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Insurance Benefits Manager
Indiana Hemophilia & Thrombosis Center, Inc.Insurance Benefits Manager at Innovative Hematology developing payer strategies and managing patient access. Collaborating across functions to enhance efficiency and improve patient-centered access models.
About the role
Key responsibilities & impact- Lead the development and evolution of a benefits and payer strategy that improves patient access, reduces delays, and supports long-term revenue cycle performance
- Partner with Revenue Cycle and Executive Leadership to assess current-state operations and design future-state workflows, aligning with broader transformation initiatives
- Utilize data and performance metrics to identify trends, inform decisions, and drive continuous improvement
- Evaluate payer performance and relationships, identifying opportunities for optimization, negotiation, and innovation
- Play a key role in shaping team structure, capabilities, and long-term function design as the organization evolves
- Lead and manage Insurance Benefits Specialists and Insurance Verification Specialists to ensure timely, accurate patient access to clinic and pharmacy services
- Oversee insurance eligibility, benefits investigation, and authorization processes to reduce delays in care
- Serve as the primary liaison with payers, brokers, and third-party administrators, managing relationships and resolving escalated access issues
- Establish and maintain workflows, performance standards, and quality controls for benefits and verification operations
- Analyze access and payer performance metrics to identify trends and drive process improvements
- Ensure compliance with payer requirements, regulatory standards, and organizational policies
Requirements
What you’ll need- Bachelor’s degree or equivalent combination of education and experience
- 5+ years of experience in insurance benefits, verification, patient access, or revenue cycle operations
- 2+ years of people management or team‑lead experience
- Demonstrated ability to create and analyze data and translate insights into action
- Experience working cross-functionally and influencing stakeholders
- Preferred: Experience in process improvement, payer strategy, or operational transformation
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisperformance metricsprocess improvementpayer strategyrevenue cycle operationsinsurance benefitsinsurance verificationauthorization processesworkflow designquality control
Soft Skills
leadershipteam managementcross-functional collaborationstakeholder influencecommunicationproblem-solvingrelationship managementstrategic thinkingdecision-makingcontinuous improvement
Certifications
Bachelor's degree