Senior Manager, Subrogation Service Onboard and Support

The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative cost-containment solutions through our unique service offerings. As a result of our most valuable resource, our talented and committed team, we continue to enjoy high levels of growth.

At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their dependents, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that has been named one of USA Today’s top workplaces for 2024. We believe that this distinction, which stems from the fourth-annual survey co-sponsored by Energage and USA Today, reflects our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees.

The Sr. Manager, Recovery Service Onboard & Support will act as the subject matter expert for assigned healthcare subrogation clients. You will also lead the implementation and subsequent relationship for identified subrogation clients while remaining focused on documentation and all-around efficient client specific processes. This role will play an integral part in the expansion of the subrogation recovery team.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Compile and maintain detailed new client terminology dictionaries
• Master Phia recovery processes to collaborate with other team members in developing specific processes for new clients
• Manage implementation of new plans for the organization
• Coordinate with technology teams on implementations of various plan types to include but not limited to HMOs, PPOs, ASOs, government programs and multi-line plans
• Create and maintain client specific electronic training documents
• Train recovery teams on client specific processes post implementation
• Develop and maintain relationships with clients as the subrogation subject matter expert contact to include on site client visits at regular intervals
• Provide industry leading customer service and account management to assigned clients
• Maintain a working knowledge of subrogation case law
• Have a working knowledge of all subrogation reporting
• Identify and implement process automation and efficiency for recovery teams
• Participate in onboarding of new technologies used in the recovery department

Experience and Qualifications

• 5 to 10 years of healthcare subrogation experience
• 3 to 5 years of account management experience
• Experience with new client onboarding
• Working knowledge of SharePoint and Smartsheet a plus
• Tableau experience preferred
• HIPPA awareness and compliance
• Extensive knowledge and understanding of the skills needed to perform excellent internal and external customer service
• High School Diploma or equivalent
• Excellent attention to detail with the ability to multi-task
• Advanced communication skills both verbal and written
• Mastery of Microsoft office suite of products (Excel, Work, etc.)
• Outstanding organizational, interpersonal, and presentation skills
• Must be self-motivated and able to meet multiple project deadlines
• Advanced understanding of multiple healthcare payor systems
• ICD-9/ICD-10 knowledge
• Willingness to obtain certifications as the business need arises

The Phia Group’s Commitment to Diversity

The Phia Group is committed to creating a diverse environment and we are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. The Phia Group is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Working Conditions / Physical Demands

Sitting at a workstation for prolonged periods of time. Extensive computer work. The workstation may be exposed to overhead fluorescent light