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Director Denials Management Jobs (NOW HIRING)

The Director, Denials AI serves as the primary bridge between Product, Analytics, Data, Operations ... Proven experience managing complex software implementations * Comfortable presenting to executives ...

$140 - $190/hr

The Director, Denials AI serves as the primary bridge between Product, Analytics, Data, Operations ... Proven experience managing complex software implementations * Comfortable presenting to executives ...

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...

Oversight and management of claims and denials management follow-up operations. Analyzes, plans and ... Collaborates closely with client managers and directors to ensure continuous open communication ...

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Director Denials Management information

See salary details

$83.5K

$126.9K

$178K

How much do director denials management jobs pay per year?

As of Sep 4, 2026, the average yearly pay for director denials management in the United States is $126,879.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What does a director denials management do?

A Director of Denials Management is responsible for overseeing the strategies and processes that address insurance claim denials in a healthcare organization. They lead teams to analyze denial trends, develop solutions to reduce future denials, and work closely with billing, coding, and clinical staff to ensure accurate claims submission and appeals. Their role is crucial in optimizing revenue cycle performance and ensuring the organization receives appropriate reimbursement for services provided.

What are the key skills and qualifications needed to thrive as a director denials management?

To thrive as a Director of Denials Management, you need in-depth knowledge of healthcare revenue cycle management, denial prevention strategies, and a relevant degree in healthcare administration or business. Experience with claims management systems, EHRs, and analytics tools such as Epic, Cerner, or similar platforms is typically required. Strong leadership, problem-solving, and communication skills help drive team performance and facilitate cross-departmental collaboration. These skills are crucial for minimizing denials, optimizing reimbursement, and ensuring financial health for healthcare organizations.

What are the primary challenges faced by a director denials management, and how can they address them effectively?

A Director of Denials Management often encounters challenges such as staying ahead of frequently changing payer regulations, identifying root causes of denials, and leading cross-departmental initiatives to improve claim approval rates. Success in this role requires strong analytical skills to interpret denial trends, effective communication to collaborate with clinical, coding, and billing teams, and the ability to implement process improvements. Addressing these challenges involves fostering a culture of accountability, providing ongoing staff education, and leveraging technology to streamline workflows and monitor performance metrics.

What is the difference between Director Denials Management vs Denials Management Specialist?

AspectDirector Denials ManagementDenials Management Specialist
CredentialsBachelor's degree, leadership experienceHigh school diploma or associate's, healthcare or insurance knowledge
Work EnvironmentManagement, strategic planning, team oversightOperational, claims review, denial resolution
Industry UsageHealthcare, insurance companies, hospital systemsHealthcare providers, insurance payers, billing departments
Search/Comparison IntentLeadership roles, strategic denial managementOperational roles, claims processing

While both roles focus on managing claim denials, the Director Denials Management oversees teams and strategies, whereas the Denials Management Specialist handles day-to-day claim review and resolution tasks.

More about Director Denials Management jobs

What cities are hiring for Director Denials Management jobs?

Cities with the most Director Denials Management job openings:

What are the most commonly searched types of Denials Management jobs?

The most popular types of Denials Management jobs are:

What states have the most Director Denials Management jobs?

States with the most job openings for Director Denials Management jobs include:

Infographic showing various Director Denials Management job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.

Director, Denials AI

Med-Metrix

Parsippany Troy Hills, NJ • On-site

$140 - $190/hr

Other

This job post has expired 2 days ago. Applications are no longer accepted.


Med-Metrix rating

6.9

Company rating: 6.9 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

288th of 500 rated business services


Job description

Posted Thursday, August 13, 2026 at 4:00 AM


Job Purpose

The Director, Denials AI is responsible for leading the successful implementation, adoption, optimization, and ongoing support of the Denials AI platform. The Director, Denials AI serves as the primary bridge between Product, Analytics, Data, Operations, Client Delivery, and Support teams to ensure that the platform continues to evolve while delivering measurable client outcomes.


Duties & Responsibilities

  • Serve as the business owner and primary advocate for the Denials AI Workflow platform

  • Lead implementation efforts for new Denials AI clients and existing client expansions

  • Oversee solution design, workflow configuration, testing, training, go-live, and stabilization activities

  • Ensure successful integration of client data, workflows, and operational processes into the platform

  • Drive implementation best practices, standards, templates, and governance

  • Identify implementation risks and proactively develop mitigation strategies

  • Establish scalable implementation methodologies to support continued growth

  • Partner with Product, Operations, and Engineering teams to define product vision, priorities, and roadmap

  • Gather feedback from implementations, operations teams, and clients to identify enhancement opportunities

  • Build, mentor, and lead a team of implementation consultants and solution analysts

  • Create a culture of accountability, innovation, ownership, and continuous learning

  • Establish performance metrics, implementation of KPIs, support SLAs, and operational dashboards

  • Drive continuous improvement initiatives across onboarding, support, and product adoption processes

  • Develop team capabilities in technical troubleshooting, workflow optimization, and client consulting

  • Act as the primary escalation point for complex implementation and support issues

  • Facilitate alignment between business requirements and technical execution

  • Ensure stakeholder transparency through executive reporting and regular status communications

  • Oversee post-go-live client support and transition to steady-state operations

  • Partner with support and development teams to resolve high-priority client concerns

  • Other duties as assigned

  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

  • Understand and comply with Information Security and HIPAA policies and procedures at all times

  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties


Qualifications

  • Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, Engineering, Data Analytics, or related field

  • 7+ years of experience in healthcare technology, software implementations, product management, or technical operations

  • 3+ years of experience leading and managing teams

  • 3+ years leading implementation, support, consulting, or product-focused teams

  • Experience as a Product Owner, Solution Owner, Technical Lead, or Implementation Leader

  • Proven experience managing complex software implementations

  • Comfortable presenting to executives, clients, and technical teams with the ability to communicate complex concepts clearly and effectively

  • Strong SQL skills with the ability to write complex queries, analyze datasets to validate implementation results

  • Knowledge of healthcare data transactions

  • Knowledge of AWS Cloud technologies, AI/ ML-enabled healthcare applications preferred

  • Proficiency in Microsoft Office Suite

  • Strong interpersonal skills, ability to communicate well at all levels of the organization

  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses

  • High level of integrity and dependability with a strong sense of urgency and results oriented

  • Excellent written and verbal communication skills required


Working Conditions

  • Willingness to work a flexible schedule and outside of normal business hours as needed

  • Occasional travel to client sites may be required

  • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes

  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear

  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress

  • Work Environment: The noise level in the work environment is usually minimal


Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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