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Manager, Payment Variance

Job in Alameda, Alameda County, California, 94502, USA
Listing for: Aspirion
Full Time position
Listed on 2026-08-22
Job specializations:
  • Management
    Operations Management, Healthcare Management, Change Management
Job Description & How to Apply Below

About Aspirion

At Aspirion, our mission is simple and meaningful and its to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced technology and AI, we are helping make healthcare more affordable and accessible for everyone.

For more than two decades, Aspirion has been a market leader in revenue cycle services, specializing in some of the most complex and high impact areas of reimbursement. From challenging denials and zero balance reviews to aged accounts receivable, motor vehicle accident claims, workers' compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve and deliver real results for our clients.

At the heart of that success is our team. Our teammates are the foundation of everything we do. With more than?1,400?individuals across the organization, we are united by a shared commitment to delivering exceptional outcomes and creating meaningful impact for the hospitals and health systems we serve.

We are building a results driven environment where high performance, collaboration, and continuous growth are expected and supported. The people who thrive here bring a growth mindset, stay open to new technology, and collaborate across teams to solve problems. You will have the opportunity to work alongside a talented and driven team, engage with innovative technology, and play a direct role in solving complex challenges that matter.

Joining Aspirion means more than taking a job. It means being part of a team that is shaping the future of healthcare operations while making a measurable difference for providers and patients alike.

About the Role

The Manager is accountable for the day-to-day performance of a team within leads operations focused on analyzing, auditing, and recovering underpayments from No Surprises Act eligible claims. They ensure healthcare organizations capture maximum legitimate reimbursement thru eligible NSA claims and ensuring timelines and appropriateness for Open Negotiations and Independent Dispute Regulations (IDR) are met. Operating at the frontline of execution, the Manager translates operational priorities into daily action-driving productivity, quality, and throughput while reinforcing accountability, consistency, and adherence to standard processes.

Impact you will make?

  • Deliver consistent team-level performance across throughput, cycle time, quality, and productivity
  • Ensure work is executed with clear ownership, prioritization, and adherence to defined workflows
  • Reinforce accountability and performance consistency across team members
  • Identify and address performance gaps, inefficiencies, and workflow breakdowns within the team
  • Support adoption of tools, processes, and standard ways of working

What you will do

Team Performance Ownership

  • Own and drive team performance, ensuring achievement of key KPIs including throughput, productivity, quality, and cycle time
  • Monitor daily performance and take action to address gaps, trends, or inconsistencies
  • Own client relationships in collaboration with client success, provide operational perspective to client questions to drive success, advocacy surrounding targets and ability to create revenue forecasts

Workflow Execution

  • Manage day-to-day workflow execution, ensuring work is properly prioritized, assigned, and progressing
  • Ensure adherence to defined processes, payer guidelines, and quality standards

Coaching & Development

  • Coach and develop supervisors to improve performance, productivity, and quality
  • Provide ongoing feedback, conduct performance discussions, and reinforce accountability

Accountability & Execution Discipline

  • Ensure all work has clear ownership and is completed within expected time frames
  • Reinforce consistency in execution, minimizing variability across team members

Issue Identification & Escalation

  • Identify workflow issues, delays, or bottlenecks and escalate as needed
  • Partner with leadership to support timely resolution

Change Adoption

  • Support implementation of new tools, processes, and workflow changes
  • Reinforce team adherence to updated systems and workflows

What you will bring

  • Strong people…
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