Collective Health

Collective Health

Senior Director, Payment Operations

Lehi, UT · Director

Sponsorship not specified$160k-$200kDetected 23 days ago
Data AnalysisCybersecurityStakeholder ManagementAccountingProcess ImprovementVendor ManagementLeadershipCommunicationCollaborationProblem SolvingMentoringLean Manufacturing

About the role

  • As the Senior Director of Payment Operations at Collective Health, you will hold a key leadership position responsible for driving the strategic direction and operational excellence of our Payment and Stop-Loss operational functions.
  • You will play a critical role in ensuring operational excellence, enhancing client satisfaction, and maintaining compliance with state and federal regulations.
  • The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity.

Responsibilities

  • Drive execution against strategic priorities with urgency, prioritize and sequence strategic transformation to realize opportunities identified, pivoting as needed.
  • Partner with Product and Engineering leadership to execute short and long term strategies enabled by technology
  • Develop and deliver success measurements and sustainability plans
  • Lead broad, multidisciplinary stakeholder management
  • Lead initiatives to ensure payment accuracy, prevent fraud, waste, and abuse, and implement cost containment strategies to optimize claims expenditures while maintaining high-quality care delivery.
  • Lead and mentor a diverse team of provider payment specialists, client billing specialists and Stop-Loss operations professionals, fostering a culture of collaboration, innovation, and continuous improvement, and promoting individual growth and development.
  • Establish and maintain quality assurance processes and protocols to ensure the accuracy, integrity, and compliance of Provider payment, Client billing, and Stop-Loss operations, with a focus on minimizing errors and improving client satisfaction.
  • Ensure compliance with Provider payment, Provider Recoupment, Client billing, and stop-loss client contractual policies and regulatory requirements, collaborating with internal stakeholders and external partners to implement and maintain policy updates.
  • Collaborate with product development, commercial, legal, data analytics, finance, and other cross-functional teams to drive alignment, integration, and operational improvements with broader organizational objectives and initiatives.
  • Strong analytical and problem-solving skills, with the ability to analyze complex data, identify trends, and make data-driven decisions to optimize payment and stop-loss operations and systems..

Nice to have

  • Certification in compliance and regulatory
  • Stop Loss/ reinsurance knowledge
  • Process improvement certifications (i.e. Lean Six Sigma)
  • Impactful projects that shape the future of our organization
  • Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
  • Pay Transparency Statement
  • If you need assistance, please contact recruiting-accommodations@collectivehealth.com.

Compensation

  • This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week.
  • The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity.
  • In addition to the salary, you will be eligible for 350,000 stock options and benefits like health insurance, 401k, and paid time off.
  • Lehi, UT Pay Range
  • $160,000 - $200,000 USD
  • Impactful projects that shape the future of our organization

Benefits

  • At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

Equal opportunity

  • We are an equal opportunity employer and value diversity at our company.
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This listing is sourced directly from Collective Health's careers page and normalized into a canonical job model.