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Vice President, Payment Variance

Aspirion
Alameda, CA Full Time
POSTED ON 1/8/2026
AVAILABLE BEFORE 2/6/2026
Description

For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.

At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.

We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.

We are seeking an organized and proven Vice President for our Payment Variance team. As a Vice President, you’ll apply your expertise in revenue cycle management, data analytics, and client and team member relationship management. This position will be responsible for managing the Payment Variance team at large, including direct management of the Payment Variance Management team. This role is accountable for the day-to-day operations of the service line and will spearhead the achievement of Aspirion initiatives and goals. This role will develop operational strategies that improve team contribution, support employee succession and enhance client success.

Key Responsibilities

  • Collaborates with the General Manager to develop and execute operational strategies that improve performance and support growth initiatives
  • Analyze trends, identify barriers, and recommend improvements to operational workflows and processes
  • Partner with senior management to develop and implement long-term strategic plans for the service line
  • Adapt to evolving client needs, timelines, and business goals
  • Partner with key stakeholders internally and externally, able to develop and maintain good working relationships
  • Support leadership through mentorship, feedback, and communication. Conducts regular 1:1’s with direct reports to discuss issues, concerns, and updates. Facilitates continuous improvement within the team.
  • Collaborates with the People Team to develop and implement key strategies for hiring and retaining high performance teams, implements People initiatives
  • Collaborates with the Product and AI Teams to develop, test and contribute to future product development.
  • Timecard review within Paylocity
  • Ensures that team members adhere to HIPAA compliance rules and regulations.
  • Performs additional duties as assigned

Requirements

  • Leads and motivates a team to achieve goals and objectives
  • Ability to establish and maintain cooperative working relationships with direct reports, colleagues, and clients
  • Efficient at handling and prioritizing multiple tasks and projects in a time-sensitive environment.
  • Perform effectively in environments with frequent workload changes and competing demands.
  • Problem solver with the ability to identify issues, provide feedback and create pathways forward
  • Understands reporting, dashboards, and KPIs to monitor and communicate progress.
  • Detail-oriented and organized
  • Self-directed and organized with superior analytical and problem-solving skills
  • Must have private and dedicated workspace that ensures confidentiality

Education And Experience

  • Bachelor's degree or an equivalent combination of education and experience required
  • Minimum of seven years zero balance recovery experience required
  • Minimum 5 years of leadership experience required
  • Experience in Healthcare Revenue Cycle, client services, and data analysis
  • Experience resolving employee relations issues.
  • Experience with direct client communication, including active participation in client conference calls and submission of client information requests.
  • Experienced knowledge of Excel, SQL and PowerBI
  • Professional interests that align with the company mission and with the healthcare industry

Benefits

At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.

The US base pay range for this position is $150.000.00 - $250,000.00 annually. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary and a competitive benefits package, a performance bonus is included that is tied to achieved results.

AAP/EEO Statement

Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free

Workplace Policy in effect that is strictly adhered to.

Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.

Salary : $250,000

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