Lien Resolution Strategist

Overview

This senior-level role supports the organization’s Single Event medical lien resolution work. You will own a caseload of Single Event medical lien files from intake through final resolution, set negotiation strategy, resolve complex liens across Medicare, Medicaid, ERISA, and provider claims, and collaborate with internal teams to deliver a high-touch customer experience.

You will also help test new approaches, build playbooks, and refine workflows and tools used for Single Event lien resolution.

Responsibilities

Lien Resolution & Negotiation

• Own a caseload of Single Event medical lien files for a select group of customers, from intake through final resolution, across lien types including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, hospital and provider liens, and VA/TRICARE.
• Set negotiation strategy and settlement targets on assigned files independently, including deciding when leadership review is needed.
• Approve settlement terms within defined authority limits.
• Analyze lien details and supporting documentation (medical records, billing, insurance information, plan language) to identify the strongest path to reduction.
• Negotiate lien reductions with healthcare providers, insurers, and government payers, including disputes, appeals, and waiver or compromise requests where applicable.
• Communicate directly with customers from intake through resolution:
  • Confirm case details and settlement nuances early
  • Advise on lien strategy and its impact on the settlement
  • Walk customers through complex positions and outcomes
• Maintain quality and accuracy of each file throughout its lifecycle.

Customer Experience & Collaboration

• Partner with Customer Success to co-own the customer relationship, including regular touch-base calls, so customers have clear visibility into their files and a high-touch experience.
• Help build customer update steps into workflows so customers understand case updates.
• Work closely with Agency Management by applying agreed standards and procedures in daily work with agencies and lienholders, and flag what is working or needs adjustment.
• Partner with the medical review team to define how medical review is used in Single Event lien resolution and help build it into workflows.
• Test new R&D initiatives on live files before broader rollout and share feedback on results.
• Decide which file steps to keep versus delegate to support team members, and coordinate that work.

Process & Workflow Development

• Partner with the Sr. Director, Product, and Development teams to design and refine workflows for each medical lien type.
• Pilot new workflows and approaches on live files (negotiation tactics, sequencing, documentation standards) and report on results so effective methods can be shared across Single Event lien resolution.
• Own and maintain playbooks for assigned lien types, refining them as approaches are tested so they can be used as Single Event lien resolution scales.
• Help set productivity and capacity benchmarks for the team.
• Provide hands-on feedback on portal features and automated workflows so technology aligns with how the work is performed.

Requirements

• 5+ years of experience in medical lien resolution or subrogation, with direct negotiation of medical liens.
• Hands-on experience across multiple lien types, including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, and hospital and provider liens.
• Working knowledge of the rules behind each lien type, including:
  • Medicare Secondary Payer Act
  • ERISA plan language and preemption
  • State lien statutes and reduction doctrines (e.g., made-whole, common fund)
• Strong negotiation skills, including a record of securing meaningful reductions from providers, insurers, and government payers, including on disputed or high-value liens.
• Track record of independently resolving complex files, including multiple liens, disputed amounts, appeals, and waiver or compromise requests.
• Customer-first mindset, with proactive communication, responsiveness, and reliability through resolution.
• Clear, confident communication in writing and in conversation, including advising attorneys on lien strategy and how liens affect settlement outcomes in plain terms.
• Sharp attention to detail, including identifying errors in billing, records, and plan language that affect outcomes.
• Experience improving how work gets done (e.g., writing procedures or playbooks, piloting new approaches, or helping implement a new system) and the ability to explain reasoning clearly enough to document, teach, and incorporate into tools.
• Comfort working on a small, collaborative team where processes are still being defined and you can test and adjust as you learn.
• Bachelor’s degree in a related field or equivalent work experience.

Preferred Qualifications

• Senior-level experience in lien resolution with demonstrated influence over workflows and standards.

Compensation & Benefits

• Base salary range: $66,000 - $90,000 annually
• Opportunity for a quarterly discretionary bonus
• Final compensation will be determined based on skills and experience.

Benefits include:

• Private Health Care Plan (Medical, Dental & Vision)
• Company HSA contributions for HDHP participants
• Flexible Spending Accounts (Health & Dependent Care)
• Company-Paid Short-Term Disability Coverage
• Voluntary Long-Term Disability, Life, AD&D, and Supplemental Coverage Options
• 401(k) Plan with Company Match
• Paid Time Off (Vacation, Sick Time & 10 paid Holidays)
• Parental Leave

Work Authorization

Applicants must be authorized to work in the United States without the need for employer-sponsored visa support now or in the future.