AVP - Claims handling (US Healthcare)Selections HR Services Private Limited • panchkula, haryana, in
No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private Limited • panchkula, haryana, in
5 days ago
Job descriptionAct as the primary operations leader for client engagement, reviews, and performance governance. Present insights, solutions, and recommendations for business growth and value creation. Lead a span of 800+ FTE across multiple locations. Drive performance management, succession planning, training, and employee engagement. Ensure adherence to HIPAA, ISO, and internal audit / compliance requirements. Own SLA delivery, quality metrics, audits, and performance scorecards. 18–20+ years of experience in Healthcare BPM with 10–12+ years in US Healthcare Claims Operations . Proven experience managing large delivery teams and multimillion-dollar portfolios. Strong domain knowledge of the claims lifecycle and payer operations. Demonstrated expertise in transformation, automation, and service delivery excellence. Strong communicator, influential leader, and solution-oriented thinker.
About the Role
We are hiring an accomplished AVP – Claims Operations (US Healthcare) to lead and transform large-scale claims operations, elevate service delivery, and drive innovation across a major healthcare BPM setup.
The role oversees multi-location delivery teams, partners with global stakeholders, leads automation and analytics-driven transformation, and manages a portfolio of USD 10–20M. This is a high-impact leadership role reporting into the senior operations leadership team.
Key Responsibilities
Strategic & Operational Leadership
- Lead end-to-end US Healthcare Claims Operations to industry-leading standards.
- Manage large-scale back-office claims functions including PI, SIU, Rework, Enrollment, Coding, Product Build, etc.
- Drive automation, RPA, analytics, and transformation initiatives.
- Manage P&L, budgets, revenue optimization, cost control, and workforce planning.
Client & Stakeholder Management
People Leadership
Governance & Compliance
Ideal Candidate Profile
Create a job alert for this search
Avp • panchkula, haryana, in
Related jobs
US Medical Policy Binding Specialist
Confidential • Mohali, India
Job Title : Medical Insurance – Policy Binding Specialist (U.Shift : Night Shift (7 : 00 PM – 4 : 00 AM) | Monday to Friday.
Aspire Globus is hiring an experienced Medical Insurance Specialist with a stro...Show more
Last updated: 14 days ago • Promoted
Pharmacovigilence Team Lead / Manager(5 Yrs Exp)
Novaspire Biosciences • Panchkula, Republic Of India, IN
Novaspire Biosciences is a trusted partner to the pharmaceutical, biotechnology, medical device, and nutraceutical industries, providing comprehensive and high-quality clinical research services.Ou...Show more
Last updated: 7 hours ago • Promoted • New!
Billing Specialist - US Operations
Confidential • Nagar, Sahibzada Ajit Singh Nagar, India
US operations — from receiving data to preparing invoices, ensuring quality, and coordinating clean handoffs to the receivables team.
This role requires strong attention to detail, excellent communi...Show more
Last updated: 23 days ago • Promoted
Pharmacovigilence Team Lead / Manager(5 yrs Exp)
Novaspire Biosciences • panchkula, haryana, in
Novaspire Biosciences is a trusted partner to the pharmaceutical, biotechnology, medical device, and nutraceutical industries, providing comprehensive and high-quality clinical research services.Ou...Show more
Last updated: 19 hours ago • Promoted • New!
RCM Aging Manager
Confidential • Chandigarh, India
ClinicMind's core values—Excellence.Teamwork guide everything we build.With 150 in‑house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver be...Show more
Last updated: 23 days ago • Promoted
Senior Process Associate
Knack RCM • Mohali, Punjab, India
About the Role : The Senior Process Associate – Physician Billing (AR) is responsible for managing the Accounts Receivable process, ensuring timely follow-ups, resolution of denied or pending claim...Show more
Last updated: 14 days ago • Promoted
Account Executive (US region)
Docsumo • Panchkula, Haryana, India
About Us Docsumo is a leading Document AI software that helps enterprises automate document processing.Our platform enables organizations to extract actionable data from documents such as inv...Show more
Last updated: 2 days ago • Promoted
Claims Service Manager Auto Claims
TATA AIG • Shimla, Himachal Pradesh, India
Closing Ratio / Meeting all KPI of team member& Self.Regular training of claims policies.Re-open ratio / Segmentation of vehicles.
Separating the Claims according to Vehicles.Conducting Team Meeting...Show more
Last updated: 22 days ago • Promoted
IPDRG
Confidential • Mohali
Any Graduates with IPDRG experience of Min 1+ Years.CIC / CCS Certification is Mandatory.Ready to work in rotational shifts.
Perform daily audits on client data for completeness and accuracy of codi...Show more
Last updated: 30+ days ago • Promoted
Assistant Manager - Motor OD claims
Confidential • Chandigarh, India
Monitor and analyze claims ratio, settlement ratio, claims size and frequency of recorded motor OD claims for a region.Conduct preliminary investigation to identify type of claim and extent of liab...Show more
Last updated: 23 days ago • Promoted
TPRM Senior Manager (Qatar)
Cubical Operations LLP • panchkula, haryana, in
Job Description – TPRM Senior Manager (Qatar Travel Requirement).Senior Manager – Third-Party Risk Management (TPRM).Qatar (Frequent travel to / from India).
India (Work from India when not travelling...Show more
Last updated: 4 days ago • Promoted
Unit Sales Manager
Confidential • Shimla
Hiring new health agents or advisors on a regular basis is the first job role.Managing the health retail item.Developing connections with health agents.
Frequent field visits to sell health coverage...Show more
Last updated: 21 days ago • Promoted
Manager, Associate Relations
Walmart Global Tech India • baddi, himachal pradesh, in
Manager, Associate Relations, IDC Walmart.Manager Associate Relations will be part of the team responsible for responding and conducting investigations into concerns related to behavioral and perfo...Show more
Last updated: 15 hours ago • Promoted • New!
Elibility and Verification specialist
Confidential • Nagar, Sahibzada Ajit Singh Nagar, India
Unify Healthcare Services is a modern medical billing company that specializes in managing revenue cycles for healthcare facilities.
Our expertise lies in preventing claim denials, streamlining bill...Show more
Last updated: 23 days ago • Promoted
Associate Team Lead - Trade Settlement
Confidential • Nagar, Sahibzada Ajit Singh Nagar, India
Business Title Associate Team Lead – Trade Settlement.Role Purpose Statement This Trade Support position is part of a business team that serves as the liaison between the customer, logistics, credi...Show more
Last updated: 19 days ago • Promoted
Patient Services Specialist
Triple • baddi, himachal pradesh, in
Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, ...Show more
Last updated: 3 days ago • Promoted
Affiliate Manager - Lead Generation
Crossblade Media LLC • panchkula, haryana, in
Affiliate Manager - Lead Generation.Crossblade Media LLC is a performance-based lead generation company serving the US market.
We specialize in generating high-quality leads across multiple vertical...Show more
Last updated: 2 days ago • Promoted
Associate Manager - Service Delivery
AVASO Technology Solutions • Mohali, Punjab, India
WE ARE HIRING AVASO Technology Solutions is currently seeking a Associate Manager - Service Delivery.As an AVASO employee, you will be part of a global organization that provides IT Services to bi...Show more
Last updated: 30+ days ago • Promoted