No longer accepting applications
Avp - Claims Handling (Us Healthcare)
Selections HR Services Private LimitedBaddi, Republic Of India, IN1 day 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 • Baddi, Republic Of India, IN
Related jobs
- Promoted
- New!
Guidewire Claim Center
The AES Groupbaddi, himachal pradesh, in Guidewire ClaimCenter Integration Developer.Bangalore and Pune (preferred).Guidewire ClaimCenter Integration Developer.The role involves developing REST / SOAP APIs, designing batch and messaging pro...Show moreLast updated: 15 hours ago
- Promoted
US Medical Policy Binding Specialist
ConfidentialMohali, 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 moreLast updated: 10 days ago
- Promoted
Sr SAP EHS Functional
KATBOTZ®baddi, himachal pradesh, in We are seeking a highly skilled.SAP Environment, Health, and Safety (EHS) solutions.The ideal candidate will have deep knowledge of SAP EHS modules, regulatory compliance requirements, and process ...Show moreLast updated: 15 days ago
- Promoted
RCM Aging Manager
ConfidentialChandigarh, 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 moreLast updated: 19 days ago
- Promoted
AS400 Developer – Healthcare & Claims Processing
Onesmarter Incpanchkula, haryana, in Job Title : AS400 Developer – Healthcare & Claims Processing.Develop, maintain, and optimize AS400-based applications for healthcare claims processing.
Ensure seamless integration of claims data with...Show moreLast updated: 30+ days ago
- Promoted
Dental Billing Insurance Verification Agent
iCorepanchkula, haryana, 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 moreLast updated: 1 day ago
- Promoted
As400 Developer – Healthcare & Claims Processing
Onesmarter IncBaddi, Republic Of India, IN Job Title : AS400 Developer – Healthcare & Claims Processing.Develop, maintain, and optimize AS400-based applications for healthcare claims processing.
Ensure seamless integration of claims data with...Show moreLast updated: 30+ days ago
- Promoted
IPDRG
ConfidentialMohali 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 moreLast updated: 30+ days ago
- Promoted
Assistant Manager - Motor OD claims
ConfidentialChandigarh, 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 moreLast updated: 19 days ago
- Promoted
Accounts Receivable Specialist
AVASO Technology SolutionsMohali district, India, India IT Services to big national as well as international clients across multiple industries.We are an IT solution provider with coverage in more than 170 countries as well as global distribution capabi...Show moreLast updated: 26 days ago
- Promoted
Elibility and Verification specialist
ConfidentialNagar, 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 moreLast updated: 19 days ago
- Promoted
Australia Visa Filing Head
Western Overseas Study Abroad Ltd.Chandigarh, Chandigarh, India Western Overseas is a prominent and rapidly growing Overseas Education Consultancy, established in 2004.With a strong emphasis on professionalism, genuine guidance, and a high success rate, the com...Show moreLast updated: 3 days ago
- Promoted
- New!
Claims and AR Dental Billing Agent
iCorebaddi, himachal pradesh, in We are seeking a detail-oriented and organized Dental Claims Submission and Accounts Receivable (AR) Agent to join our dental practice team.
This role is responsible for the timely submission of den...Show moreLast updated: 22 hours ago
- Promoted
Senior Process Associate
Knack RCMMohali district, India, India The Senior Process Associate – Physician Billing (AR) is responsible for managing the Accounts Receivable process, ensuring timely follow-ups, resolution of denied or pending claims, and maintainin...Show moreLast updated: 10 days ago
- Promoted
Prior Authorization Analyst
ConfidentialMohali, India Prior Authorization Specialist - Immediate Joiners Needed.The Prior Authorization Specialist is responsible for obtaining, verifying, and documenting prior authorizations from insurance providers f...Show moreLast updated: 19 days ago
- Promoted
- New!
Claims And Ar Dental Billing Agent
iCoreMohali, Republic Of India, IN We are seeking a detail-oriented and organized Dental Claims Submission and Accounts Receivable (AR) Agent to join our dental practice team.
This role is responsible for the timely submission of den...Show moreLast updated: 14 hours ago
- Promoted
AR caller
ConfidentialMohali, India Job Title : Medical Biller - Accounts Receivable (AR).Company : 5Tek Medical India Private Limited.Location : Mohali, Punjab (On-site).
Experience Level : 2+ years (preferred).We are looking for an expe...Show moreLast updated: 19 days ago
- Promoted
Manager - Provider Enrollment & Credentialing
Knack RCMMohali district, India, India The Manager – Provider Enrollment & Credentialing will be responsible for overseeing the end-to-end provider enrollment, credentialing, and re-credentialing processes for healthcare providers acros...Show moreLast updated: 11 days ago