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Interim Senior Director of Payment Operations

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Kirby Bates Associates

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Location:
United States

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Category:

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

Kirby Bates Associates is pleased to announce an exciting engagement opportunity for an Interim Senior Director of Payment Operations. As a nationally recognized healthcare leadership firm, we are seeking a strategic leader to oversee end-to-end provider payment management. The Interim Senior Director will be the primary architect of payment integrity, ensuring seamless recovery and reconciliation efforts to recoup funds for our clients. This is a critical role for an expert who thrives at the intersection of operational excellence and financial accuracy within the TPA space.

Job Responsibility:

  • Manage the full lifecycle of provider payments, including complex recovery and reconciliation workflows
  • Lead multidisciplinary teams to drive innovation and achieve high-performance results in payment processing
  • Ensure all processes align with healthcare regulations, payment integrity principles, and cost containment strategies
  • Oversee EDI standard processes (ANSI 835), client billing, and stop-loss systems
  • Direct recoupment processes and handle complex interest calculations, particularly for non-ERISA plans

Requirements:

  • Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field (Master’s degree preferred)
  • 10+ years of healthcare payment operations experience
  • Specific experience in the TPA space is essential, specifically with organizations that directly issue provider payments rather than routing through traditional carriers
  • Deep understanding of EDI standard processes (ANSI 835), remittance advice, stop-loss systems, and capitation payments
  • Proven track record of managing multidisciplinary teams and fostering a culture of innovation
  • Strong grasp of healthcare regulations and payment integrity/cost containment principles
What we offer:

Attractive compensation package including housing, transportation, and regular travel home

Additional Information:

Job Posted:
March 13, 2026

Work Type:
Hybrid work
Job Link Share:
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