Operations Manager

Redirect HealthPhoenix, AZ
$65,000 - $75,000Onsite

About The Position

The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence. In this role, you will lead and develop the Claims team to deliver exceptional member support, oversee claims operations while ensuring accuracy, compliance, and efficiency, and drive scalable processes and partner cross-functionally to improve outcomes. This is a hands-on leadership role for someone who thrives in building and leading strong teams, enjoys solving complex operational and billing challenges, and keeps the member experience at the center of every decision.

Requirements

  • 5+ years in a supervisory or managerial role
  • Proven leadership skills and operational excellence
  • Strong communication and analytical thinking skills
  • A customer-first mindset with a passion for solving complex problems
  • A hands-on, collaborative leadership approach
  • Must be based in the Phoenix, AZ area or able to reliably commute to an in-person work environment.

Nice To Haves

  • Experience in healthcare billing, reimbursement, or claims

Responsibilities

  • Own team performance, structure, and daily operations of the Claims function
  • Lead team development, coaching, goal-setting, and performance management
  • Oversee the full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution
  • Ensure compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight
  • Support members directly with escalated billing and claims issues, providing clear and empathetic communication
  • Collaborate with internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution
  • Improve processes, workflows, and outcomes by identifying trends and reducing repeat issues
  • Track performance through KPIs such as speed to process, appeals rates, and negotiation success

Benefits

  • No monthly premiums
  • No cost to add your spouse or children
  • No deductibles (we reimburse them)
  • No out-of-pocket maximums
  • FREE healthcare for you and your entire family
  • Dental & Vision insurance
  • Paid time off & sick time
  • 401(k) access
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