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Senior Manager, Lien Negotiation

🕒 Outubro 6

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $129.000 - $152.500 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Vista pela primeira vez pelo Remote Rocketship Outubro 6

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EvenUp

51 - 200 funcionários

💼 Consultoria

🏥 Saúde

⚖️ Jurídico

Consulting • Healthcare • Legal

A EvenUp é uma empresa especializada em fornecer soluções impulsionadas por IA para escritórios de advocacia de danos pessoais, a fim de melhorar a eficiência e a eficácia no manuseio de casos e acordos. A Claims Intelligence Platform™ da empresa apoia os escritórios de advocacia gerando cartas de demanda em IA, projetadas para capturar todos os detalhes e maximizar o valor dos casos. Sua suíte de produtos, incluindo MedChrons, Executive Analytics, Preparação de Casos, Preparação de Negociações e Repositório de Acordos, aproveita a IA e a análise de dados para agilizar os processos jurídicos, melhorar os resultados das negociações e aumentar a probabilidade de atingir os limites das apólices. A EvenUp é certificada SOC2 e HIPAA, garantindo altos padrões de segurança e privacidade para dados legais e médicos sensíveis. A empresa visa nivelar o campo de atuação legal, fornecendo aos escritórios de danos pessoais ferramentas que utilizam dados proprietários e insights de especialistas para navegar por casos complexos com precisão e rapidez.

Descrição

• Build and run the lien negotiation function • Identify, validate, negotiate, and resolve medical liens and subrogation claims • Lead a team of lien negotiators and set strategy for high-value and complex liens • Negotiate reductions on medical provider liens, letters of protection, hospital liens, health insurer and ERISA plan reimbursement claims, Medicare, Medicaid, MedPay, and pre-settlement funding loans • Develop reduction strategies based on lien type, governing law, case value, policy limits, and procurement-cost principles • Obtain final amounts on general liens such as child support liens • Personally handle high-dollar, contested, or escalated lien matters • Partner with attorneys on lien exposure, settlement evaluation, demands, and mediation strategy • Hire, train, manage, and mentor lien negotiators and support staff • Set performance goals and track reduction, savings, cycle-time, and inventory metrics • Build standardized workflows, scripts, templates, and escalation protocols • Oversee lien identification and verification, including itemized bills, lien notices, ERISA plan documents, and conditional payment letters • Flag and obtain potential missing liens • Ensure compliance with Medicare Secondary Payer rules, Medicaid recovery statutes, state hospital lien laws, ethics, and trust accounting requirements • Work with finance on settlement statements, lien holds, and timely disbursement • Maintain documentation of negotiations, agreements, and final payoff confirmations • Build relationships with medical providers, lien-purchasing companies, health plans, third-party recovery vendors, and government agencies • Evaluate and manage outside lien resolution vendors • Report department performance, trends, and risk to firm leadership • Maintain lien data in the case management system and drive best-practice adoption • Identify automation and process-improvement opportunities

🎯 Requisitos

• 7+ years of experience in lien resolution, subrogation, or settlement negotiation, preferably in a personal injury or plaintiff-side environment • 3+ years of experience managing or leading a team • Demonstrated record of securing significant lien reductions across multiple lien types • Working knowledge of Medicare/Medicaid recovery, ERISA (self-funded vs. fully insured plans), and state lien and made-whole/common-fund doctrines • Strong negotiation, analytical, and communication skills • Proficiency with case management software and Excel or comparable reporting tools • JD, paralegal certification, or equivalent legal training preferred • Experience in a high-volume PI firm or lien resolution company preferred • Familiarity with medical billing, CPT/ICD coding, PIP statutes, and reasonable-value analysis preferred • Experience building or scaling a lien department preferred • Persuasive, relationship-driven negotiation • Sound judgment on risk and compliance • Ability to manage a large inventory and meet deadlines • Data-oriented approach focused on measurable client outcomes • Collaborative approach with attorneys and staff • Experience managing employees in a remote setting is solicited in the application form • Experience working in the personal injury industry is solicited in the application form

🏖️ Benefícios

• Choice of medical, dental, and vision insurance plans for you and your family • Additional insurance coverage options for life, accident, or critical illness • Flexible paid time off • Sick leave • Short-term and long-term disability • 10 US observed holidays • Canadian statutory holidays by province • A home office stipend • 401(k) for US-based employees • RRSP for Canada-based employees • Paid parental leave • A local in-person meet-up program • Hubs in San Francisco and Toronto • Equity

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Desenvolvido por Lior Neu-ner. Adoraria receber seu feedback — entre em contato por DM ou pelo e-mail support@remoterocketship.com
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