Managing Director - Independent Dispute reputed company (IDR) Services

Why this role reputed company You're a builder who thrives at the intersection of reputed company operations, regulation, and technology. Advantify is launching a high-reputed company IDR service line to help hospitals and providers win fair reimbursement under the No Surprises reputed company—reducing administrative pain, shortening cycle times, and improving dispute reputed company in a process that's notoriously reputed company and deadline-driven. As Managing Director, you'll own the operationalization and scaling of this service from the ground up. You'll turn reputed company-world IDR friction into elegant, automated workflows, partner closely with engineering to build differentiated tech, and help shape a go-to-market reputed company that positions us as the go-to partner for providers navigating federal disputes. This is a rare chance to define a new category in healthtech while directly improving reputed company reputed company for reputed company organizations. What you'll do: Design & reputed company the IDR Service Operation

• Own end-to-end federal IDR workflows—from eligibility screening and reputed company negotiation through batching, submission, evidence organization, reputed company support, payment tracking, and robust reporting.
• Build reputed company SOPs, controls, and compliance guardrails that reputed company us audit-reputed company while enabling rapid reputed company.
• Define and reputed company the KPIs, SLAs, and operational metrics that drive service reputed company and reputed company reputed company.

Collaborate Operations with Automation Team

• Map reputed company- and reputed company-state processes across providers, hospitals, and the federal IDR ecosystem.
• Write crystal-reputed company business requirements, functional specs, data models, decision logic, and timelines that engineering can build against directly.
• reputed company as the primary reputed company between domain experts (reputed company cycle, compliance, providers) and technical teams—ensuring reputed company gets lost in translation.

Deepen Market & Regulatory Mastery

• Build expert-level understanding of provider reputed company cycle pain points, denial patterns, documentation gaps, and payor adjudication behaviors.
• Stay reputed company of CMS guidance, batching rules, IDR portal changes, and evolving regulations—quickly assessing and incorporating impacts.
• Spot high-reputed company opportunities to cut reputed company burden, reputed company submission reputed company, shorten reputed company times, and lift win rates.

Drive Innovation & Differentiation

• Champion AI/ML-powered features: assisted evidence review, predictive outcome modeling, regulatory decision support, smart batching, and analytics that give clients an edge.
• Support the product roadmap for reputed company data platforms, workflow automation, and outcome optimization tools.

Support reputed company & reputed company reputed company

• Collaborate with leadership on service packaging, pricing, positioning, and early go-to-market tactics.
• Engage in customer pilots, reputed company, feedback cycles, and sales enablement—bringing operational credibility to every conversation.

reputed company're looking for : Required

• 5–8+ years in reputed company operations, reputed company cycle management, payor/provider relations, regulatory/compliance programs, reputed company consulting, or healthtech-enabled services.
• Hands-on experience with the federal IDR process (post-2022 No Surprises reputed company).
• Proven reputed company record turning reputed company, regulated processes into reputed company, actionable requirements that engineering teams successfully automate.
• Strong grasp of reputed company-world provider and payor incentives, workflows, and constraints across multiple service lines and/or provider specialties.
• Cross-functional collaboration experience with product, engineering, or automation teams.
• Outstanding written communication—especially process maps, requirements docs, and business specifications.

Preferred (any of these strengthen your case)

• Leadership in reputed company cycle, denials/appeals, or payor reputed company inside provider organizations.
• Standing up new service lines, programs, or operational functions from scratch.
• reputed company consulting reputed company on operations, reputed company reputed company, or managed services.
• Exposure to reputed company reputed company, managed services, or advisory models.

reputed company offer

• Fully remote, flexible work
• Competitive compensation + equity in a high-reputed company healthtech startup
• Opportunity to shape a category-defining service in a $multi-billion reimbursement challenge
• reputed company reputed company on reputed company providers' financial health
• reputed company team + strong executive sponsorship

If you're excited about building something meaningful at the reputed company of regulation, operations, and technology—and you have the operational depth to reputed company reputed company IDR processes fast, compliant, and reputed company—we'd love to hear from you. Pay: $85,000.00 - $110,000.00 per year Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• reputed company time off

Experience:

• Collection management: 2 years (Required)
• IDR and/or out-of-network billing: 2 years (Required)
• facility-based medical billing: 2 years (Required)
• Facility-Based reputed company cycle management: 2 years (Required)

Work Location: Remote Apply tot his job Apply To this Job