AG
aiutanda GmbHRegistered Nurse – Out-of-Hospital Intensive Care
Pflegefachkraft providing intensive 1:1 care for patients in their homes in Niesky, Germany. Supporting clients' participation in social activities and maintaining care standards.
PI
Hybrid Senior Vice President, Eligibility, Claims and Revenue Management
Posted last month
About the role
- Lead, mentor, and develop a team of 40+ individuals across multiple functions; establish goals, accountability, and development pathways
- Lead the end-to-end eligibility function including data validation, exception resolution, onboarding and billing accuracy
- Partner with Client Success and Implementation teams to ensure receipt and integration of standard eligibility file formats and manage exceptions
- Develop and maintain dashboards and KPIs to monitor eligibility data quality and operational performance
- Provide strategic oversight of outsourced claims processing partners; map/document workflows and identify automation opportunities
- Establish and enforce best practices in claims adjudication, auditing, and reporting; collaborate with Finance and Compliance
- Oversee carrier and member revenue operations including claims processing, billing options, reimbursement activities, payment workflows, and cash conversion
- Drive system enhancements and process automation to support scalable operations; define and monitor KPIs across revenue cycle functions
- Serve as liaison between Operations, Technology, Client Success, Implementation, and Finance; lead cross-functional initiatives to improve data integrity, operational efficiency, and customer experience
- Report directly to the Chief Operating Officer (COO) and be responsible for claims management, eligibility, carrier and member revenue operations, billing, and cash conversion functions
Requirements
- Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred)
- 15+ years of experience in revenue cycle management, with at least 5 years in a senior leadership role
- Demonstrated success in managing and developing large teams (20+ individuals)
- Strong understanding of healthcare claims processing, reimbursement methodologies, and payer relations
- Proven track record of driving operational excellence and process optimization
- Exceptional analytical, communication, and leadership skills
- Proficiency with revenue cycle technologies and platforms
- Experience in fertility benefits or specialized healthcare services
- Lean Six Sigma or similar process improvement certification
- Familiarity with value-based care or alternative payment models
- Strong interpersonal skills, ability to work independently and collaboratively within a team environment
- Ability to effectively manage evolving priorities, multiple projects, and deadlines in a fast-paced environment
- Candidates must be based in the United States
- Progyny is unable to provide visa sponsorship for this position; candidates must be authorized to work in United States without the need for sponsorship, now or in the future
Benefits
- Paid family and parental leave
- Preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support)
- Family and pet care fund
- Parents’ Employee Affiliation Group
- Menopause and midlife care
- Health, dental, vision and life insurance options for employees and family
- Free in-person, virtual and text-based mental health and wellness support
- Paid time off, including vacation, sick leave, personal days and summer flex time
- Company equity
- Bonus program
- 401(k) plan with company match
- Access to on-demand legal and financial advice
- Learning and development programs and a mentorship program
- Company social events, annual volunteer day and donation matching
- Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office
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AG
aiutanda GmbHRegistered Nurse – Out-of-Hospital Intensive Care
Pflegefachkraft responsible for 1:1 medical care for clients in their own homes. Joining a team focused on empathy and independence for clients in Germany.
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