Operations Manager

Job Summary

A company is looking for an Operations Manager - Remote to lead healthcare insurance claims operations.

Key Responsibilities

• Develop and oversee claims processing workflows ensuring regulatory compliance
• Utilize analytics to monitor claim volumes and drive improvements in accuracy
• Manage a team of claims specialists and collaborate with cross-functional teams for process improvements

Required Qualifications

• Bachelor's/Associate degree in Healthcare Administration, Business, Finance, or related field; Master's preferred
• 5+ years of experience in health insurance claims administration, with at least 2 years in a leadership role
• Proficiency in data analytics, SQL, and advanced Excel functions
• Knowledge of medical terminology, coding, and HIPAA regulations
• Experience with interactive dashboards and visualizations using tools like Power BI or Looker