Senior Director, Bill Review Operations

MedRisk LLC; United States; On-site; USD 135,000 - 165,000; Full time

Job summary

MedRisk LLC is seeking a Senior Director of Bill Review Operations to lead and optimize high-volume workers' compensation bill review programs. You will oversee patient-centered, efficient service delivery and drive strategic transformation across the organization.

The role emphasizes operational leadership, client partnership, and the development of scalable, AI-enabled processes to improve outcomes for clients and injured workers. A strong background in healthcare operations is essential.

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.
• Experience in 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 KPIs to ensure operational excellence.
• Drive readiness to support growth, new client implementations, and business expansion.

Skills

Leadership

Operational management

Client relationship management

Data analytics

Education

Bachelor's degree in Business/Healthcare

Tools

Automation software

AI analytics

Job description

MedRisk LLC is seeking a Senior Director of Bill Review Operations to lead and optimize high-volume workers' compensation bill review programs. You will oversee patient-centered, efficient service delivery and drive strategic transformation across the organization.

The role emphasizes operational leadership, client partnership, and the development of scalable, AI-enabled processes to improve outcomes for clients and injured workers. A strong background in healthcare operations is essential.