About the Role
Senior Operations Manager to lead strategic initiatives and own high-impact processes within the Business Operations team, specifically focused on denials management and claims optimization.
Key Responsibilities
Lead Denials Management Strategy by overseeing the claims lifecycle from post-submission to resolution and designing scalable solutions to reduce friction and revenue loss; Drive Root Cause Analysis to investigate systemic issues behind rejections and denials and implement preventative solutions; Own Key Operational Metrics by managing throughput, denial rates, and other metrics for high-profile client accounts; Build and Scale Processes by designing repeatable, automated workflows and collaborating with product and engineering to define requirements for internal tooling; and serve as a Client Partnership subject matter expert to partner with account managers and clients to troubleshoot issues and implement operational improvements.
Requirements
4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles; Strong analytical skills with the ability to independently perform data analysis (Excel required; SQL strongly preferred); Operational leadership experience with a track record of managing cross-functional initiatives and improving process performance at scale; Systems thinking ability; Ownership mindset; Excellent communication skills; and a bias for action.
Nice to Have
Experience in high-growth or tech-enabled healthcare environments.