AVP - Claims handling (US Healthcare)Selections HR Services Private Limited • Nellore, IN

AVP - Claims handling (US Healthcare)

Selections HR Services Private Limited • Nellore, IN

6 hours ago

Job description

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

Act as the primary operations leader for client engagement, reviews, and performance governance.

Present insights, solutions, and recommendations for business growth and value creation.

People Leadership

Lead a span of 800+ FTE across multiple locations.

Drive performance management, succession planning, training, and employee engagement.

Governance & Compliance

Ensure adherence to HIPAA, ISO, and internal audit / compliance requirements.

Own SLA delivery, quality metrics, audits, and performance scorecards.

Ideal Candidate Profile

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.

Create a job alert for this search

Avp • Nellore, IN

Related jobs

AVP Product Controller - Fixed Income

Jefferies • Nellore, IN

Jefferies,’’ ‘‘we,’’ ‘‘us’’ or ‘‘our’’) is a U.Our largest subsidiary, Jefferies LLC, a U.Jefferies International Limited, a U. Our strategy focuses on continuing to build out our investment banking...Show more

Last updated: 5 hours ago • Promoted • New!

Insurance Specialist

Scry AI • Nellore, IN

Insurance Specialist (SME – Claims, Underwriting & Compliance).Years in Insurance Operations, Claims Management, or Underwriting (experience with AI-driven insurance or digital tools preferred).Scr...Show more

Last updated: 30+ days ago • Promoted

Business Risk Manager (Savings)

Revolut • Nellore, IN

People deserve more from their money.More visibility, more control, and more freedom.Since 2015, Revolut has been on a mission to deliver just that. Our powerhouse of products — including spending, ...Show more

Last updated: 30+ days ago • Promoted

Carrier Claim Specialist

BolsterBiz • Nellore, IN

BolsterBiz is a leading provider of offshoring and outsourcing services based in New Delhi.We specialize in driving business growth, optimizing operational efficiency, and ensuring long-term succes...Show more

Last updated: 27 days ago • Promoted

AML-KYC Lead

Bruc Bond • Nellore, IN

Bruc Bond is a global financial institution operating from Asia-Pacific and Europe.Our mission is to simplify corporate banking. We connect entity clients to a diverse network of partner banks and f...Show more

Last updated: 5 hours ago • Promoted • New!

US Mortgage

Brace Infotech Private Ltd • Nellore, IN

Relevant Experience US Mortgage : 2+ years.Relevant Experience Underwriter : 2 Years.Note : Immediate to 60 days Notice Preferred. US Mortgage, Underwriter, 4C's underwriter.Show more

Last updated: 25 days ago • Promoted

Domain Expert - HealthCare

Tredence Inc. • Nellore, IN

We are seeking a highly skilled and experienced SME in US.Healthcare Payer and Provider Data and Analytics space.You will work closely on Payer and Provider solutions to design, implement, and opti...Show more

Last updated: 5 hours ago • Promoted • New!

Collection specialist (US Process)

Sisha Greentech • Nellore, IN

Job Description — Accounts Receivable (AR) Executive.ERP expertise, and proven experience in managing.The ideal candidate will be responsible for ensuring timely collection of receivables, maintain...Show more

Last updated: 5 hours ago • Promoted • New!

Enterprise Architect-Health Care

Sutherland • Nellore, IN

Lead the design and development of the architecture for systems or solutions, ensuring alignment with business requirements and technical standards. Create and define the overall structure of a solu...Show more

Last updated: 14 days ago • Promoted

Dental Billing Insurance Verification Agent

iCoreConnect • Nellore, IN

We are seeking a detail-oriented and organized Dental Insurance Verification Agent to join our dental practice team.This role is responsible for the timely submission of dental insurance claims, tr...Show more

Last updated: 5 hours ago • Promoted • New!

Manager - Captive Insurance

Selections HR Services Private Limited • Nellore, IN

Finance & Accounting professional.Lead and manage a large team delivering middle-office services across Accounting, Treasury, Risk & Compliance. Oversee and review management accounts, financial sta...Show more

Last updated: 14 days ago • Promoted

Team Lead

Tata Consultancy Services • Nellore, IN

Tata Consultancy Services is Hiring at @Pune location for a Team Lead Role.Note : Candidates with relevant experience in Team Leading for UK Insurance domain working in any process (L&P, Property & ...Show more

Last updated: 5 hours ago • Promoted • New!

AR Follow Up or Accounts Receivable Specialist

Svast Healthcare Technologies • Nellore, IN

Svast Healthcare Technologies is a trusted Revenue Cycle Management (RCM) and billing partner for physician practices and provider groups. We have billed over $1B+ for 100+ clients, guaranteeing an ...Show more

Last updated: 30+ days ago • Promoted

Team Lead (Healthcare)

HexaHealth • Nellore, IN

Job Title : - Team Lead- Patient Care Specialist.Location : - Gurugram, Sector - 14.Salary : - As per market standards.Shifts and Week Offs- Rotational. Lead and manage a team of sales representatives, pr...Show more

Last updated: 5 hours ago • Promoted • New!

Compliance Specialist – Affordable Housing (LIHTC)

Castellan Real Estate Partners • Nellore, IN

Compliance Specialist – Affordable Housing (LIHTC).Remote (Based in India, supporting California projects).Full-time | Must be available to work in Pacific Standard Time (PST) overlap hours.We are ...Show more

Last updated: 14 days ago • Promoted

VP- Insurer Partnership

VisionSure • Nellore, IN

VisionSure is dedicated to addressing the diverse vision challenges faced by consumers today.The company offers comprehensive solutions across eyewear and eye care, including medical interventions....Show more

Last updated: 5 hours ago • Promoted • New!

Director of Credentialing & Contracting

Plutus Health Inc. • Nellore, IN

Plutus Health is a Dallas-headquartered healthcare revenue cycle management company serving providers across multiple specialties. With 1,600+ employees in the United States, India, and the Philippi...Show more

Last updated: 5 hours ago • Promoted • New!

Product Owner & Claim Specialist

NMS Consultant • Nellore, IN

We are seeking a dynamic and experienced (Senior) Claims Specialist and Product.Owner to join our team at Global Organization, India. This role is pivotal in bridging the.Claims Specialists, Product...Show more

Last updated: 5 hours ago • Promoted • New!