Senior Manager, Regulatory & Payer Operations

Comfort Medical, LLC; Minneapolis (MN); On-site; USD 95,898 - 143,847; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off

Job summary

Comfort Medical, LLC seeks a Manager of Regulatory & Payer Operations Support to lead a team responsible for regulatory readiness and payer operations excellence. You will drive audit support, authorization workflows, and compliance across multiple locations while coordinating with Revenue Cycle and Compliance leadership.

The role requires deep knowledge of Medicare/Medicaid and payer processes, strong leadership, and the ability to implement process improvements in a fast-paced healthcare

Qualifications

• Minimum 5 years in healthcare reimbursement, payer operations, regulatory affairs, revenue cycle, or healthcare operations.
• Minimum 2 years of leadership experience.
• Minimum 2 years of DME experience.
• Experience managing audits, compliance programs, or payer operations functions.
• Knowledge of Medicare, Medicaid, and commercial payer processes.

Responsibilities

• Lead, coach, and develop Regulatory & Payer Operations Specialists.
• Ensure proper staffing across office locations and coverage during PTO.
• Manage staffing, performance evaluations, training, and workforce planning.
• Ensure survey readiness and CMS/licensing compliance.
• Monitor regulatory and payer changes and coordinate implementations.
• Oversee insurance verification, benefits investigation, and prior authorization support.
• Escalate and resolve complex payer, eligibility, and reimbursement issues.
• Support audit response coordination and medical record retrieval.
• Develop operational metrics, reporting, and dashboards.

Skills

Leadership

Communication

Project management

Analytical thinking

Microsoft Office

Education

Bachelor's degree (Healthcare Administration / Business / Public Health / Regulatory Affairs)

Tools

Microsoft Office

Job description

Comfort Medical, LLC seeks a Manager of Regulatory & Payer Operations Support to lead a team responsible for regulatory readiness and payer operations excellence. You will drive audit support, authorization workflows, and compliance across multiple locations while coordinating with Revenue Cycle and Compliance leadership.

The role requires deep knowledge of Medicare/Medicaid and payer processes, strong leadership, and the ability to implement process improvements in a fast-paced healthcare