AVP - Claims handling (US Healthcare)

1 week ago

Bengaluru India Selections HR Services Private Limited Full time

Job Description About the Role We are hiring an accomplished AVP 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 1020M. 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 - 1820+ years of experience in Healthcare BPM with 1012+ 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 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplished AVP – 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,...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplished AVP – 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,...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplished AVP – 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,...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the Role We are hiring an accomplished AVP – 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,...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplished AVP – 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,...

  • Avp - claims handling (us healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the RoleWe are hiring an accomplished AVP – 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,...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the Role We are hiring an accomplished AVP – 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...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the Role We are hiring an accomplished AVP – 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...

  • AVP - Claims handling (US Healthcare)

    1 week ago

    Bengaluru, India Selections HR Services Private Limited Full time

    About the Role We are hiring an accomplished AVP – 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...

  • Hiring For Healthcare Claims

    3 days ago

    Bengaluru, Karnataka, India Firstsource Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Hiring for US Health care Claims Adjudication AssociateNeed immediate joiners onlyJob Summary: We are looking for candidates with hands-on experience in healthcare claims adjudication. The ideal candidate should have a strong background in reviewing, analyzing, and processing medical and hospital claims with accuracy and compliance to organizational...