Senior Manager, Lien Negotiation

EvenUp; United States; Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Flexible paid time off

Home office stipend

401(k) for US-based employees

A local in-person meet-up program

Hubs in San Francisco and Toronto

Job summary

EvenUp is seeking an experienced lien resolution leader to build and run our lien negotiation function. You will own the process of identifying, validating, negotiating, and resolving medical liens and subrogation claims to maximize net recoveries.

Lead a team of negotiators and collaborate with attorneys, case managers, and finance for timely disbursements. You will set strategy for high-value liens, ensure compliance with Medicare/Medicaid rules, and drive standardized workflows, reporting,

Qualifications

• 7+ years of lien resolution, subrogation, or settlement negotiation in PI environments.
• 3+ years of leading a team and managing staff.
• Proven record of significant lien reductions across lien types.
• Knowledge of Medicare/Medicaid recovery, ERISA, and state lien laws.
• Strong negotiation, analytical, and communication skills.
• Proficiency with case management software and Excel.

Responsibilities

• Negotiate reductions on medical liens, hospital liens, ERISA plans, Medicare/Medicaid, and subrogation liens.
• Lead a team of lien negotiators; hire, train, and mentor staff; set goals and track metrics.
• Develop and refine reduction strategies by lien type, law, and case value.
• Partner with attorneys to factor lien exposure into settlement strategies.
• Oversee lien identification, verification, and documentation; ensure compliance.
• Report department performance and risk to firm leadership.

Skills

Negotiation

Team leadership

Communication

Analytical skills

Excel

Regulatory knowledge

Education

JD or paralegal certification

Tools

Case management software

Job description

EvenUp is on a mission to close the justice gap using technology and AI. We empower personal injury lawyers and victims to get the justice they deserve. Our products enable law firms to secure faster settlements, higher payouts, and better outcomes for victims injured through no fault of their own in vehicle collisions, accidents, natural disasters, and more.

We are one of the fastest-growing vertical SaaS companies in history, and we are just getting started. EvenUp is backed by top VCs, including Bessemer Venture Partners, Bain Capital Ventures, SignalFire, and Lightspeed. We are looking to expand our team with talented, driven, and collaborative individuals who seek to have a lasting impact. Learn more at www.evenuplaw.com.

We are seeking an experienced lien resolution leader to build and run our lien negotiation function. You will own the process of identifying, validating, negotiating, and resolving medical liens and subrogation claims so our clients receive the maximum net recovery on their settlements. You will lead a team of negotiators, set strategy for high-value and complex liens, and work closely with attorneys, case managers, and finance to ensure timely, compliant disbursements.

Key Responsibilities

Negotiation and Strategy

• Negotiate reductions on medical provider liens, letters of protection, hospital liens, health insurer and ERISA plan reimbursement claims, Medicare, Medicaid, and other subrogation liens, such as MedPay.

• Negotiate reductions on any pre-settlement funding loans.

• Develop and refine reduction strategies based on lien type, governing law, case value, policy limits, and procurement-cost principles.

• Obtain final amounts on general liens, such as child support liens.

• Personally handle high-dollar, contested, or escalated lien matters.

• Partner with attorneys to factor lien exposure into settlement evaluation, demand, and mediation strategy.

Team Leadership

• Hire, train, manage, and mentor lien negotiators and support staff.

• Set performance goals and track metrics such as average reduction percentage, total client savings, cycle time, and open lien inventory.

• Build standardized workflows, scripts, templates, and escalation protocols.

Process and Compliance

• Oversee lien identification and verification, including itemized bills, lien notices, ERISA plan documents, and conditional payment letters.

• Proactively flag and obtain potential missing liens.

• Ensure compliance with Medicare Secondary Payer rules, Medicaid recovery statutes, state hospital lien laws, and applicable ethics and trust accounting requirements.

• Work with the finance team to ensure accurate settlement statements, lien holds, and timely disbursement.

• Maintain documentation of all negotiations, agreements, and final payoff confirmations.

Relationships and Reporting

• Build and maintain relationships with medical providers, lien-purchasing companies, health plans, third-party recovery vendors, and government agencies.

• Evaluate and manage outside lien resolution vendors, if applicable.

• Report regularly to firm leadership on department performance, trends, and risk.

Systems and Reporting

• Maintain lien data in the firm's case management system and drive adoption of best practices.

• Identify opportunities for automation and process improvement.

Qualifications

Required

• 7+ years of experience in lien resolution, subrogation, or settlement negotiation, preferably in a personal injury or plaintiff-side environment.

• 3+ years of experience managing or leading a team.

• Demonstrated record of securing significant lien reductions across multiple lien types.

• Working knowledge of Medicare/Medicaid recovery, ERISA (self-funded vs. fully insured plans), and state lien and made-whole/common-fund doctrines.

• Strong negotiation, analytical, and communication skills.

• Proficiency with case management software and Excel or comparable reporting tools.

Preferred

• JD, paralegal certification, or equivalent legal training.

• Experience in a high-volume PI firm or lien resolution company.

• Familiarity with medical billing, CPT/ICD coding, PIP statutes, and reasonable-value analysis.

• Experience building or scaling a lien department.

Core Competencies

• Persuasive, relationship-driven negotiator

• Sound judgment on risk and compliance

• Organized and deadline-driven, with the ability to manage a large inventory

• Data-oriented, with a focus on measurable client outcomes

• Collaborative with attorneys and staff, and a clear communicator of complex issues to clients

Benefits & Perks:

As part of our total rewards package, we offer attractive benefits and perks to our employees, including:

• Choice of medical, dental, and vision insurance plans for you and your family.

• Additional insurance coverage options for life, accident, or critical illness.

• Flexible paid time off, sick leave, short-term and long-term disability.

• 10 US observed holidays, and Canadian statutory holidays by province.

• A home office stipend.

• 401(k) for US-based employees and RRSP for Canada-based employees.

• Paid parental leave.

• A local in-person meet-up program.

• Hubs in San Francisco and Toronto.

Please note the above benefits & perks are for full-time employees

Please note that EvenUp may use AI notetakers and other recording devices in the recruiting process. If you interview with us, with your consent, we may record your conversations and summarize them into notes for internal use. Recording is optional, and declining will not affect your candidacy.

EvenUp is an equal opportunity employer. We are committed to diversity and inclusion in our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.