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Description
Who we are… CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.
About this Role The Manager of Payment Strategy leads the Medical Bill Negotiations team within the AuditIQ operations organization. This role is responsible for setting and executing the team's negotiation strategy, driving savings performance, and ensuring a high-quality provider and client experience. The Manager coaches, develops, and manages a team of Medical Bill Negotiators, partners with cross-functional leaders to optimize pricing and payment outcomes, drafts executive-style letters inviting providers to negotiate, and serves as an escalation point for complex or high-dollar negotiations.
Duties and Responsibilities
- Leads, coaches, and manages a team of Medical Bill Negotiators, including hiring, onboarding, training, performance management, and career development
- Develops, implements, and continuously refines payment and negotiation strategies/guidelines to maximize savings and pricing optimization across the provider network
- Sets team goals and monitors key performance indicators - savings achieved, negotiation turnaround time, provider agreement rates - and drives corrective action when needed
- Reviews and analyzes bill review EORs (Explanation of Reimbursement), medical bills, and negotiation outcomes to identify trends and strategic opportunities
- Serves as the escalation point for complex, high-dollar, or difficult provider negotiations
- Builds and maintains strong relationships with key provider groups to support long-term negotiation outcomes
- Drafts polished, executive-style letters to medical providers requesting that they negotiate with us on medical bill reimbursement
- Partners with client-facing teams to ensure client expectations and reporting requirements are met
- Ensures the team maintains accurate, up-to-date provider demographics and negotiation outcomes in Smartsheet
- Collaborates with the AuditIQ operations leadership team on planning, daily standups, and bill inventory sessions
- Ensures team compliance with all company guidelines, code of conduct, policies, and standards
- Performs other duties as assigned by leadership
Requirements
Required Qualifications
Education/Certificates:
- Bachelor’s degree in business/healthcare administration or a related field is required
- AAPC certification preferred
Experience:
- Minimum of 3-5 years of experience in workers’ compensation and/or medical bill review, with demonstrated success in medical bill negotiation
- Prior experience leading, supervising, or mentoring a team is required
- Experience in healthcare coding or billing is required
- Familiarity with the CompIQ Bill Review Platform preferred but not required
Skills:
- Strong analytical and problem-solving skills, with the ability to translate data into actionable negotiation strategy
- Excellent communication skills, including the ability to represent the team professionally with clients and providers
- Exceptional writing skills, including the ability to compose polished, executive-style letters to medical professionals
- Strong working knowledge of Office 365 and Smartsheet
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment
- Demonstrated ability to build and maintain constructive, cooperative working relationships across teams
- Proven leadership skills with the ability to coach, motivate, and develop a high-performing team
What We Offer
CompIQ Solutions provides our full-time, regular team members with the below benefits:
- Fair and Competitive Salary
- Flexible schedule in a hybrid or remote-work environment (depending on location)
- Flexible Paid Time Off
- Paid Parental Leave
- Tuition Reimbursement
- Identity Theft Protection
- Medical, Dental, and Vision Insurance
- 100% Company-paid Short-Term and Long-Term Disability
- 100% Company-paid Life Insurance with additional voluntary enrollment options
- Employee Assistance Programs including counseling with up to 6 complimentary sessions
- Monthly Wellness (Gym Membership) Stipend
- Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
- 401(k) Plan with a 100% vested company match
- Career development and growth opportunities
How to Apply Interested? Please apply directly via our website at: https://compiqsolutions.com/careers/
CompIQ Solutions is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. EOE/M/F/D/V