AVP - Claims handling (US Healthcare)

1 day ago

New Delhi, India Selections HR Services Private Limited Full time

About the Role We are hiring an accomplishedAVP – Claims Operations (US Healthcare)to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup. The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portfolio of USD 10–20M. This is a high-impact leadership role reporting into the senior operations leadership team. Key Responsibilities Strategic & Operational Leadership Lead end-to-end US Healthcare Claims Operations to industry-leading standards. Manage large-scale back-office claims functions including PI, SIU, Rework, Enrollment, Coding, Product Build, etc. Drive automation, RPA, analytics, and transformation initiatives. Manage P&L, budgets, revenue optimization, cost control, and workforce planning. Client & Stakeholder Management Act as the primary operations leader for client engagement, reviews, and performance governance. Present insights, solutions, and recommendations for business growth and value creation. People Leadership Lead a span of 800+ FTE across multiple locations. Drive performance management, succession planning, training, and employee engagement. Governance & Compliance Ensure adherence to HIPAA, ISO, and internal audit/compliance requirements. Own SLA delivery, quality metrics, audits, and performance scorecards. Ideal Candidate Profile 18–20+ years of experience in Healthcare BPM with10–12+ years in US Healthcare Claims Operations . Proven experience managing large delivery teams and multimillion-dollar portfolios. Strong domain knowledge of the claims lifecycle and payer operations. Demonstrated expertise in transformation, automation, and service delivery excellence. Strong communicator, influential leader, and solution-oriented thinker.

  • AVP - Claims handling (US Healthcare)

    1 day ago

    Delhi, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplishedAVP – Claims Operations (US Healthcare)to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup.The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation,...

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