Transforming the future of healthcare isn’t something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, we’re using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you’re ready to embrace your passion and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

The Edits Manager will have overall responsibility for managing the Edits Team who proactively monitor and manage payer edits for claims processed by the CHC Clearinghouse. This strategic leader will be responsible for closely partnering with other leaders in the organization to leverage process and technology to drive continual improvement in claims acceptance rates. Working with other leaders in Customer Operations, the Edits Manager will manage resource capacity, resource utilization, and coach and develop team members to drive efficient and effective results. This role will also be responsible for leadership engagement with customers to drive customer satisfaction both with our claims products as well as with the CHC Clearinghouse.

Responsibilities:

• Leads a large group of edits personnel.
• Manages the team’s performance, goals, policies and budget.
• Implements new technologies using formalized change management programs.
• Delegates assignments, analyzes recommendations, allocates resources and implements work improvement processes and quality management.
• Manages all aspects of group and its delivery to both internal and external customers.
• Overall responsibility for successful strategic planning and execution of tools and/or automation focused on providing process efficiencies and improved customer experience.
• Lead and manage team escalations while minimizing executive engagement.
• Manages staff development through team building, coaching, mentoring, formal evaluations, career counseling and salary reviews.
• Responsible for integrating staff recommendations and feedback into current and future processes.
• Develops strategy to enhance productivity, efficiency, and methodologies.
• Acts as management liaison with other groups within Change Healthcare Sales, Account Management, Business Operations, Support, Engineering, etc., to ensure they are fully informed of processes/requirements and appropriate service levels are in place.
• Serve as advocate to and strong collaborator with product management and R&D as the stakeholder representing the team’s interests in product/process changes.
• Additional projects, tasks, and responsibilities assigned as required.

Minimum Requirements:

• Familiarity with healthcare revenue cycle including claims processing.
• 5-7 years of experience in a leadership role required.
• Demonstrated operational leadership experience in a high-tech company.
• Experience in leading and mentoring teams, as well as working directly with customers.
• Ability to lead services operations, revenue cycle management, process improvement and change management for assigned team.
• Understanding of healthcare workflow.

Critical Skills:

• Strong change management experience.
• Strong leadership abilities and an aptitude for mentoring and coaching others.
• Staff empowerment and development.
• Strong interpersonal, communication, leadership, and organizational skills.
• Demonstrated track record of working will all levels of customer organizations.
• Proven ability to proactively devise and implement new processes or resources.
• Project sponsorship/customer relationship management.
• Knowledge of healthcare/hospital workflow.
• Leadership experience, preferably with large teams.
• Exceptional project/resource scheduling skills.
• Analytic and metrics-oriented thinking.
• Ability to hold team and others accountable to SLAs.
• Ability to collaborate with cross functional teams.
• Strategic thinking.
• Ability to lead through influence both internally and externally.
• Ability to absorb a broad range of information and create effective solutions.
• Basic understanding of EDI transactions

Additional Knowledge & Skills:

• Six Sigma or project management experience a plus.
• Claims and/or Clearinghouse experience a plus.

Education / Training:

• Bachelor’s degree in information technology, business or related field preferred.

Physical Requirements:

• Environment – Office environment, up to 60% travel required to provide on-site support.
• Physical Requirements – Sitting, standing, walking, and using keyboard.
• Travel up to 50%.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Commitment

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.