POSITION OVERVIEWThe Reductions Team Lead runs the function that determines how much of every settlement actually reaches our clients. You will supervise a team of reductions and lien resolution specialists, personally handle the largest and most complex lien files, and own the metrics that measure our performance - aggregate reduction rate, net-to-client percentage, and time from settlement to disbursement.
This is a negotiation role with a management layer on top. Every dollar your team takes off a medical balance, a hospital lien, or a health plan's subrogation claim is a dollar that goes to an injured client instead. You will set the standard for how hard those negotiations are pushed, hold the team to it, and step in personally when a provider or plan will not move.
KEY RESPONSIBILITIES- Lead the team. Supervise, train, and evaluate a team of reductions and lien resolution specialists. Assign files, manage workload distribution, run regular file reviews, and develop the team's negotiation skills.
- Own the numbers. Track and report aggregate reduction percentage, dollars saved, aging, and settlement-to-disbursement turnaround. Identify where the team is leaving money on the table and fix it.
- Negotiate the hard files. Personally handle high-balance, high-complexity, and escalated reductions where the provider or plan has refused to move at the specialist level.
- Resolve statutory and plan liens. Direct the resolution of Medicare conditional payments and Medicare Secondary Payer obligations, Florida Medicaid (AHCA) claims under Fla. Stat. 409.910 including the administrative challenge process, ERISA and self-funded plan reimbursement claims, TRICARE and VA claims, and hospital and provider liens under applicable county ordinances.
- Manage letter of protection balances. Negotiate LOP balances with treating providers and maintain documentation consistent with Fla. Stat. [redacted] disclosure requirements.
- Apply the collateral source framework. Analyze health insurance payments, PIP benefits, and other collateral sources under Fla. Stat. 768.76 to establish the correct reimbursement exposure before negotiating.
- Build provider relationships. Establish and maintain working relationships and, where appropriate, standing reduction arrangements with high-volume providers, facilities, and lien resolution vendors.
- Partner with the attorneys. Give trial and pre-suit attorneys accurate, timely lien exposure figures so they can evaluate settlement authority and advise clients on net recovery.
- Protect the client experience. Ensure clients understand their closing statement and that disbursement is accurate, documented, and prompt.
- Improve the process. Standardize templates, escalation paths, and negotiation playbooks; recommend and help implement case management system and workflow improvements.
- Maintain compliance. Ensure every file satisfies trust accounting, Florida Bar, and firm documentation requirements before funds are released.
QualificationsREQUIRED QUALIFICATIONS- Minimum of four (4) years of experience in medical lien resolution, reductions, or settlement negotiation at a personal injury firm, lien resolution company, or healthcare recovery vendor.
- At least one (1) year of experience leading, training, or formally mentoring a team.
- Demonstrated track record of negotiating meaningful reductions on medical balances and liens, with the numbers to support it.
- Working knowledge of Medicare Secondary Payer rules and conditional payment resolution.
- Working knowledge of Florida Medicaid third-party recovery and the AHCA lien process.
- Familiarity with ERISA plan reimbursement claims and the practical difference between self-funded and fully insured plans.
- Understanding of Florida PIP and the collateral source framework as it affects reimbursement exposure.
- Strong command of settlement math - gross to net, attorney fees and costs, pro rata allocation, and common fund and made-whole considerations.
- Excellent written and verbal communication; able to be firm with providers and plainspoken with clients.
- Proficiency with legal case management software and spreadsheets.
PREFERRED QUALIFICATIONS- Bilingual English/Spanish, spoken and written.
- Experience at a high-volume Florida plaintiff personal injury firm.
- Experience negotiating with hospital systems and large provider groups in the South Florida market.
- Paralegal certificate, or a bachelor's degree in a related field.
- Experience building or refining a reductions workflow from the ground up.
- Familiarity with Medicare Set-Aside considerations in third-party liability settlements.
LOCATIONThis position is open to work at our office 5 days a week.
- Office Locations: 7900NW 154th Street, Suite 101 Miami Lakes, FL 33016
- Position Type: Full Time (8:30 AM - 5 PM EST)
Additional InformationCOMPENSATION & BENFITS - Competitive salary commensurate with experience
- Professional development and continuing education support
- Collaborative, growth-oriented team environment
- Medical, dental & vision
- Hospital plans
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Company paid Basic Life and AD&D as well as voluntary Life & AD&D for the employee and dependents)
- Company paid short and long-term disability
- Health & Dependent Care Spending Accounts (HSA & DCFSA)
- Employee Assistance Program
- Tuition Assistance
- Paid time off and paid holidays
