Disputes Delivery Lead

Overview

This is an individual contributor role within the Provider Digital Operations Portal team that will oversee the planning, coordination, and implementation of enhancements to the provider dispute process within the Availity portal across all lines of business. The role partners with IT, operations, network teams, and Availity to drive improvements and enhance the provider experience.

• Gather business requirements.
• Manage cross‑functional initiatives and track project milestones.
• Support deployment activities and ensure changes are communicated to stakeholders and end users.
• Direct day‑to‑day complex business consulting operations to support organizational goals.
• Administer processes and assignments for research, data collection, analysis, and reporting.
• Handle files, reports, and financial records and maintain department record retention.
• Lead individuals to develop high‑degree customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate.
• Collaborate with clients and senior management regarding organizational goals.
• Advise the internal and external department point of contact for concise communication with employees, stakeholders, and members of senior management.
• Develop reports on current business trends and best practices, preparing analysis for senior management, stakeholders, and clients.
• Authorize processes for performance appraisals ensuring compliance and continuous improvement.
• Evaluate performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development.

• 5+ years of experience in healthcare operations, provider disputes, claims management, or process improvement leadership.
• Knowledge of provider dispute and appeals workflows, preferably across multiple lines of business.
• Experience managing cross‑functional projects involving business, operational, and technical stakeholders.
• Familiarity with provider portal platforms such as Availity.
• Familiarity with healthcare transaction standard processes.
• Strong analytical, communication, and organizational skills with the ability to manage multiple priorities, drive process enhancements, and support change management.
• Bachelor’s degree preferred; specialized training or relevant professional qualification is a plus.

The typical pay range for this role is $82,940.00 – $. The actual base salary will depend on experience, education, geography and other factors. The position is eligible for a bonus, commission or short‑term incentive program, and includes an equity award program target.

This full‑time position is eligible for a comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits will be provided during the application process.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.