Commure

Senior Operations Manager, Denials

Commure

full-time

Posted on:

Origin:  • 🇺🇸 United States • California

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Salary

💰 $120,000 - $150,000 per year

Job Level

Senior

Tech Stack

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

Requirements

  • 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