-
Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements.
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome.
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements- Performs other related duties as assigned.
- Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs.
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications.
- Ability to collect data, define problems, establish facts, and draw valid conclusions.
- Excellent written and verbal communication skills.
- Excellent interpersonal and customer service skills.
- Proficient in Microsoft Office Suite.
- Excellent organizational skills and attention to detail.
- Ability to work in a fast-paced environment.
- Ability to work independently and meet timelines.
Minimum Requirements
- Education and licensure requirements are based on program contract requirements and are outlined in job posting
- Master's degree required
- Current licensed therapist valid in the state of practice is required
- Masters degree in Occupational Therapy
- An active, unencumbered Occupational Therapy (OT) license in the state of Massachusetts
- Minimum of 5 years of Occupational Therapy experience or equivalent relevant experience assessing functional status, mobility, cognition and activities of daily living
- Proficiency in Microsoft Office applications
- Valid driver's license and or reliable transportation for community-based assessments
Preferred Requirements
- Proficiency in Adobe applications
- Proficiency in Smartsheet
- Familiarity with the Time to Task (TTT) assessment
- Knowledge of functional and occupational performance assessments
- Experience working with elderly adults and individuals with disabilities
- Minimum understanding of the following:
* Program clinical eligibility requirements for the MA EOHHS LTSS Programs (AFC/GAFC/ADH/ PCA)
* Documentation requirements for Assessment processes, including physician and medical information forms or other TTT Tool documents;
* Caregiver and Surrogate participation in the Assessment process;
* Knowledge of home and community-based services (HCBS)
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
- Private and secure workspace
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion...
....Read more...
Type: Permanent Location: Boston, US-MA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:18:02
-
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: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-07-30 10:18:02
-
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: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-07-30 10:18:01
-
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: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-07-30 10:18:00
-
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: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-07-30 10:18:00
-
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: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:59
-
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: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:59
-
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: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:58
-
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: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:57
-
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: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:57
-
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: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:56
-
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: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:54
-
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: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:51
-
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: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:50
-
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: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:49
-
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: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:49
-
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: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:48
-
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: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:48
-
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: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:47
-
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: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:46
-
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: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:46
-
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: Charleston, US-SC
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:45
-
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 Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:45
-
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: Columbia, US-SC
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:44
-
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: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2026-07-30 10:17:43
