Vice President, Clearinghouse & Payer Operations
Confidential
Vice President, Clearinghouse & Payer Operations
About the Company
Recognized data & information services company
Industry
Information Services
Type
Public Company
Founded
1980
Employees
10,001+
Categories
- Data Security
- Analytics
- Information Services
- Services
- SAAS
- B2B
- Information Technology & Services
- Technology
- Enterprise
- Consulting & Professional Services
- Advertising
- Business
- CRM
- Curated Web
- Debt
- Digital Marketing
- Experian
- Finance
- Free Credit Report
- Identity Theft Protection
- Marketing
- Personal Finance
- Retail Industry
- Toll-free Support
- Fraud Detection
- Big Data
- Credit
- Identity Management
- Financial Services
- Cyber Security
Specialties
- data
- credit
- data management
- risk management
- health data
- predictive analytics
- data science
- automotive data
- big data
- analytics
- fraud
- financial access
- innovation
- lending data
- identity
- marketing services
- digital marketing
- and information services
About the Role
The Company is seeking a Vice President for Clearinghouse and Payer Operations. The successful candidate will be responsible for the strategic leadership and operational execution of clearinghouse and payer-facing transaction services, ensuring the performance, availability, scalability, and regulatory compliance of electronic data interchange transactions that connect providers, payers, and healthcare networks. This role demands a leader with a customer-first mindset, a data-driven approach, and a strong focus on operational excellence. The VP will be tasked with defining and executing the operations strategy, leading transformation initiatives, and owning operational budgets and performance across real-time and batch clearinghouses. Applicants must have a minimum of 15 years' leadership experience in healthcare operations, clearinghouse services, payer operations, revenue cycle technology, or health IT. Deep expertise in healthcare EDI standards and transactions is essential, as is a strong understanding of payer-provider workflows and reimbursement processes. The role requires a proven ability to lead cross-functional teams in complex, regulated environments and experience in operational transformation, automation, or AI-enabled healthcare operations. The VP will also be responsible for compliance, risk management, and building strong operational partnerships with national and regional payers.
Hiring Manager Title
Chief Client Officer
Functions
- Operations
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Vice President, Clearinghouse & Payer Operations in New York, NY vacancy
- ...Vice President of Payer Relations About the Company Mission-driven pediatric therapy provider serving children with complex behavioral... ...understanding of credentialing, enrollment, and revenue cycle operations is essential, as is a proven track record of managing...OperationsContract work
- Vice President of Dental Revenue Cycle - New York, New York Position... ...and scale all revenue cycle operations across a rapidly growing multi... ...schedule management, and payer reimbursement strategies... ...revenue cycle technologies, clearinghouses, and automation solutions...OperationsFull timeContract workRemote work
- ...Vice President of Revenue Cycle Strategy & Operations About the Company Rapidly growing managed service provider Industry Hospital & Health... ...in strategic oversight for denials management, and payer recovery, and will be expected to partner with various...Operations
Confidential
New York, NY2 days ago - ...Vice President of Revenue Cycle Operations About the Company Globally recognized pharmaceutical company Industry Hospital & Health Care... ...solutions it lifecycle management managed care payer relations healthcare finance and reimbursement...Operations
Confidential
New York, NY2 days ago - ...follows. Go deeper. Be found.OverviewThe Vice President, Strategy leads a Strategy team across... ...leadership, team development, operational excellence, and business growth responsibilities... ...and media strategy across HCP, DTC, Payer, and broader healthcare audiences. Strong...OperationsTemporary workFreelanceFlexible hours
- ...Vice President of Operations About the Company Pioneering organization providing high-quality early healthcare services Industry Hospital... ...healthcare operations, compliance, staffing models, and payer environments, with a proven ability to build teams, manage...Operations
- ...Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry... ...and alternative repricing administration edi and clearinghouse solutions medical management data warehousing...Operations
- ...Vice President of FinanceNew York City strongly preferred (Hybrid). Open to remote candidates... ...by strong unit economics, experienced operators, and a clear playbook, Greenbrook is entering... ...compliance with federal, state, and payer requirements.Bookkeeping & Accounting...OperationsContract workRemote work
Greenbrook Medical
New York, NY2 days ago - ...Senior Vice President, AI Transformation About the Company Leading marketing & media... ...advertising medical device marketing payer marketing and pharmacoeconomic... ...integration of AI into the firm's core operations. The successful candidate will be responsible...Operations
Confidential
New York, NY3 days ago - ...growth priority for Pfizer, and the category's access, patient, and payer dynamics differ materially from Pfizer's existing brand-support... ...strategy, contracting, account management, and market access operations. Throughout execution, the VP ensures work stays aligned with...OperationsRelocation2 days per week3 days per week
Pfizer
New York, NY11 hours ago $129.49k - $186.06k
...follows. Go deeper. Be found. Overview The Vice President, Strategy leads a Strategy team across... ...leadership, team development, operational excellence, and business growth responsibilities... ...and media strategy across HCP, DTC, Payer, and broader healthcare audiences. Strong...OperationsTemporary workFreelanceFlexible hoursPublicis Groupe
New York, NY2 days ago- ...Vice President of Corporate DevelopmentWe're building a world of health around every individual... ...Development organization—establishing operating rigor, credibility, and enterprise... ...Pharmacy Services / PBMHealth Care Benefits (payer)Retail and Consumer HealthProvider?...OperationsHourly payFull timeTemporary workLocal area
CVS Health
New York, NY2 days ago - ...Job Description Job Posting Title: Vice President, Research Strategy Reports to: Chief... ...Hub, integrating data science, research operations, and analytics into a cohesive ecosystem... ...leverage data (clinical, programmatic, payer, and external datasets) to generate...OperationsWork at officeLocal areaRemote workRelocationRelocation packageFlexible hoursNight shift2 days per week3 days per week
National Kidney Foundation
New York, NY9 days ago - ...Senior Vice President, ASC Operations About the Company Fast-growing ambulatory surgery center development & management company Industry... ...joint venture ASC environments, multi-state governance, and payer contract negotiations is highly valued. The ideal candidate...OperationsContract work
- ...Vice President, Health Plan Analytics About the Company Prominent healthcare system... ...a leader with a deep understanding of payer experience, particularly in the context... ...partnership orientation with IT, finance, operations, and clinical leadership, and a commitment...Operations
- ...Founding Vice President of Enterprise Sales, Healthcare Data & Analytics, Payers & Pharma About the Company Established healthcare organization investing in specialty pharmacy, healthcare data, and value-based care. Industry Hospital & Health Care Type...
- ...Vice President of Payer Sales About the Company Industry-shaping healthcare technology (HealthTech) & software provider Industry Internet Type Privately Held, VC-backed Founded 2019 Employees 501-1000 Funding $76-$100 million Categories...
- Job Summary Position Title: Vice President of Finance- Home Health Care (Intention: Essen House... ...will lead the financial strategy and operations of the organization, ensuring fiscal responsibility... ...reimbursement analysis, including payer rate trends, regulatory changes, and...OperationsContract workLocal area
$175.9k - $297k
...Arcadia Reporting to the SVP, Growth, the Vice President of Sales, Payor is charged with... ...review, and signature process with internal operations and key client executives Identify and... ...demonstrated track record of accomplishments in payer/health plan sales and business...OperationsContract workRemote workFlexible hours$250k - $300k
The Senior Vice President, Sales is a senior sales leader responsible for driving revenue growth... ..., editorial, marketing, finance, and operations partners. Specifically: Develops and... ..., including health systems, providers, payers, pharma, MedTech, B2B healthcare services...OperationsContract workWork at officeShift work- ...Executive Director, Payer Relations About the Company Large cancer research &... ...background in payer contracting, managed care operations, and healthcare finance. This role is... ...tools. Hiring Manager Title Vice President, Payer Relations Functions Strategy...OperationsContract work
- Vice President, Client OperationsAt BNY, our culture allows us to run our company better and enables employees’ growth and success. As a... ...a future team member for the role of Vice President, Client Operations to join our Custody Client Operations (CCO) team. This role is...OperationsWorldwideFlexible hours
- ...the Healthcare industry, including familiarity with Payment Integrity or comparable healthcare payer/claims-adjacent services.Experience supporting global business operations across the U.S., Europe, India, and/or other international markets.Familiarity with AI governance...OperationsContract work
- ...Vice President, Physician RCM About the Company Dynamic healthcare technology (HealthTech... ...in overseeing the day-to-day RCM operations, maintaining financial health, and leading... ...U.S. healthcare reimbursement systems, payer policies, and revenue cycle KPIs is essential...Operations
- ...Vice President, Clinical Operations About the Company Innovative company designing & developing gene therapeutic products Industry Biotechnology Type Public Company Founded 2013 Employees 51-200 Categories Biotechnology...Operations
Confidential
New York, NY4 days ago - ...On Location is seeking a Manager of Charter Air Operations to oversee all aspects of the air charter lifecycle for university partners and event clients. This role emphasizes relationship management with charter air carriers and university athletics staff, ensuring best...Operations
World Wrestling Entertainment
New York, NY1 day ago - ...Vice President of Clinical Operations About the Company Clinical-stage biotechnology company developing differentiated therapies for immune-mediated diseases. Industry Biotechnology Type Privately Held About the Role The Company is seeking...Operations
Confidential
New York, NY4 days ago - ...The Lighthouse, part of Whalar Group, seeks a Vice President of Operations to lead the operating engine behind our creator-first campuses in Brooklyn and Venice. You will translate ambitious ideas into operational excellence, shaping strategy, systems, and teams that...Operations
Whalar Group
New York, NY3 days ago - ...Digitas North America is seeking a SVP, Operations & PM Lead to oversee Walmart's operations within our network. This leadership role requires partnership with our Global Client Lead to drive strategic growth and ensure delivery against client objectives. The candidate...Operations
Digitas
New York, NY1 day ago - ...iCapital is seeking an Associate or Assistant Vice President to join the Structured Investments m+ ETF Distribution team, focusing on sales in the Western region. You will oversee all aspects of selling ETF strategies to financial professionals, primarily in the RIA and...Operations
Intelligentsia Capital
New York, NY5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Vice President, Clearinghouse & Payer Operations. Be the first to apply!
Related searches
- vice president information technology New York, NY
- vice president real estate development New York, NY
- vice president research New York, NY
- vp hr New York, NY
- vice president healthcare New York, NY
- vp account director New York, NY
- vice president product development New York, NY
- vp internal audit New York, NY
- vice president business solutions New York, NY
- vice-president human resources New York, NY