Vice President of Bill Review Operations
Confidential
Vice President of Bill Review Operations
About the Company
Innovative healthcare solutions provider specializing in insurance services
Industry
Insurance
Type
Privately Held
Founded
2004
Employees
501-1000
Categories
- Insurance
Specialties
- bill review
- out-of-network repricing
- primary ppo and alternative repricing administration
- edi and clearinghouse solutions
- medical management
- data warehousing
- data analytics and plan modeling
- bill edits
- credentialing
- risk management
- health plan replacement
- medical networks
- care management & navigation
- utilization review
- disease management
- data transparency
- market-sensitive repricing
- payment integrity
- compliance management
- healthcare ecosystem
- and stop loss
About the Role
The Company is seeking a VP, Bill Review Operations to lead its Bill Review Services organization. The successful candidate will be responsible for setting and executing operational priorities, ensuring the achievement of business objectives, and overseeing the operational and financial performance of the organization. This role requires a leader with a strong background in healthcare operations, payment integrity, revenue cycle, bill review, managed care, or a related operational environment, with a proven track record of leading complex operations and driving strong performance. The VP will be expected to balance client needs, financial performance, and growth priorities, while fostering a culture of accountability, collaboration, and operational excellence. Key responsibilities for the VP, Bill Review Operations include leading the organization with a focus on operational performance, service delivery, and financial results, as well as partnering with the EVP, Payment Integrity to establish strategic direction and long-term growth plans. The role also involves building and developing a high-performing leadership team, championing operational excellence, and serving as the executive operational leader in various organizational and client-facing settings. The ideal candidate will have at least 10 years of progressive leadership experience, with a minimum of 5 years in a senior leadership role, and a Bachelor's degree in a relevant field. A Master's degree and experience in related healthcare services are a plus. The VP will be expected to have strong business and financial acumen, excellent communication skills, and the ability to influence and collaborate with senior stakeholders.
Hiring Manager Title
EVP, Payment Integrity
Functions
- Operations
- Medical Care/Hospital Administration
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Vice President of Bill Review Operations in Boston, MA vacancy
$110k - $150k
...strategies.Role DescriptionOverview: This Vice President role reports to the Executive Director, Global Head of Institutional Client Billing (Office of the COO) and leads a critical... ...enhance reporting transparency, improve operating efficiency, and help shape a scalable...OperationsTemporary workWork at officeWorldwide$250k - $340k
...seeking a dynamic senior leader to serve as Vice President of Casualty Claims. This is a high-impact executive... ...Bodily Injury, No-Fault (PIP), Medical Bill Review, and SIU. You'll set the strategic direction, drive operational excellence, and own the financial...Operations$321.4k - $370k
...Vice President & Chief Compliance Officer The Vice President & Chief Compliance Officer... ...identify and prioritize regulatory, billing, privacy, operational, financial, and business-conduct... ...cooperates with government and payer reviews and maintains appropriate documentation...OperationsFor contractorsFixed term contractFlexible hoursAya Healthcare
Boston, MA4 days ago- ...person.You'll own the day-to-day financial operations — close, reporting, controls, payroll,... ...+ external firm. You set the standards, review the work, and make sure nothing falls... ...tech stack ownership. Accounting software, billing, reporting tools. You improve what's...OperationsFull timeRemote work
Flipside
Boston, MA4 days ago $69k - $170k
...key client relationships as primary point of escalation and coordination across accounting services. Oversee the preparation and review of financial statements, ensuring accuracy and compliance with regulatory standards. Collaborate with internal and external...OperationsFull timeTemporary workWork experience placementFlexible hoursShift workBNY
Boston, MA5 days ago$332.8k
...strategic oncology leader to serve as Vice President, Clinical Development. Reporting directly... ...with Project Management, Clinical Operations, Regulatory Affairs, Clinical Pharmacology... ...interactions and oversee preparation and review of protocols, Investigator's Brochures,...Operations- ...Vice President of Revenue Cycle Strategy & Operations About the Company Rapidly growing managed service provider Industry Hospital & Health Care... ...experience, with a strong background in coding, CDI, billing, AR operations, and compliance risk. A proven track...Operations
- Vice President, Portfolio Management & Transformation Triumvirate Environmental, one of the largest... ...the IT organization and a critical operational partner to the Chief Information... ...executive governance committees and portfolio reviews.Drive cross-functional program delivery...OperationsWork at officeRelocation
- ...Vice President of Operations About the Company Globally recognized energy company specializing in renewable energy solutions Industry... ...Operations include owning functional areas such as sales support, billing, collections, and customer care, as well as leading the...OperationsContract work
$214k - $342k
...and sustainable healthcare for all.Position Summary The Vice President, Business Operations - Customer Success will lead the operating strategy, analytics... ...setting, capacity and headcount planning, and regularly review progress against operational, customer, and financial...OperationsFull timeTemporary workWork at office- ..., we connect design, construction, and operations to deliver smarter, more predictable results... ..., click here. The Role The Vice President of Field Operations provides executive... ...Serve on national committees for the review and development of Field Operations Standard...OperationsContract workTemporary workFor contractorsFor subcontractorWork at officeLocal area
Unavailable
Boston, MA2 days ago - ...Vice President of Revenue Operations About the Company Globally recognized provider of HR, payroll & tax solutions Industry Human Resources... ..., as well as strong financial acumen and experience in billing operations and revenue workflows, are essential. The...Operations
$140k - $245k
...globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has... ...landscapeExperience supporting initial business plan reviews all the way through executionStrong organizational skills and...OperationsLocal areaFlexible hours$110k - $181.25k
...looking forThe Enterprise Resiliency Office (ERO) Vice President - Resiliency Governance and Program Operations works within the ERO Governance and Reporting team... ...Responsibility for Enterprise Resiliency Monthly Business Review (MBR) senior management dashboard, including OKRs,...OperationsFull timeTemporary workWork at officeFlexible hours$272k - $340k
...together, enabling companies to improve operations, create better products, and empower... ...work we do possible. PTC is seeking a Vice President – Global Product Security to define and... ...customer risk. Guide secure architecture reviews, threat modeling, code reviews, and security...OperationsFull timeWork at officeLocal areaImmediate startFlexible hours$123.36k - $185.04k
...StatesSalary: $123,360.00 - $185,040.00Category: Operations - Transaction Services, Professional,... ...Fund Operations, Complex Assets Vice President in a role within the Citi's Complex... ...and/or apply for a career opportunity review Accessibility at Citi.View Citi’s EEO Policy...OperationsFull timeWork at office$250k - $300k
...remote days to be used as needed.The Senior Vice President, Third Party Relationship Management is... ...direction, governance framework, and operating model for HarbourVest’s third party... ...level governance forums and performance reviews, ensuring accountability, clarity, and...OperationsFull timeWork at officeLocal areaRemote work1 day per week$115k - $201.25k
...we are looking forWe are looking for a Vice President (VP) for our Private Markets to service... ...both client personnel and fund investors.Reviewing quarterly and annual financial work... ...During the course of normal day to day operation, be responsible for identifying any unusual...OperationsFull timeTemporary workFlexible hours$270k - $310k
...position, under the supervision of the Chief Operating Officer, is responsible for partnering... ...by the leadership team.Position: Vice President, Surgical ServicesDepartment: AdministrationSchedule... ...the management of the OR block review and allocation process. Leads a team...OperationsFull timeFixed term contractWork at officeFlexible hours$319.06k - $389.97k
...together. How You Will Achieve More:The Vice President of Quality Management Systems is... ...clinical development through commercial operations. As a transformational leader and executive... ...Integrity programsChair Quality Management Review processes, presenting system metrics,...OperationsFull time$265k - $330k
...financial strategy while overseeing the day-to-day financial operations of each portfolio company, including month-end closing, cash management... ...Greenhouse, our applicant tracking system, and may also be reviewed using AI-assisted screening tools. We do not sell your...Operations- ...summary:As an Enterprise Platform Management Vice President on the 55ip Enterprise Platform... ...technology teams to maintain platform operations, integrate new clients, manage user access... ...shifting between data analysis, process review, and hands-on operational execution....OperationsWork at officeShift work
$327.1k - $399.9k
...of what we can do together. Job Title Vice President, Gene Editing Core Job Summary The Vice... ...ensuring efficient and effective daily operations. Foster a high-performing team through:... ...joining Intellia, your salary will be reviewed periodically and additional factors such...OperationsFull timeLocal area$211k - $337k
Job TitleVice President, Commercial OperationsJob DescriptionLead the US Commercial Operations strategy for Image Guided Therapy Devices (IGT-Devices), driving commercial... ...and quality standard are met.Leading financial review of field inventory programs by developing...OperationsFull timeContract workWork at officeImmediate start3 days per week$203k - $250k
...together, enabling companies to improve operations, create better products, and empower... ...to make it happen.We're looking for a Vice President, Global Procurement who has done this before... ...privacy and data protection laws. Review our Privacy Policy here."SummaryLocation...OperationsFull timeWork at officeLocal areaImmediate startVisa sponsorshipFlexible hoursShift work- ...Magellan Jets' procurement strategy, from aircraft sourcing and operator contracting to vendor management, technology procurement, and... ...regular 1:1 meetings with direct reports Facilitate quarterly reviews (four per year) Collaborate with team members to establish...OperationsFull timeContract workCasual workWork at officeRemote workWorldwideFlexible hoursNight shift
Socket.dev
Quincy, MA5 days ago $123.36k - $185.04k
...Assets domain knowledge, deep experience influencing product, operations, design, and IT architecture change. Timely execution, seamless... ...to use our search tools and/or apply for a career opportunity review Accessibility at Citi.View Citi’s EEO Policy Statement and the...OperationsFull timeWork at office$165k - $225k
...brokers around the world. As part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name,... ...acumen and attention to detailHighly experienced in reviewing policies and evaluating broker manuscript forms together with...OperationsTemporary workFlexible hours$293k - $358k
...Summary Remix is seeking an exceptional Vice President of Quality to serve as the architect... ...in our growth. Reporting to the Chief Operating Officer, this leader will define the global... ..., SUSAR reporting, PBRER/DSUR quality review, and inspection readiness for safety databases...OperationsContract workRemixtherapeutics
Watertown, MA3 days ago$185k - $215k
...brokers around the world. Part of Berkshire Hathaway’s insurance operations, we combine a top-rated balance sheet, disciplined execution,... ...improvement mindset through structured post-implementation reviews and feedback loops to drive operational excellence and future...OperationsTemporary workImmediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Vice President of Bill Review Operations. Be the first to apply!
Related searches
- vp customer success Boston, MA
- vice president development Boston, MA
- vice president real estate development Boston, MA
- vice president communications Boston, MA
- vice president manufacturing Boston, MA
- vp safety Boston, MA
- vp of benefits and total rewards Boston, MA
- vice president research Boston, MA
- vice president tax Boston, MA
- vice president of retail Boston, MA