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
- ...Job Description Job Description The Vice President, Payer Relations & Contracting leads IVX Health's national payer strategy, contracting... ...of the Growth Leadership Team, this leader partners across Operations, Revenue Cycle, Finance, Legal, and Market Development to...OperationsContract workTemporary workLocal areaFlexible hours
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- Company:CompassusPosition SummaryThe Vice President of Revenue Cycle is responsible for modeling... ...of the organization's revenue cycle operations. This position involves building and leading... ..., pricing, billing, third party payer relationships, compliance, collections...OperationsFull timeWork from homeFlexible hours
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$168.8k - $311.8k
...currently have an opportunity for an Area Vice President to lead Sales for the South Gulf Area.... ...requirements, Company policies, operating procedures, processes, and task assignments... ...) and external (hospitals, physicians, payers, etc.) stakeholders.Maintain expertise...OperationsWork at officeShift work- ...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
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- ...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
- ...Senior Vice President, AI Transformation About the Company Leading marketing & media agency... ...medical device marketing payer marketing and pharmacoeconomic consulting... ...integration of AI into the firm's core operations. The successful candidate will be responsible...Operations
- ...Job Description Job Description VICE PRESIDENT, OPERATIONS REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery... ...new regional opportunities within communities and across payers Owns relationships with physicians and their growth...OperationsLocal areaRemote workWork from home
- ...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...
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- ...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, 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
$200k
...Sr. Solution Executive, Payer Market USA Remote - Nashville, TN 37203 Overview Position Type Full Time Job Shift Day Category... ...contract execution. This role requires knowledge of payer operations, workforce trends and insights, and the ability to articulate value...OperationsFull timeContract workRemote workWork from homeShift work- Job DescriptionADP is hiring a Division Vice President of Sales, Retirement Services.Are you passionate about helping clients fulfill their... ...of the marketplace and provide input to groups such as Sales Operations related to issues that need to be addressed, and recommend...Operations
- ...A progressive financial institution in Knoxville, Tennessee, is seeking a VP of Deposit Operations to lead the back-office functions of deposit and digital banking. Responsibilities include managing transaction workflows, overseeing digital banking platforms, and coordinating...Operations
- ...Vice President of Support About the Company World-leading provider of an AI-powered cognitive patient care assistant Industry... ...of AI and automation into support workflows, and scaling operations to meet the demands of new and complex environments. The successful...Operations
- ...Senior Vice President & General Manager, Acute & Payer About the Company Innovative provider of cloud-based software & services for the senior care industry Industry Computer Software Type Privately Held, VC-backed Founded 2000 Employees 1001...
- ...Regional Vice President, Operations and Growth About the Company Nationally recognized provider of top-notch technical services Industry Consumer Services Type Privately Held About the Role The Company is seeking a Regional Vice President of Operations...Operations
$182.02k
...Until FilledMinimum Starting Salary: $182,016Job Summary: The Vice President, Facility Management is responsible for the strategic leadership and oversight of all airside and landside maintenance operations, including contract management for facility-related services....OperationsFull timeContract workWork at officeLocal area- ...Vice President of Operations About the Company Expanding events organization creating memorable experiences Industry Events Services Type Privately Held Founded 2012 Employees 11-50 Specialties strategic meeting management special event...Operations
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- ...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 a Vice...Operations
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