Manager, Payment Strategy
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Job Description
Manager leading medical bill negotiation strategy for CompIQ Solutions, a property-and-casualty medical bill review provider. Coaching negotiators, optimizing savings, and managing provider negotiations.
Responsibilities:
- Lead, coach, and manage a team of Medical Bill Negotiators, including hiring, onboarding, training, performance management, and career development
- Develop, implement, and continuously refine payment and negotiation strategies and guidelines to maximize savings and pricing optimization across the provider network
- Set team goals and monitor KPIs including savings achieved, negotiation turnaround time, and provider agreement rates
- Drive corrective action when performance issues arise
- Review and analyze Explanation of Reimbursement (EORs), medical bills, and negotiation outcomes to identify trends and strategic opportunities
- Serve as the escalation point for complex, high-dollar, or difficult provider negotiations
- Build and maintain relationships with key provider groups
- Draft polished, executive-style letters to medical providers requesting negotiations on medical bill reimbursement
- Partner with client-facing teams to meet client expectations and reporting requirements
- Ensure accurate, up-to-date provider demographics and negotiation outcomes in Smartsheet
- Collaborate with AuditIQ operations leadership on planning, daily standups, and bill inventory sessions
- Ensure team compliance with company guidelines, code of conduct, policies, and standards
- Perform other duties as assigned by leadership
Requirements:
- Bachelor’s degree in business/healthcare administration or a related field is required
- AAPC certification preferred
- Minimum of 3-5 years of experience in workers’ compensation and/or medical bill review, with demonstrated success in medical bill negotiation
- Prior experience leading, supervising, or mentoring a team is required
- Experience in healthcare coding or billing is required
- Familiarity with the CompIQ Bill Review Platform preferred but not required
- Strong analytical and problem-solving skills, with the ability to translate data into actionable negotiation strategy
- Excellent communication skills, including the ability to represent the team professionally with clients and providers
- Exceptional writing skills, including the ability to compose polished, executive-style letters to medical professionals
- Strong working knowledge of Office 365 and Smartsheet
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment
- Demonstrated ability to build and maintain constructive, cooperative working relationships across teams
- Proven leadership skills with the ability to coach, motivate, and develop a high-performing team
Benefits:
- Fair and Competitive Salary
- Flexible schedule in a hybrid or remote-work environment (depending on location)
- Flexible Paid Time Off
- Paid Parental Leave
- Tuition Reimbursement
- Identity Theft Protection
- Medical, Dental, and Vision Insurance
- 100% Company-paid Short-Term and Long-Term Disability
- 100% Company-paid Life Insurance with additional voluntary enrollment options
- Employee Assistance Programs including counseling with up to 6 complimentary sessions
- Monthly Wellness (Gym Membership) Stipend
- Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
- 401(k) Plan with a 100% vested company match
- Career development and growth opportunities
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