Vice President of Strategic Operations (IDR)

ACCESS TELECARE•Dallas, TX

2d•Remote

About The Position

At Access TeleCare, we’re redefining how hospitals and health systems deliver care. As the nation’s largest provider of telemedicine solutions, our platform — Telemed IQ — brings specialty care to patients wherever they are, improving outcomes while optimizing operational efficiency. We provide healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission’s Gold Seal of Approval — and have maintained that accreditation every year since inception. The Opportunity We’re seeking a Vice President of Strategic Operations (IDR) to build and lead Access TeleCare’s Independent Dispute Resolution (IDR) program under the No Surprises Act (NSA). This position oversees the end-to-end management of payer disputes, ensuring compliance with federal and state regulations, and driving process improvement initiatives that enhance accuracy, efficiency, and financial outcomes. The Vice President will work in close collaboration with operational, legal, and finance leadership, and is highly visible across the organization. The Payer Dispute RCM Strategist manages both in-house and vendor-based components of the arbitration process, ensures compliance with federal and state regulations, identifies opportunities to improve processes, and facilitates effective claims processing.

Requirements

Bachelor’s degree, with a preference for healthcare administration, business, or related field
Minimum of 10 years of experience in revenue cycle management, IDR, claims resolution, denial management, or a related healthcare finance role
At least 4 years of consulting experience required, in a setting where problem-solving, cross-functional collaboration, and executive communication were critical to success
Strong analytical skills: advanced Excel skills, comfort working with large datasets, and ability to use tools like Tableau to uncover insights.
Excellent communication skills, comfortable presenting to executive leadership, collaborating across teams, and influencing outcomes.
Strong knowledge of healthcare billing, coding, and payer requirements.
High attention to detail with excellent organizational skills.
Effective written and verbal communication for both internal teams and external payers parties.
Negotiation and conflict-resolution skills to advocate for claim approvals.
Ability to interpret and apply payer policies, state/federal regulations, and compliance standards.
Proficiency in time management to handle high-volume workloads.
Complex project management skills, including ability to manage cross-functional initiatives
Collaborative mindset with the ability to work across cross-functional teams.
Proficient with Microsoft Office Suite or related software
Familiarity with healthcare compliance standards such as HIPAA
Ability to thrive in a high-growth, fast-paced, and remote environment
Ability to remain in a stationary position ~50% of the time
Ability to occasionally travel for meetings and collaboration

Nice To Haves

Certification in Certified Revenue Cycle Specialist (CRCS) or Certified Professional Biller (CPB) preferred
Experience with the Independent Dispute Resolution process under the NSA preferred

Responsibilities

Build and own the Independent Dispute Resolution program from start to finish, from managing disputes and vendors to shaping reporting, process, and strategy
Act as the face of this initiative with executive leadership, regularly communicating updates and insights
Dig deep into disputed claims, analyzing data to spot trends, uncovering opportunities, and proactively translating findings into revenue cycle management actions that improve out of network commercial claim processing and denials management
Coordinate across a variety of interdependent functions that support RCM processes, including analytics, auditing, technology, and payer enrollment
Maintain up-to-date knowledge of payer guidelines, state/federal regulations, and industry standards to ensure accurate documentation and compliance with all requirements throughout program
Collaborate and communicate with payers during the arbitration process to reach a mutually beneficial resolution where possible and support continually improving payer relations
Monitor outcomes, track performance, and connect the dots between process improvements and financial impact throughout arbitration and resolution processes
Oversee & support vendors and third parties responsible for coordinating arbitration steps, involving day-to-day relationship management and data analysis
Develop the long-term strategy for our payer dispute process beyond the end-to-end process steps of the IDR program to expand into a more holistic organizational strategy
Other duties as assigned