VP, Insurance Clearinghouse Services

Vice President of Clearinghouse Services is responsible for defining and executing the strategic vision for FinThrive’s clearinghouse operations, ensuring seamless transaction processing, payer connectivity, and vendor management across a global team.

Requirements

• Drive the strategic vision and business plan for FinThrive’s clearinghouse services, ensuring alignment with corporate objectives and customer needs.
• Lead global clearinghouse operations across production, payer support, insurance clearinghouse (ICH) support, and payer relations, delivering reliable and scalable transaction processing.
• Establish and expand direct payer connections and trading partner relationships to enhance network reach and reduce dependency on intermediaries.
• Negotiate contracts and volume-based pricing with payers and vendors to optimize cost structures and improve financial performance.
• Manage trading partner traffic to optimize volumes, revenue and cost
• Ensure compliance with HIPAA, CMS, and other regulatory requirements, maintaining audit readiness and implementing risk mitigation strategies.
• Monitor transaction volumes, payer rates, and vendor costs, using KPIs to drive operational efficiency and continuous improvement.
• Oversee technology modernization initiatives, including EDI/API connectivity, automation, and digital transformation to improve clearinghouse capabilities and efficiency.
• Represent FinThrive at healthcare industry events and association meetings to deepen payer relationships and develop new opportunities
• Develop and mentor a high-performing global team of professionals, fostering a culture of accountability, innovation, and customer-centricity.

Benefits

• Award-winning Culture of Customer-centricity and Reliability
• Perks and Benefits