United States onlyVice President of Clearinghouse Services is responsible for defining and executing the strategic vision for FinThrive’s clearinghouse operations, ensuring seamless transaction processing, payer connectivity, and vendor management across a global team. This role has a direct impact on operational efficiency, cost optimization, and customer satisfaction by expanding direct payer connections, negotiating favorable contracts, and driving technology innovation. As a key leader, the VP supports FinThrive’s corporate initiative to strengthen clearinghouse capabilities and reduce reliance on intermediaries, enabling the organization to deliver differentiated value, maintain compliance, and position itself as a leader in healthcare connectivity.
What you will do
Major Responsibilities/Activities:
- Drive the strategic vision and business plan for FinThrive’s clearinghouse services, ensuring alignment with corporate objectives and customer needs.
- Lead global clearinghouse operations across production, payer support, insurance clearinghouse (ICH) support, and payer relations, delivering reliable and scalable transaction processing.
- Establish and expand direct payer connections and trading partner relationships to enhance network reach and reduce dependency on intermediaries.
- Negotiate contracts and volume-based pricing with payers and vendors to optimize cost structures and improve financial performance.
- Manage trading partner traffic to optimize volumes, revenue and cost
- Ensure compliance with HIPAA, CMS, and other regulatory requirements, maintaining audit readiness and implementing risk mitigation strategies.
- Monitor transaction volumes, payer rates, and vendor costs, using KPIs to drive operational efficiency and continuous improvement.
- Oversee technology modernization initiatives, including EDI/API connectivity, automation, and digital transformation to improve clearinghouse capabilities and efficiency.
- Represent FinThrive at healthcare industry events and association meetings to deepen payer relationships and develop new opportunities
- Develop and mentor a high-performing global team of professionals, fostering a culture of accountability, innovation, and customer-centricity.
What you will bring
- Minimum 10 years of leadership experience in healthcare revenue cycle management (RCM), clearinghouse operations, or payer connectivity.
- Deep understanding of EDI/API transactions, payer connectivity, and clearinghouse technology platforms.
- Strong knowledge of HIPAA, CMS, HL7 and other regulatory requirements for healthcare data exchange.
- Demonstrated ability to negotiate contracts, manage vendor relationships, and optimize cost structures.
- Ability to develop and mentor global teams, foster innovation, and drive cultural transformation.
- Strong financial acumen with ability to forecast transaction volumes and monitor KPIs for operational efficiency.
- Up to 25% (travel could reach 1 out of every 4 weeks)
What we would like to see
- Track record of innovation in clearinghouse operations and customer experience improvement.
- Familiarity with payer contracting strategies and advanced reimbursement models.
- Experience working with large-scale clearinghouse platforms or healthcare technology companies.
- Proven success in building direct payer networks and reducing reliance on intermediaries.
- Strong executive presence and ability to influence at the C-suite level.
- Experience leading global teams and driving cultural transformation across regions.
- Exposure to data analytics tools for monitoring transaction performance and cost optimization.
- Background in API-based connectivity, automation, and digital transformation initiatives.
- Familiarity with print shop operations and transaction workflows.
- Bachelor’s degree or equivalent experience; Business, Healthcare Administration, or related field preferred.
About FinThrive FinThrive is advancing the healthcare economy. For the most recent information on FinThrive’s vision for healthcare revenue management visit finthrive.com/why-finthrive.
Award-winning Culture of Customer-centricity and Reliability At FinThrive we’re proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture.
Our Perks and Benefits FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.
FinThrive’s Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive’s core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive’s business practices; this includes becoming familiar with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
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FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations. © 2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or relat ed entities. RV092724TJO
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