Remote Senior Director, Bill Review Operations

MedRisk; United States; On-site; USD 180,000 - 240,000; Full time

Job summary

MedRisk is seeking an experienced Senior Director of Bill Review Operations to lead and optimize large-scale workers' compensation bill review operations, driving performance, client satisfaction, and growth within a high-volume service organization.

The ideal candidate will bring deep expertise in workers' compensation, healthcare reimbursement, claims operations, medical bill review, or payment integrity, and will partner across the enterprise to deliver scalable, innovative solutions that

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Operations Management, Finance, Insurance, or a related field.
• 10+ years of progressive leadership experience in workers' compensation, healthcare operations, medical bill review, payment integrity, claims operations, or a related industry.
• 5+ years leading large-scale operational teams with multiple levels of management responsibility.
• Demonstrated experience managing high-volume operational environments and complex client relationships.
• Proven track record of driving operational improvements and leading transformational initiatives.

Responsibilities

• Provide strategic and operational leadership for bill review operations, ensuring efficient service delivery, productivity, and client satisfaction.
• Lead large-scale teams responsible for medical bill review, provider support functions, operational reporting, and related service delivery activities.
• Establish operational priorities, performance goals, and accountability measures that support company objectives.
• Monitor service levels, inventory, turnaround times, and key performance indicators to ensure operational excellence.
• Drive organizational readiness to support growth, new client implementations, and business expansion initiatives.
• Serve as a senior operational leader for strategic client relationships.
• Participate in client meetings, business reviews, operational discussions, and service improvement initiatives.
• Partner with sales and account management teams to support client retention, implementations, and growth opportunities.

Education

Bachelor's degree in Business, Healthcare Administration, Operations Management, Finance, Insurance, or a related field

Job description

MedRisk is seeking an experienced Senior Director of Bill Review Operations to lead and optimize large-scale workers' compensation bill review operations, driving performance, client satisfaction, and growth within a high-volume service organization.

The ideal candidate will bring deep expertise in workers' compensation, healthcare reimbursement, claims operations, medical bill review, or payment integrity, and will partner across the enterprise to deliver scalable, innovative solutions that