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
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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
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- ...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...
- ...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
$68k - $150k
In this role, you’ll make an impact in the following ways:Support 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...OperationsTemporary workFlexible hours- ...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
- ...neurodegenerative diseases. The company is preparing for Phase 1b studies with a clear path through Phase 3 and is seeking a senior Clinical Operations leader to own end-to-end execution and own the function. This executive role reports directly to the CEO and will lead global...OperationsFull time
- ...Hitachi Vantara Corporation is looking for a Vice President of Operations to lead our Distribution Transformer business unit in North America. This remote position requires a leader ready to make an impact in sustainable power infrastructure. Responsibilities include...OperationsRemote work
- Job TitleJob TitleJob DescriptionIn this role, you'll make an impact in the following ways:Support key client relationships as primary point of escalation and coordination across accounting services.Oversee the preparation and review of financial statements, ensuring accuracy...OperationsShift work
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- ...Vice President, Head of GTM Operations About the Company Innovative provider of end-to-end credit administration services Industry Financial Services Type Privately Held Employees 501-1000 Specialties consumer receivables...Operations
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- ...private equity-backed international manufacturer and installer of bespoke luxury home improvement products is seeking a Vice President of Operations to join its senior US leadership team. With an established heritage, premium market positioning, and ambitious growth plans...Operations
- ...Of OperationsOur client is currently seeking a VP/Director of Operations to oversee and lead property teams to achieve top-tier... ...across multifamily residential properties within the region. The Vice President will collaborate with various stakeholders to develop and implement...OperationsWork at office
- ...RoleSkills: NetSuiteLevel: SeniorJob descriptionVice President of Supply Chain-Boston MAa0MP900000A1dHh.1Vice... ...communities nationwide. As we continue to grow and scale operations, we are seeking a strategic and hands-on Vice President of Supply Chain to lead and optimize our...Operations
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...Support Analyst We're seeking a future team member for the role of Vice President, Production Services Infrastructure Engineer to join our team... ...server life‑cycles; from installing new hardware and operating systems, support of existing servers and platforms, effecting...OperationsTemporary workFlexible hours- ...innovation is at the core of what we do, and we strive to solve unique customer challenges. Your Impact: We are seeking a VP of Operations to join our leadership team and contribute to the global strategy and execution of operations at Formlabs. This executive will lead...OperationsWork at officeFlexible hours
$315k - $395k
...in internal activities and management of an external network of CROs, CDMOs, and strategic partnersEstablish scalable processes, operational frameworks, and best practices to support portfolio growthProvide strategic oversight of outsourced development and manufacturing...Operations
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