Associate Director Field Reimbursement at ViiV Healthcare focusing on HIV access issues in Oklahoma and Arkansas. Collaborating with healthcare providers to educate and navigate reimbursement complexities.
About the role
- Healthcare Engagement Director managing client relationships and overseeing offshore delivery in healthcare managed services. Responsible for retaining a $5–10M portfolio with direct accountability for service performance.
Responsibilities
- Serve as primary executive contact for client operations and finance leadership.
- Lead governance forums (QBRs, SLA reviews, steering committees).
- Own renewal strategy, retention planning, and account expansion.
- Identify and convert upsell and cross-sell opportunities.
- Manage scope, change orders, and commercial risk.
- Govern offshore performance against SLAs, KPIs, quality, and productivity targets.
- Monitor workforce utilization, service stability, and backlog management.
- Drive issue resolution, root cause analysis, and corrective action planning.
- Ensure compliance with healthcare regulatory and contractual requirements.
- Own engagement margin performance and revenue tracking.
- Align staffing models with volume forecasts and contractual assumptions.
- Protect profitability through disciplined scope management and efficiency initiatives.
- Drive automation, process optimization, and scalable delivery models.
Requirements
- 8+ years of experience in healthcare operations, managed services, BPO, or revenue cycle/health plan administration.
- Experience managing a $5–10M managed services portfolio with accountability for retention and renewals.
- Proven leadership of multi-year healthcare operations engagements.
- Deep understanding of payer and/or provider administrative functions (claims, enrollment, utilization management, revenue cycle, care management admin, F&A).
- Experience leading onshore and offshore or global delivery models.
- Strong executive presence with financial and commercial acumen.
- Knowledge of healthcare regulatory frameworks (HIPAA, CMS, state Medicaid, etc.).
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work hours
- Professional development opportunities
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Associate Director position addressing post - prescribing access barriers in healthcare for HIV. Role involves educating healthcare providers and resolving complex reimbursement issues.
Associate Director managing Health and Risk Solutions experience strategy at Sun Life. Responsible for client satisfaction, engagement, and digital capability implementation.
Clinical Development Director leading oncology clinical development efforts at GSK. Overseeing studies from early phase to regulatory approval in a collaborative environment.
Statistician leading statistical strategy for oncology studies at GSK. Partnering with project teams, applying innovative methods to influence clinical development decisions.
Device Lead overseeing technical interface between suppliers and GSK MSAT site teams. Responsible for managing drug delivery device technology and compliance throughout the manufacturing process.
Associate Director for Field Reimbursement at ViiV Healthcare, addressing HIV patient access barriers in healthcare systems. Engage with healthcare providers to enhance understanding of reimbursement processes and streamline access.
Senior Director leading strategic initiatives in oncology science integration for GSK. Bridging research with actionable advancements to enhance patient outcomes and drive efficiency.
Director of Partnership Development for a global sports marketing agency. Focused on driving growth through partnership and sponsorship - led opportunities while negotiating significant partnerships.
Director managing Worldwide Commercialization Skills for Bristol Myers Squibb. Leading strategy alignment with AI - enabled commercialization model across various sectors.