Senior Operations Manager, Denials

Commure

full-time

Posted on: 9/4/2025

Location: California • 🇺🇸 United States

✨ AI Apply

💰 $120,000 - $150,000 per year

Senior

SQL

About the role

Lead Denials Management Strategy: oversee claims lifecycle post-submission to resolution, reduce denial trends and revenue loss
Drive Root Cause Analysis: investigate systemic issues behind rejections and denials and implement preventative solutions
Own Key Operational Metrics: manage throughput, denial rates, and other metrics for high-profile client accounts and use data to drive improvements
Build and Scale Processes: design repeatable, automated workflows and collaborate with product and engineering to define internal tooling requirements
Client Partnership: serve as subject matter expert for critical accounts; partner with account managers and clients to troubleshoot and implement operational improvements
Lead cross-functional efforts and be accountable for outcomes on high-priority business challenges

4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles
Experience in high-growth or tech-enabled healthcare environments (preferred)
Strong analytical skills; Excel required; SQL strongly preferred
Operational leadership experience managing cross-functional initiatives and improving process performance at scale
Systems thinker with ability to perform root-cause analysis and design preventative solutions
Ownership mindset and bias for action
Excellent communicator able to translate complexity into clarity for internal stakeholders and external clients
Willingness and ability to work on-site 5 days a week at Mountain View, CA HQ
Compliance with information security policies and willingness to attest upon hire and annually