Senior Manager, Insurance Advocacy

Job Summary

Leading a comprehensive advocacy program, the full-time Senior Manager, Insurance Advocacy will oversee a high-performing team, drive operational excellence, and resolve complex medical billing and claims issues while working remotely.

Key responsibilities:

• Lead and develop the Insurance and Claims Advocacy team, focusing on hiring, coaching, and performance management
• Own program strategy and service delivery standards, ensuring key performance indicators are met across insurance navigation and claims resolution
• Oversee the resolution of complex medical billing and insurance issues, serving as the primary escalation point for sensitive cases

Required qualifications:

• 7+ years of experience in medical billing/claims advocacy and complex claims resolution
• Bachelor's degree in healthcare administration, business, or a related field; advanced degree and/or relevant certification preferred
• 3+ years of progressive people leadership experience with demonstrated success in managing teams
• Deep knowledge of payer claims adjudication, CPT/ICD coding, and provider billing practices
• Proven ability to drive process improvement using data/analytics and technology platforms