No longer accepting applications
Avp - Claims Handling (Us Healthcare)
Selections HR Services Private LimitedBhubaneshwar, Republic Of India, 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 • Bhubaneshwar, Republic Of India, IN
Related jobs
Senior SAP ABAP Developer – Global FMCG.We are supporting a major global food manufacturing organisation in hiring a.Senior SAP ABAP Developer (ABAPer).
This role sits within a large-scale.PR / PO inv...Show moreLast updated: 1 day ago
- Promoted
Labeling Data Remediation Specialist
vueverse.bhubaneswar, orissa, in Role : Labeling Data Remediation Specialist.Review, validate, and correct product labeling data across systems.Identify gaps, inconsistencies, or missing data in existing labeling records.Remediate ...Show moreLast updated: 4 days ago
- Promoted
Insurance Specialist
Scry AIbhubaneswar, orissa, in Insurance Specialist (SME – Claims, Underwriting & Compliance).Years in Insurance Operations, Claims Management, or Underwriting (experience with AI-driven insurance or digital tools preferred).Scr...Show moreLast updated: 30+ days ago
- Promoted
Affiliate Manager - Lead Generation
Crossblade Media LLCbhubaneswar, orissa, in Affiliate Manager - Lead Generation.Crossblade Media LLC is a performance-based lead generation company serving the US market.
We specialize in generating high-quality leads across multiple vertical...Show moreLast updated: 2 days ago
- Promoted
Regulatory Affairs Specialist – (APAC & RoW)
vueverse.bhubaneswar, orissa, in Regulatory Submissions & Compliance.Author, compile, and submit regulatory dossiers to global health authorities, including USFDA, EMA, MHRA, TGA, HSA, NPRA, Thai FDA, Taiwan FDA, CDE, NMPA, PMDA, ...Show moreLast updated: 17 days ago
- Promoted
Tech-Functional Business Analyst – Safety Systems (Argus, DLP, Case Processing)
vueverse.bhubaneswar, orissa, in Senior IT / Tech-Functional Business Analyst.Pharmacovigilance (PV) safety systems, particularly.This role focuses on system configuration, enhancements, integrations, validation, and ongoing technic...Show moreLast updated: 2 days ago
- Promoted
Consultant
Recrobhubaneswar, orissa, in Strong working knowledge of OTM / GTM modules.Compliance & License Management.Hands-on experience with full end-to-end implementations.
Good understanding of Oracle ERP (EBS) configuration.Strong anal...Show moreLast updated: 2 days ago
- Promoted
Claims and AR Dental Billing Agent
iCorebhubaneswar, orissa, 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: 4 days ago
- Promoted
Dental Billing Insurance Verification Agent
iCorebhubaneswar, orissa, 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: 4 days ago
- Promoted
Patient Services Specialist
Triplebhubaneswar, orissa, in Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, ...Show moreLast updated: 2 days ago
- Promoted
Technical Application Specialist
Merilbhubaneswar, orissa, in Job Description : Technical Application Specialist – MISSO Surgical Robot.Technical Application Specialist.Vapi / On-site (with frequent travel to hospitals & demo sites).
Head – Autonomous & Surgica...Show moreLast updated: 2 days ago
- Promoted
Senior SAP ABAP Developer – Global FMCG - Fully Remote
CINQ PARTNERSHIPbhubaneswar, orissa, inRemote
- Promoted
Advanced Business Application Programming Consultant
LTIMindtreebhubaneswar, orissa, in We are seeking a skilled and experienced SAP ABAP Developer to join our team.The ideal candidate will be responsible for designing, coding, testing, and implementing SAP applications using the ABAP...Show moreLast updated: 2 days ago
- Promoted
SAP Callidus
Prophecy TechnologiesBhubaneswar, Odisha, India We are looking for an experienced SAP APM (Agent Performance Management) / SAP Callidus ICM Consultant with strong workflow automation and Groovy scripting expertise.
If you have hands-on experien...Show moreLast updated: 2 days ago
- Promoted
Insurance Consultant
Bajaj LifeBhubaneswar, Odisha, India Bajaj Life Insurance is one of India’s leading and fast-growing life insurance companies, offering a diverse range of plans including ULIPs, term insurance, retirement, and child policies.Bajaj Lif...Show moreLast updated: 28 days ago
- Promoted
SAP ABAP Technical Consultant - SD / CO / FI Modules
ConfidentialBhubaneswar Knowledge of ABAP and ABAP OO (ABAP OO is a must) & ABAP Web Dynpro Using FPM ABAP Expertise in the following areas : Workflow, Object Oriented programming, Data Dictionary, BAPI, BADI, RFC, ALE / ED...Show moreLast updated: 20 days ago
- Promoted
SLP Specialist, INSLP
ConfidentialBhubaneswar, India INSLP (Security & Loss Prevention) is hiring an SLP Specialist to support growth of the 'SLP MDR Concessions Abuse Program' and help preventing losses via identification of abusive entity.The progr...Show moreLast updated: 12 days ago
- Promoted
Senior Medical Safety Advisor
IQVIAbhubaneswar, orissa, in Pharmacovigilance / PV Experience.The objective of this position is to provide medical expertise in the evaluation of safety data from a variety of sources as part of the overall pharmacovigilance pr...Show moreLast updated: 30+ days ago
- Promoted
Sap Advanced Business Application Programming Consultant
Ajiledone Technologiesbhubaneswar, orissa, in Job Description : SAP ABAP Developer.We are seeking an experienced SAP ABAP Developer with a proven track record of successful end-to-end implementation rollouts.
The ideal candidate will have 6-10 y...Show moreLast updated: 2 days ago