Director, Health Plan Billing
: Job Details :

Thank you for considering Progyny!

The Director, Health Plan Billing reports to the Sr. Director, Finance Operations. You will play a pivotal role in optimizing our revenue cycle and cash flow processes. This position is critical to ensuring that our organization maximizes its financial performance and maintains efficient cash conversion. You will lead the charge in managing revenue cycle operations, streamlining cash collection processes, and driving strategic improvements across our financial systems. With a focus on leveraging your extensive healthcare experience, especially in insurance, TPAs, and health plans, you will guide a team of professionals to enhance our revenue management practices and ensure compliance with industry standards.

What you'll do

* Develop and implement a strategic plan to build out Progyny's health plan billing arm. This includes designing processes for efficient billing, enhancing payer relations, and ensuring comprehensive billing practices that meet the needs of our health plan partners.

* Oversee and optimize the revenue cycle processes, including billing, collections, and accounts receivable. Develop and implement strategies to improve cash flow and reduce days sales outstanding (DSO).

* Design and execute strategies to enhance cash conversion efficiency. Identify and address bottlenecks in the revenue cycle, ensuring timely and accurate cash collection.

* Analyze financial data and revenue trends to provide actionable insights and recommendations. Develop and maintain reports on revenue performance, cash flow, and key performance indicators (KPIs).

* Work closely with cross-functional teams including finance, operations, and IT to streamline processes and implement best practices.

* Act as a liaison between internal stakeholders and external partners such as insurance companies and Third-Party Administrators (TPAs) to drive revenue cycle improvements and ensure compliance with industry standards.

* Lead and mentor a team of revenue cycle professionals. Foster a culture of continuous improvement and professional development.

* Identify opportunities for process improvements and automation within the revenue cycle. Implement solutions to enhance efficiency and accuracy.

About you

* 10+ years of experience in health care claims processing/accounting/finance operations

* Bachelor's degree required

* Extensive experience in health insurance or carrier management roles, with a significant portion in a leadership capacity

* In-depth understanding of healthcare billing, coding, and reimbursement processes. Familiarity with regulatory requirements and industry standards related to revenue cycle management

* Proven ability to analyze complex financial data, develop strategic plans, and drive process improvements. Strong leadership and team management skills

* Advanced skills in Excel and financial modeling

* Excellent verbal and written communication skills with the ability to present complex information to stakeholders at all levels

* Strong analytical and problem-solving skills with a proactive approach to identifying and addressing revenue cycle challenges

* Ability to effectively synthesize problems and implement solutions in a fast-paced environment

* Exceptional interpersonal, communication, relationship building, organization, and time- management skills

About Progyny:

Progyny is a transformative fertility, family building and women's health benefits solution, trusted by the nation's leading employers, health plans and benefits purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.

Our benefits solution empowers patients with concierge support, coaching, education, and digital

tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.

Our mission is to empower healthier, supported journeys through transformative fertility, family building and women's health benefits.

Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com.

Our perks:

* Family friendly benefits: Paid family and parental leave-, fertility and family building benefits (including egg freezing, IVF, and adoption support), family care fund and Parents' Employee Resource Group

* Health, dental, vision and life insurance options for employees and family

* Free in-person, virtual and text-based mental health and wellness support

* Paid time off, including vacation, sick leave, personal days and summer flex time

* Company equity

* Bonus program

* 401(k) plan with company match

* Access to on-demand legal and financial advice

* Company social events

* Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC- based applicants is: $130,000 - $140,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.

Progyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.

If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to ...@progyny.com.

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