Talent.com
AVP - Claims handling (US Healthcare)
AVP - Claims handling (US Healthcare)Selections HR Services Private Limited • dehradun, uttarakhand, in
AVP - Claims handling (US Healthcare)

AVP - Claims handling (US Healthcare)

Selections HR Services Private Limited • dehradun, uttarakhand, in
16 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 • dehradun, uttarakhand, in