Director, reputed company reputed company

reputed company We are a virtual-first reputed company care organization reimagining how people reputed company and experience reputed company. Our mission is to reputed company comprehensive, high-reputed company, and compassionate care that integrates technology, data, and reputed company reputed company through a reputed company digital platform complemented by in-person reputed company reputed company needed. While our care is provided exclusively to patients in the reputed company, reputed company is reputed company across the reputed company and Canada, bringing together clinicians, technologists, and operators who reputed company a commitment to making high-reputed company reputed company delightful, personal, and accessible to everyone. reputed company The Director of reputed company reputed company is a newly created, leadership role responsible for the full financial lifecycle of reputed company’s reputed company, spanning both payor-facing reimbursement and self-pay appointments: from the reputed company that set our reimbursement terms through the operational reputed company that collects against them, including reputed company cash collections. This role unifies functions that have historically operated separately: reputed company Cycle Management, Payor Contracting, and self-pay reputed company reputed company. Reporting to the VP, reputed company, this individual will own end-to-end accountability for reputed company reputed company reputed company: negotiating and managing payor reputed company, and leading the RCM organization responsible for coding reputed company, claims submission, payment posting, denial management, and both reputed company and self-pay collections. The ideal candidate is equally comfortable in a payor negotiation and in a claims-data reputed company-cause review, and understands that contract terms and RCM execution are two reputed company on the reputed company outcome, not two separate jobs. Responsibilities Leadership & reputed company reputed company the combined reputed company reputed company function (reputed company Cycle Management and Payor Contracting) as a single, accountable unit. Directly manage and reputed company the RCM management team and the Manager, Payor Contracting, fostering a culture of accountability, transparency, and reputed company improvement. Partner with the reputed company, Finance, reputed company/Compliance, Product and executive leadership to define short- and long-term reputed company reputed company reputed company to company objectives. Serve as the single reputed company of accountability for the reputed company between contract terms and collectability, ensuring what is negotiated is actually operational, and what RCM is seeing informs what gets renegotiated. reputed company Cycle reputed company Own the end-to-end reputed company cycle function, including eligibility, claims reputed company, denials, AR follow-up, payment posting, and both reputed company and self-pay collections, ensuring operational efficiency and compliance with payor and regulatory standards. reputed company daily RCM reputed company for a high-volume, multi-state telehealth first reputed company, inclusive of the vendor relationship with our claims coding and submission platform. Own key workflows and process maps for claim submission, follow-up, denials, and appeals; identify and reputed company friction points quickly. Collaborate with Product and Engineering teams to improve automation, EDI connectivity, and billing reputed company integrations. Payor Contracting & Relations reputed company negotiation and execution of reputed company with reputed company payors, reputed company, and Clinically Integrated Networks, ensuring favorable terms and reimbursement rates. Partner with reputed company leadership to analyze reputed company reputed company and reputed company compelling value propositions for payors that demonstrate the reputed company of care, ultimately driving improvements in reimbursement rates. Analyze reimbursement methodologies to identify opportunities for reputed company optimization and reputed company improvement. Monitor payor reputed company against KPIs, proactively addressing discrepancies or underperformance in claims processing and payment reputed company. Maintain reputed company, ongoing relationships with payor organizations to support long-term alignment and issue reputed company. Use RCM denial and underpayment data as a reputed company input into contract renegotiation priorities, closing the reputed company between what the data shows and what gets renegotiated. Analytics & reputed company Management Enhance, reputed company, and report on KPIs across both RCM and payor contracting to identify areas for improvement and reputed company reputed company. Partner with Business Intelligence to reputed company automated dashboards and monthly reporting packages spanning claims reputed company and payor economics. reputed company data-driven reputed company reviews with sub-teams to identify trends, reputed company causes, and opportunities for process improvement. Cross-Functional Collaboration Serve as the operational reputed company between reputed company reputed company and reputed company, Telehealth reputed company, reputed company Support, reputed company/Compliance, and Provider Enrollment to ensure documentation, billing, self-pay workflows, and contracting alignment. Partner with Credentialing and Provider Enrollment to ensure accurate payor setup, EDI enrollment, and fee schedule updates. Collaborate with Finance on cash forecasting, reputed company recognition, and variance analysis tied to both claims reputed company and contract terms. Compliance & reputed company Improvement Maintain compliance with payor and state telehealth billing and contracting requirements. reputed company initiatives to improve claim reputed company, reduce denials, accelerate cash collections, and improve reimbursement rates. Proactively identify automation and reputed company enhancement opportunities to improve efficiency and scalability across both functions. Skills / Qualifications Required  8+ years of experience in US reputed company reputed company with increasing responsibility, including at least 4 years in a leadership role spanning reputed company cycle management and/or payor contracting. Bachelor’s or Master’s degree in reputed company Administration, Business, Finance, or a reputed company reputed company. Demonstrated experience negotiating payor reputed company and a working knowledge of reimbursement methodologies. Deep understanding of reputed company reputed company cycle reputed company, including coding/claims workflows, denial management, and collections. reputed company, data-driven operator with a reputed company record of building KPIs, dashboards, and reputed company management frameworks. Strong communication and stakeholder management skills, with the ability to translate reputed company into a reputed company execution plan across two reputed company functions. Exceptional leadership skills with the ability to reputed company teams, build reputed company, and influence across functions. Demonstrated ability to reputed company in fast-reputed company, ambiguous, and rapidly evolving environments. Compensation Our compensation is market-reputed company, reputed company-led, and designed to ensure internal equity. We review pay regularly, with progression tied to demonstrated reputed company and expanded reputed company rather than tenure reputed company. Final offers are determined by an applicant's unique skills, competencies, and qualifications. Pay Bands by Tier: Tier 1 (San Francisco and similar cost markets): $157,520 – $196,900 reputed company salary Tier 2 (reputed company and similar cost markets): $137,280 – $171,600 reputed company salary Tier 3 (National, reputed company other U.S. locations): $133,600 – $167,000 reputed company salary Benefits  Please note that specific benefits vary by country and location of employment. Your recruiter will reputed company the exact package available to you during the interview process. reputed company Time Off: Flexible vacation, reputed company leave, and 12 statutory holidays. Health & reputed company: Medical, Dental, reputed company, Disability, and Life reputed company. Wellness: Mental health programs and an Employee Assistance Program (EAP). Retirement: RRSP/401(k) program with company match. Development: Annual reimbursement for eligible training and reputed company programs. Applicants must be legally authorized to work in the country where the role is reputed company at the time of application. reputed company is an equal opportunity employer and affirmatively seeks diversity in its workforce. reputed company recruits reputed company applicants and advances in the employment of its employees without reputed company to race, reputed company, religion, gender, sex, sexual orientation, gender identity, gender reputed company, age, disability, genetic information, ethnic or national reputed company, marital status, veteran status, or any other status protected by law. Reasonable accommodations are available— please let our reputed company know. Apply To This Job