No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private LimitedTiruchirappalli, 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 • Tiruchirappalli, IN
Related jobs
- Promoted
- New!
RCM Associate
EMPClaimsTiruchirappalli, IN EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services.
Our customers include large health systems and small medical practi...Show moreLast updated: less than 1 hour ago
- Promoted
Dental Billing Insurance Verification Agent
iCoreTiruchirappalli, 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
HIS Support Specialist
IQVIAtamil nadu, tamil nadu, in Mandatory skills : Hospital system support, Ticketing, Troubleshooting.Works with customers and project management teams to identify key project milestones and implementation timelines.Builds, docu...Show moreLast updated: 13 days ago
- Promoted
Operations Manager- Insurance (Property and Casualty, Non-Life Insurance)
HCLTechtamil nadu, tamil nadu, in Managing a team of ~100 resources & 6-8 team leads supporting Insurance Back office operations.Team Management and Leadership.
Responsible for SLA Management, Issue Management and Reporting.Maintain...Show moreLast updated: 13 days ago
- Promoted
AS400 Developer – Healthcare & Claims Processing
Onesmarter Inctiruchirappalli, tamil nadu, 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
Healthcare Solution Analyst
Projile CorporationTiruchirappalli, 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
Accounts Receivables Director
Searce Inctiruchirappalli, tamil nadu, in You'll be the architect of what's next in financial operations, owning client revenue through optimized collections and scaling meaningful financial outcomes for Searce.
We're searching for the arch...Show moreLast updated: 13 days ago
- Promoted
Fault Management
Nokiatamil nadu, tamil nadu, in We create the technology to connect the world.Only Nokia offers a comprehensive portfolio of network equipment, software, services and licensing opportunities across the globe.With our commitment t...Show moreLast updated: 13 days ago
- Promoted
- New!
Guidewire Claim Center
The AES GroupTiruchirappalli, 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: 16 hours ago
- Promoted
Compliance and Contracts Specialist
EmeritusTiruchirappalli, IN The Compliance & Contract Management Services Department is looking for a Compliance and Contracts Associate to assess, analyze, draft, review, negotiate and finalize contracts, compliance, invoice...Show moreLast updated: 16 days ago
- Promoted
Manager - Captive Insurance
Selections HR Services Private LimitedTiruchirappalli, 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: 16 days ago
- Promoted
Team Lead - HCC Coding - Healthcare
Source To Win ConsultancyTrichy, India Locations : Bangalore, Hyderabad, Mumbai, Coimbatore, Chennai, Trichy About the Company : Our client is a global healthcare solutions leader specializing in ...Show moreLast updated: 30+ days ago
- Promoted
AR Follow Up or Accounts Receivable Specialist
Svast Healthcare TechnologiesTiruchirappalli, 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
US Mortgage
Brace Infotech Private LtdTiruchirappalli, 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
- New!
TPRM Senior Manager (Qatar)
Cubical Operations LLPtiruchirappalli, tamil nadu, in Job Description – TPRM Senior Manager (Qatar Travel Requirement).Senior Manager – Third-Party Risk Management (TPRM).Qatar (Frequent travel to / from India).
India (Work from India when not travelling...Show moreLast updated: 14 hours ago
- Promoted
Claims and AR Dental Billing Agent
iCoreTiruchirappalli, 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: 1 day ago
- Promoted
Compliance Specialist – Affordable Housing (LIHTC)
Castellan Real Estate PartnersTiruchirappalli, 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: 16 days ago
- Promoted
Business Risk Manager (Savings)
RevolutTiruchirappalli, 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 moreLast updated: 30+ days ago