Vytalize Health is seeking a Manager, Claims Payable to oversee all aspects of claims payments from CMS. This role ensures compliance, accuracy, and timely disbursement of claims while managing a team and supporting value-based care models.
About Vytalize Health
Vytalize Health is a rapidly growing organization helping providers succeed in value-based care. We combine innovative technology, patient-centered care models, and strong partnerships to improve outcomes, reduce costs, and transform the healthcare experience.
Schedule
- Full-time, Remote role
- Manage onshore and offshore teams across time zones
- Reports to the Finance department
What You’ll Do
- Lead the claims payables team to ensure accurate and efficient claims processing
- Oversee weekly system calls, data management, and roster setup in the Claims Processing System
- Ensure timely claim payments, even when system issues arise
- Collaborate with finance, contracting, and provider relations to align with value-based models
- Audit claims activities to ensure accuracy, compliance, and proper reimbursement
- Prepare performance reports and identify opportunities for workflow improvements
- Manage EDI enrollments, audit ACH payment info, and support provider education sessions
- Mentor and train staff, conduct evaluations, and foster a high-performance culture
What You Need
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (preferred)
- 5+ years of revenue cycle management experience
- 3+ years of management experience with direct reports (offshore team management a plus)
- Strong understanding of CMS claims processes, ACOs, MSSP, and value-based care programs
- Medical coding certification preferred (CPC, CPB, or RHIA)
- Excellent leadership, problem-solving, and communication skills
- Proficiency with Microsoft Office Suite
Benefits
- Competitive base salary plus annual bonus potential
- Health benefits effective on start date (100% coverage for base plan; up to 90% on others)
- Health & Wellness Program (up to $300 per quarter)
- 401(k) with 100% match up to 4% of salary (eligibility begins first of the month after start)
- Unlimited PTO plus 5 sick days after 90 days
- Company-paid Short & Long Term Disability
- Full technology setup
- Opportunity to help build a market leader in value-based healthcare
Join a mission-driven team transforming healthcare through value-based care.
Lead claims operations while shaping the future of healthcare at Vytalize.
Happy Hunting,
~Two Chicks…