Chief Operations Officer

This is a fully remote position, open to applicants in United States.

📋 Description

• Dane Street Government Services is in search of a highly skilled and strategic Chief Operations Officer to guide our operational teams and serve as a vital member of the Management Team. Dane Street’s Government Services offers specialized, compliant solutions that effectively support federal and state program needs with efficiency, accuracy, and integrity. Our services encompass Independent Dispute Resolution (IDR), Acceptable Clinical Evidence (ACE) reviews, and Medical Disability Examinations (MDE).

• Dane Street collaborates with organizations to provide clear outcomes that fulfill both operational and clinical standards. We act as a trusted resource, delivering clarity, consistency, and confidence to intricate review processes. This position is essential for ensuring the efficient and compliant operation of our IDR services, which involve the reconciliation and adjudication of bills for air ambulance, excessive ER charges, and out-of-network hospital charges, as required by the No Surprises Act. The successful applicant will manage all operational facets, from workflow optimization to team management and strategic growth, in a dynamic and changing regulatory environment.

• Responsibilities:

• Program Leadership & Strategy:

• Direct the overall operations for all products, ensuring adherence to federal regulations and guidelines.

• Contribute to the strategic direction and pinpoint opportunities for growth and efficiency through current products and prospective business lines.

• Remain updated on any modifications to the Government program and regulatory environment, including changes from CMS, HHS, and DOJ.

• Operational Management & Workflow:

• Supervise the comprehensive workflow of IDR cases, from government portal intake to final determination.

• Enhance processes for case review, including the use of arbitrators and coders, to ensure timely and precise determinations.

• Oversee the operational aspects of MDE and ACE to guarantee quality and production targets are met.

• Manage the integration and utilization of AccessDS for case tracking and management.

• Work alongside the Management team to ensure all processes comply with legal requirements and address any contractual challenges.

• Team Management & Development:

• Lead and supervise a team managing arbitrators, coders, and CSRs, including recruitment, training, and performance assessment.

• Ensure arbitrators are credentialed and trained in accordance with program requirements and internal standards.

• Oversee ongoing quality assurance for all reviews, minimizing clarification needs and expediting turnaround times.

• Financial & Administrative Oversight:

• Collaborate with the finance team to oversee invoicing, billing, and revenue processes, focusing on upfront fees and payment collection from non-paying entities.

• Supervise the relationship with the escrow partner to ensure smooth handling of funds throughout the IDR process.

• Manage the budget for all products, confirming estimated figures and timelines.

• Stakeholder Communication & Relationship Management:

• Maintain effective communication with the Tri-Departments (CMS, HHS, DOJ) and other relevant organizations.

• Address issues related to external vendors.

• Represent Dane Street in pertinent industry discussions and conferences.

⛳️ Requirements

• A profound understanding of business strategy, cross-departmental operations, and executive leadership. Candidates should have 5-10 years of senior management experience, a demonstrated ability to manage complex operations, and degrees in business or a related field.

🏝️ Benefits

• Join our team at Dane Street Government Services and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We provide a variety of benefits including medical, dental, and vision coverage for you and your family. Additionally, voluntary life insurance options are available for you, your spouse, and your children. Other voluntary benefits include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our 401k plan with a company match assists you in planning for your future. Apple equipment and a media stipend are supplied for remote workspace.