The Senior Vice President (SVP), Delivery - Denials Resolution & Payment Compliance leads Knowtion Health's delivery operations across three core lines of business: Clinical Denials, Underpayments, and Interest & Penalties. Reporting to the Chief Delivery Officer, this leader is accountable for the performance, quality, and financial outcomes of these functions, ensuring consistent, compliant, and results-driven delivery for clients. The SVP builds and leads a high-performing team, partners closely with peer Delivery leaders across the organization, and drives continuous improvement in recovery outcomes, cycle time, and client satisfaction.
The Opportunity:- Own the strategy, performance, and financial accountability for the Clinical Denials, Underpayments, and Interest & Penalties lines of business, driving recovery outcomes and operational excellence.
- Lead denial review, audit, and appeal operations, ensuring quality, timeliness, compliance, and overturn performance meet client and organizational expectations.
- Direct systematic identification, validation, and recovery of payer underpayments, including contract modeling, recovery targets, aging management, and escalation processes.
- Lead Interest & Penalties recovery, ensuring timely pursuit of recoveries and compliance with applicable payer contracts, prompt-pay requirements, and healthcare regulations.
- Build, mentor, and manage a high-performing leadership team across Denials, Underpayments, and Interest & Penalties, establishing productivity, quality, and financial performance standards.
- Partner cross-functionally with executive, clinical, coding, compliance, and delivery leaders to drive root-cause remediation, process and technology improvements, automation, and end-to-end client delivery alignment.
What you bring:- Bachelor's degree in healthcare administration, business, finance, or a related field required; Master's degree preferred.
- 10+ years of progressive experience in healthcare revenue cycle management, including direct experience in denials management, underpayments, and/or payer contract compliance.
- 5+ years of senior leadership experience managing multi-disciplinary teams.
- Experience with payer appeals processes, contract modeling, and interest/penalty recovery strongly preferred.
- Working knowledge of healthcare payer regulations, prompt-pay requirements, and applicable dispute resolution processes relevant to scope of role.
- Demonstrated track record of driving measurable financial recovery and operational performance improvement.
- Excellent leadership, communication, and cross-functional collaboration skills.
- Relevant industry certifications (e.g., CRCR, CHFP, CPC, or similar) a plus.
The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.
This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, paid holidays, 401k, and a generous PTO policy.
Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, UT, VA, WI, WV
