Manager, Payment Strategy

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

📋 Description

• Oversee, mentor, and lead a team of Medical Bill Negotiators, which includes responsibilities for hiring, onboarding, training, performance management, and career progression.

• Formulate, execute, and continually enhance payment and negotiation strategies and protocols to optimize savings and pricing across the provider network.

• Establish team objectives and track KPIs such as savings generated, negotiation turnaround times, and provider agreement rates.

• Initiate corrective measures when performance challenges occur.

• Examine and evaluate Explanations of Reimbursement (EORs), medical bills, and negotiation results to spot trends and strategic opportunities.

• Act as the point of escalation for complex, high-value, or challenging provider negotiations.

• Cultivate and sustain relationships with key provider groups.

• Compose well-crafted, executive-style correspondence to medical providers soliciting negotiations on medical bill reimbursements.

• Collaborate with client-facing teams to align with client expectations and fulfill reporting requirements.

• Ensure provider demographics and negotiation outcomes are accurately maintained and updated in Smartsheet.

• Work in partnership with AuditIQ operations leadership on planning, daily standups, and bill inventory sessions.

• Ensure team adherence to company policies, guidelines, code of conduct, and standards.

• Undertake additional responsibilities as assigned by leadership.

⛳️ Requirements

• A Bachelor's degree in business, healthcare administration, or a related discipline is essential.

• AAPC certification is preferred.

• A minimum of 3-5 years of experience in workers’ compensation and/or medical bill review, with a proven track record in medical bill negotiation.

• Previous experience in leading, supervising, or mentoring a team is required.

• Experience in healthcare coding or billing is mandatory.

• Familiarity with the CompIQ Bill Review Platform is preferred but not essential.

• Strong analytical and problem-solving capabilities, with the ability to convert data into actionable negotiation strategies.

• Excellent communication skills, particularly in representing the team professionally to clients and providers.

• Exceptional writing abilities, including the capacity to draft well-crafted, executive-style letters to medical professionals.

• Proficient knowledge of Office 365 and Smartsheet.

• Ability to manage multiple priorities in a dynamic, deadline-oriented environment.

• Proven ability to foster and maintain constructive, cooperative working relationships across teams.

• Demonstrated leadership qualities with the capability to coach, inspire, and develop a high-performing team.

🏝️ Benefits

• Fair and Competitive Salary

• Flexible schedule in a hybrid or remote-work environment (depending on location)

• Flexible Paid Time Off

• Paid Parental Leave

• Tuition Reimbursement

• Identity Theft Protection

• Medical, Dental, and Vision Insurance

• 100% Company-paid Short-Term and Long-Term Disability

• 100% Company-paid Life Insurance with additional voluntary options

• Employee Assistance Programs including counseling with up to 6 complimentary sessions

• Monthly Wellness (Gym Membership) Stipend

• Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs

• 401(k) Plan with a 100% vested company match

• Career development and growth opportunities