Job Description
Dane Street Goverment Servcies is seeking a highly experienced and strategic Chief Operations Officer to lead our operational teams and be a key member of the Management Team. Dane Street ’s Government Services provides specialized, compliant solutions that support federal and state program needs with efficiency, accuracy, and integrity. Services include Independent Dispute Resolution (IDR), Acceptable Clinical Evidence (ACE) reviews, and Medical Disability Examinations (MDE), Dane Street partners with organizations to deliver clear outcomes that meet both operational and clinical standards. We serve as a trusted resource, bringing clarity, consistency, and confidence to complex review processes.This role is critical in ensuring the efficient and compliant operation of our IDR services, which addresses the reconciliation and adjudication of bills for air ambulance, excessive ER charges, and out-of-network hospital charges, as mandated by the No Surprises Act. The successful candidate will oversee all operational aspects, from workflow optimization to team management and strategic growth, in a dynamic and evolving regulatory landscape. Responsibilities: Program Leadership & Strategy: Lead the overall operations for all products, ensuring compliance with federal regulations and guidelines. Contribute to the strategic direction and identify opportunities for growth and efficiency through current products and future lines of business. Stay informed of any changes to the Government program and regulatory landscape, including updates from CMS, HHS, and DOJ. Operational Management & Workflow: Oversee the end-to-end workflow of IDR cases, from government portal intake to final determination. Optimize processes for case review, including the utilization of arbitrators and coders, to ensure timely and accurate determinations. Oversee the operational functions of MDE and ACE to ensure quality and production goals are met. Manage the integration and use of AccessDS for case tra
