ABA Centers of Georgia ยท 1 day ago
Vice President of Utilization Review
Boynton Beach, Florida, United States
Full-time
Onsite
Director/Executive
$200K/yr - $230K/yrTexas ABA Centers is a company specializing in revenue cycle management for healthcare services related to substance use disorder, mental health, and autism care. The Vice President of Utilization Review is responsible for overseeing the strategic direction and operational efficiency of revenue cycle management functions, driving business transformation and enhancing the company's competitive advantage in the industry.
Mental Health Care
Responsibilities
Collaborates with various departments, including medical staff, finance, case management, and quality assurance, to achieve optimal patient outcomes and financial performance
Provide supervision and guidance to UR team, ensuring adherence to processes and protocols
Serve as point of escalation point for complex UR cases and assist the team in developing strategies for challenging negotiations
Conduct on-going audits of UR team members and report findings back to leadership
Collaborate closely with the UR Director to implement process improvements and support the team's alignment with organizational goals
Coordinate with clinical teams to support the department in gathering necessary documentation and developing individualized treatment plans for insurance submissions
Monitor team performance, provide regular feedback, and facilitate professional development opportunities
Build and scale high-performing teams that drive efficiency, accountability, and results
Develop and refine client onboarding, integration, and management processes to support a growing external client base
Shape the go-to-market strategy, working closely with business development and operational leaders to ensure seamless execution
Leverage AI and automation to create a best-in-class RCM platform that differentiates us in the market
Serve as the face of the company both internally and externally, representing our commitment to excellence and driving the vision forward. Lead with confidence, strategic foresight, and the ability to inspire teams to execute with precision
Externally engage with clients, partners, and industry stakeholders to ensure our value proposition resonates and meets the expectations of a growing client base. Nurture relationships, secure buy-in, and demonstrate the unique advantages of our RCM offering while fostering a collaborative and partnership-driven environment
Inspire a culture of accountability, high performance, and continuous improvement. Ensure operational health while creating an environment where teams feel empowered to excel, collaborate, and innovate
Qualification
Required
Deep understanding of revenue cycle management (RCM)
Proven track record in operational leadership
Experience in overseeing strategic direction and operational efficiency of RCM functions
Ability to drive business transformation
Experience in collaborating with various departments, including medical staff, finance, case management, and quality assurance
Experience in providing supervision and guidance to UR team
Ability to serve as point of escalation for complex UR cases
Experience in conducting audits of UR team members
Experience in implementing process improvements
Ability to monitor team performance and provide regular feedback
Experience in building and scaling high-performing teams
Experience in developing client onboarding, integration, and management processes
Ability to shape go-to-market strategy
Experience in leveraging AI and automation in RCM
Ability to represent the company internally and externally
Experience in engaging with clients, partners, and industry stakeholders
Ability to inspire a culture of accountability, high performance, and continuous improvement
Company
ABA Centers of Georgia
ABA Centers of Georgia is proud to be the state's leading provider of evidence-based ABA therapy.
Founded in 2023
11-50 employeesFunding
Current Stage
Early StageCompany data provided by crunchbase