AVP - Claims handling (US Healthcare)Selections HR Services Private Limited • Kanpur, IN
No longer accepting applications
AVP - Claims handling (US Healthcare)
Selections HR Services Private Limited • Kanpur, IN
7 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 • Kanpur, IN
Related jobs
Investor Relations Manager | US HealthTech VC | EST
Magma Digital Ventures • Kanpur, IN
Investor Relations Manager | US HealthTech VC | EST.Location : Remote (Must be flexible to work EST hours- (6 PM- 3 AM IST).
Compensation : Competitive, aligned with experience.A leading US-based Heal...Show more
Last updated: 2 hours ago • Promoted • New!
Account Executive (US region)
Docsumo • Kanpur, IN
Our platform enables organizations to extract actionable data from documents such as.Sequoia, Fifth Wall, Common Ocean, Barclays, Techstars, and Better Capital.
Docsumo’s enterprise customer base in...Show more
Last updated: 4 days ago • Promoted
Affiliate Manager - Lead Generation
Crossblade Media LLC • Kanpur, 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 more
Last updated: 4 days ago • Promoted
Payments & Fraud Specialist
Abacus.AI • Kanpur, IN
We’re looking for a Payments & Fraud Specialist to manage payment operations and prevent fraud across our Stripe systems.
Monitor payments, disputes, and chargebacks in Stripe.Detect and resolve fra...Show more
Last updated: 20 days ago • Promoted
Associate Sales Manager, Healthcare
Cancard Inc. • Kanpur, Uttar Pradesh, India
Position : Inside Sales Associate Location : Noida Role Type : Full Time Cancard Inc has been a multi-technology company based in Markham (Toronto) since 1989.
Both Cancard and its sister company, ...Show more
Last updated: 2 days ago • Promoted
Lead Generation Specialist
Loyyal • Kanpur, Uttar Pradesh, India
Company Description Loyyal is a leader in loyalty and payments innovation, offering an advanced Enterprise SaaS Suite powered by patented blockchain technology.
Our platform helps loyalty programs e...Show more
Last updated: 4 days ago • Promoted
HRIS Global Reporting Manager
Coats • Kanpur, IN
Coats is a world leader in thread manufacturing and structural components for apparel and footwear, as well as an innovative pioneer in performance materials.
These critical solutions are used to cr...Show more
Last updated: 5 days ago • Promoted
Audit Team Lead / Sr. Team Lead
Shore Group Associates • Kanpur, IN
Since 2006, Shore Group Associates has been providing expertise in strategy, innovation, operations, and technology to help businesses transform and thrive.
Our team, with over 30 years of experienc...Show more
Last updated: 1 day ago • Promoted
Client Director — Strategic Accounts (IT Services)
TECEZE • Kanpur, Uttar Pradesh, India
Client Director — Strategic Accounts (IT Services) Company : Teceze Portfolio Size : ~$50M annual revenue (multi‑country) Reports to : VP / Head of Strategic Accounts (or Regional MD) Direct Repo...Show more
Last updated: 5 days ago • Promoted
Guidewire Claim Center
The AES Group • Kanpur, 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 more
Last updated: 6 days ago • Promoted
Purchase Specialist
KPG99 INC • Kanpur, IN
Must Haves (need to be highlighted in sizzle & present on resume).Experience with Software, IT Services, software, and Hardware purchasing.
Strong experience negotiating with vendors.Experience work...Show more
Last updated: 30+ days ago • Promoted
SAP Callidus
TRDFIN Support Services Pvt Ltd • Kanpur, IN
Budget : As per industry standards.Interview Mode : Virtual Interview (2 Rounds).Notice Period : Immediate Joiner / 15 Days.
We are looking for a detail oriented and technically skilled SAP APMe Call...Show more
Last updated: 2 hours ago • Promoted • New!
US Billing + Accounting
AKM Global • Kanpur, IN
We are seeking a detail-oriented and proactive Accounting Specialist with expertise in Accounts Receivable (AR), Billing, Financial Statement Preparation, Journal Entries, and client coordination.T...Show more
Last updated: 30+ days ago • Promoted
TPRM Senior Manager (Qatar)
Cubical Operations LLP • Kanpur, 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 more
Last updated: 6 days ago • Promoted
Account Executive (US region)
Docsumo • Kanpur, Uttar Pradesh, India
About Us Docsumo is a leading Document AI software that helps enterprises automate document processing.Our platform enables organizations to extract actionable data from documents such as inv...Show more
Last updated: 4 days ago • Promoted
Freelancing Technology Adoption Specialist – Automotive Industry
nicheBrains • Kanpur, IN
Brains is a modern consulting platform that aims to democratize digital transformation for Micro, Small, and Medium Enterprises (MSMEs).
The platform connects leaders of SMEs with industry experts o...Show more
Last updated: 2 hours ago • Promoted • New!
Life Pharmacy - Product Development Manager
Life Pharmacy • Dubai, India
Job Purpose : To lead and manage the end-to-end development of private label products within the category assigned in alignment with business object...Show more
Last updated: 15 days ago • Promoted
Head of Insurance Operations & Compliance
Triaxa - FZCO • Kanpur, IN
Insurance Operations & Compliance Manager & Founder Mentor.Industry : Insurance (Health / Motor / Life / General – flexible).
SLAs, broker agreements, and basic reinsurance contracts.Build and manage...Show more
Last updated: 1 day ago • Promoted