Director, Health and VA

Revecore•,

13d•Remote

About The Position

The Director of Health and VA leads Revecore’s Health and VA claims operations, overseeing the identification, management, resolution, and recovery of high-value healthcare claims. The role provides strategic leadership across multiple teams and client portfolios, with responsibility for operational excellence, financial performance, compliance, and customer satisfaction. It serves as a subject matter expert in complex healthcare reimbursement, Veterans Affairs, payer disputes, and other specialized recovery opportunities, partnering with clients, executive leadership, legal teams, payers, and operational stakeholders to maximize recovery outcomes and improve service delivery. The Director develops the strategic vision and departmental goals, performance metrics, and recovery targets, and leads improvement initiatives to increase recoveries, reduce cycle times, and improve client outcomes. The role oversees teams and operations, monitors productivity, quality, account aging, and financial performance, and drives revenue growth and achievement of revenue, productivity, and profitability objectives. It also analyzes performance data and develops forecasting models and reporting tools to support business decisions. As an executive-level liaison, the Director presents operational performance, recovery results, and strategic initiatives to clients and senior leadership, partners with healthcare providers on reimbursement opportunities, and addresses escalated client concerns. The role includes supervisory responsibilities such as interviewing, hiring, training, assigning and directing work, evaluating performance, and resolving employee complaints and problems. This is a remote position in the United States. Employees must have a quiet, distraction-free home workspace, a secure internet connection with download speeds above 20 Mbps and upload speeds above 10 Mbps, and adequate workspace for workstation equipment and materials. Employment is contingent on U.S. work eligibility, employment history verification, and a background check.

Requirements

Excellent written and verbal communication skills, including the ability to clearly convey complex operational concepts to diverse audiences.
Ability to analyze problems effectively and present solutions.
Ability to organize and set priorities according to situational demands and work effectively under minimal supervision.
Ability to influence stakeholders and build alignment across organizational levels without direct authority.
Thorough understanding of methods for training new hires and upgrading the skills of existing personnel.
Technical aptitude and ability to manage large data sets, including keeping current with relevant healthcare revenue cycle technologies.
Strong data analytics abilities, including translating complex data sets into actionable operational and strategic insights.
Experience leading distributed or remote teams, including offshore partners.
Advanced proficiency in Microsoft Excel and working knowledge of the MS Office Suite.
At least 7 years of experience in healthcare revenue cycle operations or a comparable cross-functional discipline, including at least 3 years leading managers or multiple teams.
Eligibility to work in the United States; employment history verification and successful completion of a background check are required.

Nice To Haves

Experience with Coordination of Benefits and Subrogation requirements.

Responsibilities

Develop and execute the strategic vision for Health and VA claims operations.
Establish departmental goals, performance metrics, and recovery targets aligned with organizational objectives.
Drive continuous improvement initiatives to increase recoveries, reduce cycle times, and improve client outcomes.
Identify emerging reimbursement opportunities and industry trends to support business growth.
Lead multiple teams responsible for resolving and recovering complex healthcare claims.
Ensure efficient workflows, consistent execution of recovery strategies, and implementation of best practices and operational standards across Health and VA claims functions.
Monitor productivity, quality, account aging, and financial performance metrics.
Drive revenue growth through increased recoveries, improved account resolution, and achievement of revenue, productivity, and profitability objectives.
Analyze performance data to identify trends, risks, and opportunities, and develop forecasting models and reporting tools to support business decisions.
Serve as an executive-level liaison for key client relationships, presenting operational performance, recovery results, and strategic initiatives to clients and senior leadership.
Partner with healthcare providers to identify opportunities for improved reimbursement outcomes.
Address escalated client concerns and develop effective solutions.
Interview, hire, and train employees; plan, assign, and direct work; appraise performance; reward and discipline employees; and address complaints and resolve problems.