No Surprises Act Dispute Resolution Manager Job at BillingNav, Philadelphia, PA

U3ZXQXdtdmExUmVMTmp0N0JweTdZTTBwaFE9PQ==
  • BillingNav
  • Philadelphia, PA

Job Description

Title: No Surprises Act Compliance & Dispute Resolution Manager

Location: United States (Remote)

Working Hours: Full-time, Monday to Friday

Compensation: $90,000 (USD)/year

Overview:

We’re hiring a professional to lead regulatory compliance and dispute resolution processes. This role plays a critical function in supporting our clients—primarily U.S. self-funded employers and health plans—through evolving billing regulations, particularly under the No Surprises Act.

This is a hands-on, high-responsibility role where you'll negotiate provider disputes, prepare arbitration submissions, and build scalable legal infrastructure as part of a fast-moving and mission-driven team.

Key Responsibilities:

  • Lead the resolution of U.S. healthcare payment disputes, including direct negotiation with medical providers and submission of formal arbitration cases.
  • Ensure client documentation and workflows are compliant with U.S. federal requirements (especially under the No Surprises Act).
  • Draft persuasive written arguments and compile supporting documentation for dispute resolution proceedings.
  • Collaborate closely with U.S.-based operations, product, and legal teams to refine internal processes and templates.
  • Monitor case outcomes and help evolve strategy and training resources based on real-world arbitration results.

Qualifications:

  • 2–6 years post-qualification experience in litigation, regulatory, insurance, or commercial law.
  • Strong written advocacy and negotiation skills.
  • Experience working under pressure with tight deadlines.
  • Interest in developing expertise in U.S. healthcare regulation (training provided).
  • Comfortable working independently in a remote, tech-enabled environment.

Bonus Points For:

  • Prior exposure to international dispute resolution or arbitration.
  • Experience with regulatory filings, compliance frameworks, or legal ops.
  • Background in managing legal workflows using technology or case tracking systems.

Job Tags

Full time, Remote job, Monday to Friday,

Similar Jobs

LHH

Executive Recruiter Job at LHH

 ...About the role LHH Recruitment Solutions, is a division of the Adecco Group; the worlds leading...  ...will participate in our best-in-class remote training program. The New Colleague...  ...home. What youll be doing As an Executive Recruiter, you will be a part of a dynamic... 

PTR Global

Software Engineer 4 - Contingent AI/ML ENG + PYTHON Job at PTR Global

 ...developing with Python ~ Python coding ~ Python/Machine Learning Preferred Skills: Experience in Java and/or SAS programming language Experience in using copilot and building custom solutions within copilot In this contingent resource assignment... 

Lenmar Consulting Inc

Entry Level Brokerage / Trading Operations Analysts Job at Lenmar Consulting Inc

 ...Lenmar Consulting is seeking several Entry-Level / Junior Operations Analysts to help us support our global Investment Banking Client out their Baltimore Division. We are seeking candidates for several divisions of the investment bank including Wealth Management, Trade... 

Medix™

Clinical Research Coordinator - 241457 Job at Medix™

 ...Job Title : Clinical Research Coordinator A physician-led specialty practice in the greater Pittsburgh area is seeking a strong, experienced CRC to join their small but passionate research team. This is an exciting chance to work across multiple studies and physicians... 

Grow Senior Care Marketing

SEO Marketing Assistant Job at Grow Senior Care Marketing

 ...assistant specialist position involves: Posting to Google Business Profiles Optimizing Google Business Profiles Keyword Research SEO Content Strategy SEO Optimizing Blog Posts On-Page SEO Optimization Collaborate with marketing professionals to produce copy...