Vicepresident Provider Network & Medical Operations
About The Position
Case Portal is a provider network and technology platform for personal injury care. It connects credentialed medical providers with personal injury cases and handles onboarding, documentation, and lien administration so providers can focus on treating patients. The VP, Provider Network & Medical Operations will lead the medical side of the business, owning provider network development and operations in Georgia. The role is based in Metro Atlanta with a hybrid work arrangement; candidates should be Georgia-based or bring an existing Georgia provider network. Compensation includes a competitive base salary and performance bonus.
Requirements
- At least 7 years of experience on the medical side of personal injury.
- Hands-on knowledge of letters of protection (LOPs), medical liens, reductions, CPT/ICD-10, HCFA-1500, and UB-04.
- Direct relationships with provider owners and practice administrators.
- Experience building and managing a team.
- A track record of onboarding providers into a network, program, or platform.
- Georgia-based, or able to bring an existing Georgia provider network.
Nice To Haves
- RN, LPN, or legal nurse consultant background.
- Credentialing experience.
- Experience at a medical lien funder or PI-focused provider group.
Responsibilities
- Recruit and onboard Georgia providers across orthopedics, pain management, imaging, chiropractic, neurology, surgery centers, and physical therapy.
- Own provider relationships, including contracts, credentialing, business associate agreements (BAAs), and day-to-day issues.
- Build and lead a team of provider success representatives, records and billing coordinators, and a credentialing specialist.
- Set standards for records, itemized bills, narratives, causation letters, and affidavits.
- Partner with product to ensure the platform fits the working practices of provider offices.
- Keep provider relationships compliant with anti-kickback rules, HIPAA, and Georgia lien law.
Benefits
- Competitive base salary.
- Performance bonus.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
