Claims Operations Manager

Job Summary

Claims Operations Manager leads the transformation of the claims refund process in a full-time role, focusing on automation, compliance, and operational performance.

Key Responsibilities

• Lead the modernization of the provider refund ecosystem and implement automated processes
• Manage the entire refund check lifecycle and ensure performance targets are met
• Build and oversee BI dashboards to monitor recovery trends and maintain compliance

Required Qualifications

• Bachelor's degree or equivalent experience in a high-growth or regulated environment
• Proficiency with BI platforms such as Snowflake, Looker, or Tableau
• Experience in healthcare technology, management consulting, or tech-ops
• Ability to manage complex data sets to influence organizational outcomes
• Experience in building collaborative relationships with cross-functional teams