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  • Physician / Administration / Ohio / Permanent / Medical Director Physician

    Inspire Healthcare

    Reimbursement director job in Columbus, OH

    Job Description Geriatric Care for Seniors in Columbus, Ohio Medical Director Physician Must have leadership experience Including direct physician reports (not mid-levels) Process improvement experience Smaller patient panels Join an expanding state-of-the-art senior care practice Convenient family-friendly locations in Columbus Staff of talented primary and specialty care physicians Collaborative and team-based approach to geriatric care Outpatient only setting with 1:10 or better phone call S
    $177k-281k yearly est. 20h ago
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  • Physician / Administration / Oklahoma / Permanent / Medical Director - Medicaid (remote)

    Humana 4.8company rating

    Remote reimbursement director job

    Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
    $213k-308k yearly est. 20h ago
  • Medical Director

    Ascendo Resources 4.3company rating

    Remote reimbursement director job

    Medical Director - Medicare Programs Remote | Approx. $300,000 base + significant bonus potential About the Opportunity: A leading national healthcare contractor is seeking a Medical Director to provide clinical leadership and decision-making support for Medicare operations. This position plays a critical role in developing and enforcing coverage determinations, reviewing complex claims, and promoting evidence-based medical policy. The role is ideal for a physician, especially those with a background in Physical Medicine and Rehabilitation (PM&R), who wishes to transition from direct patient care into a leadership position influencing medical necessity and healthcare compliance at scale. Key Responsibilities: Clinical Leadership: Provide medical expertise for claim reviews, appeals, and Medicare policy development. Serve as a subject matter expert across multiple specialties. Policy Development: Collaborate with the Centers for Medicare & Medicaid Services (CMS) and other contractors to create, revise, and maintain Local Coverage Determinations (LCDs) and related guidance. Program Integrity: Identify trends in billing or compliance issues and work with investigative teams to address improper claims. Medical Review & Appeals: Oversee quality assurance in pre- and post-payment medical review determinations and assist with administrative law proceedings when necessary. Provider Education: Lead outreach and training for healthcare providers and professional associations to ensure adherence to Medicare policies and evidence-based practices. Travel is minimal (approximately 3-4 weeks per year), and the position is fully remote with occasional in-person meetings or conferences. Required Qualifications: MD or DO from an accredited institution. Active, unrestricted medical license in at least one U.S. state (must be eligible for additional licensure where required). Board Certification in a specialty recognized by the American Board of Medical Specialties (minimum three years). At least three years of experience as an attending physician. Prior experience within the Medicare, health insurance, or utilization review environment. Strong understanding of clinical evidence evaluation and medical necessity determination within fee-for-service structures. Excellent communication and collaboration skills across technical, regulatory, and clinical teams. Computer proficiency (MS Office, data analysis tools, virtual collaboration platforms). Preferred Qualifications: Background in PM&R, Internal Medicine, Oncology, Radiology, Ophthalmology, or Infectious Disease. Five or more years of clinical practice experience. Prior experience as a Medical Director in a Medicare or commercial payer organization. Familiarity with HCPCS, CPT, and ICD-10 coding standards. Advanced degree or coursework in healthcare administration or systems management (MBA, MHA, MS). Experience performing systematic literature reviews or using GRADE methodology. Compensation & Benefits: Base salary: Approximately $300,000, flexible depending on experience. Bonus structure: Significant performance-based bonuses. Benefits: Comprehensive health coverage, generous retirement contributions, paid time off, and strong professional development support. Schedule: Full-time, remote position with flexible hours. Why Join: This is an opportunity to move beyond clinical work while continuing to make a direct impact on patient access and policy integrity at a national level. Join a mission-driven organization that values medical expertise, promotes collaboration, and advances fairness and compliance within the U.S. healthcare system.
    $300k yearly 20h ago
  • Medical Director (remote)

    Viewfi

    Remote reimbursement director job

    Reports Jointly To: Chief Executive Officer and Chief Medical Officer Clinical Specialty: MD, Board Certified in Sports Medicine (primary board specialty flexible) ViewFi is a nationwide virtual musculoskeletal (MSK) practice bringing high-quality orthopedic, sports-medicine, and physical-therapy care directly to patients in both traditional and non-traditional markets. We serve a diverse set of partners including personal injury/med-legal groups, self-insured employers, risk-based payers, and digital health collaborators in the sports and fitness markets through technology enabled, evidence-based clinical care. We are redefining what excellent MSK care looks like in a virtual environment. Position Summary The Medical Director will serve as the clinical leader of ViewFi's physician team and a core partner to our physical therapy, product, operations, and business teams. This role requires a practicing, board-certified Sports Medicine physician who can balance patient care with 30-40% administrative/leadership responsibilities. The Medical Director will ensure clinical excellence, maintain high-quality and consistent clinical pathways, represent ViewFi as the medical voice of the organization, and advance the science and evidence behind virtual MSK care. Key Responsibilities Clinical Leadership & Oversight Lead, oversee, and support the national team of physicians delivering virtual MSK care. Maintain and update clinical pathways, treatment standards, and practice guidelines across all ViewFi service lines. Partner closely with the Physical Therapy leadership team to ensure integrated, cohesive care between MDs and PTs. Ensure consistent, high-quality clinical documentation, coding accuracy, and compliance across markets. Oversee peer review, quality assurance activities, and clinical performance metrics. Participate in recruitment, onboarding, and ongoing development of new clinicians. Patient Care (70-80%) Actively see patients in a virtual setting, providing MSK consults and follow-ups. Model best-in-class virtual care workflows and contribute to continuous improvement of the patient experience. Support escalated or complex cases requiring senior clinical judgment. Strategic & Administrative Leadership (20-30%) Serve as the medical voice of ViewFi at conferences, webinars, panels, and partner meetings. Collaborate with executive leadership on product development, new service lines, geographic expansion and clinical innovation initiatives. Guide medical input for payers, partners, self-insured employers, and med-legal groups. Participate in strategic planning related to national expansion, licensure strategy, and resource allocation. Work cross-functionally with operations and technology teams to enhance clinical workflows. Provide medical insight and feedback on ViewFi's technology roadmap, including clinical decision support, AI integration, and general telehealth tools. Research, Publishing & Thought Leadership Lead or collaborate on clinical research demonstrating the efficacy of virtual MSK care, including both MSK MD consults and virtual PT. Publish and present outcomes, case series, and efficacy studies at relevant medical and industry conferences. Help build ViewFi's reputation as the leader in evidence-based virtual MSK care. Quality, Compliance & Risk Management Ensure the practice meets state and federal clinical guidelines, telehealth regulations, and licensure requirements. Maintain oversight of clinical incident review processes, risk-mitigation protocols, and outcome tracking. Drive continuous improvement in clinical quality, patient safety, and service reliability. Qualifications MD with Board Certification in Sports Medicine (primary board: FM, IM, EM, PM&R, etc. is flexible). Multi-state licensure required; willingness to pursue additional licensure required. Minimum 10 years of clinical experience; virtual care experience strongly preferred. Demonstrated leadership experience in a clinical or medical director role. Strong collaboration skills with PTs, operational teams, and cross-functional partners. Excellent communication and presentation skills; comfortable representing ViewFi publicly. Passion for virtual care, musculoskeletal medicine, and innovative delivery models. What We Offer Opportunity to lead a national MSK practice at the forefront of technology enabled virtual healthcare Collaborative environment with clinical and operational teams aligned around quality care and aggressive growth Competitive compensation with protected administrative time Support for conference travel, research, publishing, and clinical innovation Commitment to clinical excellence, patient outcomes, and provider support
    $174k-281k yearly est. 4d ago
  • Medical Director

    Intepros

    Remote reimbursement director job

    Medical Director (Utilization Management) The Medical Director plays a key role in ensuring coverage and payment determinations are clinically appropriate, compliant, and aligned with plan benefits and contractual agreements with participating provider networks. This position requires sound clinical judgment, collaborative leadership, and a strong understanding of healthcare delivery, population health, and payer operations. Key Responsibilities Provide physician leadership and clinical guidance to Utilization Management and Care Management functions Render coverage and payment determinations in accordance with health plan benefits, medical policies, and provider contracts Apply evidence-based clinical guidelines and best practices to support consistent, high-quality decision-making Exercise informed medical judgment grounded in clinical medicine, patient safety, quality management, and population health principles Collaborate effectively with clinical teams, operational leaders, senior management, and external partners Promote efficient, cost-effective care delivery across all lines of business Support organizational initiatives related to quality improvement, compliance, and healthcare outcomes Required Qualifications & Experience Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic medical school recognized by AAMC, AOA, or WHO Unrestricted and active Pennsylvania medical or osteopathic license Current board certification through ABMS or AOBMS (Family Medicine or Internal Medicine preferred) Ability to successfully complete organizational credentialing requirements Strong knowledge of Utilization Management, healthcare delivery systems, and payer-based medical decision-making Work Location Fully Remote: This position is designated as fully remote Work must be performed within the Tri-State Area (Pennsylvania, New Jersey, or Delaware)
    $181k-282k yearly est. 20h ago
  • Director, Government Reimbursement

    Ensemble Health Partners 4.0company rating

    Remote reimbursement director job

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. This role will serve in a consultancy capacity, advising our clients-large health systems-in managing and optimizing healthcare reimbursement processes, focusing on Medicare, Medicaid, Disproportionate Share Hospital (DSH) programs, Medicaid Directed Payment programs, and 340B drug pricing and reimbursement. Additionally, this position provides key support in the preparation and analysis of Medicare cost reports, ensuring compliance with federal regulations and maximizing financial performance for healthcare providers. Essential Job Functions Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Assist in gathering and analyzing data for the preparation of Medicare cost reports, ensuring accurate reflection of hospital costs for reimbursement optimization. Provide expert advice on reimbursement strategies for governmental lines of business, including Medicaid and Tricare Support 340B program compliance, eligibility, and ensure correct billing processes. Analyze hospital eligibility for DSH payments, assess financial impact, and ensure complete and accurate capture of Medicaid days and other considerations. Monitor Medicaid Directed Payment programs, optimizing revenue opportunities for participating providers. Serve as a trusted advisor to clients, offering strategic insights and recommendations on reimbursement-related matters. Maintain expert-level knowledge of state and federal healthcare reimbursement policies, ensuring strict compliance with CMS guidelines, Medicaid Managed Care rules, and HRSA 340B program regulations.. Assist healthcare providers in navigating reimbursement complexities, including audits, appeals, and compliance inquiries. Analyze financial data to identify trends and areas for improvement in the reimbursement process. Build and maintain strong relationships with payers, government agencies, and other stakeholders. Provide guidance and training to client staff on reimbursement regulations and best practices. Job Competencies Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results. Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers. Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement. Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear). Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results. Other Preferred Knowledge, Skills and Abilities Strong analytical, communication, and negotiation skills. Ability to work effectively in a fast-paced and ever-changing environment. CPA Licensed This position pays between $134,000- $200,000 based on relevant years of experience. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $134k-200k yearly Auto-Apply 60d+ ago
  • Director - Reimbursement (Remote)

    Stanford Health Care 4.6company rating

    Remote reimbursement director job

    If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate preparation and submission of financial and regulatory reports to government agencies, including but not limited to: •Medicare and Medi-Cal cost reports •Financial disclosures to the Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries, ensuring full compliance and clear communication with regulatory agencies. The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement initiatives, drives innovation in financial systems, and fosters a culture of change, accountability, and continuous improvement. Locations Stanford Health Care What you will do Government Payor Reporting & Reimbursement Ensure timely and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions. Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement. Develop, implement, and maintain internal policies and procedures to ensure complete and accurate capture of all legitimate reimbursement opportunities. Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (e.g., CMS disputes). Review third-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting. Participate in the annual budget development process by providing detailed analysis and projections related to government payor net income. Prepare and respond to year-end financial audits, specifically related to third-party liabilities and balance sheet reserves. Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports Lead alignment of compliance reporting processes across SHC-related entities and partner organizations. Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability. Non-Patient Care Services Receivable Oversee invoicing, contract compliance, and financial administration for non-patient care service agreements, such as: Graduate Medical Education (GME) affiliation agreements Physician outreach and other academic/clinical support contracts Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed. Ensure obligations are properly managed and tracked within the Workday customer management model. Serve as the subject matter expert for the Workday customer management model, assisting in the development and enhancement of business process workflows. Participate in system testing and user acceptance activities related to workflow improvements and updates within Workday. Leadership, Collaboration & Strategic Support Promote a culture of learning, continuous, improvement, and compliance across the reimbursement function. Mentor and develop staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies. Support talent development and succession planning by identifying growth opportunities and preparing high-potential staff for future leadership roles. Work cross-functionally with leaders and staff from various departments and backgrounds to address complex reimbursement and compliance matters. Communicate complex, variable reimbursement and regulatory issues in clear, concise narratives to support strategic decision-making. Provide analytical and subject matter support to broader strategic and financial initiatives as needed. Education Qualifications Bachelor's Degree in business, finance, health or public administration or a related field. Master's Degree in business, health or public administration, management, or related field strongly preferred. Experience Qualifications Minimum ten (10) years of progressively responsible and directly related work experience required. 10+ years of performing duties similar to those described in essential functions of the description. Preferred experience as an auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid regulations. Required Knowledge, Skills and Abilities Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. Multi-year skill and experience managing business processes for organizations using a major ERP system. Ability to communicate complex concepts in simple form to non-finance users to understand the appropriate use and limits of the information provided. Ability to communicate and present complex issue with government agencies to resolve audit issues. Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. Ability to foster effective working relationships and build consensus. Ability to partner in the development and achievement of goals, vision, and overall direction of the Controller's Office at Stanford Health Care. Ability to provide clear and concise information/presentations to Senior Executive Team. Ability to develop strong team culture and working relationship with colleagues across the health system. Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis. Ability to effectively manage deliverables and timelines. Preferred Knowledge, Skills and Abilities Ability to develop strong team culture and working relationship with colleagues across the health system Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis Ability to effectively manage deliverables and timelines Licenses and Certifications CPA - Certified Public Accountant preferred HFMA - Certified Rev Cycle Rep (CRCR) preferred Physical Demands and Work Conditions Blood Borne Pathogens Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
    $89-117.9 hourly Auto-Apply 60d+ ago
  • Field Reimbursement Director

    Novocure 4.6company rating

    Remote reimbursement director job

    At Novocure, we are pioneering Tumor Treating Fields (TTFields), a noninvasive cancer therapy designed to disrupt tumor cell division and extend survival in some of the most aggressive forms of cancer. Every role here contributes to improving the lives of people living with cancer. Currently we are seeking a Field Reimbursement Director, Market Access in a high-impact, field-based role responsible for U.S. provider reimbursement and market access initiatives enable patient access to Novocure products. This role involves developing and executing strategies related to coverage, coding, and payment, securing broad formulary inclusion, and driving technology adoption across payers, providers, and channel partners for providers. The position plays a critical role in shaping a favorable provider reimbursement landscape while providing strategic guidance and collaboration with field teams. Success requires a proven track record in payer account management, reimbursement expertise, a proactive mindset, exceptional communication skills, launch experience, and the ability to thrive in a fast-paced, cross-functional environment. This is a full-time, exempt position, remote but linked to the Chesterbrook, Pennsylvania office. In this role, you will: * Serve as a subject matter expert on U.S. payer, policy, and provider economics, including Medicare DME, state Medicaid, commercial payers, and coding/coverage/payment pathways. Leverage expertise to solve complex reimbursement challenges and improve patient access. * Compliantly communicate reimbursement education, support, and resources effectively to customers, including healthcare administrators, physicians, and billing/coding staff on an as-needed basis to support field teams * Develop coding and billing guides, customer education materials, and other reimbursement resources to enhance patient access and streamline service delivery. * Build and maintain strong relationships with public and commercial payers, reimbursement/policy key opinion leaders (KOLs), and professional societies to support favorable reimbursement outcomes. * Collaborate cross-functionally with Sales, Strategic Accounts, Marketing, Revenue Operations, Medical Education, Legal, Government Affairs, and Compliance to drive reimbursement-focused engagement and strategic alignment. * Monitor and interpret evolving market dynamics, CMS policies, product usage, and commercial payer trends; translate insights into proactive strategies and clear field guidance. * Maintain comprehensive knowledge of local, regional, and national coverage issues through payer research, stakeholder engagement, and participation in public forums. * Coordinate and support presentations by KOLs to decision-makers such as CMS, medical directors, P&T committees, and HTA bodies to influence coverage, coding, and payment decisions. * Conduct in-depth analysis of reimbursement policies impacting Novocure and competitor products. * Promote a culture of compliance by ensuring all activities aligned with company policies, regulatory standards, and industry's best practices. * This is a full-time, exempt, remote position requiring field travel to engage with providers, payers, customers, and attend industry conferences. * Thrive in a dynamic, fast-paced environment and adapt to evolving organizational priorities and responsibilities. * Contribute to initiatives that advance business logistical operational effectiveness and enhance the overall PEx experience. What we're looking for: * Bachelor's degree in Business, Economics, Basic Sciences, or a related field; equivalent experience accepted. Graduate-level coursework or degree in health policy, health economics, or a related field, or coding certification is preferred. * 12+ years of U.S. market access experience within medtech, biotech, or pharma industries, with a strong preference for expertise in provider medical device reimbursement, coverage, coding, and payment. * Deep understanding of the U.S. reimbursement landscape to guide customers through coverage pathways and facilitate access to Novocure technologies. * Proficient in CPT, ICD-10, and HCPCS coding systems relevant to medical devices across diverse healthcare settings. * Strong grasp of private and government payer methodologies, coverage development processes, and healthcare benefit structures (e.g., deductibles, out-of-pocket costs, exclusions). * Exceptional communication and presentation skills, both in-person and virtual, with the ability to engage customers and collaborate effectively with cross-functional teams. * Strong writing abilities, with a focus on integrating clinical arguments effectively into persuasive documents. * High attention to detail with demonstrated ability to conduct in-depth analysis and resolve complex reimbursement issues. * Strategic and analytical mindset with the ability to translate insights into actionable solutions. * Radiation oncology experience is a plus. * Proficient in Microsoft Word, Excel, PowerPoint, and Outlook. * Ability to travel up to 60% of the time. Why Join Us At Novocure, you will lead a mission driven operations organization that directly supports patient access to innovative therapies. This is an opportunity to shape the future of North American operations while developing people, improving processes, and ensuring every patient receives their therapy on time. Equal Opportunity Statement Novocure is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state, or local law. We actively seek qualified candidates who are protected veteran and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Novocure is committed to providing an interview process that is inclusive of our applicant's needs. If you are an individual with a disability and would like to request an accommodation, please email **********************************. Nearest Secondary Market: Portsmouth Nearest Major Market: Philadelphia
    $94k-157k yearly est. 13d ago
  • Revenue Transformation Director

    Gong.Io 4.3company rating

    Remote reimbursement director job

    Gong harnesses the power of AI to transform how revenue teams win. The Gong Revenue AI Operating System unifies data, insights, and workflows into a single, trusted system that observes, guides, and acts alongside the world's most successful revenue teams. Powered by the Gong Revenue Graph, AI-powered intelligence, specialized agents, and trusted applications, Gong helps more than 5,000 companies around the world deeply understand their teams and customers, automate critical sales workflows, and close more deals with less effort. For more information, visit ************ At Gong, you will join a company built on innovative products, ambitious goals, and passionate people. We are shaping the future of revenue intelligence and we want people who are excited to build what comes next. You will work with a team that dreams big, moves fast, and cares deeply about the craft and about each other. Here, transparency and trust are core to how we operate, and every person has the opportunity to make a visible impact. If you want to grow, stretch, and do work that truly matters, Gong is the place to do the best work of your career. We are looking for someone with a strong history of consulting senior leaders towards achieving strategic business goals and driving tangible outcomes. This experience could come from being a senior leader in a Fortune 500 type organization that has led large, transformative projects and can distill lessons learned into repeatable consultative engagements. Alternatively, you may have experience as a senior level strategic consultant who desires working with a world-class SaaS organization. In this role, you will be directly responsible for ensuring the success of Gong's largest clients by providing strategic guidance, driving customer transformation journeys, and building long-lasting relationships with key stakeholders. You will work closely with the Sales and Customer Success teams to align Gong's solutions with the revenue goals of senior leaders, guiding our enterprise customers from point solutions to long-term, autonomous revenue AI transformation. You will leverage Gong's maturity model to assess clients' current revenue operations, uncover challenges, and help develop multi-year roadmaps that drive business outcomes. By collaborating with various internal teams, including Sales, Product, Implementation, and C-suite executives, you will play an instrumental role in transforming Gong's relationships with its largest customers, ensuring that we are delivering sustainable value at scale. RESPONSIBILITIES Build and maintain trusted advisor relationships with VP to C-suite revenue leaders, guiding them through their Gong transformation journey and ensuring long-term success, specifically their customers renewal journey. Lead high-level, consultative discussions with customers to uncover their most pressing revenue challenges and opportunities, leveraging Gong's platform and solutions to transform their revenue operations. Use Gong's maturity model to assess and identify gaps in customers' revenue operations, then design customized, long-term roadmaps to help them achieve their revenue objectives. Work closely with Sales, Account Management, Product, Marketing, and other internal teams to align customer needs with Gong's strategic objectives and ensure effective cross-functional support. Create, execute, and optimize long-term strategic plans for each customer, focused on driving business outcomes and ensuring measurable ROI from Gong's solutions. Work with client executives to drive alignment on revenue goals, ensuring Gong's solutions are positioned as central to their long-term growth strategy. Engage with multiple stakeholders across various client business units, ensuring buy-in and alignment at every stage of the transformation process. Help ensure Gong's annual revenue targets are met by fostering growth in large accounts, focusing on retaining and expanding business with multi-million-dollar deals. QUALIFICATIONS 5+ years of experience consulting or leading strategic functions, with a focus on enterprise or Fortune 2000 companies. Example functions where you may have worked include- rev ops, customer success, senior technical divisions as well as anywhere where your current usage of Gong has shown measurable impact on the overall business. Exceptional ability to communicate and build relationships with C-suite executives, VPs, and senior leaders. Experience in consultative sales, business transformation, and driving long-term customer success and ROI. Familiarity with revenue operations, sales technology platforms, and a deep understanding of the challenges faced by sales and revenue team Ability to work cross-functionally with product, marketing, sales, and other teams to align customer strategies with Gong's solutions. Strong organizational skills, with the ability to manage multiple accounts and projects simultaneously while maintaining a high level of customer satisfaction. Excellent verbal and written communication skills, with the ability to clearly convey complex ideas to both technical and non-technical stakeholders. PERKS & BENEFITS We offer Gongsters a variety of medical, dental, and vision plans, designed to fit you and your family's needs. Wellbeing Fund - flexible wellness stipend to support a healthy lifestyle. Mental Health benefits with covered therapy and coaching. 401(k) program to help you invest in your future. Education & learning stipend for personal growth and development. Flexible vacation time to promote a healthy work-life blend. Paid parental leave to support you and your family. Company-wide recharge days each quarter. Work from home stipend to help you succeed in a remote environment. The annual salary for this position is $153,000 - $227,000 USD. Compensation is based on factors unique to each candidate, including, but not limited to, job-related skills, qualification, education, experience, and location. At Gong, we have a location-based compensation structure, which means there may be a different range for candidates in other locations. The total compensation package for this position, in addition to base compensation, may include incentive compensation, bonus, equity, and benefits. Some of our sales compensation programs also offer the potential to achieve above targeted earnings for those who exceed their sales targets. We are always looking for outstanding Gongsters! So if this sounds like something that interests you regardless of compensation, please reach out. We may have more roles for you to consider and would love to connect. We have noticed a rise in recruiting impersonations across the industry, where scammers attempt to access candidates' personal and financial information through fake interviews and offers. All Gong recruiting email communications will always come from ************ domain. Any outreach claiming to be from Gong via other sources should be ignored. Gong is an equal-opportunity employer. We believe that diversity is integral to our success, and do not discriminate based on race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, military status, genetic information, or any other basis protected by applicable law. To review Gong's privacy policy, visit ********************************************************** for more details. <>
    $153k-227k yearly Auto-Apply 60d+ ago
  • Director, Health Systems Partnerships

    Orpyx Medical Technologies

    Remote reimbursement director job

    About Orpyx Orpyx is a leading health technology company that is committed to extending healthspan for people living with diabetes through personalized remote care. Our flagship product, the Orpyx Sensory Insole System, is transforming diabetes care by helping prevent diabetic foot ulcers, a major complication of diabetes that can lead to amputation. Our dedicated remote patient monitoring team, comprised of credentialed providers and nurses, utilizes advanced data science methodologies to provide personalized support and triaged clinical escalation. With our whole-person approach, Orpyx empowers people to take control of their health, prevent debilitating complications and extend their healthspan. We are an ISO 13485 company committed to providing quality medical solutions that consistently meet customer needs and regulatory requirements. Who we are The people at Orpyx are flexible thinkers and creative innovators. We come from a variety of backgrounds and carry a wealth of expertise in multiple industries, including medical, technology, software, marketing, and finance. What we all have in common is an intense passion for the work we do. We have an extraordinary collection of talent that makes working here fun, unique, and inspiring. Our hiring goal moving forward is to continue to build and grow a strong, effective team, while maintaining our friendly and innovative company culture. What we offer We offer an opportunity to work with cutting-edge medical technology that extends the healthspan of people living with diabetes. We offer a competitive salary and a comprehensive benefits package that includes medical, dental, and vision coverage, as well as employer paid ancillary products such as life, short-term disability, and long-term disability insurance. Our flexible health benefits, 401(k), and employee stock option plans allow for customized benefits that meet your individual needs. We offer a remote work environment and a flexible daily schedule to promote work-life balance. In addition, our employees receive 25 PTO days per year, giving them ample opportunity to rest and recharge. We have team events every second Friday, and annual in-person events, which contribute to a positive work culture and foster team connections. What you'll do Reporting to the Senior Vice President, Commercialization and working as part of a cross-functional team, the Director, Health Services Partnerships is responsible for market access and interacting with major Health Systems and Integrated Delivery Networks (IDNs) across the USA. The Director, Health Services Partnerships develops and manages sales strategies with Integrated Delivery Networks, Organized Health Systems, and Integrated Payor Provider Networks (IPPN) across the US. This position involves leading the IDN and Health Systems sales strategy, developing long-term strategies, overseeing contract negotiations, and ensuring customer satisfaction through meeting key performance indicators (KPIs). The role requires strategic planning, strong executive-level communication, and the ability to build and maintain relationships with senior decision-makers within healthcare systems. Efforts are directed towards establishing access channels via direct/indirect contracting and pricing agreements with multiple Group Purchasing Organizations (GPO) and Distributors. Includes strategic account planning and alignment with all internal and external stakeholders, leveraging market access insights gained from customer interactions and cross-functional collaboration. This position will initially combine direct sales execution with strategic sales planning. As the organization grows and business requires, the role may expand to include hiring, developing, and managing a dedicated sales team. This includes: Inform and execute a scalable Health Systems and IDN strategy: Partner with the SVP, Commercialization to develop and operationalize a comprehensive Health Systems and IDN commercial strategy, including partnership development, pricing and packaging models, go-to-market execution, and negotiation and contracting with complex Health Systems and IDN stakeholders. Drive new Health Systems and IDN business opportunities: Identify, cultivate, and close opportunities across multiple channels, leveraging both market insights and your established network of payer, provider, and IDN relationships. Design and contract integrated care models: Provide insights, market data, and potential roadblocks to inform the structure of bundled payer/provider service models that span the Orpyx current and future product line and unlock Health Systems and IDN opportunities. Develop payer contract structures: Provide insights, market data, and roadblocks to inform commercial, Medicare, and Medicaid payer contracts that align with Health Systems and IDN needs, risk models, and value-based care strategies. Execute effective Health Systems and IDN-focused sales strategies: Implement sales approaches tailored to the complexities of Health Systems and IDN decision-making, buying cycles, and cross-functional influence. Cultivate and manage multi-level relationships: Navigate clinical, operational, financial, and executive stakeholders within large Health Systems and IDNs to drive alignment, advance deals, and deepen partnerships. Develop and maintain a robust Health Systems and IDN pipeline: Build, qualify, and manage a strong customer pipeline across payers and integrated delivery networks. Deliver accurate, data-driven forecasts: Provide precise pipeline forecasts by product, value, stage, and timeline to inform planning and resource allocation. Develop programs to drive Health Systems and IDN channel growth: Create initiatives, programs, and promotions that drive adoption and volume through payer and IDN channels and support the organization's growth goals. Partner closely with marketing: Collaborate to develop tailored sales tools, value messaging, and collateral specific to commercial health plans, IDNs, and payer-provider partnerships. Shape internal strategy for the payer/IDN segment: Act as the internal champion for IDN need, informing solution development, packaging, pricing, delivery models, and customer experience for this segment. Build and lead a high-performing Health Systems and IDN sales team (if/when required): Scale and manage a team that aligns with market opportunity and consistently exceeds revenue targets with payers, IDNs, and channel partners as primary customers. Operate with quality and compliance: Maintain a clean and safe working environment and perform all responsibilities in alignment with the organization's quality management system and regulatory requirements. Additionally, due to the ever-changing and sometimes chaotic environment of an early-stage high-tech company, the Director, Health Services Partnerships may assume additional responsibilities, as required. What you'll do Bachelor's degree in Business, Healthcare Administration, or related field (pr equivalent experience); MBA or relevant advanced degree preferred. 7+ years of experience in sales, business development, or strategy roles within healthcare, ideally with a focus on Integrated Delivery Networks, health systems, or large provider organizations. Excited to pilot, iterate, and build IDN solutions from zero, moving quickly to test, refine, and scale programs that deliver measurable impact. Demonstrated success building and negotiating commercial, Medicare, and Medicaid contracts, including bundled service and value-based care models. Ability to define and execute go-to-market strategies, pricing models, and sales plans that align with organizational goals. Experience growing a sales function from an individual contributor to a high-performing team that achieves measurable results. Strong ability to influence and manage complex relationships with multiple stakeholders, including executives, clinicians, and operational leaders. Experience building, maintaining, and accurately forecasting a pipeline of opportunities across multiple products and channels. Proven ability to work closely with marketing, product, and operational teams to develop tools, collateral, and programs that drive sales and growth. Ability to anticipate market trends, identify opportunities, and proactively address challenges to achieve business outcomes. Exceptional verbal and written communication skills, with the ability to convey complex value propositions to diverse audiences. Understanding of healthcare regulations, quality management systems, and the ability to maintain high standards of compliance in all activities. The details Employment status: Regular full-time at will employment. Schedule: Full time, Monday to Friday. Peaks and valleys may be required periodically, depending on operational needs. Salary: Base salary starts at $200,000 dependent on experience plus variable compensation tied to sales performance. Work location: Remote USA. Application instructions and deadline: Please submit a cover letter and resume that outlines why your skills, experience and personality would make you an excellent candidate for this role at Orpyx. The position will remain posted until it is filled. For more information, visit: *********************
    $200k yearly 12d ago
  • Revenue Innovation Director, Fal.Con (Remote)

    Crowdstrike 3.8company rating

    Remote reimbursement director job

    As a global leader in cybersecurity, CrowdStrike protects the people, processes and technologies that drive modern organizations. Since 2011, our mission hasn't changed - we're here to stop breaches, and we've redefined modern security with the world's most advanced AI-native platform. Our customers span all industries, and they count on CrowdStrike to keep their businesses running, their communities safe and their lives moving forward. We're also a mission-driven company. We cultivate a culture that gives every CrowdStriker both the flexibility and autonomy to own their careers. We're always looking to add talented CrowdStrikers to the team who have limitless passion, a relentless focus on innovation and a fanatical commitment to our customers, our community and each other. Ready to join a mission that matters? The future of cybersecurity starts with you. About the Role: Crowdstrike Fal.Con is the world's leading cybersecurity conference - a flagship event that brings the cybersecurity world together to move the industry forward. This role will help ensure that Fal.Con continues to be not just a category-defining brand moment for CrowdStrike and the industry, but a commercial force multiplier that helps move our business forward. As the Revenue Innovation Director, Fal.Con, you'll take the lead on building a global revenue strategy for Fal.Con, activating new revenue models across both partner and customer audiences. You'll work with teams across Marketing and Sales to ideate and create new Marketing and Promotional Opportunities (MPOs) that drive two-way value exchange between CrowdStrike and Fal.Con sponsors. You'll develop the value proposition of these new MPOs to Partners, optimize pricing, and ultimately set up a sustainable revenue engine for Fal.Con moving forward. This role is for a strategic builder who thrives at the intersection of brand, business, and partnerships. It's a great fit for someone who is passionate about the importance of cybersecurity and the strength of the CrowdStrike brand, and who has experience driving revenue innovation in industries like media, entertainment, sports, and technology who can see the potential of an event not just as an experience, but as a marketplace of ideas, alliances, and opportunity. You'll have the freedom to innovate, the platform to be bold, and the responsibility to deliver results that elevate how CrowdStrike and the industry thinks about what a world-class cybersecurity event can be. What You'll Do: 1. Build and Execute the Revenue Strategy Reimagine what event monetization looks like for a modern cybersecurity brand, shifting from “logo placements” to co-created experiences, innovative MPOs, bold activations, and compelling pre-, and post-event campaigns Draw on best practices from industries where partnership monetization is core to the business model, e.g., media, sports, entertainment, fashion, etc. Develop and own a revenue strategy and plan for Fal.Con, including pricing strategy, tiering, packaging, and forecasting for both partner and customer audiences Identify and design new partner revenue streams beyond traditional sponsorships, from partner activations and hospitality to digital extensions and co-marketing opportunities Develop customer-facing revenue models that drive engagement and value, e.g., registration pricing, premium tiers, loyalty/group/VIP access programs, etc. Collaborate with internal stakeholders (Sales, Alliances, Marketing, Finance) to ensure alignment on audience targets, revenue goals, and partner value 2. Orchestrate Execution and Activation Collaborate with Partner Marketing and Field Teams to craft mutually beneficial sponsorship value propositions and MPOs Serve as the central point of coordination between CrowdStrike and our external sponsorship sales agency, ensuring clarity/value of offer, velocity of deals, and operational excellence Work closely with the Events Production and Experience teams to translate sold packages into high-impact delivery onsite Ensure every partner experience enhances CrowdStrike's brand, customer trust, and category leadership. 3. Manage Performance and Accountability Own the Fal.Con revenue target and partner with the Registration & Analytics Manager to ensure timely progress tracking, forecasting accuracy, and post-event reporting Define and implement KPIs that measure both revenue and partner satisfaction / ROI Continuously optimize pricing, packaging, and partner mix based on data, feedback, and strategic goals Leverage insights from registration, ticketing, and upsell data to refine audience strategies and identify new monetization opportunities Who You Are: Strategic & Commercial: You understand how to grow a brand through partnerships that deliver measurable business outcomes. Creative & Entrepreneurial: You see whitespace and turn it into opportunity, blending imagination with executional rigor. Relationship-Driven: You're trusted by partners because you build win-win scenarios and deliver on commitments. Detail-Oriented: You thrive in complexity - orchestrating multiple teams and agencies to achieve a singular outcome. Inspired and Curious: You love to apply ideas from one context to another, not being hidebound by “the way things are done” in tech or in cybersecurity today What You'll Need: 15+ years of experience in event sponsorships, partner marketing, experiential revenue strategy, or related roles (ideally in B2B tech, sports, or media) Proven track record of driving seven-figure sponsorship revenue for large-scale events, experiences, or properties Experience managing external sponsorship sales agencies Strong financial acumen and ability to develop pricing/revenue models and manage budgets Exceptional cross-functional collaboration and executive communication skills #LI-MJ1 #LI-Remote Benefits of Working at CrowdStrike: Market leader in compensation and equity awards Comprehensive physical and mental wellness programs Competitive vacation and holidays for recharge Paid parental and adoption leaves Professional development opportunities for all employees regardless of level or role Employee Networks, geographic neighborhood groups, and volunteer opportunities to build connections Vibrant office culture with world class amenities Great Place to Work Certified™ across the globe CrowdStrike is proud to be an equal opportunity employer. We are committed to fostering a culture of belonging where everyone is valued for who they are and empowered to succeed. We support veterans and individuals with disabilities through our affirmative action program. CrowdStrike is committed to providing equal employment opportunity for all employees and applicants for employment. The Company does not discriminate in employment opportunities or practices on the basis of race, color, creed, ethnicity, religion, sex (including pregnancy or pregnancy-related medical conditions), sexual orientation, gender identity, marital or family status, veteran status, age, national origin, ancestry, physical disability (including HIV and AIDS), mental disability, medical condition, genetic information, membership or activity in a local human rights commission, status with regard to public assistance, or any other characteristic protected by law. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements. If you need assistance accessing or reviewing the information on this website or need help submitting an application for employment or requesting an accommodation, please contact us at ************************** for further assistance. Find out more about your rights as an applicant. CrowdStrike participates in the E-Verify program. Notice of E-Verify Participation Right to Work CrowdStrike, Inc. is committed to fair and equitable compensation practices. Placement within the pay range is dependent on a variety of factors including, but not limited to, relevant work experience, skills, certifications, job level, supervisory status, and location. The base salary range for this position for all U.S. candidates is $155,000 - $240,000 per year, with eligibility for bonuses, equity grants and a comprehensive benefits package that includes health insurance, 401k and paid time off. For detailed information about the U.S. benefits package, please click here. Expected Close Date of Job Posting is:01-24-2026
    $155k-240k yearly Auto-Apply 9d ago
  • Revenue Integrity Director- Remote

    Conifer Health Solutions 4.7company rating

    Remote reimbursement director job

    The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions Demonstrated critical-thinking skills with proven ability to make sound decisions Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely Ability to manage multiple projects/initiatives simultaneously, including resourcing Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels Ability to effectively and professionally motivate team members and peers to meet goals Advanced knowledge of external and internal drivers affecting the entire revenue cycle Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree Minimum of five years healthcare-related experience required Extensive experience as Revenue Integrity manager Extensive knowledge of laws and regulations pertaining to healthcare industry required Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. Must frequently lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal corporate office environment TRAVEL Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
    $104.6k-157k yearly Auto-Apply 60d+ ago
  • Revenue Integrity Director- Remote

    Tenet Healthcare Corporation 4.5company rating

    Remote reimbursement director job

    The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. * Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. * Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. * Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. * Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. * Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. * Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions * Demonstrated critical-thinking skills with proven ability to make sound decisions * Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals * Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely * Ability to manage multiple projects/initiatives simultaneously, including resourcing * Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner * Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement * Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels * Ability to effectively and professionally motivate team members and peers to meet goals * Advanced knowledge of external and internal drivers affecting the entire revenue cycle * Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree * Minimum of five years healthcare-related experience required * Extensive experience as Revenue Integrity manager * Extensive knowledge of laws and regulations pertaining to healthcare industry required * Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required * Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS * Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. * Must frequently lift and/or move up to 25 pounds * Specific vision abilities required by this job include close vision * Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Normal corporate office environment TRAVEL * Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. * Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $104.6k-157k yearly 42d ago
  • Director, Revenue Enablement

    Chownow 4.5company rating

    Remote reimbursement director job

    About Us:ChowNow is one of the leading players in off-premise restaurant technology. As takeout becomes a vital revenue stream for independent restaurants, our platform helps owners focus on what they do best-serving great food-by offering solutions across the entire digital dining experience. From building branded websites and mobile apps, to powering online orders, managing menus, consolidating delivery, and running targeted marketing, we give restaurants the tools to grow on their own terms. We support over 20,000 restaurants across North America, helping process $1B+ in gross food sales while saving our partners over $700M in third-party commission fees. Through our white-label ordering solutions, a growing demand network (including Google, Yelp, Apple, and Snap), and a diner-friendly marketplace, we empower independent restaurants to own their customer relationships and avoid inflated pricing and fees charged by 3rd party delivery apps like Uber and Doordash. Founded in 2012, we've navigated rapid growth and transformation-from startup roots through the pandemic boom-and are now beginning an exciting new era under our CEO, Kanika Soni. As we evolve with new leadership and cutting-edge tools, we're deepening our commitment to helping local restaurants thrive in the digital economy. About the Position:As Director of Revenue Enablement at ChowNow, you will be the architect of revenue excellence across our entire go-to-market ecosystem. This strategic role encompasses enablement for all revenue-generating functions - from Sales Development Representatives (SDRs) prospecting for new restaurant partners, through the entire sales cycle, customer onboarding, and ultimately driving retention and expansion revenue. You'll ensure every revenue-touching team is equipped to maximize their impact on ChowNow's growth trajectory. You will own the design and execution of enablement programs that create a seamless revenue engine, where SDRs effectively qualify opportunities, Account Executives close the right deals, Implementation teams drive rapid time-to-value, and Client Experience teams reduce churn and expand revenue within our restaurant partner base. Your strategic vision will transform how our teams engage with the dual complexity of serving restaurant owners while helping them better serve their diners. This role demands a revenue architect who understands the interconnected nature of modern revenue operations - how SDR messaging impacts close rates, how sales positioning affects implementation success, and how onboarding quality drives expansion potential. You'll build programs that optimize each stage while ensuring smooth handoffs and consistent value delivery throughout the entire revenue lifecycle. This is a remote role, reporting to our Chief Revenue Officer. And will have 2-3 direct reports. This is a remote role based in the United States. Please note: ChowNow is not eligible to employ in every state and the recruiting team will confirm location and eligibility before moving past initial stages. WHAT WE LOVE ABOUT YOU: You put restaurants first. You deeply understand the importance of local restaurants and put them at the center of everything you do. You aim to help them not only survive but thrive. You celebrate diversity. You recognize that diversity and inclusivity matter. You're committed to progress, which means everyone gets the support and resources they need, no matter who they are. You have an ability to listen to other team members' ideas and can thrive in an environment that embraces individuality. Everyone's voice counts. You raise your hand. You consistently go above and beyond what is asked of you. You help your peers accomplish their tasks while also excelling at accomplishing your own. When you have a smart idea, you raise your hand and share it. You keep reaching. You set clear ambitious goals. You don't allow yourself to become complacent with where you're at and what you've done, so you seek out new opportunities and challenges.Responsibilities Include: Revenue Strategy & Leadership Architect comprehensive enablement strategy spanning SDR, Account Executives, Onboarding, Customer Success, Revenue Expansion Partner with CRO and revenue leadership to align enablement initiatives with company growth targets and unit economics Establish revenue enablement metrics that demonstrate clear ROI: pipeline velocity, conversion rates, time-to-value, net revenue retention, and expansion rates Lead revenue transformation initiatives including new market entry, product launches, and go-to-market model evolution Top-of-Funnel Excellence (SDR Enablement) Design SDR onboarding and certification programs that achieve full productivity within 30 days Develop prospecting playbooks, outreach sequences, and qualification frameworks specific to restaurant industry nuances Enable SDRs on multi-channel outreach strategies (cold calling, email, social selling, local market events) Create feedback loops between SDR insights and broader revenue strategy Sales Velocity & Win Rate Optimization Build sales enablement programs that accelerate deal velocity and improve win rates by 20%+ Develop role-specific training paths for high velocity SMB sales motions Create and maintain competitive battle cards, ROI tools, and demo environments Enable consultative selling approaches that address both restaurant and diner value propositions Onboarding & Implementation Excellence Design customer onboarding enablement that reduces time-to-first-value by 40% Create playbooks for different restaurant segments (QSR, fast casual, full service, multi-location) Enable implementation teams on change management and restaurant staff training best practices Develop resources for technical integration, menu optimization, and marketing activation to align with Product Led Growth Initiatives Revenue Expansion & Retention Programs Build enablement for identifying and capturing expansion opportunities within existing accounts Create health scoring and intervention playbooks for at-risk account management Develop programs for cross-sell/upsell motions across product portfolio Enable teams on renewal negotiation and multi-year contract strategies Within 30 days you'll... Complete ChowNow New Hire Onboarding Experience Shadow all revenue teams (SDR, Sales, Implementation, Success) to understand their workflows and challenges Meet with key stakeholders to align on priorities and pain points Audit existing enablement materials and identify critical gaps Within 60 days you'll... Implement 2-3 high-impact quick wins (e.g., updated battle cards, new SDR templates) Develop 6-month enablement roadmap aligned with revenue goals Establish baseline metrics and reporting dashboard via Revenue enablement dashboard tracking key KPIs Begin designing first major program (e.g., new hire onboarding) Start recruiting first enablement team member Within 90 days you'll... Roll out first major enablement program with full team adoption Establish regular enablement cadences (office hours, training sessions, manager coaching) Complete first key hire for enablement team Present initial impact with clear improvement in at least one revenue metric (pipeline quality, win rate, or ramp time) and future vision to executive team You Should Apply If You: Have 7+ years of progressive enablement experience across multiple revenue functions Have at least 3 years in a leadership role managing enablement programs for multiple teams Have a proven track record of building and scaling enablement functions in B2B SaaS or marketplace environments with complex, multi-stakeholder relationships Have a proven track record of enabling SDR teams at scale (20+ SDRs) Can apply deep expertise in full-cycle sales enablement from prospecting through close Have Experience with customer onboarding and success enablement programs Demonstrate a strong skillset in both sales methodologies (MEDDIC, Challenger, etc.) and customer success frameworks (Value Realization, Health Scoring, etc.) Have a track record of successful LMS and sales enablement platform implementations Have demonstrated success improving metrics across the full funnel: pipeline generation, win rates, time-to-value, retention, and expansion in addition to Average Contract Value (ACV), Net Revenue Retention (NRR), and Lifetime Value (LTV) Have demonstrated success partnering with senior executive leadership on strategic initiatives Possess a strong understanding of revenue technology stack (Salesforce, Outreach/Salesloft, Gong, LMS platforms) Have strong analytical skills with ability to measure program effectiveness across diverse KPIs and ability to translate metrics into actionable insights Have experience managing budgets and demonstrating ROI of enablement investments About Our Benefits: Estimated On Target Earnings (OTE): $160,000- $215,000 (depending on candidate location and experience) Ongoing training and growth opportunities. A "Best Place to Work" winner multiple times where we focus on creating a great employee experience. Rock solid medical, dental, and vision plans. Mental Health Coverage - we offer several programs to support your mental health and wellness goals. Unlimited Paid Vacation. We expect you to work hard, but still enjoy your personal life 7 weeks of baby bonding time for all new parents (within the first year of birth or adoption), 8 Weeks of Paid Pregnancy Leave. 401(k) Matching Employer-contributing student loan assistance program or continuing education reimbursement program Employee Stock Incentive Plan. Pet insurance for your fur babies Consistent & fair leadership: we'll share info, set clear goals, show you respect, and treat everyone fairly. Enough freedom to spread your wings while still holding you accountable. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This is not intended to be an exhaustive list of all responsibilities, duties and skills required. As one of ChowNow's core values, “Celebrates Diversity”, we are committed to an inclusive and diverse work environment. ChowNow is an equal opportunity employer. We do not discriminate based on race, color, ethnicity, ancestry, national origin, religion, sex, gender, gender identity, gender expression, sexual orientation, age, disability, veteran status, genetic information, marital status or any legally protected status. We are committed to developing a barrier-free recruitment process and work environment, if you require any accommodation, please let us know at your earliest convenience and we'll work with you to meet your accessibility needs. Information Regarding Recruiting Scams: ChowNow does not engage in outreach to prospective candidates by text message about employment opportunities, interviews, or employment offers, and we do not make job offers after only one interview. ChowNow does not ask candidates to submit sensitive personal information (Passport details, banking information, etc.) as part of the interview process. ChowNow employment offers are made by a ChowNow Talent Acquisition team member with ************** email address only. ChowNow does not ask candidates to provide funds to the company for onboarding, equipment, or supplies. If you receive an employment inquiry or employment offer from a **************** email address, consider it spam. Read here about your California privacy rights. #Li-Remote
    $160k-215k yearly Auto-Apply 13d ago
  • Unit Director

    Boys and Girls Club of The Northern Plains 3.3company rating

    Remote reimbursement director job

    We are working with The Batten Group to find our next Unit Director in Yankton. To apply: please copy and paste this address into your browser or right-click the link and open in a new tab: ************************************************ About Boys & Girls Club of the Northern Plains The Boys & Girls Club of the Northern Plains (BGCNP) is a dynamic nonprofit organization dedicated to empowering youth across South Dakota. With locations in Brookings, Elkton, Moody County, Yankton, and Vermillion, BGCNP serves as a vital resource for children and teens, providing a safe and inclusive environment to foster growth, learning, and leadership. The Club focuses on three core areas: Academic Success, Good Character & Leadership, and Healthy Lifestyles. Through programs such as after-school tutoring and activities promoting physical and emotional well-being, BGCNP equips young people with the tools they need to thrive. Position Summary The Unit Director serves as the primary leader and representative of the Boys & Girls Club within their assigned community. This individual is responsible for the overall management, operations, and performance of the local Club site(s), including all Units, extensions, and community impact locations. The Unit Director ensures that daily operations align with organizational goals, policies, and safety standards while fostering a positive and inclusive Club culture. A key responsibility of the role is to uphold and implement the five key elements of positive youth development in all interactions with youth, staff, and families. The Unit Director oversees program quality, staff supervision, community engagement, and compliance, working closely with parents, administrative leaders, and other stakeholders on matters related to youth behavior, Club events, and operational needs. This is a high-capacity Club site, serving approximately 300 children daily, and the Unit Director will manage a team of 6-7 full-time direct reports as well as a part-time staff. While the role is primarily site-based, there is some flexibility to work remotely depending on organizational and community needs. As with all Club staff, the Unit Director is expected to champion and uphold the mission of the Boys & Girls Club. Position Duties and Responsibilities Operational Leadership & Facility Management Oversee the daily operations and management of multiple Units, Extensions, and Community Impact Sites. Ensure smooth facility operations and proactively address youth-related situations and Club-wide management needs. Manage snow days and unplanned closures by ensuring appropriate staffing and safe operations. Take ownership of unexpected or urgent responsibilities typically handled by the administrative team. Staff Leadership & Human Resources Recruit, hire, train, supervise, and motivate a team of full-time and part-time staff. Conduct performance reviews, develop performance improvement plans, and manage disciplinary actions as needed. Facilitate regular check-ins through weekly and bi-weekly one-on-one meetings with team members. Lead monthly staff meetings and facilitate required Club trainings. Ensure all Unit and Extension staff consistently implement the 5 Key Elements of Positive Youth Development. Promote and model the Club's core values: excellence, impact-driven work, teamwork, and integrity. Youth Development & Member Services Monitor and support youth behavior and discipline plans; be actively involved in major guidance and behavior matters. Ensure compliance with the Club's behavior policy, special needs protocols, safety standards, and success plans. Regularly assess program effectiveness and member outcomes; adjust programs as needed to meet youth needs. Accurately track and report on youth participation in key outcome areas: academic success, character and citizenship, and healthy lifestyles. Community Engagement & Public Relations Serve as a key representative of the Club in the community, including radio, television, print, and tours. Build and maintain strong relationships with school principals, counselors, and other educational stakeholders. Cultivate relationships with Club parents through orientations, ongoing communication, and daily interactions. Collaborate with local community groups and partners to enhance service offerings and community impact. Lead recruitment and marketing initiatives for the Unit to grow participation and visibility. Event, Program, and Grant Oversight Lead planning, execution, and follow-up for special events hosted at the Club. Administer grants by ensuring programs align with grant objectives and meet all reporting requirements. Provide program content and updates for newsletters, publications, and other communications. Complete annual assessments required by Boys & Girls Clubs of America, including Impact and Safety Assessments. Ensure consistent evaluation and reporting of program outcomes based on established deadlines. Fiscal Accountability Monitor and track budgets for staffing, events, and key program areas to ensure financial accountability. Ensure effective resource allocation aligned with organizational priorities and goals. Other Duties Perform other responsibilities as assigned in support of the mission and operations of the Boys & Girls Club. Administrative Duties and Responsibilities Meetings & Communication Attend all required organizational meetings, including monthly all-staff meetings, weekly one-on-one meetings with supervisor, and weekly Coordinator team meetings. Lead biweekly team meetings and one-on-one check-ins with all direct reports. Ensure that all Unit staff receive consistent weekly or biweekly one-on-one meetings, and that appropriate meeting documentation forms are completed and maintained. Staff Management & Evaluation Oversee the recruitment, supervision, and evaluation of direct report staff. Develop and implement performance management tools including 60-day reviews, individualized performance improvement plans, and quarterly performance evaluations. Program & Membership Oversight Monitor and analyze membership data through regular review of null reports and system entries to ensure data accuracy and effective use of the membership management system. Ensure accurate tracking of both duplicated and unduplicated youth participation across all key program areas: Academic Success, Good Character & Citizenship, and Healthy Lifestyles. Budget & Grant Administration Track and manage budgets within assigned priority outcome areas, ensuring fiscal accountability and alignment with organizational goals. Administer grants effectively by ensuring that all funded programs meet their respective grant deliverables and reporting requirements. Youth Guidance & Parent Engagement Actively support and participate in resolving major discipline and behavioral issues that arise within the Club. Foster strong relationships with parents through orientation sessions, phone calls, email updates, and regular in-person communication to build trust and engagement. Candidate Qualifications and Physical Requirements Bachelor's degree from an accredited college or university required. Demonstrated experience working with youth from preschool through 12th grade. Proven management and supervisory experience, ideally in a youth-serving or nonprofit environment. Strong leadership presence with the ability to coach, mentor, and hold staff accountable. Positive and optimistic outlook with a solutions-oriented mindset. Exceptional verbal and written communication skills. Deep understanding of youth development principles, including behavior management and treatment modalities aligned with the Club's core values of fun, supportive relationships, recognition, high expectations, and safety. Ability to provide both immediate and reflective feedback to staff, reinforcing behavior management techniques and creating an environment that supports positive youth development. Must possess the physical and mental capacity to observe, interact with, and communicate effectively among youth, staff, volunteers, and parents to ensure a safe and supportive Club environment. Ability to stand, walk, or sit for extended periods during a shift. Ability to safely and effectively operate general office equipment, including computers, phones, and copiers. This position is designated as safety-sensitive and requires consistent awareness and responsiveness to the safety and well-being of all Club members. POLICY ON PLACEMENT AND RECRUITING The Batten Group and Boys & Girls Club of the Northern Plains are equal opportunity-employers committed to the principles of non-discrimination in the workplace. Candidates will not be discriminated against based on age, race, creed, color, religion, sex, sexual orientation, national origin, disability, marital status, or any other basis that is prohibited by federal, state, or local law. The information presented indicates the general nature and level of work expected of employees in this classification. It is not designed to contain nor be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job. We are proud to be an Equal Opportunity Employer and a Drug-Free Workplace! All qualified applicants are considered for positions without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, non-job-related disability, or any other protected class. The Boys & Girls Club of the Northern Plains provides reasonable accommodations to applicants and employees in compliance with local, state, and federal laws and regulations. Applicants requiring reasonable accommodation for any part of the application/hiring process should contact Human Resources to communicate their request for accommodation at ************.
    $59k-96k yearly est. Auto-Apply 56d ago
  • Director of Revenue

    Jonas Software

    Remote reimbursement director job

    EZFacility Director of Revenue Reports To: President Company At EZFacility, we're shaking up the sports, health, and fitness game with next-gen tech. Since 2003, our SaaS solutions have powered thousands of businesses, helping them grow by streamlining operations so they can focus on what matters- their customers. A division of Jonas Software, we offer flexible remote and hybrid work options from our HQ in Woodbury, NY, our UK office in Chertsey, Surrey, and across the US and Canada. About the Role Reporting to the President, the Director of Revenue will be responsible for driving sustainable revenue growth across EZFacility by unifying Sales, Marketing, and Customer Success under a single strategy. This leader will own the go-to-market (GTM) plan, ensuring EZFacility achieves consistent client base growth, reduces attrition, and expands monetization through payments, add-ons, and professional services. The Director of Revenue will oversee Sales, Marketing, and Customer Success leaders, align marketing initiatives with revenue goals, and establish a disciplined, data-driven culture of accountability. A key member of the EZFacility leadership team, the Director of Revenue will collaborate closely with R&D, Support, Operations, and Finance to align business performance with the company's long-term vision and growth objectives. Key Responsibilities Strategic Leadership Own the company's commercial strategy, aligning new sales, renewals, payments, and services to achieve growth and profitability targets. Partner with the President and executive leadership team to translate corporate strategy into a clear, data-driven revenue plan. Build and manage annual and quarterly forecasts that drive predictable, profitable growth. Serve as a member of the executive leadership team, collaborating with R&D, Support, Finance, and Operations to align product roadmaps, financial goals, and market strategy. Partner with the Pricing Analyst to define rate structures, margin targets, and incentive plans that maximize client base growth, lifetime value, and profitability. Establish a disciplined revenue operating rhythm with defined metrics, cadences, and accountability across all commercial functions. Sales & Marketing Management Lead the Sales organization to consistently meet or exceed revenue goals through structured pipeline management, improved close rates, and rigorous forecasting discipline. Direct marketing execution to generate qualified demand, sharpen EZFacility's positioning, and increase conversion rates across channels. Oversee development of sales enablement tools, campaigns, and playbooks that ensure alignment from lead generation through renewal. Manage the integration of data, automation, and reporting tools to increase sales productivity and decision quality. Continuously analyze pipeline health, conversion ratios, and market feedback to refine sales strategy and allocate resources effectively. Client Base Growth & Retention Own the client lifecycle strategy to maximize revenue retention, expansion, and satisfaction across the installed base. Oversee Account Management strategies to deliver consistent renewals, reduce churn, and drive cross-sell and upsell opportunities. Use data-driven insights to forecast retention, track churn indicators, and implement proactive retention initiatives. Integrate client success metrics into executive reporting to ensure full visibility into revenue risk and growth opportunities. Professional Services Revenue Own the Professional Services revenue strategy, ensuring implementation, onboarding, and training services are priced, delivered, and scaled for profitability. Develop and execute monetization plans for add-on and consulting services that improve client outcomes and drive incremental revenue. Align PS goals with Sales, Account Management, and Operations to create a seamless client experience and timely revenue recognition. Track utilization, margin, and client satisfaction metrics to ensure delivery quality and financial performance. Payments Monetization Embed payments as a core part of the GTM strategy to ensure consistent inclusion in all sales, renewal, and upsell conversations. Drive payment processing revenue growth by converting existing customers from third-party processors to EZ's integrated solutions. Track payment revenue performance and ROI, reporting regularly on adoption rates, yields, and client satisfaction. Process & Performance Optimization Own the revenue operations ecosystem-including CRM, analytics, and forecasting tools-to ensure data integrity and actionable insights. Define and measure leading indicators (pipeline velocity, demo-to-close ratio, renewal probability) that predict future performance. Establish a consistent operating cadence for pipeline reviews, forecast meetings, and quarterly business reviews. Implement scalable processes and automation that reduce friction across Marketing, Sales, and CS, improving conversion and cycle time. Continuously refine compensation structures, incentive plans, and KPIs to align with company growth goals. Team Leadership & Culture Build and lead a high-performing revenue organization with clear ownership, accountability, and advancement opportunities. Foster a culture of performance, urgency, and collaboration, where every team member understands their impact on company success. Coach and develop leaders across Sales, Marketing, Customer Success, and Payments to strengthen execution discipline and cross-functional alignment. Lead by example-model data-driven decision-making, clear communication, and consistent follow-through. Celebrate wins, address performance gaps early, and ensure transparency in goals and outcomes across the revenue organization. Qualifications 7-10+ years of experience leading revenue-generating functions in B2B SaaS or technology. Proven success leading teams to exceed ARR growth targets in B2B SaaS. Strong understanding of SaaS metrics (ARR, CAC, LTV, churn, ARPU). Experience aligning sales, marketing, and customer success under one strategy. Expertise in sales management, pipeline forecasting, marketing strategy, and revenue operations. Strong analytical mindset with the ability to translate data into strategy and measurable action. Strong communication skills with the ability to inspire both internal teams and external stakeholders. Business Unit: EZ Facility- USA Scheduled Weekly Hours:40 Number of Openings Available: 1 Worker Type: Regular More About Jonas Software: Jonas Software is the leading provider of enterprise management software solutions to the Country and Golf Clubs, Foodservice, Construction, Fitness & Sports, Attractions, Salon & Spa, Education, Radiology/Laboratory Information Systems, and Product Licensing industries. Within these vertical markets, Jonas is made up of over 65 distinct brands, which are respected and leaders within their own domain. Jonas' vision is to be the branded global leader across the aforementioned vertical markets and to be recognized by customers and respective industry stakeholders as the trusted provider of ‘Software for Life' and as an ambassador for technology, product innovation, quality, and customer service. Jonas Software is the valued technology partner of over 60,000 customers worldwide in more than 30 countries. Jonas employs over 2,000 skilled individuals consisting of a cross-section of industry experts and technology professionals. Jonas is headquartered in Canada and also operates offices throughout North America, the United Kingdom, Europe, Australia New Zealand and Africa. Jonas is a 100% owned subsidiary of Constellation Software Inc., headquartered in Toronto and traded on the S&P/TSX 60.
    $80k-118k yearly est. Auto-Apply 50d ago
  • Director of Revenue

    Havenpark Communities

    Remote reimbursement director job

    The Director of Revenue will oversee all revenue-generating and revenue-protection functions, including collections, ancillary income, home pricing, inventory data accuracy, lender partnerships, leasing and renewals, and rent increase execution.This leader is accountable for driving revenue performance, strengthening NOI, ensuring compliance across all states, improving delinquency outcomes, and building scalable processes across a distributed manufactured housing portfolio.Qualifications Revenue Leadership & Process Management Lead and develop the revenue team responsible for collections, ancillary fees, inventory data accuracy, leasing/renewals, and rent increases. Establish standardized policies, workflows, and accountability frameworks to create scalable and repeatable revenue processes. Monitor financial performance, identify opportunities for improvement, and drive operational optimization and NOI growth across the portfolio. Collections Strategy & Execution Own companywide collections performance, including delinquency reduction, payment plan structures, resident payment compliance, and legal alignment across all states. Establish collections standards and procedures, ensuring consistent execution across all communities and adherence to local and state landlord-tenant laws. Oversee eviction workflows in partnership with legal resources, ensuring compliance, timely filings, accurate documentation, and minimal revenue leakage. Lead programs that improve early-stage collections performance, reduce late-stage delinquency, shorten non-payment cycles, and improve cash recovery. Ancillary Income Management Lead and standardize ancillary fee programs, including late fees, storage fees, pet fees, and administrative charges, to ensure consistency, legal compliance, and margin enhancement. Identify new ancillary income opportunities that are compliant, scalable, operationally viable, and supportive of NOI growth. Review fee structures annually and recommend changes that optimize revenue potential while maintaining fair housing compliance. Home Inventory Data Accuracy, Compliance & Pricing Ensure all home inventory data is accurate, complete, and compliant with state and federal manufactured housing regulations, including HUD reporting requirements. Own and standardize pricing methodologies for home sales and rentals to meet occupancy goals, margin expectations, and cost recovery targets. Conduct periodic pricing audits to ensure accuracy, competitive positioning, and alignment with underwriting and customer approval trends. Leasing, Renewals & Rent Adjustments Oversee lease administration across all communities, including renewals, non-renewals, legal notices, and compliance timelines. Lead the planning and execution of rent increases across all states, ensuring regulatory compliance, accurate systems implementation, and timely delivery. Monitor rent increase performance and retention outcomes to improve NOI, protect occupancy, and ensure consistent execution across the community and region. Financing & Lender Partnerships Manage relationships with manufactured home lenders and internal loan-related processes. Expand financing access by improving approval rates, adding lending programs, and optimizing underwriting alignment where beneficial. Monitor lender performance trends and collaborate on continuous improvement initiatives that support homeownership accessibility and sales velocity. Compliance, Reporting & Analytics Build and maintain reporting structures for collections, fees, inventory, pricing, leasing, renewals, and rent increases. Conduct audits to ensure compliance with multi-state landlord-tenant law, HUD, and manufactured housing regulations, internal policies, and state-specific notice requirements. Use analytics to identify trends, forecast risks, prioritize initiatives, and support strategic revenue planning and NOI optimization. Qualifications Skills & Competencies Deep understanding of collections and rent enforcement processes, including legal workflows, eviction procedures, and delinquency mitigation strategies. Strong knowledge of manufactured housing regulations, multi-state landlord-tenant laws, and fair housing requirements. Proficiency in analytics, reporting, and financial modeling. Excellent leadership, operational management, and strategic problem-solving skills. Ability to design repeatable systems that scale across large portfolios.
    $80k-118k yearly est. Auto-Apply 14d ago
  • HOME HEALTH CARE - DIRECTOR OF NURSING

    Pricy Staffing & Homecare Agency LL

    Reimbursement director job in Columbus, OH

    Job DescriptionJob Type: Full-time / Part -time We are seeking an experienced and skilled Director of Nursing to lead our home health care team. The successful candidate will be responsible for overseeing the nursing department, ensuring high-quality patient care, and driving clinical excellence. This leadership role requires a strong clinical background, excellent communication skills, and the ability to manage and develop staff. Key Responsibilities: 1. Leadership and Management: - Provide leadership and direction to the nursing staff, including recruitment, training, and development. - Foster a culture of excellence, compassion, and safety. - Manage staffing, scheduling, and budgeting for the nursing department. 2. Clinical Oversight: - Ensure high-quality patient care and outcomes through regular visits, audits, and feedback. - Develop and implement clinical policies, procedures, and guidelines. - Collaborate with physicians, therapists, and other healthcare professionals to ensure comprehensive care. 3. Quality Improvement: - Develop and implement quality improvement initiatives to enhance patient outcomes and satisfaction. - Analyze data and metrics to identify areas for improvement. - Implement evidence-based practices to drive clinical excellence. 4. Regulatory Compliance: - Ensure compliance with regulatory requirements, including OASIS, Medicare, and Medicaid. - Maintain accreditation standards and survey readiness. 5. Staff Development: - Develop and implement staff education and training programs. - Mentor and coach nursing staff to enhance their skills and knowledge. 6. Communication and Collaboration: - Communicate effectively with patients, families, staff, and other stakeholders. - Collaborate with interdisciplinary teams to ensure seamless care transitions. Requirements: - Education: Bachelor's degree in Nursing required; Master's degree preferred. - Licensure: Current RN licensure in the state of practice. - Experience: Minimum 5 years of experience in home health care, with at least 2 years in a leadership role. - Certifications: CPHQ, QIAL, or other relevant certifications preferred. - Skills: - Strong leadership, management, and communication skills. - Ability to analyze data and drive quality improvement initiatives. - Excellent problem-solving and critical thinking skills. What We Offer: - Competitive salary and benefits package. - Opportunity to lead a dynamic team. - Professional development and growth opportunities. If you're a motivated and experienced nursing leader looking for a new challenge, we'd love to hear from you!
    $81k-135k yearly est. 30d ago
  • Market Value and Health Outcomes Director

    Rapidai 4.0company rating

    Remote reimbursement director job

    RapidAI is the trusted leader in deep clinical AI, helping hospitals deliver faster, more informed care through intelligent imaging and integrated workflows. The Rapid Enterprise™ Platform supports disease states across the care spectrum, but it's our clinical depth that drives the most meaningful impact - improving decision-making, patient outcomes, and health-system performance. Used by more than 2,500 hospitals in over 100 countries and backed by 700+ clinical studies, including research that helped expand national stroke-treatment guidelines, RapidAI is the most clinically validated AI platform in healthcare. RapidAI is seeking a strategic, outcomes-driven leader to help shape and communicate the value of our clinical AI solutions across major health systems and integrated delivery networks (IDNs). This role sits at the critical intersection of commercial strategy, health economics and strategic partnerships, driving enterprise adoption through compelling value narratives and measurable outcomes. The Director of Market Value & Health Outcomes will translate clinical and operational performance into strategic business value-accelerating revenue growth, supporting payer and provider engagement, and enabling system-wide transformation through ROI frameworks, economic modeling, and executive partnerships.How you will help drive our growth! Strategic Value Leadership Help shape, define and execute strategies that connect RapidAI's clinical impact to health system ROI and enterprise value. Serve as a strategic advisor across commercial, clinical, and marketing teams to align health economics with go-to-market and adoption strategies. Develop scalable value frameworks and economic models that support sales acceleration and renewal success. Health System & IDN Engagement Lead executive-level engagements with health systems and IDNs, articulating the clinical, operational, and financial value of RapidAI's platform. Co-develop innovation partnerships and outcomes programs tied to system performance and value-based care metrics. Act as a trusted advisor for health system transformation through AI-enabled decision support. Health Economics & Outcomes Strategy Build and communicate value dossiers, real-world evidence, and economic models for payer, provider, and policy stakeholders. Collaborate with Clinical Affairs to design and publish outcomes studies demonstrating clinical and economic impact. Support reimbursement initiatives (e.g., NTAP, LCD) by translating data into payer-accessible insights. Cross-Functional Leadership Bridge market access, sales, and product strategy to ensure consistent delivery of the value story in the field. Enable value-based selling through collaboration with sales, clinical, product, and marketing teams. Mentor internal teams on health economics, outcomes storytelling, and strategic customer engagement. What you bring! Bachelor's degree required; advanced degree (MBA, MPH, MHA, MS) strongly preferred. 7+ years of experience in market access, strategic accounts, or health economics within Medtech, health tech, imaging and/or software-driven healthcare. Proven success engaging health system C-suites and driving enterprise-level contracts or value-based partnerships. Deep understanding of healthcare economics, reimbursement pathways, and value-based care models. Experience working closely with commercial teams in fast-paced, innovation-driven environments. Exceptional executive presence, strategic communication, and storytelling capabilities. Ability to translate clinical and operational data into strategic business value. Join the global leader in clinical AI transforming stroke, vascular, and neuro care. Work alongside innovators redefining healthcare delivery-where clinical excellence meets measurable business impact. RapidAI is committed to creating an inclusive and diverse workplace. We provide equal employment opportunities to all employees and applicants and prohibit discrimination and harassment of any type in regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Please review our CPRA policies here.For more information on the information we collect about our applicants and how we use it, see our CPRA Privacy Notice here.
    $60k-93k yearly est. Auto-Apply 43d ago
  • Director, Health Policy

    Mimedx Careers 4.6company rating

    Remote reimbursement director job

    At MIMEDX, our purpose starts with helping humans heal. We are driven by discovering and developing regenerative biologics utilizing human placental tissue to provide breakthrough therapies addressing the unmet medical needs for patients across multiple areas of healthcare. Possessing a strong portfolio of industry leading advanced wound care & surgical products combined with a promising clinical pipeline, we are committed to making a transformative impact on the lives of patients we serve globally. We are excited to add a Director, Health Policy to our Health Policy team! The position will pay between $195,000 - $235,000 plus annual bonus and equity based on previous relevant experience, educational credentials, and location. This is a remote position with up to 15% travel. POSITION SUMMARY: Support the implementation and prioritization of proactive legislative and regulatory rulemaking initiatives that support key business objectives and drive business development opportunities. Play a key role in effecting favorable coverage decisions from all payers, with focus on Medicare, Medicaid and commercial payers. Formulate and execute strategies to maximize payer approval for existing and new products including but not limited to clinical and health economic data generation. Manage all health policy communications and relationships with all payers as well as other key stakeholders. Provide ongoing payer research to identify changes or updates in coverage of company products. ESSENTIAL DUTIES AND RESPONSIBILITIES: Create and implement strategies that influence a positive coverage decision for company products from payers; establish health policy coverage and awareness through negotiations with medical directors and/or medical policy committees Identify and monitor changes in medical policy, trends in the US Healthcare system, and regulations that impact providers; seek legal guidance and/or team input as applicable Participate in market access expansion efforts in the U.S. and global markets by completing product coverage requests, and submitting medical summaries and assessments to payers for review Communicate with payer contacts to clarify coverage and reimbursement issues Direct the education of the team members in product coding and medical coverage decisions of all payers and provide guidance on how to communicate new or existing information to affected departments Communicate with key medical providers and sales team to proactively plan, implement, and strategize on market expansion of our products Provide guidance to junior team members on prioritizing payer coverage policy initiatives; , define annual performance goals, conduct annual reviews and one-on-one team member meetings Prepare assigned territory business plans, monthly activity reports, and other reports as requested EDUCATION/EXPERIENCE: BS/BA in related discipline 8+ years of experience in a directly related field including several years in a management/supervisory capacity, or verifiable ability. Certification is required in some areas Prefer professional billing and coding experience and/or certification Experience with pharmaceutical, biotechnology and/or device health policy and reimbursement Demonstrated knowledge in securing coverage, coding and payment for medical products with government and commercial payers SKILLS/COMPETENCIES: Excellent oral, written, and interpersonal communication skills Ability to interact with all levels of management, both internal and external, third party payers, and customers Ability to lead and inspire a team to meet organizational deliverables Proficient in Microsoft Office (Excel, Word, etc.) Organized, flexible, and able to multi-task while maintaining a high level of efficiency and attention to detail Strong analytical and negotiating skills, clinical interests, strategic and technical analysis and problem solving skills Ability to influence others to achieve desired results using tenacity and diplomacy Strong research and presentation skills
    $90k-124k yearly est. 54d ago

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