Med-Metrix

Compensation

Full Description

Job Purpose The Vice President, Payment Variance Services will lead Med-Metrix’s Payment Variance Services division, providing executive oversight of all underpayment engagements. This executive owns P&L performance, operational excellence, staffing strategy, client outcomes, and growth of the service offering. The Vice President, Payment Variance Services will ensure optimal methodologies, reporting, technology usage, and process design to scale the division and deliver exceptional financial performance for clients. Duties & Responsibilities Division Leadership & P&L Ownership Own P&L, revenue targets, margin optimization, forecasting, and financial reporting for the Payment Variance Services division Lead a team of leaders, analysts, and billing/revenue cycle specialists supporting underpayment recovery, payment accuracy, and variance resolution Establish staffing models, productivity standards, QA processes, and workflows to drive high performance Operational Excellence & Process Optimization Develop, implement, and continuously refine best-in-class processes for payer variance identification, root-cause analysis, appeals, and recovery Ensure the design and refinement of variance algorithms, workflows, reporting, and performance dashboards Partner with technology teams to leverage automation, data tools, and intel to improve identification, prioritization, and throughput Client Delivery & Executive Oversight Serve as the executive sponsor for all Payment Variance clients, providing strategic oversight, performance reviews, and issue escalation management Ensure consistent delivery of high-quality analyses, appeal packages, reimbursement validations, and operational reporting Support new client onboarding, including scope development, pricing structure, staffing ramp, and performance baselines Sales Partnership & Growth Strategy Partner with Sales and Executive Leadership to develop proposals, pricing models, value cases, and solution designs to grow the Payment Variance offering Identify opportunities to expand into new markets, service lines, and payer types (HB, PB, government, commercial) Develop playbooks, case studies, and ROI narratives to support sales pursuits Cross-Functional Integration Ensure alignment with Revenue Cycle Operations, Pricing, Underpayments, Coding, and Denials Management teams Provide thought leadership and insights to support enterprise revenue cycle transformation initiatives Other duties as assigned Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications Bachelor’s degree required; Master’s degree or MBA preferred 10+ years in hospital/physician revenue cycle operations, underpayment recovery, or payment variance analytics, with 5+ years leading operational teams Demonstrated P&L ownership and experience scaling revenue-generating service lines Strong understanding of payer reimbursement methodologies, contract interpretation, and payment variance root-cause analysis Proven track record driving operational efficiency, process redesign, and team performance Strong analytical skills and experience with data tools, reporting platforms, and revenue cycle technology Proficiency in Microsoft Office Suite Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction Working Conditions Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.