Claims Operations Manager

Job Summary

A company is looking for a Claims Operations Manager-Operational Transformation.

Key Responsibilities

• Lead the modernization of member reimbursement workflows for medical and supplemental expenses
• Deploy internal toolkits, including AI and data platforms, to achieve specific business outcomes
• Build and manage BI dashboards to track KPIs and ensure compliance with regulations

Required Qualifications

• Bachelor's degree or equivalent experience in a high-growth or regulated environment
• Proven ability to utilize complex data sets to drive performance
• Proficiency with BI platforms like Snowflake, Looker, or Tableau
• Experience in high-growth operations, particularly in healthcare technology or management consulting
• Ability to build collaborative relationships with cross-functional partners