SVP, Delivery - Denials Resolution and Payment Compliance

Knowtion Health; United States; Teletrabalho; USD 300 000 - 450 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental insurance

Vision care

Life insurance

Short-term disability

Long-term disability

Paid holidays

401k

Generous PTO

Resumo da oferta

Knowtion Health seeks an SVP, Delivery to lead Clinical Denials, Underpayments, and Interest & Penalties. You will direct strategy, drive financial outcomes, and build a high-performing team, partnering with clinical, coding, and compliance leaders to improve recovery and client satisfaction.

The role is remote with a focus on measurable revenue-cycle improvements, cross-functional collaboration, and executive-level oversight.

Qualificações

• Bachelor's degree in a relevant field required; Master's preferred.
• 10+ years in healthcare revenue cycle management with denials/underpayments experience.
• 5+ years in senior leadership roles overseeing multi-disciplinary teams.
• Strong knowledge of payer contracts, compliance, and dispute resolution.

Responsabilidades

• Own strategy, performance, and financial accountability for denials, underpayments, and penalties.
• Lead denial review, audits, and appeals to meet client expectations.
• Drive root-cause remediation and end-to-end client delivery alignment.
• Build and mentor a high-performing leadership team across lines of business.

Conhecimentos

Leadership

Communication

Cross-functional collaboration

Healthcare revenue cycle knowledge

Denials management experience

Formação académica

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

Master’s degree preferred

Descrição da oferta de emprego

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.