Senior VP Workers' Comp & Motor Vehicle Accidents

Job Description

Client Summary:

Healthcare services company focused on helping organizations improve financial and operational performance
Provides technology-enabled solutions to manage complex administrative and reimbursement processes
Combines industry expertise, automation, and scalable workflows to improve efficiency and outcomes
Works with healthcare organizations nationwide to address operational challenges and optimize performance
Established organization with a strong reputation for delivering measurable client results

Position Responsibilities:

Define and execute the strategic vision, operating model, and growth roadmap for the WC and MVA service lines, aligned with business objectives.
Develop and execute strategies to increase revenue manage WC & MVA claims efficiently.
Analyze MVA trends and complex claim issues to identify root causes and implement corrective actions.
Provide executive oversight of operational performance, ensuring revenue targets, client outcomes, and efficiency goals are consistently achieved.
Partner with executive leadership to identify risks, opportunities, and trends impacting complex claims recovery and overall business performance.
Establish and monitor key performance indicators, ensuring visibility into performance drivers and accountability across all levels of the organization.
Lead long-term capacity planning, organizational design, and resource allocation to support scalability and profitable growth.
Drive standardization and optimization of processes, tools, and workflows across WC and MVA to improve consistency, quality, and efficiency.
Champion continuous improvement initiatives, leveraging data and insights to enhance performance and client outcomes.
Ensure compliance with all applicable regulatory, contractual, and HIPAA requirements across service lines.
Collaborate cross-functionally with Product, Technology, Finance, and Client Delivery to support innovation, system enhancements, and operational alignment.
Serve as an executive escalation point for complex client, operational, or performance issues, ensuring timely and effective resolution.
Oversee performance management, reporting, and operational governance across WC and MVA functions.
Develop and mentor senior leadership, including the Vice President and other people leaders, to build a strong and scalable leadership pipeline.
Drive a culture of accountability, performance, and continuous development across all levels of the organization.
Provide executive-level reporting and insights to senior leadership on performance, risks, and strategic initiatives.
Support business transformation initiatives, including process improvement, technology adoption, and AI enablement, in partnership with business leaders.
Maintain a strong knowledge of insurance billing and reimbursement procedures and regulations related to insurance billing and collections.
Maintain a current working knowledge of all related HIPAA regulations and ensures staff compliance to these requirements. This includes updating work processes, system capabilities, and policies and procedures as well as training staff on these requirements.
Other duties as required

Experience & Skills:
Required Experience and Qualifications:

Bachelor’s degree in healthcare administration, business, or a related field required; advanced degree (MBA or similar) preferred.
10–15 years of progressive experience in revenue cycle management, with at least 5+ years in senior leadership roles overseeing complex claims, including Workers’ Compensation and Motor Vehicle Accidents preferred.
Demonstrated success leading large, multi-layered operational teams and developing senior leaders in a highgrowth or performance-driven environment.
Proven ability to drive financial performance, including ownership of revenue targets, forecasting, and operational efficiency initiatives.
Experience working cross-functionally and influencing executive stakeholders in a client-facing or client support environment.
Experience in private equity-backed organizations and/or leading through M&A integrations preferred.
Deep knowledge of healthcare revenue cycle operations, including complex claims, payer behavior, provider contracts, and reimbursement methodologies.
Strong analytical and strategic thinking skills, with the ability to translate data into actionable business insights and decisions.
Demonstrated ability to lead large-scale operational, process improvement, or transformation initiatives.
Timely and regular attendance.
Equivalent combination of education and experience will be considered
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Compensation $225k

Paid Time Off & Paid Holidays
Medical, Dental, & Vision
HSA/FSA
401K Plan with Company Match
6 weeks of PTO
Company-Paid Life Insurance