AVP - Claims handling (US Healthcare)
2 weeks ago
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 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 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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AVP - Claims handling (US Healthcare)
2 weeks ago
bangalore, India Selections HR Services Private Limited Full timeAbout 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,...
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AVP - Claims handling (US Healthcare)
2 weeks ago
Bangalore, India Selections HR Services Private Limited Full timeAbout 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...
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AVP - Claims handling (US Healthcare)
2 weeks ago
bangalore district, India Selections HR Services Private Limited Full timeAbout 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...
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AVP - Claims handling (US Healthcare)
2 weeks ago
Bangalore Division, India Selections HR Services Private Limited Full timeAbout 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...
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AS400 Developer – Healthcare
2 weeks ago
bangalore, India Onesmarter Inc Full timeJob Title: AS400 Developer – Healthcare & Claims ProcessingLocation: RemoteJob Type: Full-timeKey Responsibilities:Develop, maintain, and optimize AS400-based applications for healthcare claims processing.Ensure seamless integration of claims data with internal and external systems.Collaborate with cross-functional teams to understand business requirements...
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Claims Resolution Specialist
1 week ago
Bangalore, Karnataka, India Transworld Systems Full timeOverview Please Note English language proficiency is required for this role This is a full-time work from office role This requires a U S schedule - India Night shift Work Location This is a Work from Office position and location is Bangalore at Block 12B Pritech Park 3rd Floor SEZ Survey No 51-64 4 Bellandur Village Bldg 9A Rd Bengaluru -Karnataka 560103...
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Claims Specialist
4 weeks ago
bangalore, India Plum Full timeAbout Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so...
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AVP - Life Sciences & Healthcare Analytics
4 days ago
Bangalore, India Genpact Full timeReady to build the future with AI? At Genpact , we don’t just keep up with technology—we set the pace. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter,...
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US Healthcare RCM Professionals
3 weeks ago
bangalore, India LearnMedix Consultants Full timeJob Title: US Healthcare RCM Professionals (RCM & AR) Location: Lucknow, India (Work from Office) Salary: Up to 5LPA Working hours: 9:30pm to 6:30am Working days: 5 days per week Experience: Minimum 2 years Company: LearnMedix About Us: LearnMedix is a leading healthcare solutions provider committed to delivering top-notch revenue cycle management (RCM)...
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Claims Representative
2 days ago
Bangalore, Karnataka, India Cigna Full timeAbout UsAt CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection Responsible Growth is how we run our company and how we deliver for our clients teammates communities and shareholders every day One of the keys to driving Responsible Growth is being a great place to work for our teammates...
