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Claims Operations Manager

2 weeks ago

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About this roleLead the management of large-scale claims operations to deliver exceptional service and drive innovation in the US healthcare industry.Key Responsibilities:Strategic Leadership: Manage end-to-end US Healthcare Claims Operations, oversee back-office claims functions, and lead automation and analytics-driven transformation initiatives.Client & Stakeholder Management: Act as the primary operations leader for client engagement, reviews, and performance governance.People Leadership: Lead a team of 800+ FTE across multiple locations, driving performance management, succession planning, training, and employee engagement.Governance & Compliance: Ensure adherence to HIPAA, ISO, and internal audit/compliance requirements.Ideal Candidate Profile:18-20+ 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.