Subrogation Service Onboard & Support Specialist

The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. We represent health plans nationwide, delivering innovative cost-containment solutions through a unique portfolio of service offerings. Our mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026. Meanwhile, from a regional perspective, The Boston Globe, Courier Journal, and Louisville Business First annually recognize our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work.

We are seeking a healthcare professional who understands carrier and payer operations and can translate that experience into stronger client onboarding, issue resolution, reporting, and recovery outcomes. Candidates with experience working for or supporting commercial health insurance carriers, payer organizations, Blue Cross Blue Shield plans, managed care organizations, or third-party administrators will be especially well positioned for this role.

The Opportunity:

As the Subrogation Onboarding & Support Specialist, you will serve as a subject matter resource for internal teams and client partners. You will apply practical knowledge of carrier and payer operations, claims administration, data feeds, eligibility, plan structures, and client governance to guide implementations and support established subrogation programs. You will manage onboarding workstreams, investigate operational concerns, build credible relationships, and help convert complex issues into clear, actionable solutions

Role and Responsibilities include the following. Other duties may be assigned.

Client Engagement & Onboarding

• Lead new subrogation client onboarding and implementation meetings, serving as a primary point of contact from discovery through go-live and post-launch stabilization.
• Build productive relationships with client stakeholders
• Use carrier- and payer-side experience to identify implementation risks, clarify business rules, and align recovery workflows with the client’s operating model.
• Investigate ongoing concerns with established clients, coordinate internal follow-up, and communicate resolution plans with clarity and credibility.

Reporting and Data Analysis

• Generate and deliver client-specific reports on a consistent and timely basis using a comprehensive suite of reporting tools.
• Monitor key performance indicators, investigate unexpected trends, and convert findings into recommendations for program enhancement
• Translate findings of program performance KPI analysis into actionable recommendations
• Leverage business knowledge to proactively identify problem spots

Process Improvement & Cross-Team Collaboration

• Drive cross-functional collaboration and clear communication to resolve issues, align stakeholders, and implement scalable solutions.
• Partner with internal and external teams to deliver upon process improvement and automation initiatives
• Manage and participate in projects that create measurable improvements in operations
• Handle miscellaneous client requests and strategic projects as assigned

Experience and Qualifications

Required

• 3+ years of experience in Subrogation, or a closely related healthcare claims role
• 3+ years of experience working for or directly supporting a health insurance carrier, payer organization, or Blue Cross Blue Shield plan
• Deep knowledge of subrogation business processes and claims lifecycles
• Advanced proficiency in Excel and demonstrated experience with Tableau, Power BI, or similar reporting tools
• Effective communication skills — you communicate clearly and credibly at all levels, from analysts to C-suite clients
• Experience leading or participating in client implementation projects from kickoff through go-live
• Complete understanding of privacy and confidentiality requirements (HIPAA)
• High School Diploma or equivalent; Bachelor's degree in a related field is a plus

Preferred

• Six Sigma training or certification
• Experience with database querying or data extraction tools
• Familiarity with client portal platforms

Working Conditions / Physical Demands

This role is primarily office-based with extended periods of computer work in a fast-paced environment. Standard office equipment is used throughout the workday.

This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, the company reserves the right to modify, add or remove duties and assign other duties as necessary.

External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed here) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.