Senior Manager, Lien Negotiation

EvenUp

. Build and run the lien negotiation function .

Posted 10/6/2026full-timeRemote • United StatesSenior💰 $129,000 - $152,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in lien negotiation, subrogation, and settlement strategies, with a strong focus on compliance with Medicare and Medicaid regulations. Proven ability to lead teams, manage complex negotiations, and drive measurable outcomes in a high-volume personal injury environment.

Highest-signal resume keywords

Lien ResolutionTeam LeadershipNegotiation SkillsMedicare/Medicaid ComplianceCase Management Software

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Lien NegotiationSubrogation ClaimsMedical BillingCPT/ICD CodingData AnalysisPerformance Metrics TrackingReduction Strategy DevelopmentSettlement EvaluationEscalation ProtocolsInventory Management

Soft Skills

Analytical SkillsCommunication SkillsRelationship BuildingPersuasive NegotiationSound Judgment

Tools & Technologies

Case Management SoftwareExcelReporting Tools

Certifications & Qualifications

JDParalegal Certification

Industry Keywords

Personal InjuryPlaintiff-Side EnvironmentERISAHealth Insurer ClaimsMedPayPre-Settlement FundingState Lien LawsTrust AccountingPIP StatutesCommon-Fund Doctrines

About the role

Key responsibilities & impact

Build and run the lien negotiation function
Identify, validate, negotiate, and resolve medical liens and subrogation claims
Lead a team of lien negotiators and set strategy for high-value and complex liens
Negotiate reductions on medical provider liens, letters of protection, hospital liens, health insurer and ERISA plan reimbursement claims, Medicare, Medicaid, MedPay, and pre-settlement funding loans
Develop reduction strategies based on lien type, governing law, case value, policy limits, and procurement-cost principles
Obtain final amounts on general liens such as child support liens
Personally handle high-dollar, contested, or escalated lien matters
Partner with attorneys on lien exposure, settlement evaluation, demands, and mediation strategy
Hire, train, manage, and mentor lien negotiators and support staff
Set performance goals and track reduction, savings, cycle-time, and inventory metrics
Build standardized workflows, scripts, templates, and escalation protocols
Oversee lien identification and verification, including itemized bills, lien notices, ERISA plan documents, and conditional payment letters
Flag and obtain potential missing liens
Ensure compliance with Medicare Secondary Payer rules, Medicaid recovery statutes, state hospital lien laws, ethics, and trust accounting requirements
Work with finance on settlement statements, lien holds, and timely disbursement
Maintain documentation of negotiations, agreements, and final payoff confirmations
Build relationships with medical providers, lien-purchasing companies, health plans, third-party recovery vendors, and government agencies
Evaluate and manage outside lien resolution vendors
Report department performance, trends, and risk to firm leadership
Maintain lien data in the case management system and drive best-practice adoption
Identify automation and process-improvement opportunities

Requirements

What you’ll need

7+ years of experience in lien resolution, subrogation, or settlement negotiation, preferably in a personal injury or plaintiff-side environment
3+ years of experience managing or leading a team
Demonstrated record of securing significant lien reductions across multiple lien types
Working knowledge of Medicare/Medicaid recovery, ERISA (self-funded vs. fully insured plans), and state lien and made-whole/common-fund doctrines
Strong negotiation, analytical, and communication skills
Proficiency with case management software and Excel or comparable reporting tools
JD, paralegal certification, or equivalent legal training preferred
Experience in a high-volume PI firm or lien resolution company preferred
Familiarity with medical billing, CPT/ICD coding, PIP statutes, and reasonable-value analysis preferred
Experience building or scaling a lien department preferred
Persuasive, relationship-driven negotiation
Sound judgment on risk and compliance
Ability to manage a large inventory and meet deadlines
Data-oriented approach focused on measurable client outcomes
Collaborative approach with attorneys and staff
Experience managing employees in a remote setting is solicited in the application form
Experience working in the personal injury industry is solicited in the application form

Benefits

Comp & perks

Choice of medical, dental, and vision insurance plans for you and your family
Additional insurance coverage options for life, accident, or critical illness
Flexible paid time off
Sick leave
Short-term and long-term disability
10 US observed holidays
Canadian statutory holidays by province
A home office stipend
401(k) for US-based employees
RRSP for Canada-based employees
Paid parental leave
A local in-person meet-up program
Hubs in San Francisco and Toronto
Equity