medmix · 2 months ago
Vice President, Payment Variance Services - REMOTE
United States
Full-time
Remote
Director/Executive
10+ years expMed-Metrix is seeking a Vice President for their Payment Variance Services division to provide executive oversight of underpayment engagements. This role involves P&L performance, operational excellence, and client outcomes, ensuring exceptional financial performance for clients.
Health CareManufacturingMedicalMedical Device
Responsibilities
Own P&L, revenue targets, margin optimization, forecasting, and financial reporting for the Payment Variance Services division
Lead a team of leaders, analysts, and billing/revenue cycle specialists supporting underpayment recovery, payment accuracy, and variance resolution
Establish staffing models, productivity standards, QA processes, and workflows to drive high performance
Develop, implement, and continuously refine best-in-class processes for payer variance identification, root-cause analysis, appeals, and recovery
Ensure the design and refinement of variance algorithms, workflows, reporting, and performance dashboards
Partner with technology teams to leverage automation, data tools, and intel to improve identification, prioritization, and throughput
Serve as the executive sponsor for all Payment Variance clients, providing strategic oversight, performance reviews, and issue escalation management
Ensure consistent delivery of high-quality analyses, appeal packages, reimbursement validations, and operational reporting
Support new client onboarding, including scope development, pricing structure, staffing ramp, and performance baselines
Partner with Sales and Executive Leadership to develop proposals, pricing models, value cases, and solution designs to grow the Payment Variance offering
Identify opportunities to expand into new markets, service lines, and payer types (HB, PB, government, commercial)
Develop playbooks, case studies, and ROI narratives to support sales pursuits
Ensure alignment with Revenue Cycle Operations, Pricing, Underpayments, Coding, and Denials Management teams
Provide thought leadership and insights to support enterprise revenue cycle transformation initiatives
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualification
Required
Bachelor's degree required; Master's degree or MBA preferred
10+ years in hospital/physician revenue cycle operations, underpayment recovery, or payment variance analytics, with 5+ years leading operational teams
Demonstrated P&L ownership and experience scaling revenue-generating service lines
Strong understanding of payer reimbursement methodologies, contract interpretation, and payment variance root-cause analysis
Proven track record driving operational efficiency, process redesign, and team performance
Strong analytical skills and experience with data tools, reporting platforms, and revenue cycle technology
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Preferred
Master's degree or MBA preferred
Company
medmix
Medmix produces and supplies medical equipment, including dental syringes, spreaders, and accessories for the healthcare sector.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Girts Cimermans
Chief Executive Officer
Francisco Faoro
Chief Technology Officer
Recent News
2025-07-24
Company data provided by crunchbase