team leadershipexcelcompliancevendor managementmedicareerisamedicaidlien resolutionsettlement administrationhealthcare subrogation
Вакансия из Hirify Global, списка международных tech-компаний Для мэтча и отклика нужен Plus
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Зарплата и рынок
$100к-115/год
$110к$130кмедиана$170к
По похожим ролям (50) ~ $130к/год
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У роли понятная зона ответственности, управленческий масштаб и измеримые цели, но узкая специализация на возврате медицинских выплат может ограничить переносимость опыта в другие сферы.
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Узкая специализацияЧёткая зона ответственностиУдалённый формат
Оценка от Hirify AI
Мэтч & Сопровод
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Описание вакансии
Текст:
Hirify AI/Оригинал
TL;DR
Operations Manager (Lien Resolution) (Legal Operations): Managing vendor relationships, healthcare recovery workflows, and operational pipelines for single-event personal injury files and mass tort/MDL settlement dockets with an accent on compliance, throughput, and cycle-time reduction. Focus on scaling dual workflows, enforcing audit controls, resolving complex lien disputes, and building executive dashboards for Medicare, Medicaid, and ERISA-related operations.
Location: Remote work from home, United States; position associated with Charlotte, North Carolina. Must be authorized to work in the United States for any employer.
Salary: $100,000–$115,00 USD annually, with potential annual bonus eligibility.
Company
hirify.global provides technology-enabled legal and claims solutions for complex global legal outcomes.
What you will do
Manage healthcare recovery vendors, including CMS, BCRC, CRC, state Medicaid recovery units, Optum, Equian, Conduent, and Rawlings.
Enforce vendor SLAs and architect secure data exchanges for high-volume claimant rosters.
Optimize single-event personal injury and mass tort/MDL workflows, reducing bottlenecks and turnaround times through automation and case-management updates.
Establish global holdback structures and settlement grids while maintaining case-level accuracy.
Lead and scale lien resolution analysts and specialists, set pipeline-specific KPIs, and enforce audit controls across spreadsheets, claimant profiles, and case-management systems.
Resolve escalated lien disputes and develop dashboards covering mass tort milestones, cycle times, reductions, and clearance rates.
Requirements
5+ years of experience in lien resolution, healthcare subrogation, or settlement administration. Experience must include managing teams across both mass tort and single-event personal injury pipelines.
Extensive hands-on experience with primary healthcare recovery vendors, including CMS, Optum, and Equian, their processes, portals, and escalation paths.
Mastery of Medicare Parts A, B, C, and D; Medicaid grids; ERISA compliance; Military coverage including TriCare and VA; and global settlement mechanics.
Advanced proficiency in Microsoft Excel, including VLOOKUPs, pivot tables, and data parsing.
Ability to manage high-level data strategy involving rosters of thousands and detailed audits of complex individual medical demands.
Ability to stay current with regulatory changes affecting Medicare Secondary Payer compliance, Medicaid recovery rights, and ERISA self-funded frameworks.
Culture & Benefits
Full-time work-from-home arrangement with flexibility.
Enterprise-wide learning and mobility opportunities.
Values-driven environment emphasizing integrity, service, collaboration, inclusion, and operational excellence.
Benefits information is provided during the hiring process; reasonable accommodation is available during application.
Employment is subject to identity and employment eligibility verification and applicable equal employment opportunity requirements.
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