AVP - Claims handling (US Healthcare)

16 hours ago


bangalore, 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, and manages a portfolio of USD 10–20M. This is a high-impact leadership role reporting into the senior operations leadership team.Key ResponsibilitiesStrategic & Operational LeadershipLead 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 ManagementAct as the primary operations leader for client engagement, reviews, and performance governance.Present insights, solutions, and recommendations for business growth and value creation.People LeadershipLead a span of 800+ FTE across multiple locations.Drive performance management, succession planning, training, and employee engagement.Governance & ComplianceEnsure adherence to HIPAA, ISO, and internal audit/compliance requirements.Own SLA delivery, quality metrics, audits, and performance scorecards.Ideal Candidate Profile18–20+ years of experience in Healthcare BPM with 10–12+ 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.



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