion at West Monroe, visit </span><a style="color: rgb(7, 1, 84);" href="http://www.westmonroe.com/inclusion"><span data-contrast="none">www.westmonroe.com/inclusion</span></a><span data-contrast="auto">.</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}"> If you require a reasonable accommodation to participate in our recruiting process, please inquire by sending an email to <a href="mailto:recruiting@westmonroe.com">recruiting@westmonroe.com</a>.</span></span></p> <p><span style="color: rgb(7, 1, 84);"><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}">Please review our <a href="https://www.westmonroe.com/ai-use-policy" target="_blank">current policy regarding use of generative artificial intelligence during the application process</a>.</span></span></p> <p><span style="color: rgb(7, 1, 84);"><span data-contrast="auto">If you are based in California, we encourage you to read West Monroe’s Notice at Collection for California residents, provided pursuant to the California Consumer Privacy Act (CCPA) and linked </span><a style="color: rgb(7, 1, 84);" href="https://www.westmonroe.com/privacy-policy/applicant-ccpa"><span data-contrast="none">here</span></a><span data-contrast="auto">. </span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}">&nbsp;</span></span></p></div>