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Manager - Arbitration Operations

workfromhome • Posted 4 days ago
Remote Full Time Management Occupations

Overseeing the day-to-day administration of a state-sponsored surprise billing dispute resolution program, the full-time remote Manager - Arbitration Operations will lead operational teams in facilitating independent dispute resolution and ensure compliance with state regulations and quality standards. Key responsibilities Manage daily operations of the surprise billing arbitration program, ensuring timely and accurate case processing Develop and implement operational procedures, workflows, and best practices while monitoring team performance metrics Serve as the primary operational contact for state agency representatives and key stakeholders, resolving escalated issues effectively Required qualifications Bachelor's degree in a relevant field and 5+ years of professional experience, or equivalent combination of education and experience Experience administering surprise billing, independent dispute resolution, or healthcare appeals programs Strong understanding of healthcare reimbursement, claims processing, or payer-provider relations Familiarity with Appeals & Hearings, with expertise in the Hearings & Appeals function preferred Demonstrated experience with process improvement and operational oversight

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