This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director Denial Management and Prevention (RN) based in United States.
This leadership role oversees denial prevention, recovery, and appeals operations across a multi-hospital healthcare system. The position combines clinical expertise, revenue cycle knowledge, analytics, and strategic leadership to reduce denials and improve reimbursement outcomes. You will partner with senior clinical and operational leaders to identify mitigation opportunities and implement sustainable improvements across hospital entities. The role provides strategic direction and clinical oversight for denial and appeal activities while using performance data and industry benchmarks to drive results. You will also collaborate with case management, managed care, compliance, reimbursement, and external business partners to address payer and regulatory challenges. A key focus will be developing standardized analytics, strengthening operational processes, and optimizing technology to improve efficiency. This is a fully remote, full-time leadership opportunity for an experienced RN with strong revenue cycle and denial management expertise.
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
#LI-CL1
Jobgether is an AI-powered career coach and matching platform fixing the broken job search. Remote professionals no longer waste hours applying blindly; instead, they receive a personalized job search strategy, stronger visibility, and curated matches aligned with their skills, flexibility preferences, and career goals.
We flip the hiring model by connecting talent only to roles that truly match, reducing noise for employers and eliminating wasted effort for candidates. Jobgether combines AI coaching, profile optimization, Match Score insights, and the world’s largest remote job database to help people land opportunities faster and with less bias.
Our purpose is to make remote job search guided and intentional.
Our mission is to become the world’s reference platform for remote talent, ensuring no professional remains invisible and every match is meaningful.
