Vice President, Payment Variance Services

Job Purpose The Vice President, Payment Variance Services will lead Med-Metrix’s Payment Variance Services division, providing executive oversight of all underpayment engagements. This executive owns P&L performance, operational excellence, staffing strategy, client outcomes, and growth of the service offering. The Vice President, Payment Variance Services will ensure optimal methodologies, reporting, technology usage, and process design to scale the division and deliver exceptional financial performance for clients.

Own P&L, revenue targets, margin optimization, forecasting, and financial reporting for the Payment Variance Services division
Lead a team of leaders, analysts, and billing/revenue cycle specialists supporting underpayment recovery, payment accuracy, and variance resolution
Establish staffing models, productivity standards, QA processes, and workflows to drive high performance
Develop, implement, and continuously refine best-in-class processes for payer variance identification, root-cause analysis, appeals, and recovery
Ensure the design and refinement of variance algorithms, workflows, reporting, and performance dashboards
Partner with technology teams to leverage automation, data tools, and intel to improve identification, prioritization, and throughput
Serve as the executive sponsor for all Payment Variance clients, providing strategic oversight, performance reviews, and issue escalation management
Ensure consistent delivery of high-quality analyses, appeal packages, reimbursement validations, and operational reporting
Support new client onboarding, including scope development, pricing structure, staffing ramp, and performance baselines
Sales Partnership & Growth Strategy
Identify opportunities to expand into new markets, service lines, and payer types (HB, PB, government, commercial)
Ensure alignment with Revenue Cycle Operations, Pricing, Underpayments, Coding, and Denials Management teams
Provide thought leadership and insights to support enterprise revenue cycle transformation initiatives
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
Bachelor’s degree required; Master’s degree or MBA preferred
~10+ years in hospital/physician revenue cycle operations, underpayment recovery, or payment variance analytics, with 5+ years leading operational teams
~ Strong understanding of payer reimbursement methodologies, contract interpretation, and payment variance root-cause analysis
~ Proven track record driving operational efficiency, process redesign, and team performance
~ Strong analytical skills and experience with data tools, reporting platforms, and revenue cycle technology
~ Proficiency in Microsoft Office Suite
~ Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
~ Gracious and welcoming personality for customer service interaction


Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
operate tools and other office equipment such as computer, computer peripherals and telephones; 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.
Remote working/work at home options are available for this role.