Senior Vice President, Delivery - Denials Resolution & Payment Compliance

Knowtion Health; United States; Remote; USD 250,000 - 350,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k plan with company match

Generous PTO and paid holidays

Job summary

Knowtion Health is seeking a Senior Vice President, Delivery – Denials Resolution & Payment Compliance to lead clinical denials, underpayments, and interest & penalties delivery across the organization. Reporting to the Chief Delivery Officer, you will drive performance, quality, and client outcomes while building a high-performing team.

This remote role requires deep healthcare revenue cycle expertise, strategic leadership, and cross-functional collaboration to optimize recovery, compliance,

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field; Master’s degree preferred.
• 10+ years in healthcare revenue cycle management, including denials, underpayments, and payer contract compliance.
• 5+ years of senior leadership experience managing multi-disciplinary teams.
• Experience with payer appeals processes, contract modeling, and underpayments recovery preferred.
• Knowledge of healthcare payer regulations, prompt-pay requirements, and dispute resolution processes.
• Proven track record of driving financial recovery and operational improvements.
• Strong leadership, communication, and cross-functional collaboration skills.
• Certifications such as CRCR, CHFP, CPC are a plus.

Responsibilities

• Own strategy, performance, and financial accountability for Clinical Denials, Underpayments, and Interest & Penalties lines, driving recovery outcomes and operational excellence.
• Lead denial review, audit, and appeal operations with focus on quality, timeliness, compliance, and overturn performance.
• Direct systematic identification, validation, and recovery of payer underpayments, including contract modeling and aging management.
• Lead Interest & Penalties recovery, ensuring timely pursue of recoveries and compliance with contracts and prompt-pay requirements.
• Build, mentor, and manage a high-performing leadership team across lines, establishing productivity, quality, and financial standards.
• Partner cross-functionally with executives, clinical, coding, compliance, and delivery leaders to drive root-cause remediation, process/tech improvements, and end-to-end client delivery alignment.

Skills

Healthcare revenue cycle management

Leadership quality

Cross-functional collaboration

Contract modeling

Payer appeals processes

Dispute resolution knowledge

Financial recovery impact

Education

Bachelor's degree in healthcare administration, business, finance, or related field

Master's degree preferred

Industry certifications (CRCR, CHFP, CPC) a plus

Job description

Career Opportunities with Knowtion Health

A great place to work.

Knowtion Health participates in E-Verify

Current job opportunities are posted here as they become available.

Senior Vice President, Delivery – Denials Resolution & Payment Compliance

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients?

The Senior Vice President (SVP), Delivery – Denials Resolution & Payment Compliance leads Knowtion Health's delivery operations across three core lines of business: Clinical Denials, Underpayments, and Interest & Penalties. Reporting to the Chief Delivery Officer, this leader is accountable for the performance, quality, and financial outcomes of these functions, ensuring consistent, compliant, and results-driven delivery for clients. The SVP builds and leads a high-performing team, partners closely with peer Delivery leaders across the organization, and drives continuous improvement in recovery outcomes, cycle time, and client satisfaction.

What’s Attractive to the Right Candidate?

• Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.
• Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.
• Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.

The Opportunity:

• Own the strategy, performance, and financial accountability for the Clinical Denials, Underpayments, and Interest & Penalties lines of business, driving recovery outcomes and operational excellence.
• Lead denial review, audit, and appeal operations, ensuring quality, timeliness, compliance, and overturn performance meet client and organizational expectations.
• Direct systematic identification, validation, and recovery of payer underpayments, including contract modeling, recovery targets, aging management, and escalation processes.
• Lead Interest & Penalties recovery, ensuring timely pursuit of recoveries and compliance with applicable payer contracts, prompt-pay requirements, and healthcare regulations.
• Build, mentor, and manage a high-performing leadership team across Denials, Underpayments, and Interest & Penalties, establishing productivity, quality, and financial performance standards.
• Partner cross-functionally with executive, clinical, coding, compliance, and delivery leaders to drive root-cause remediation, process and technology improvements, automation, and end-to-end client delivery alignment.

What you bring:

• Bachelor's degree in healthcare administration, business, finance, or a related field required; Master's degree preferred.
• 10+ years of progressive experience in healthcare revenue cycle management, including direct experience in denials management, underpayments, and/or payer contract compliance.
• 5+ years of senior leadership experience managing multi-disciplinary teams.
• Experience with payer appeals processes, contract modeling, and interest/penalty recovery strongly preferred.
• Working knowledge of healthcare payer regulations, prompt-pay requirements, and applicable dispute resolution processes relevant to scope of role.
• Demonstrated track record of driving measurable financial recovery and operational performance improvement.
• Excellent leadership, communication, and cross-functional collaboration skills.
• Relevant industry certifications (e.g., CRCR, CHFP, CPC, or similar) a plus.

The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.

This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, paid holidays, 401k, and a generous PTO policy.

Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, UT, VA, WI, WV

Photo Identification and Image Capture Notice

As part of our hiring process, candidates are required to present a valid government-issued photo ID during screening and/or interviews.

We may also capture a photograph during the screening or interview process for identity verification, security, and record-keeping purposes. All identification documents and images will be handled in accordance with applicable privacy laws and accessed only by authorized personnel.

By proceeding with your application, you acknowledge and consent to this process.