Why work at Concerto? What is in it for you?
- Clinical/Corporate Career Advancement
- Medical, dental, vision, short- and long-term disability benefits
- 401k match of 50% up to 6% of salary
- Employer Paid Employee Assistance Program
Who Are We?
Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.
Why is this Role Essential?
The Manager, Insurance Strategy plays a critical role in ensuring patients receive the coverage they need while maximizing reimbursement and supporting the organization's financial health. This position develops and leads enterprise-wide insurance strategies that improve patient coverage, reduce revenue leakage and bad debt, standardize insurance processes, and create scalable solutions that support Concerto's continued national growth.
What Will You Do?
- Insurance Strategy & Revenue Optimization
- Develop and implement enterprise-wide insurance strategies that improve patient coverage, reimbursement, and revenue cycle performance.
- Identify opportunities to reduce reimbursement leakage, improve collections, and minimize insurance-related bad debt.
- Analyze insurance trends and performance metrics to recommend strategic improvements.
- Partner with Finance, Billing, and Operations to improve financial outcomes and reimbursement performance.
- Coverage Optimization
- Design and implement programs that maximize patient insurance coverage and identify uninsured or underinsured patients.
- Develop standardized insurance verification, eligibility, and coverage monitoring processes.
- Improve workflows related to Medicare, Medicaid, dual eligibility, supplemental insurance, and other coverage opportunities.
- Ensure insurance changes are identified and communicated to support accurate billing and reimbursement.
- Operational Excellence
- Standardize insurance policies, SOPs, workflows, KPIs, dashboards, and quality assurance practices across all markets.
- Serve as the primary escalation point for complex insurance, eligibility, authorization, and payor issues.
- Develop scalable processes that support organizational growth, acquisitions, and continuous operational improvement.
- Cross-Functional Collaboration
- Partner with Clinical Leadership, Intake, Finance, Billing, Operations, and skilled nursing facility partners to improve insurance processes.
- Collaborate with patients, families, facility personnel, and external stakeholders on complex insurance matters when needed.
- Support documentation and compliance initiatives that strengthen reimbursement and audit readiness.
- Leadership & Program Development
- Build the infrastructure for a scalable Insurance Strategy function.
- Develop training materials, best practices, and standardized documentation.
- Assist with recruiting, onboarding, mentoring, and leading future Insurance Strategy team members as the department grows.
You Might Be a Fit If You are...
- A strategic thinker who enjoys solving complex insurance and reimbursement challenges.
- Passionate about improving patient access to care through insurance optimization.
- Highly collaborative, analytical, and process-driven.
- Comfortable leading initiatives, influencing stakeholders, and driving organizational change in a fast-paced environment.
What's Required?
- Bachelor's degree preferred.
- 5+ years of experience in healthcare insurance, revenue cycle, patient access, dialysis reimbursement, or payor strategy.
- Strong knowledge of Medicare, Medicaid, Medicare Advantage, commercial insurance, ESRD reimbursement, and coordination of benefits.
- Experience developing cross-functional processes, analyzing data, and improving financial performance.
- Excellent communication, organization, and problem-solving skills.
- Experience supporting multi-state healthcare operations and leading projects preferred.
Reports to: Executive VP & General Counsel
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.