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Full-time
Posted 60d ago
~40 hrs/week
Remote in United States
Responsibilities
The Director of Clinical Denials oversees quality assurance, process improvement, and client satisfaction within the reimbursement cycle. This role involves managing supervisors, tracking production metrics, and partnering with leadership to ensure effective staff development and client reporting.
Requirements
Candidates must have at least five years of relevant work experience, including direct people management. Proficiency in Microsoft Office, particularly intermediate Excel skills, and strong knowledge of the Revenue Cycle Management industry are preferred.
Full job description
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
JOB SUMMARY: The Director of Clinical Denials focuses primarily on quality assurance, process improvement and client health and satisfaction. Ensure production and quality metrics are met for all clients, while ensuring positive staff morale and development.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. A Director of Clinical Denials may perform all or most of the primary duties listed below
Work closely with AVP to meet client expectations.
Partner with Managers & Supervisors to ensure that Team Member engagement, performance and development are top priority.
Partner with Managers & Supervisors to create and document best policies and guidelines for effective performance.
Partner with AVP on client engagement tasks, which include creating and presenting reporting packages.
Ensure production, quality and effective scores are accurately captured, tracked, and feedback is provided to Team Members in a clear and timely manner.
Oversee that team special projects are executed in a timely and effective manner to ensure quality for client health.
Guide and develop Supervisors in all aspects of Team Member performance management including developing effective action plans, addressing performance challenges in a positive and supportive manner.
Calibrate audit process to ensure quality check is maintained.
Communicate with management on team member performance/improvementopportunities.
Work closely with leadership to ensure best training practices are executed.
Other duties as assigned.
MINIMUM QUALIFICATIONS & REQUIREMENTS:
At least five years of relevant work experience, including direct people management
Strong knowledge of the Revenue Cycle Management industry preferred
Experience managing a remote hourly workforce preferred
Basic Outlook, Word and Power Point skills (ability to create emails, schedule meetings and prepare documents and presentations)
Intermediate Excel skills (knowledge of functions such as vlookup, sumif, countif, pivot tables, basic formulas)
Must possess excellent organizational, problem solving, critical thinking, conflict resolution and management skills
Ability to work both independently and with a team
Ability to actively listen and effectively express ideas verbally and in writing
Ability to plan, organize and distribute work assignments
Ability to train, mentor, lead, motivate and develop team members
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
CorroHealth is the leading provider of clinically led healthcare analytics and technology-driven solutions, dedicated to positively impacting the financial performance for physicians, hospitals, and health plans. With over 17,000 employees worldwide, CorroHealth offers integrated solutions, proven expertise, intelligent technology, and scalability to address needs across the entire revenue cycle. Our global presence extends over 10 locations, including the United States, India, and the United Kingdom, enhancing our ability to deliver exceptional service on a large scale. More information can be found at corrohealth.com
Offices: 6509 Windcrest Dr, Suite 165, Plano, Texas 75024, US · Tidel Park, 4th Floor, Elcot SEZ,, Aerodrome Post, Coimbatore 641014, IN · Gar Laxmi Infobahn, 12th Floor-Tower-2, Sy no.107(P), Kokapet Village, Hyderabad, Telangana 500075, IN · The Lords Building 7th Floor, Thiru Vi Ka Industrial Estate, Ekkatuthangal Guindy, Chennai 600032, IN
Revenue Cycle ManagementRevenue Integrityand Healthcare Data and AnalyticsFinanceDocument ManagementHealth CareFinTechAnalyticsFinancial Services
How much do Data & Analytics jobs in Plano, TX pay?
Based on 277 listings with disclosed salaries, most data & analytics jobs in Plano, TX pay between $70k–$203k per year. Individual offers vary with seniority, company size, and specialization.
How many Data & Analytics jobs are open in Plano, TX right now?
There are currently 784 open data & analytics positions in Plano, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Data & Analytics roles in Plano, TX?
Companies currently hiring include JPMorganChase, Samsung Electronics France, PepsiCo, Toyota Racing Development, NTT DATA North America, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Data & Analytics jobs in Plano, TX?
Yes — 224 of the 784 open data & analytics positions offer remote or hybrid work (49 remote, 175 hybrid).
How do I apply for Data & Analytics jobs in Plano, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.