Vice President, Payment Integrity, Innovations & Solutions

The Company is seeking a VP, Solutions & Innovation with a focus on Payment Integrity. This strategic leadership role is pivotal in driving solution innovation, enterprise platform strategy, and client-centric transformation initiatives. The successful candidate will be responsible for identifying emerging opportunities in the healthcare ecosystem and translating them into scalable enterprise solutions that leverage advanced analytics, AI, automation, and data platforms. As a key driver of innovation and growth, the VP will partner with cross-functional teams to incubate new solution concepts, develop enterprise platforms, and accelerate the commercialization of next-generation capabilities. The role also involves serving as a senior client-facing leader, engaging with executive stakeholders to articulate solution value propositions and support strategic pursuits. Candidates for this role at the company should have a Master’s or Bachelor’s degree in a relevant discipline and at least 20 years of experience in healthcare technology, analytics, enterprise solutions, or digital transformation. The ideal candidate will have a strong understanding of the healthcare payer ecosystem, a proven track record of engaging with senior client stakeholders, and experience in building scalable enterprise systems. Key qualifications include the ability to translate complex industry challenges into structured solution architectures, excellent communication and executive presentation skills, and an entrepreneurial mindset. The role requires a visionary leader with strong industry expertise, the ability to influence senior stakeholders, and a proven ability to build and lead high-performing teams.