Manager, Insurance Strategy

Manager, Insurance Strategy Fully Remote • Concerto Renal - Lincolnwood, IL 60712 Apply Overview Salary Range $120,000.00 - $150,000.00 Salary Apply Description Why work at Concerto? What is in it for you? Clinical/Corporate Career Advancement Medical, dental, vision, short- and long-term disability benefits Pet Insurance 401k match of 50% up to 6% of salary PTO Paid Holidays Discounts through Nectar 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. Qualifications 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.