VP, Bill Review Operations

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Vālenz® Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Vālenz® Health is a comprehensive health plan solutions provider that offers a fully integrated platform designed to simplify the complexities of healthcare for employers, payers, providers, and members. The company focuses on enhancing quality and lowering costs through data-driven insights, member navigation, provider networks, and robust claims management. By connecting various stakeholders in the healthcare ecosystem, Vālenz aims to improve health outcomes and streamline the healthcare experience for all involved.

📋 Description

• Lead the Bill Review Services organization with accountability for operational performance, service delivery, financial results, and departmental objectives • Partner with the EVP, Payment Integrity to establish strategic direction, annual operating priorities, and long-term growth plans • Set priorities and make strategic decisions regarding resources, structure, capacity, and business tradeoffs • Lead, coach, and develop senior leaders while establishing expectations and accountability • Build a high-performing leadership culture centered on ownership, collaboration, sound decision-making, and continuous improvement • Oversee operational and financial health through review of KPIs, service levels, quality outcomes, budgets, and other performance measures • Drive strategic initiatives by aligning leaders and resources, resolving competing priorities, removing barriers, and maintaining accountability • Partner with executive and cross-functional leaders to align operational strategy with organizational priorities, client commitments, technology initiatives, and growth • Anticipate operational risks, capacity constraints, and emerging business needs • Build organizational capability through succession planning, leadership development, workforce planning, and organizational design • Serve as executive operational leader in client executive meetings, enterprise initiatives, and cross-functional leadership discussions • Champion operational excellence and continuous improvement

🎯 Requirements

• 10+ years of progressive leadership experience in healthcare operations, payment integrity, revenue cycle, bill review, managed care, or a related operational environment • 5+ years of senior leadership experience leading multiple functions through Directors or other senior leaders • Proven success leading complex operations through growth, transformation, or organizational scaling while driving operational and financial performance • Strong business and financial acumen • Experience using performance metrics and data to set priorities, make decisions, and improve results • Demonstrated ability to build, develop, and hold high-performing leadership teams accountable • Strong executive presence and communication skills • Ability to influence and collaborate across functions and with senior stakeholders • Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Operations Management, or a related field • Experience in payment integrity, bill review, claims processing, workers’ compensation, group health, or related healthcare services is a plus • Master’s degree (MBA, MHA, or similar) is a plus • Must be US based • Quiet workspace free from distractions • Reliable internet connection • Adherence to company security protocols, including VPNs, secure passwords, and company-approved devices/software • Ability to comply with company policies such as HIPAA

🏖️ Benefits

• Generous compensation commensurate with experience and performance • Competitive benefits package with generous employer subsidies • Individual and family health and wellness options • Financial health benefits • Flexible and remote working options • 401k with generous employer match and immediate vesting • Personal and professional development opportunities • Supportive family benefits, including paid leave for new family members • Companywide philanthropic program, Valenz Communities Connection • Necessary equipment provided • Generously subsidized company-sponsored Medical, Dental, and Vision insurance • Access to services through Healthcare Blue Book and KISx Card • HSA, FSA, and DCFSA spending account options • Flexible working environment • Generous Paid Time Off, including vacation, sick leave, and paid holidays • Employee Assistance Program with professional counseling, referrals, and additional services • Paid maternity and paternity leave • Pet insurance • Employee discounts on phone plans, car rentals and computers • Community giveback opportunities, including paid time off for philanthropic endeavors