Payment Integrity Content Development Director

We're looking for a hands-on, forward-thinking leader who understands the payer-centric landscape, embraces new ways of working, and brings a sharp sense of tempo and adaptability to everything they do. This person will help reimagine how content is created, deployed, and governed — using modern tooling, including AI-enabled solutions, to scale effectively.

Success in this role demands both creativity and rigor, a collaborative spirit, and a mindset oriented around continuous innovation. You will work cross-functionally to embed content into product, engineering, compliance, and go-to-market efforts, ensuring a consistent, high-value experience for our customers.

• Team Leadership: Manage and develop a high-performing team across Design and Validation functions. 
• Process Management: Drive end-to-end content process improvements in partnership with Engineering and Product, including opportunities for AI and automation in deployment workflows.

Workflow Efficiency: Identify and deliver efficiencies through the development and refinement of workflows and building cross-functional team synergies.

• Strategic Collaboration: Partner with the Policy & Content Management team to enhance the scoping and intake process for content projects. 
• System Optimization: Support the development of Rialtic's single source of truth for content operations

Continuous Quality Improvement: Identify opportunities to improve upstream and downstream processes based on data-driven quality trendsOperational Excellence: Monitor metrics, ensure quality standards, and support timely and accurate edit deployment.

• Operate as a connective tissue between product, engineering, compliance, operations, and customer teams.
• Translate clinical and policy expertise into frictionless, scalable platform features.

• Grow and lead a high-performing team of content analysts and policy managers.
• Serve as a player-coach, creating an environment of ownership, resilience, and high accountability, without micromanaging.

• Foster a culture of continuous feedback and learning, informed by user data and client insights.

• Proactively incorporate external changes into the content roadmap and act as a credible voice with clients and internal stakeholders.
• Partner with data science to identify gaps and refine content using real-world signals — including error rates, reimbursement variances, and utilization anomalies.

• 10+ years of payment integrity experience
• Bachelor’s degree required
• Advanced degree (MBA, Masters in Healthcare) a plus
• 5+ years of people leadership experience with demonstrated success in scaling
• Operational workflow design experience, automation and continuous quality improvement
• A confident, empathetic leader with a bias toward action and a deep commitment to outcomes.
• Open-minded and curious, always testing new ways of working and thinking.
• Highly collaborative but comfortable making independent, high-quality decisions.
• Passionate about building tools and content that create tangible value in the payer-provider ecosystem.
• Thrives in a startup culture — balancing intensity with humor, humility, and flexibility.
• Deep knowledge of payer-side claims processes and rules management
• Ability to translate clinical/policy content into product features
• Content Development & Management
• Experience leading content design, validation, and governance at scale
• Familiarity with AI-enabled tooling and workflow automation

Why Join Us

At Rialtic, you’ll be part of a team that’s bold, mission-driven, and values-centered. We work as one team, prioritize customer value, and strive for excellence, while taking care of ourselves and each other.

We offer:

Remote flexibility and home office stipend

Meaningful equity and 401(k) match

Open PTO plan, comprehensive medical/dental/vision plans

Wellness reimbursements and access to TalkSpace, Teladoc, and One Medical

Studies show that women and people of color are less likely to apply unless they meet all criteria.

At Rialtic, we believe diverse teams create better outcomes. If you’re excited about this role—even if your background doesn’t align perfectly—we encourage you to apply. You might be just the right fit.