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Senior Manager, Claims Operations
Devoted HealthSr. Manager, Claims Operations enhancing payment accuracy through complex problem-solving.
About the role
Key responsibilities & impact- Issue Identification: End-to-end review of claims lifecycle to identify issues and vulnerabilities contributing to payment inaccuracies.
- Systemic Problem Solving: Delve into the most complex operational challenges, untangling intricate root causes to resolve persistent accuracy issues.
- AI-Native Workflow Design: Design, build, and implement the next generation of policies and processes, leveraging AI agents and automation to improve the accuracy and consistency of claim payments.
- Cross-Functional Partnership: Partner with Product, Engineering, and Data teams to ensure operational needs inform the technical roadmap and bridge the gap between business challenges and technical opportunities.
- Change Management: Lead the organization through significant evolution, creating confidence and momentum as you pivot teams to new ways of working.
- Strategic Execution: Execute a roadmap that modernizes operations while maintaining stability and high-quality standards.
Requirements
What you’ll need- Proven Leadership: At least 5 years of experience in complex operational environments with a track record of delivering measurable results.
- Systems Thinking: You can visualize the end-to-end lifecycle of a complex process and turn complexity into clear, repeatable business processes.
- Operational Rigor: Exceptional attention to detail and a reputation for "sweating the details" to get the hardest operational last mile right.
- Analytical Horsepower: Proficiency in leveraging complex data sets to inform strategic initiatives and drive data-driven narratives.
- Influence & Communication: Outstanding verbal and written communication skills, with a proven ability to influence senior leaders and cross-functional partners.
- Urgency & Resilience: Demonstrated ability to move quickly and maintain a high pace-setting standard in a fast-paced environment.
Benefits
Comp & perks- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
AI agentsautomationdata analysisprocess designclaims lifecycle managementoperational excellencestrategic executionproblem solvingsystems thinkingchange management
Soft Skills
leadershipcommunicationinfluenceattention to detailresilienceurgencycross-functional collaborationanalytical thinkingstrategic thinkingadaptability