Senior Vice President, Denials

Summary

Join EnableComp as their SVP, Denials, a strategic leadership role overseeing the growing denials product line. You will ensure operational excellence, client satisfaction, and alignment with company goals. This position demands exceptional leadership, analytical, and communication skills to drive process improvement, team performance, and revenue growth. You will develop and execute operational strategies, align departmental goals with company objectives, and advise executive leadership. The role also involves partnering with IT, overseeing denials business, collaborating on expansion strategies, and managing departmental budgets.

Requirements

• Bachelor’s Degree in Healthcare Administration, Business, or a related field
• Minimum of 10 years’ of progressive leadership experience in revenue cycle management, with at least 5 years in a senior leadership role overseeing denials and/or complex claims
• Proven experience overseeing diverse operational functions, including denials
• Experience working with internal teams while serving in a client facing or client support role
• Knowledge and understanding of financials, hospital revenue cycle process, ancillary and provider contract language and familiarity with healthcare and provider data sets
• Regular and predictable attendance
• Travel 0-20%; general office environment
• Equivalent combination of education and experience will be considered

Responsibilities

• Develop and execute operational strategies to optimize performance across departments
• Align departmental goals with company-wide objectives and key performance indicators (KPIs)
• Serve as a key advisor to the executive leadership team on operational matters
• Identify and implement best practices to improve workflows, productivity, and service delivery
• Partner with IT/Development to enhance platform to deliver efficient workflow and automation for suite of denial product offerings
• Oversee the Denials line of business to obtain quantifiable results and set priorities for direct reports
• Working with Strategy, collaborate on Denials expansion through inorganic growth focusing on product-related strategies that will drive market positioning and ensure smooth integratin of new products and denial-based business into existing organization
• Play a key role in conducting diligence and integration planning & execution for all acquired denial entities
• Leverage offshore operations to maximize margin while ensuring quality and compliance standards are maintained and workflows are seamlessly integration with onshore teams
• Utilize data-driven decision-making to enhance operational efficiency across departments
• Build, mentor, and develop high-performing teams across departments
• Foster a culture of accountability, collaboration, and continuous improvement
• Collaborate with clients to understand their needs and ensure satisfaction with operational services
• Act as an escalation point for operational challenges impacting client relationships
• Develop and manage departmental budgets to align with organizational goals
• Other duties as required

Preferred Qualifications

• Practices and adheres to EnableComp’s Core Values, Vision and Mission
• Exceptional leadership and team-building abilities
• Analytical mindset with a focus on data-driven-decision-making efficiently
• Has worked in a production environment and can lead a team to meet goals
• Excellent communication and presentation skills to interface with multiple internal stakeholders
• Strong financial and business acumen with budget management experience
• Proven success in obtaining quantifiable results from and setting priorities for direct reports
• Strong sense of urgency and executes on deliverables both thoughtfully and quickly
• Organized and can handle multiple projects simultaneously
• Health care experience and familiarity with payer or provider data sets
• Ability to effectively set and manage multiple priorities among several teams
• Experience communicating obstacles & challenges and developing action plans