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About the Role

We are seeking an experienced manager to lead our growing Claims Resolution function. This role requires strong management skills, familiarity with healthcare regulatory processes, and the ability to navigate complex regulatory requirements related to healthcare reimbursement, dispute resolution, and revenue cycle operations.

Responsibilities

• Manage daily operations of the Claims Resolution function, ensuring work is completed accurately, efficiently, and on schedule.
• Oversee team leads and team members, providing direction, accountability, coaching, and support.
• Develop and maintain workflows, reporting structures, and internal processes to support department growth.
• Monitor team performance and identify opportunities to improve productivity, quality, consistency, and regulatory compliance.
• Maintain a strong working knowledge of relevant healthcare regulations, rules, and procedural requirements across multiple jurisdictions.
• Understand the distinctions, overlap, and potential conflicts between different regulatory frameworks as they relate to healthcare claims and reimbursement disputes.
• Evaluate which procedural framework applies to a given claim or dispute, and ensure operational procedures reflect the correct process.
• Research jurisdiction-specific requirements as needed and translate findings into operational guidance, workflows, and training materials.
• Monitor relevant regulatory developments and assess their operational impact.
• Coordinate with senior leadership on department performance, staffing, workflow challenges, and strategic priorities.
• Partner with legal, compliance, and revenue cycle teams on complex or overlapping regulatory questions.

Requirements

• Proven managerial experience, preferably overseeing multiple team members or team leads.
• Ability to manage a fast-paced, high-volume department with strong attention to deadlines and detail.
• Strong research and analytical skills; ability to interpret and apply regulations and procedural requirements.
• Familiarity with regulatory frameworks affecting healthcare reimbursement, claims processing, and dispute resolution.
• Ability to translate regulatory concepts into clear operational procedures.
• Excellent communication, leadership, and organizational skills.
• Experience in dispute resolution, legal operations, healthcare compliance, health insurance, revenue cycle management, medical billing, or another regulated healthcare environment strongly preferred.
• Must be able to work a flexible schedule to coordinate with distributed team members across time zones, including some overlap with international team members and availability for leadership check-ins later in the workday, Eastern Time.

Skills

• Management
• Healthcare regulatory processes
• Regulatory requirements
• Healthcare reimbursement
• Dispute resolution
• Revenue cycle operations
• Research
• Interpretation of regulations
• Communication
• Leadership
• Organization
• Analytical skills

Experience Level

• Managerial experience

Salary/Compensations

• $100,000—$150,000 USD

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Employee assistance plan
• Paid family leave
• Short-term disability insurance
• Life insurance
• 401(k) plan with employer match
• Flexible spending accounts
• Employee discount program
• Employee referral program

About the Company

• At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions.
• We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.