Job Description

Job Description

Company Overview:

Healthcare Horizons™ is an industry-leading, solution-oriented healthcare audit and advisory firm, dedicated to protecting the financial health of our clients' benefit plans. As a trusted partner and strategic extension for employers, brokers, and payers, we combine proprietary methodologies and advanced algorithms with deep human expertise to identify complex issues often missed by automation. This integrated approach recovers overpayments, prevents future errors, and consistently delivers significant cost savings.

Powered by a hybrid of human-centric philosophy and leveraging cutting-edge technology, we're transforming healthcare benefits management to achieve financial integrity through proactive, root-cause resolution. We are focused on setting new industry standards and providing lasting value, actionable insights, and reliable benefits for all stakeholders, ultimately improving patient care and driving synergistic value across the healthcare ecosystem.

Position Overview:

The CEO will provide leadership and oversee all operations for Healthcare Horizons while partnering with the board of directors on strategy and business development. This executive will be responsible for ensuring that the cultural and quality foundations are not only maintained but are the focus of decisions, driving business growth, and ensuring operational performance can match that growth. The CEO is also tasked with driving responsible but aggressive technology development and positioning the company as a leader in the healthcare claims auditing industry. This position reports to the board of directors.

The ideal candidate will be a proven operations leader with the ability to scale our business while maintaining our reputation for delivering exceptional value to clients through rigorous claims auditing and benefits advising. They will have a passion for reducing healthcare costs and improving the healthcare system. This executive role offers the opportunity to make a significant impact in the healthcare claims auditing space and lead a growing company that is transforming how companies manage their healthcare spend.

Responsibilities:

• Cultivate a positive company culture focused on integrity, excellence, and continuous improvement
• Provide input to and execute the company's strategic vision and long-term business plans as outlined by the board of directors
• Provide input, help define, lead and motivate the executive team to achieve organizational goals and initiatives
• Oversee all aspects of business including operations, client services, auditing, data, technology, finance, marketing and human resources
• Bring and build relationships with key clients, partners, and industry stakeholders
• Ensure the company delivers high-quality auditing services that provide relevant data and significant cost savings for self-insured employer clients
• Oversee technology strategy, including productization of proprietary audit methodologies, data infrastructure, and responsible use of AI to enhance scalability and defensibility.
• Monitor industry trends and competitive landscape to identify growth opportunities
• Manage P&L and ensure strong financial performance

Qualifications:

• 15+ years of executive leadership experience, with experience in healthcare, insurance, or related industries
• Strong understanding of healthcare claims, billing, and reimbursement practices
• Strong business acumen and strategic planning skills
• Proven track record of driving revenue growth and profitability
• Experience leading teams and managing all aspects of business operations
• Excellent communication, relationship-building, and presentation skills
• Bachelor's degree required, MBA or advanced degree preferred
• Strong background in technology development and parallel human development
• Experience selling complex healthcare solutions to self-insured employers, brokers, consultants, or payers.

Location:

The position is a hybrid remote role with the flexibility to work from home. The incumbent would need to regularly travel to our company headquarters in Knoxville, TN. The ideal candidate would be located within driving distance or an easy flight to company headquarters.

Benefits:

• Competitive salary
• Bonus Plan
• Long-Term Incentive pay
• Comprehensive health and wellness benefits package
• Retirement savings plan
• Opportunities for professional development and advancement
• Positive and collaborative work environment

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