Note: The job is a remote job and is open to candidates in USA. Vālenz Health is a healthcare platform that helps employers, payers, providers, and members reduce costs, improve quality, and enhance the healthcare experience through integrated solutions. The VP, Bill Review Operations will lead the Bill Review Services organization, overseeing operational and financial performance, strategic execution, client outcomes, and organizational growth. The role will also develop senior leaders, build operational capability, and drive scalable continuous improvement.
Responsibilities
- Lead the Bill Review Services organization with accountability for operational performance, service delivery, financial results, and achievement of departmental objectives
- Partner with the EVP, Payment Integrity to establish strategic direction, annual operating priorities, and long-term growth plans for Bill Review Services
- Set organizational priorities and make strategic decisions around resources, structure, capacity, and business tradeoffs to optimize performance and support growth
- Lead, coach, and develop senior leaders, establishing clear expectations and accountability for operational, financial, quality, and client outcomes
- Build a high-performing leadership culture centered on ownership, collaboration, sound decision-making, and continuous improvement
- Oversee the operational and financial health of Bill Review Services through regular review of key performance indicators, service levels, quality outcomes, budgets, and other measures of organizational performance
- Drive execution of strategic initiatives by aligning leaders and resources, resolving competing priorities, removing barriers, and maintaining accountability for results
- Partner with executive and cross-functional leaders to align operational strategy with organizational priorities, client commitments, technology initiatives, and business growth
- Anticipate operational risks, capacity constraints, and emerging business needs, developing strategies that strengthen performance and support sustainable growth
- Build organizational capability through succession planning, leadership development, workforce planning, and organizational design
- Serve as the executive operational leader for Bill Review Services in client executive meetings, enterprise initiatives, and cross-functional leadership discussions
- Champion operational excellence by empowering leaders to solve complex business challenges, identify opportunities, and continuously improve organizational performance
Skills
- 10+ years of progressive leadership experience in healthcare operations, payment integrity, revenue cycle, bill review, managed care, or a related operational environment
- 5+ years of senior leadership experience leading multiple functions through Directors or other senior leaders
- Proven success leading complex operations through growth, transformation, or organizational scaling while driving strong operational and financial performance
- Strong business and financial acumen, with experience using performance metrics and data to set priorities, make decisions, and improve results
- Demonstrated ability to build, develop, and hold high-performing leadership teams accountable
- Strong executive presence and communication skills, with the ability to influence and collaborate across functions and with senior stakeholders
- Bachelor's degree in Business Administration, Healthcare Administration, Finance, Operations Management, or a related field
- This is a fully remote position, and we'll provide all the necessary equipment!
- You'll need a quiet workspace that is free from distractions
- Reliable internet connection—if you can use streaming services, you're good to go!
- Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software
- You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA
- Experience in payment integrity, bill review, claims processing, workers' compensation, group health, or related healthcare services
- Master's degree (MBA, MHA, or similar)
Benefits
- Fully remote position
- All necessary equipment provided
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
Company Overview