No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private LimitedPune, IN4 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 • Pune, IN
Related jobs
- Promoted
Compliance Specialist – Affordable Housing (LIHTC)
Castellan Real Estate Partnerspune, maharashtra, 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 moreLast updated: 18 days ago
- Promoted
Central Compliance U.S. (based in India), AVP
Deutsche BankPune, India Compliance protects the integrity and reputation of DWS.They manage the firm's risks and help to avoid regulatory breaches and conflicts of interest.
At the same time, they also advise us on ethical...Show moreLast updated: 30+ days ago
- Promoted
Zocdoc - Team Lead - Lead Generation
ZOCDOC ONLINE HEALTH MGMT INDIA PRIVATE LIMITEDPune,Maharashtra,India, India Description : About the job : Our Mission : Healthcare should work for patients, but it doesnt.In their time of need, they call...Show moreLast updated: 30+ days ago
- Promoted
PD, Insurance Claims
ConfidentialPune Ready to shape the future of work.At Genpact, we don't just adapt to change-we drive it.AI and digital innovation are redefining industries, and we're leading the charge.
Genpact's AI Gigafactory, o...Show moreLast updated: 17 days ago
- Promoted
PD, Insurance Claims
GenpactPune, Maharashtra, India Ready to shape the future of work.At Genpact we dont just adapt to changewe drive it.AI and digital innovation are redefining industries and were leading the charge.
Genpacts AI Gigafactory our indu...Show moreLast updated: 17 days ago
- Promoted
AR follow up Executive US Healthcare
ConfidentialPune, India Call insurance companies : Make outbound calls to insurance to follow up on outstanding claims.Resolve claim issues : Investigate and resolve denied or underpaid claims, including reviewing Explanat...Show moreLast updated: 14 days ago
- Promoted
AVP Clinical Operations | US Healthcare
Cotiviti IndiaPune, Maharashtra, India Please share your updated resume at gemini.We are currently seeking an AVP – Clinical Operations with excellent operational acumen and people management skills.
AVP will be required to communicate w...Show moreLast updated: 30+ days ago
- Promoted
Senior Business Analyst - Healthcare
TESTQ Technologies LimitedPune, India Description : We are seeking an experienced Senior Healthcare Business Analyst RCM (Revenue Cycle Management) to lead end-to-end requirements gathering, process analy...Show moreLast updated: 30+ days ago
- Promoted
Associate Manager Warranty Operations
ConfidentialPune, India Job Summary : Warranty Operations.Coordinate situations end to end from all over the world and provide explanations that require expertise and in-depth knowledge of warranty processes and policies.M...Show moreLast updated: 17 days ago
- Promoted
- New!
AVP Delivery (BFS), IT
ProEdge ServicesPune / Pimpri-Chinchwad Area, India Senior Delivery Leader – IT Services.The Senior Delivery Leader is responsible for end-to-end management and delivery of complex IT programs and portfolios, ensuring client satisfaction, operationa...Show moreLast updated: 17 hours ago
- Promoted
Claims and AR Dental Billing Agent
iCorePune, 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: 3 days ago
- Promoted
Manager - Captive Insurance
Selections HR Services Private LimitedPune, 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 moreLast updated: 18 days ago
- Promoted
US Healthcare Insurance Process
ConfidentialPune Spes Manning Solutions is actively seeking dedicated and detail-oriented individuals to join our team as a.US Healthcare Insurance Process.
This is a great opportunity to work in a critical and high...Show moreLast updated: 30+ days ago
- Promoted
Subject Matter Expert(Health Claims)
ConfidentialPune, India We are seeking a highly skilled and experienced Subject Matter Expert (Medico) with 7-10 years of.KPIs that drive claims processing is critical.
The candidate will play a crucial role in bridging th...Show moreLast updated: 4 days ago
- Promoted
Associate Manager Warranty Operations
Tech MahindraPune, Maharashtra, India Job Summary : Warranty Operations.Coordinate situations end to end from all over the world and provide explanations that require expertise and in-depth knowledge of warranty processes and policies.M...Show moreLast updated: 18 days ago
- Promoted
Data Privacy & Compliance Specialist
Vishay Components India Pvt LtdPune Description : We are seeking great talent to help us build The DNA of tech.Vishay manufactures one of the world's largest portfolios of discre...Show moreLast updated: 3 days ago
- Promoted
Guidewire Claim Center
The AES GroupPune, 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: 3 days ago
- Promoted
- New!
AVP - Agency Partnerships
MacroHirePune, Maharashtra, India Global leader in Co-Working Spaces.The AVP will be the growth architect for the product partner ecosystem.You will be expected to leverage your expertise in digital advertising, GTM partnerships, a...Show moreLast updated: 22 hours ago