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17 часов назад

Operations Manager (Lien Resolution)

100 000 - 115$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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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