EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCMTM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide.
Requirements
- Define and execute the strategic vision, operating model, and growth roadmap for the WC and MVA service lines, aligned with business objectives.
- Develop and execute strategies to increase revenue manage WC & MVA claims efficiently.
- Analyze MVA trends and complex claim issues to identify root causes and implement corrective actions.
- Provide executive oversight of operational performance, ensuring revenue targets, client outcomes, and efficiency goals are consistently achieved.
- Partner with executive leadership to identify risks, opportunities, and trends impacting complex claims recovery and overall business performance.
- Establish and monitor key performance indicators, ensuring visibility into performance drivers and accountability across all levels of the organization.
- Lead long-term capacity planning, organizational design, and resource allocation to support scalability and profitable growth.
- Drive standardization and optimization of processes, tools, and workflows across WC and MVA to improve consistency, quality, and efficiency.
- Champion continuous improvement initiatives, leveraging data and insights to enhance performance and client outcomes.
- Ensure compliance with all applicable regulatory, contractual, and HIPAA requirements across service lines.
- Collaborate cross-functionally with Product, Technology, Finance, and Client Delivery to support innovation, system enhancements, and operational alignment.
- Serve as an executive escalation point for complex client, operational, or performance issues, ensuring timely and effective resolution.
- Oversee performance management, reporting, and operational governance across WC and MVA functions.
- Develop and mentor senior leadership, including the Vice President and other people leaders, to build a strong and scalable leadership pipeline.
- Drive a culture of accountability, performance, and continuous development across all levels of the organization.
- Provide executive-level reporting and insights to senior leadership on performance, risks, and strategic initiatives.
- Support business transformation initiatives, including process improvement, technology adoption, and AI enablement, in partnership with business leaders.
- Maintain a strong knowledge of insurance billing and reimbursement procedures and regulations related to insurance billing and collections.
- Maintain a current working knowledge of all related HIPAA regulations and ensures staff compliance to these requirements.
Benefits
- 401k Matching
- Generous Paid Time Off
- Retirement Plan
- Relocation Assistance
Originally posted on Himalayas