At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.
The Insurance Benefits Manager will lead the strategy, design, and execution of insurance benefits and payer-related functions across clinic and pharmacy services. This role goes beyond day-to-day operations, serving as a key driver in shaping a forward-looking, scalable benefits and payer strategy aligned with organizational growth and patient access goals.
This leader will partner cross-functionally to evaluate current-state workflows, identify capability gaps, and build a more efficient, data-driven, and patient-centered access model.
Strategic Impact
- Lead the development and evolution of a benefits and payer strategy that improves patient access, reduces delays, and supports long-term revenue cycle performance
- Partner with Revenue Cycle and Executive Leadership to assess current-state operations and design future-state workflows, aligning with broader transformation initiatives
- Utilize data and performance metrics to identify trends, inform decisions, and drive continuous improvement
- Evaluate payer performance and relationships, identifying opportunities for optimization, negotiation, and innovation
- Play a key role in shaping team structure, capabilities, and long-term function design as the organization evolves
The Opportunity
- Lead and manage Insurance Benefits Specialists and Insurance Verification Specialists to ensure timely, accurate patient access to clinic and pharmacy services
- Oversee insurance eligibility, benefits investigation, and authorization processes to reduce delays in care
- Serve as the primary liaison with payers, brokers, and third-party administrators, managing relationships and resolving escalated access issues
- Establish and maintain workflows, performance standards, and quality controls for benefits and verification operations
- Analyze access and payer performance metrics to identify trends and drive process improvements
- Ensure compliance with payer requirements, regulatory standards, and organizational policies