Recovery Operations Specialist

Job description

**Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed capital.** We invest in lower middle market healthcare companies where we see the potential to scale purpose and performance. Our investments span control and minority positions in businesses with enterprise values between $10 million and $100 million. What sets us apart is the **Council Model**—a proven framework that surrounds founders and leadership teams with a powerful combination of support: our **CEO Council** of seasoned operators, our **Strategic Healthcare Investors** who bring real-world insight and access, and our internal **Value Creation Team**, focused on enabling growth through talent, systems, and strategy. At Council Capital, we’re not just backing companies—we’re helping build enduring businesses that improve lives and shape the future of healthcare. **About Alivia** Alivia Analytics helps healthcare payers find and recover improper payments. Our payment integrity platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business, returning significant value to the clients we serve. We are scaling our service organization to keep pace with new client demand, and this role is part of that build-out. **The Role** This is the operational backbone of the recovery process. You will run client mailings and letter tracking, reconcile invoices, field provider communications, and coordinate appeals, keeping every cycle on schedule and every number tied out. You are the middleman between providers and the audit team, and the person clients rely on to be responsive and exact. It is a customer-facing, high-accuracy, high-responsiveness role. You will not manage anyone; you will manage process, deadlines, and relationships. The best people in this seat are unusually organized, calm under competing deadlines, and genuinely good with people. **What You Will Do** - Send 100% of client mailings on the agreed weekly (or prepay) schedule with zero missed cycles; log and tie all inbound letters to the system within 24 hours of receipt. - Create and reconcile monthly (or prepay-cadence) invoices to the client invoice at 100% accuracy, tracking every adjustment with zero unexplained variances (tick-and-tie to inventory). - Acknowledge 100% of provider inquiries (audits, records, discrepancies) within 24 hours, working to minimize provider abrasion. - Coordinate appeals: acknowledge to the provider within 24 hours, route to the correct audit team with zero misroutes, keep payer and provider informed, and meet 100% of fair-hearing deadlines. - Maintain 99% accuracy on all client-related work (client SLA standard is 98%). **What You Bring** - 2+ years of healthcare claims experience. - 2+ years working in Microsoft Office. - 1+ year in a customer-facing role. - Exceptional accuracy, responsiveness, and written and verbal communication. - U.S.-based with work authorization (no offshore; PH **Council Capital and our portfolio companies are committed to building high-performing teams by hiring the best talent—period.** We believe in putting the right people in the right seats, regardless of background, and we’re always looking for individuals who bring fresh thinking, grit, and a drive to make a difference. Thank you for considering a role with one of our companies. We’re excited to learn more about you.