AVP - Claims handling (US Healthcare)

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