Senior Vice President, Denials

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 

Position Summary

The SVP, Denials is a strategic leadership role responsible for overseeing the growing denials product line within the organization. The SVP, Denials will ensure operational excellence, client satisfaction, and alignment with the company’s financial and strategic goals. This role requires exceptional leadership, analytical, and communication skills to drive process improvement, team performance, and both margin & revenue growth.

Key Responsibilities

• Develop and execute operational strategies to optimize performance across departments.
• Align departmental goals with company-wide objectives and key performance indicators (KPIs).
• Serve as a key advisor to the executive leadership team on operational matters.
• Identify and implement best practices to improve workflows, productivity, and service delivery.
• Partner with IT/Development to enhance platform to deliver efficient workflow and automation for suite of denial product offerings.
• Oversee the Denials line of business to obtain quantifiable results and set priorities for direct reports.
• Working with Strategy, collaborate on Denials expansion through inorganic growth focusing on product-related strategies that will drive market positioning and ensure smooth integratin of new products and denial-based business into existing organization.
• Play a key role in conducting diligence and integration planning & execution for all acquired denial entities.
• Leverage offshore operations to maximize margin while ensuring quality and compliance standards are maintained and workflows are seamlessly integration with onshore teams.  
• Utilize data-driven decision-making to enhance operational efficiency across departments.
• Build, mentor, and develop high-performing teams across departments.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Collaborate with clients to understand their needs and ensure satisfaction with operational services.
• Act as an escalation point for operational challenges impacting client relationships.
• Develop and manage departmental budgets to align with organizational goals.
• Other duties as required.

Requirements and Qualifications

• Bachelor’s Degree in Healthcare Administration, Business, or a related field.
• Minimum of 10 years’ of progressive leadership experience in revenue cycle management, with at least 5 years in a senior leadership role overseeing denials and/or complex claims.
• Proven experience overseeing diverse operational functions, including denials.
• Experience working with internal teams while serving in a client facing or client support role.
• Knowledge and understanding of financials, hospital revenue cycle process, ancillary and provider contract language and familiarity with healthcare and provider data sets.
• Regular and predictable attendance.
• Travel 0-20%; general office environment
• Equivalent combination of education and experience will be considered.
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Special Considerations and Prerequisites

• Practices and adheres to EnableComp’s Core Values, Vision and Mission.
• Exceptional leadership and team-building abilities.
• Analytical mindset with a focus on data-driven-decision-making efficiently.
• Has worked in a production environment and can lead a team to meet goals. 
• Excellent communication and presentation skills to interface with multiple internal stakeholders.
• Strong financial and business acumen with budget management experience.
• Proven success in obtaining quantifiable results from and setting priorities for direct reports. 
• Strong sense of urgency and executes on deliverables both thoughtfully and quickly.
• Organized and can handle multiple projects simultaneously.
• Health care experience and familiarity with payer or provider data sets.
• Ability to effectively set and manage multiple priorities among several teams. 
• Experience communicating obstacles & challenges and developing action plans.

EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.

EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.

 Don’t just take our word for it!  Hear what our people are saying:

“I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist

“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented an