Healthcare Reimbursement & Operations Lead
Job Description
Job Description
Role Summary
- Help launch and manage a new healthcare reimbursement and operations pilot program.
- Own day-to-day execution of pilot cases from intake through resolution.
- Identify operational gaps, inefficiencies, and risk areas and proactively develop solutions.
Insurance & Reimbursement Expertise This is a hands-on pilot role for an experienced healthcare operations professional with deep knowledge of insurance claims and reimbursement workflows.
The Healthcare Reimbursement & Operations Lead will help design, test, and operationalize a new program that addresses complex reimbursement scenarios involving multiple stakeholders, coverage pathways, and non-traditional workflows. Early success in this role requires working cases directly, identifying friction points, and helping translate real-world execution into scalable processes.
This role is ideal for someone who understands insurance deeply, thrives in ambiguity, and wants ownership in building something from the ground up.
Key Responsibilities
Pilot Program Execution
- Serve as the subject-matter expert on insurance reimbursement workflows, including eligibility, coordination of benefits, denials, and appeals.
- Work directly with medical providers to resolve billing discrepancies, denials, and underpayments.
- Navigate reimbursement scenarios that fall outside standard claims workflows and require creative problem-solving.
Cross-Functional Collaboration
- Partner closely with internal operations, legal, finance, and case coordination teams.
- Act as a liaison between internal teams and external provider partners on reimbursement-related issues.
- Help educate and support internal stakeholders as the program evolves.
Process Design & Scalability
- Track outcomes, patterns, and bottlenecks across pilot cases.
- Document workflows, decision points, and best practices.
- Contribute to defining metrics and reporting to inform long-term scalability.
Systems & Documentation
- Maintain accurate case documentation and updates within internal systems.
- Identify opportunities for operational or systems improvements as volume increases.
Qualifications
Required
- 3+ years of experience in health insurance claims, revenue cycle management, or healthcare reimbursement
- Strong working knowledge of:
- Claims workflows
- Denials management and appeals
- Coordination of benefits
- Comfort working directly with provider billing teams and cross-functional partners
- Highly self-directed, organized, and comfortable prioritizing in evolving environments
- Strong written and verbal communication skills
Preferred
- Experience working in non-standard or high-complexity reimbursement environments
- Background in provider operations, MSOs, health plans, or RCM organizations
- Experience helping design or improve operational workflows
Company DescriptionMarrick is a growing medical access health care company providing healthcare solutions for patients who have been involved in collisions and are uninsured or under insured. Our services include coordination of timely medical care, access to local high-quality doctors and patient advocacy. Marrick has been recognized as one of the Best Workplaces in America by Inc. for 2021.
Company Description
Marrick is a growing medical access health care company providing healthcare solutions for patients who have been involved in collisions and are uninsured or under insured. Our services include coordination of timely medical care, access to local high-quality doctors and patient advocacy. Marrick has been recognized as one of the Best Workplaces in America by Inc. for 2021.