Area Manager – Healthcare Reimbursement Operations

Employee Relations Associates, Inc.; Bethesda (MD); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Employee Relations Associates, Inc. is seeking an Area Manager to lead a remote healthcare reimbursement operations team, supporting a large-scale annual benefits reverification program.

The ideal candidate will oversee Supervisors and Team Leads, ensuring productivity, quality, and SLA adherence, while partnering with senior leadership on staffing, training, and operational execution.

Qualifications

• 4+ years of supervisory or management experience in healthcare reimbursement, medical insurance, or related environment.
• Remote workforce leadership experience strongly preferred.
• Strong knowledge of benefits verification/investigation and healthcare reimbursement processes.
• Understanding of medical insurance terminology, billing and coding, payer requirements, appeals, and reimbursement challenges.
• Knowledge of commercial insurance, Medicare, and Medicaid structures and reimbursement processes.

Responsibilities

• Lead the day-to-day operations of a large remote healthcare reimbursement team.
• Coach Supervisors and Team Leads responsible for seasonal reimbursement staff.
• Ensure teams meet productivity, quality, customer service, and SLA expectations.
• Partner with senior leadership on staffing, training, and program execution for reverification initiatives.
• Support recruiting and onboarding to staff seasonal program demands.
• Monitor performance metrics and provide reporting on KPIs.
• Collaborate with operations, training, client services, and leadership for program delivery.

Skills

Leadership

Remote leadership

Coaching

Performance metrics

Education

Bachelor's degree preferred

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Area Manager - Healthcare Reimbursement Operations

Job Description

Area Manager - Healthcare Reimbursement Operations

Location: Remote
Employment Type: Contract / Seasonal Program
Schedule: Full-Time | Flexibility Required
Travel: Occasional travel may be required

About the Opportunity

We are seeking an experienced Area Manager to lead a remote healthcare reimbursement operations team supporting a large-scale annual benefits reverification program.

This is a highly visible leadership role responsible for overseeing supervisors, team leads, and reimbursement professionals while ensuring productivity, quality, customer service, and service-level expectations are consistently achieved.

The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs, along with proven experience managing teams in a fast-paced environment.

What You'll Do

• Lead the day-to-day operations of a large remote healthcare reimbursement team.
• Manage and coach Supervisors and Team Leads responsible for seasonal reimbursement and benefits verification staff.
• Ensure teams meet established productivity, quality, customer service, and SLA expectations.
• Partner with senior leadership on staffing, training, workforce planning, and operational execution for annual benefit reverification initiatives.
• Support recruiting and onboarding efforts to ensure appropriate staffing levels for seasonal program demands.
• Monitor daily and weekly performance metrics and provide reporting around key performance indicators.
• Participate in daily production huddles, leadership meetings, training sessions, and program reviews.
• Identify performance trends and work with leadership teams to implement coaching, process improvements, and corrective actions.
• Assist with escalated benefit investigations, reimbursement challenges, payer issues, billing questions, and appeals.
• Provide guidance regarding private insurance, Medicare, Medicaid, and pharmaceutical reimbursement processes.
• Ensure operational activities follow established procedures, quality standards, and patient privacy requirements.
• Assist with developing and improving SOPs related to reimbursement operations, benefits investigations, hiring, training, and quality.
• Resolve complex operational and employee-related challenges with minimal supervision.
• Collaborate across operations, recruiting, training, client services, and senior leadership to ensure successful program delivery.

What We're Looking For

• 4+ years of supervisory or management experience within healthcare reimbursement, medical insurance, specialty pharmacy, pharmaceutical hub services, patient access, patient assistance, or a related healthcare environment.
• Demonstrated experience managing and developing teams; remote workforce leadership experience strongly preferred.
• Strong knowledge of benefits verification/investigation and healthcare reimbursement processes.
• Understanding of medical insurance terminology, billing and coding, payer requirements, appeals, and reimbursement challenges.
• Knowledge of commercial insurance, Medicare, and Medicaid structures and reimbursement processes.
• Experience working in high-volume healthcare operations, contact centers, reimbursement hubs, or insurance support environments preferred.
• Ability to analyze productivity and quality metrics and translate data into actionable performance improvements.
• Strong leadership, coaching, communication, and problem-solving skills.
• Ability to manage multiple priorities and changing business requirements in a deadline-driven environment.
• Strong presentation and interpersonal skills with the ability to communicate effectively with employees, leadership, and external stakeholders.
• Proficiency with Microsoft Excel, Word, and PowerPoint and ability to quickly learn new systems.
• Working knowledge of HIPAA and patient privacy requirements.
• Bachelor's degree preferred; equivalent healthcare operations or practice management experience may be considered.

Ideal Background

Candidates with leadership experience in one or more of the following environments are especially encouraged to apply:

Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations

This is a remote leadership position supporting a high-volume, deadline-driven healthcare program. Candidates must have flexibility with their schedule, particularly during training and peak benefit reverification periods.

Occasional travel and overnight travel may be required. Some weekend availability may also be necessary during training or critical production periods.

Area Manager - Healthcare Reimbursement Operations

Job Description

Area Manager - Healthcare Reimbursement Operations

Location: Remote
Employment Type: Contract / Seasonal Program
Schedule: Full-Time | Flexibility Required
Travel: Occasional travel may be required

About the Opportunity

We are seeking an experienced Area Manager to lead a remote healthcare reimbursement operations team supporting a large-scale annual benefits reverification program.

This is a highly visible leadership role responsible for overseeing supervisors, team leads, and reimbursement professionals while ensuring productivity, quality, customer service, and service-level expectations are consistently achieved.

The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs, along with proven experience managing teams in a fast-paced environment.

What You'll Do

• Lead the day-to-day operations of a large remote healthcare reimbursement team.
• Manage and coach Supervisors and Team Leads responsible for seasonal reimbursement and benefits verification staff.
• Ensure teams meet established productivity, quality, customer service, and SLA expectations.
• Partner with senior leadership on staffing, training, workforce planning, and operational execution for annual benefit reverification initiatives.
• Support recruiting and onboarding efforts to ensure appropriate staffing levels for seasonal program demands.
• Monitor daily and weekly performance metrics and provide reporting around key performance indicators.
• Participate in daily production huddles, leadership meetings, training sessions, and program reviews.
• Identify performance trends and work with leadership teams to implement coaching, process improvements, and corrective actions.
• Assist with escalated benefit investigations, reimbursement challenges, payer issues, billing questions, and appeals.
• Provide guidance regarding private insurance, Medicare, Medicaid, and pharmaceutical reimbursement processes.
• Ensure operational activities follow established procedures, quality standards, and patient privacy requirements.
• Assist with developing and improving SOPs related to reimbursement operations, benefits investigations, hiring, training, and quality.
• Resolve complex operational and employee-related challenges with minimal supervision.
• Collaborate across operations, recruiting, training, client services, and senior leadership to ensure successful program delivery.

What We're Looking For

• 4+ years of supervisory or management experience within healthcare reimbursement, medical insurance, specialty pharmacy, pharmaceutical hub services, patient access, patient assistance, or a related healthcare environment.
• Demonstrated experience managing and developing teams; remote workforce leadership experience strongly preferred.
• Strong knowledge of benefits verification/investigation and healthcare reimbursement processes.
• Understanding of medical insurance terminology, billing and coding, payer requirements, appeals, and reimbursement challenges.
• Knowledge of commercial insurance, Medicare, and Medicaid structures and reimbursement processes.
• Experience working in high-volume healthcare operations, contact centers, reimbursement hubs, or insurance support environments preferred.
• Ability to analyze productivity and quality metrics and translate data into actionable performance improvements.
• Strong leadership, coaching, communication, and problem-solving skills.
• Ability to manage multiple priorities and changing business requirements in a deadline-driven environment.
• Strong presentation and interpersonal skills with the ability to communicate effectively with employees, leadership, and external stakeholders.
• Proficiency with Microsoft Excel, Word, and PowerPoint and ability to quickly learn new systems.
• Working knowledge of HIPAA and patient privacy requirements.
• Bachelor's degree preferred; equivalent healthcare operations or practice management experience may be considered.

Ideal Background

Candidates with leadership experience in one or more of the following environments are especially encouraged to apply:

Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations

Schedule & Work Environment

This is a remote leadership position supporting a high-volume, deadline-driven healthcare program. Candidates must have flexibility with their schedule, particularly during training and peak benefit reverification periods.

Occasional travel and overnight travel may be required. Some weekend availability may also be necessary during training or critical production periods.