Area Manager responsible for healthcare claims operations and service delivery excellence. Ensuring client engagement and overseeing audit lifecycle in the healthcare sector.
Responsibilities
Serve as the key liaison between POD Leader and Operations/Program Leaders to ensure alignment on client engagement, requirements, and escalation management.
Align POD-level goals with program objectives and the broader business strategy.
Partner with Program and POD Leaders for strategic planning, including forecasting performance, capacity planning, and staffing to meet revenue goals.
Collaborate across functions to ensure effective service delivery throughout the audit lifecycle—from data management and selections to recovery.
Review exceptions, analyze anomalies, and provide insights with appropriate narrative and resolution actions.
Maintain dual accountability with Program Leaders for client-facing communications and engagement.
Ensure timely and appropriate client communication alongside Program Leaders.
Drive technology initiatives to enhance operational efficiencies and work closely with Program Leaders on solutioning.
Conduct continuous 360-degree reviews of service delivery and identify improvement areas.
Present performance metrics, revenue trends, and risk assessments to senior management.
Requirements
Bachelor’s degree in any or related field; MBA or relevant advanced degree preferred.
Minimum of 10 years’ experience in US Healthcare and Payment Services LOB preferred.
5+ years of experience in operations management, preferably in audit lifecycle or service delivery domains.
Proven experience in strategic planning, client engagement, and cross-functional team leadership.
Strong analytical skills with proficiency in metrics tracking, reporting, and business intelligence tools.
Excellent communication skills with client-facing experience.
Ability to manage multiple stakeholders and complex escalations effectively.
Experience with compliance standards (HIPAA, CMS) and quality assurance.
Familiarity with digital transformation initiatives and technology-driven process improvements.
Benefits
Competitive salary
Opportunities for professional development
401(k) retirement plan
Job title
Area Manager – Claims Management, Medical Billing and Claims Processing
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