Position SummaryThe Director of Health and VA is responsible for leading Revecore's Health and VA claims operations, ensuring the successful identification, management, resolution, and recovery of high-value healthcare claims. This role provides strategic leadership across multiple teams and client portfolios while driving operational excellence, financial performance, compliance, and customer satisfaction. The Director of Health and VA serves as a subject matter expert in complex healthcare reimbursement, Veterans Affairs, payer disputes, and other specialized recovery opportunities. This position partners closely with clients, executive leadership, legal teams, payers, and operational stakeholders to maximize recovery outcomes and enhance service delivery.
Key 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 focused on increasing recoveries, reducing cycle times, and improving client outcomes.
• Identify emerging reimbursement opportunities and industry trends to support business growth.
• Lead multiple teams responsible for the resolution and recovery of complex healthcare claims.
• Ensure efficient workflows, consistent execution of recovery strategies, and implementation of best practices and operational standards across all 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.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Work Experience & Skills• Excellent written and verbal communication skills, with the ability to convey complex operational concepts clearly to diverse audiences.
• Demonstrated ability to effectively analyze problems and present solutions.
• Ability to organize and set priorities according to situational demands and work effectively under minimal supervision.
• Demonstrated capacity to influence stakeholders and build alignment across organizational levels without direct authority.
• Thorough understanding of methods to effectively train new hires and to upgrade the skills of existing personnel.
• Technically savvy with the ability to manage large sets of data, including staying current on the technologies that matter in the healthcare revenue cycle space.
• Strong data analytics abilities, including experience 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 MS Office Suite.
Experience Requirements• 7+ years experience in healthcare revenue cycle operations or a comparable cross-functional discipline, including at least 3 years leading managers or multiple teams.
• Experience with Coordination of Benefits and Subrogation requirements is a plus
Managerial ResponsibilitiesCarries out supervisory responsibilities in accordance with Revecore's policies and applicable Federal, State, and local laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Physical Demands and Work EnvironmentThe physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work at Home Requirements:- A quiet, distraction-free environment to work from in your home.
- A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.
- The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.
LocationRemote - USA
