Manager, Payment Variance

About Aspirion

Aspirion helps healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced technology and AI, we make healthcare more affordable and accessible. For over two decades, Aspirion has been a market leader in revenue cycle services, specializing in complex reimbursement areas such as denials, zero-balance reviews, aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out-of-state Medicaid. Our team of more than 1,400 individuals is united by a shared commitment to delivering exceptional outcomes for the hospitals and health systems we serve. We foster a results-driven environment where high performance, collaboration, and continuous growth are expected and supported.

About The Role

The Manager is accountable for the day-to-day performance of a team within leads operations focused on analyzing, auditing, and recovering underpayments from No Surprises Act (NSA) eligible claims. They ensure healthcare organizations capture maximum legitimate reimbursement through eligible NSA claims and meet timelines and appropriateness for Open Negotiations and Independent Dispute Regulations (IDR). The Manager drives productivity, quality, and throughput while reinforcing accountability, consistency, and adherence to standard processes.

Impact You Will Make

• Deliver consistent team-level performance across throughput, cycle time, quality, and productivity
• Ensure work is executed with clear ownership, prioritization, and adherence to defined workflows
• Reinforce accountability and performance consistency across team members
• Identify and address performance gaps, inefficiencies, and workflow breakdowns within the team
• Support adoption of tools, processes, and standard ways of working

Responsibilities

• Team Performance Ownership
  • Own and drive team performance, ensuring achievement of key KPIs including throughput, productivity, quality, and cycle time
  • Monitor daily performance and take action to address gaps, trends, or inconsistencies
  • Collaborate with client success to provide operational perspective, drive success, advocate for targets, and create revenue forecasts
• Workflow Execution
  • Manage day-to-day workflow execution, ensuring work is properly prioritized, assigned, and progressing
  • Ensure adherence to defined processes, payer guidelines, and quality standards
• Coaching & Development
  • Coach and develop supervisors to improve performance, productivity, and quality
  • Provide ongoing feedback, conduct performance discussions, and reinforce accountability
• Accountability & Execution Discipline
  • Ensure all work has clear ownership and is completed within expected timeframes
  • Reinforce consistency in execution, minimizing variability across team members
• Issue Identification & Escalation
  • Identify workflow issues, delays, or bottlenecks and escalate as needed
  • Partner with leadership to support timely resolution
• Change Adoption
  • Support implementation of new tools, processes, and workflow changes
  • Reinforce team adherence to updated systems and workflows

Requirements

• Strong people leadership skills with experience managing team performance in a metrics-driven environment
• In-depth knowledge of the Open Negotiation (ON) and Independent Dispute Resolution (IDR) process, including arbitration at a Federal and State level
• Proactive commitment to staying current on changes to CMS guidance, regulations, and operational requirements related to the No Surprises Act
• Strong ability to drive productivity, quality, and accountability at the team level
• Experience managing work queues, workflows, and daily operations
• Data-driven mindset with the ability to monitor KPIs and act on performance trends
• Strong problem-solving skills with the ability to identify issues and take corrective action
• Effective coaching and communication skills to drive team engagement and results
• Ability to operate in a fast-paced environment and manage shifting priorities
• Experience supporting adoption of new processes, tools, or systems

Qualifications

• Associate’s degree in Healthcare Administration, Business, Finance, or related field — or equivalent combination of education and relevant experience
• 3+ years working directly with No Surprises Act claims, including negotiations and IDR
• 5+ years of experience in Revenue Cycle Management or related healthcare operations, with exposure to denial management or workflow-driven environments
• Direct experience collaborating on technology designs for advancements in automation
• Experience leading frontline teams in a metrics-driven, performance-focused environment
• Demonstrated ability to drive team-level performance, including productivity, quality, throughput, and adherence to cycle time expectations
• Experience managing work queues, daily workflow execution, and operational KPIs at the team level
• Familiarity with payer guidelines, denial processes, and revenue cycle workflows
• Experience identifying performance gaps and taking corrective action to improve team outcomes
• Experience supporting the adoption of new processes, tools, or workflow changes within a team environment
• Strong ability to reinforce accountability, consistency, and adherence to standard ways of working across team members

Core Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision making
• Operate effectively in the work environment and maintain a focus on self-development
• Seek out continuous feedback and learning opportunities
• Support Compliance Program by adhering to policies and procedures pertaining to HIPAA, GLBA, FCRA, and other applicable laws
• Handle patient information in a HIPAA-compliant manner and maintain confidentiality obligations

US remote-based colleagues are not permitted to work from a location outside of the United States without prior, written approval.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.