-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Columbus, US-GA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:02
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:01
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:00
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:00
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Savannah, US-GA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:59
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:58
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:58
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:57
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:57
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:56
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:55
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:55
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:54
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:52
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:49
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:46
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:43
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:43
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:42
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:41
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:41
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:40
-
1.
Lead the development, maintenance, and enhancement of data models, dashboards, and reports to monitor key performance indicators related to assessment quality and outcomes.
Oversee and lead the application of advanced statistical analyses to identify trends, patterns, and areas for improvement.
2.
Collaborate with the Clinical Excellence Team to identify and implement data-driven quality improvement initiatives.
Evaluate the impact of these initiatives through rigorous data analysis and provide actionable insights.
3.
Work closely with the BI Manager, Operational Leadership and Clinical Leadership to align data analytics with strategic objectives.
Provide regular updates and detailed reports to senior management and key stakeholders.
4.
Ensure data accuracy, consistency, and security across all platforms.
Develop and enforce data governance policies and procedures.
5.
Collate and model data sets ensuring there is a single source of truth for Quality Analytics.
6.
Direct the work of Data Scientists and support the Lead Data Scientist in the management of Data Scientists work, ensuring a high level of delivery in data analytics.
7.
Ensure sound systems and ways-of-working, and that all data analytics practices comply with relevant regulations and standards.
Stay updated on the latest trends and best practices in data analytics and healthcare quality improvement.
Key Internal Stakeholders & Relationships
Deputy Clinical Director
Clinical Director
Clinical Excellence Team
Data Scientist
Programme Director
Operations Director
Operational Management
Senior Leadership Team
Performance Directors
Key External Stakeholders & Relationships
Department for Work and Pensions (DWP)
Essential
⢠Bachelor's degree in Data Science, Statistics, Computer Science, or a related field.
⢠Proven experience in data analysis, preferably within healthcare or a related field.
⢠Strong proficiency in data analysis tools.
⢠Experience with data visualisation tools.
⢠Experience of building statistical models.
⢠Experience of using Excel for statistics and data science.
⢠Strong stakeholder engagement and management skills.
⢠Proven experience of understanding business operations and services and providing analytical solutions to support decision making.
⢠Line management experience.
⢠Working in cross functional teams.
Desirable
⢠Master's degree in a relevant field.
⢠Knowledge of healthcare regulations and quality standards.
⢠Knowledge and experience of benefit assessments.
Maximus Competencies
⢠Embraces Respect.
⢠Partners Effectively:
⢠Creates Innovative Solutions
⢠Focuses on the Customer:
⢠Demonstrates Compassion.
Individual competencies
⢠Excellent analytical and problem-solving skills.
⢠Strong communication and interpersonal skills.
⢠Ability to work collaboratively with cross-functional teams.
⢠Commitment to the principles and practices of diversity, equity, and inclusion.
â...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:39
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:39
-
Essential Duties and Responsibilities:
- Manage assigned teams and staff.
- Develop, monitor, and use quality control procedures and audit criteria to ensure consistent application of contractual requirements and established policies and procedures.
- Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Perform other duties as assigned by management.
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment.
- Excellent organizational, interpersonal, written, and communication skills.
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
- Develop and analyze operational reports, dashboards, and key performance indicators.
- Monitor program performance against contractual SLAs and performance guarantees.
- Perform other duties as assigned by management.
Operational Leadership:
- Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing.
- Lead, coach, and develop a team of supervisors, analysts, coordinators, and arbitration specialists.
- Monitor workloads, staffing levels, productivity, and quality performance metrics.
- Establish and implement operational procedures, workflows, and best practices.
- Identify process improvement opportunities and implement solutions to increase efficiency and compliance.
Program Administration:
- Oversee intake, review, assignment, tracking, and resolution of arbitration cases.
- Manage assigned staff.
- Provide guidance to subordinates within the latitude of established company policies.
- Recommend changes to policies and establish procedures that affect immediate organization(s).
- Ensure cases are managed in accordance with applicable state laws, regulations, policies, and contractual requirements.
- Maintain comprehensive documentation and case management protocols.
- Coordinate with arbitrators, providers, health plans, and regulatory agencies throughout the dispute resolution process.
Compliance & Quality Assurance:
- Ensure adherence to state surprise billing regulations, privacy requirements, and program standards.
- Monitor quality assurance activities and implement corrective action plans when needed.
- Conduct audits and reviews to ensure consistency and accuracy in program administration.
- Support regulatory reporting and compliance monitoring activities.
Client & Stakeholder Management:
- Serve as a primary operational contact for state agency representatives and key stakeholders.
- Facilitate meetings, program reviews, and performance discussions.
- Resolve escalated issues and stakeholder concerns in a timely ...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-07-30 10:16:38
