Director of Dispute Resolution

Duties

• Direct management of performance to ensure competent staff delivers quality results.
• This includes training, mentoring, motivating, and overseeing staff performance.
• Develop, implement and manage both short- and long-term goals, objectives, policies and procedures based on current and future trends and legislative requirements.
• Stay abreast of industry and/or customer changes and communicate as appropriate.
• Compile, analyze, and report on trends to include performance improvement initiatives and exceptional client delivery.
• Oversight and development of operational relationships and performance for clients, account management and other stakeholders.
• Identify opportunities for performance improvement and operational efficiencies.
• Manage departmental and team budgets including expenses, cost containment, and profitability.
• Provide direction and guidance to other levels of management, through delivery of instructions and direction to staff on individual cases and the creation and distribution of goals and standards to team members regularly.
• Act as a subject matter expert internally for the Team and other departments within the Company.
• Select, develop, and evaluate staff to ensure the efficient operation of department.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Perform weekly Soft Audits on cases work by team members and address performance issues.

Requirements

• Bachelor Degree or minimum 5 years’ experience in the healthcare industry with 2 years in a leadership role with people management responsibilities.
• Required licensures, professional certifications, and/or Board certifications as applicable.
• Excellent organizational, analytical and independent decision-making skills.
• Demonstrated problem solving skills with the ability to manage multiple priorities and meet associated timelines.
• Knowledge of provider billing and collection practices.
• Knowledge of effective negotiations principles.
• Knowledge of commonly used medical data resources.
• Communication (verbal and written), managerial, interpersonal, organizational, time management, customer service/sales, problem solving, leadership, strategic, analytical, tactical and execution skills.
• Ability to prioritize and manage time.
• Ability to make decisions using limited or incomplete data.
• Ability to use software, hardware, and peripherals related to job responsibilities, including advanced proficiency with MS Office.

Benefits

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

Pay

The salary range for this position is $140-160K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Schedule

Specific schedule details are not specified in the job posting.

Qualifications

Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Equal Opportunity Employer

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.