Manager, Managed Vision Care

Warby Parker•New York, NY

1d•$105,000 - $120,000

About The Position

Warby Parker is seeking an operational expert to manage its insurance billing and reimbursement lifecycle. The Manager, Managed Vision Care serves as the functional owner of financial and operational workflows, including insurance claim submission, insurance accounts receivable, and tactical claims support. The role collaborates closely with Accounting and Technology on financial and system impacts. The position oversees insurance revenue-cycle workflows, reimbursement reconciliation, accounting close support, claims operations, vendor relationships, fee schedules, and 837 claims automation. It identifies trends in claim denials and exceptions, recommends process and system improvements, develops and maintains documentation and procedures, and creates reporting and analyses to monitor insurance AR and support audits. The role also serves as an internal coding and claims expert, ensuring compliance and addressing fraud risks.

Requirements

At least 5 years of experience in medical insurance billing and revenue cycle management.
Resourceful, self-starting, and detail-oriented, with the ability to manage tactical workflows and deadlines.
Analytical thinker with strong financial acumen.
Comfort managing payment reconciliations, variance analyses, and the monthly accounting close cycle.
Process-oriented problem solver able to identify claim denial trends, drive system improvements, and develop comprehensive SOPs.
Proven ability to navigate complex stakeholder environments, build consensus, and drive cross-functional alignment.
Strong communication, collaboration, and presentation skills, including the ability to share actionable insights with engineers and executive leadership.
Must not be on the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE).

Responsibilities

Own insurance billing, claim, and reimbursement workflows to ensure timely payment.
Manage reconciliation of carrier reimbursements.
Support the monthly accounting close, including journal entries, schedule preparation, and variance analyses.
Partner with the Technology team on fee schedule setups and technical implementations.
Support execution through strategy development, testing, and documentation.
Oversee day-to-day tactical work and resolve exceptions related to claim submissions, front-end denials, and carrier adjudication.
Identify trends in claim exception reasons and recommend process improvements to reduce denial rates.
Manage relationships with the claims clearinghouse and other vendors to ensure smooth data transmission.
Develop and maintain SOPs, protocols, and policies related to claims and payments.
Serve as the internal coding and claims expert to ensure compliance; identify fraud risks and take action to mitigate them.
Maintain fee schedules and related documentation to ensure accuracy across systems.
Oversee testing and maintenance of 837 claims automation.
Create reports and analyses to monitor insurance accounts receivable performance and support audits.