No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private LimitedKottayam, 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 • Kottayam, IN
Related jobs
- Promoted
Compliance Specialist – Affordable Housing (LIHTC)
Castellan Real Estate Partnersalappuzha, kerala, 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: 15 days ago
- Promoted
- New!
Guidewire Claim Center
The AES GroupAlappuzha, 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: 10 hours ago
- Promoted
Ar Follow Up Or Accounts Receivable Specialist
AKM GlobalAlleppey, Republic Of India, IN Company Description : 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+ clie...Show moreLast updated: 1 day ago
- Promoted
Manager - Captive Insurance
ANP ConsultingAlleppey, Republic Of India, IN Role : Tagetik Location : Bangalore / Gurugram Job Type : Full-Time Overview : ANP Consulting is hiring experienced Tagetik Professional.
The ideal candidate should understand CCH Tagetik’s EPM, FPM and C...Show moreLast updated: 1 day ago
- Promoted
- New!
Claims and AR Dental Billing Agent
iCoreKottayam, 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: 21 hours ago
- Promoted
Insurance Solutions Advisor
GramPro Business Services Pvt. Ltd.Ernākulam, Republic Of India, IN Research and source potential clients and build long-term relationships with them through bancassurance model.Persuade prospective clients to engage in a phone conversation and / or meeting to discus...Show moreLast updated: 5 days ago
- Promoted
US Mortgage
Brace Infotech Private LtdKochi, 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 moreLast updated: 26 days ago
- Promoted
Dental Billing Insurance Verification Agent
iCoreAlappuzha, 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
Healthcare Solution Analyst
Projile CorporationKochi, IN Healthcare Solutions Analyst (Remote for US Startup) .Projile is a fast-growing healthcare technology company building a cloud-based .
Our solutions empower healthcare providers, payers, and .North ...Show moreLast updated: 3 days ago
- Promoted
Manager - Captive Insurance
Selections HR Services Private LimitedKottayam, 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: 15 days ago
- Promoted
- New!
Claims And Ar Dental Billing Agent
iCoreErnākulam, 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: 7 hours ago
- Promoted
AR Follow Up or Accounts Receivable Specialist
Svast Healthcare TechnologiesKottayam, 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 moreLast updated: 30+ days ago
- Promoted
Product Owner & Claim Specialist
NMS Consultantalappuzha, India 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 moreLast updated: 1 day ago
- Promoted
PE-Claims HC
ConfidentialIndia, Cochin / Kochi / Ernakulam Join our dynamic team as a PE-Claims HC professional where you will leverage your skills in MS Office UiPath and Claims Adjudication to streamline processes and enhance efficiency.With a focus on t...Show moreLast updated: 8 days ago
- Promoted
- New!
Data Privacy Associate Director - Cyber
Cubical Operations LLPKochi, IN Job Description – Data Privacy Lead (Senior Manager / Associate Director) – Noida.Senior Manager / Associate Director.Open to all (Any graduate / post-graduate).
We are looking for a Data Privacy Lead...Show moreLast updated: 10 hours ago
- Promoted
AML-KYC Lead
Bruc BondKochi, 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 moreLast updated: 1 day ago
- Promoted
Claims Specialist
ConfidentialIndia, Cochin / Kochi / Ernakulam Reviewing and adjudicating medical claims for payment, determining coverage and appropriate coding and verifying information for accuracy.
Evaluate and process claims in accordance with company poli...Show moreLast updated: 8 days ago
- Promoted
- New!
TL-Claims HC
ConfidentialIndia, Cochin / Kochi / Ernakulam We are seeking a dedicated professional for the role of TL-Claims HC with 5 to 7 years of experience.The candidate will be responsible for overseeing claims adjudication processes ensuring accuracy...Show moreLast updated: 8 hours ago