Director, Out of State Medicaid (REMOTE)
RemoteUnited States
Job Summary
Drive monthly, quarterly, and annual revenue expectations by overseeing Managers, Supervisors, and Revenue Specialists to align daily operations with departmental strategy and client outcomes. Establish strategic goals, manage hiring and performance reviews, and optimize workload distribution to ensure efficient execution across teams. Conduct regular audits and client reviews to verify compliance with insurance billing regulations and HIPAA standards while monitoring key performance metrics. Lead cross-functional initiatives to enhance collections systems processes, resolve operational challenges, and develop leadership capability within your span of control.
Required Qualifications
- High School Diploma or GED
- 7-10 years' experience in management or supervisory experience with team size of 10+
- 6+ years' experience in healthcare setting, information technology company or managed care industry, preferably in the area of Finance/Collections, Business Operations or Revenue Recovery
- Experience working with internal teams while serving in a client facing or client support role
- Knowledge and understanding of financials, HMO's, hospital revenue cycle process, ancillary and provider contract language and familiarity with healthcare and provider data sets
- Extensive level of understanding of insurance payer/provider claim processing and subsequent data requirements
- Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook)
- Timely and regular attendance
- Strong and professional written and oral communications skills
- Has worked in a production environment and can meet deadlines
- Excellent people skills to interface with multiple internal stakeholders
- Demonstrated ability to successfully work collaboratively within a team and cross-functionally
- Proven success in obtaining quantifiable results from and setting priorities for direct reports
- Organized and can handle multiple projects simultaneously
- Ability to set and manage multiple priorities among several teams
- Experience communicating obstacles & challenges and developing action plans to present to management
Desired Qualifications
- Bachelor's degree in business or healthcare administration
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