Senior Manager, Lien Negotiation

🕒 October 6

🇺🇸 United States – Remote

💵 $129k - $152.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 9%

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Logo of EvenUp

EvenUp

51 - 200 employees

💼 Consulting

🏥 Healthcare

⚖️ Legal

Consulting • Healthcare • Legal

EvenUp is a company that specializes in providing AI-driven solutions for personal injury law firms to enhance the efficiency and effectiveness of case handling and settlements. The company's Claims Intelligence Platform™ supports law firms by generating AI demand letters designed to capture every detail and maximize case value. Their suite of products, including MedChrons, Executive Analytics, Case Preparation, Negotiation Preparation, and Settlement Repository, leverages AI and data analytics to streamline legal processes, improve negotiation outcomes, and increase the likelihood of hitting policy limits. EvenUp is SOC2 and HIPAA certified, ensuring high standards of security and privacy for sensitive legal and medical data. The company aims to level the legal playing field by providing personal injury firms with tools that utilize proprietary data and expert insights to navigate complex cases with precision and speed.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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