Sr. Manager, Case Operations
About The Position
The Senior Manager, Case Operations leads the administrative operation that transforms newly identified opportunities into recovery-ready inventory. Reporting to the Sr Director of Recovery Operations, the role oversees teams and workflows supporting case conversion, investigation, settlement readiness, representation management, and file progression. The position balances people leadership, operational execution, workflow optimization, and performance management to ensure cases move through the appropriate processes at the right time and Recovery Operations receives a consistent pipeline of high-quality recovery opportunities. The role is responsible for building operational structure, developing people, resolving process challenges, and using data to improve results. Success is measured by the quality, consistency, and readiness of work delivered downstream, as well as operational performance and team effectiveness.
Requirements
- Bachelor's degree in Business, Operations Management, Healthcare Administration, or a related field.
- At least 7 years of progressive leadership experience in healthcare claims, subrogation, insurance operations, revenue cycle management, payment integrity, or a similar operational environment.
- At least 5 years of senior people leadership experience with responsibility for a team of supervisors.
- Demonstrated success leading high-volume operational teams with measurable performance expectations.
- Experience managing workflows, capacity, productivity, quality, and operational service levels.
- Strong analytical and problem-solving skills, including the ability to make data-driven decisions.
- Proven ability to coach and develop high-performing leaders and teams.
- Excellent communication, organizational, and leadership skills.
- Experience in healthcare billing or high-volume claims operations.
Responsibilities
- Lead teams responsible for case management, investigation, file readiness, settlement readiness, representation management, and related operational workflows.
- Ensure cases progress efficiently from identification through recovery-ready status.
- Establish clear expectations, priorities, and accountability across teams.
- Balance capacity, workload distribution, and operational priorities to maximize throughput and effectiveness.
- Ensure high-value opportunities receive appropriate attention and stewardship.
- Improve the speed and quality of case conversion activities.
- Ensure files contain the documentation, intelligence, and next steps needed for successful recovery efforts.
- Monitor inventory health and progression throughout the lifecycle.
- Reduce delays, rework, and operational bottlenecks that affect downstream recovery activity.
- Promote consistency in investigative, documentation, and settlement-readiness processes.
- Lead, coach, and develop managers, team leads, and individual contributors.
- Build a culture of accountability, urgency, ownership, and continuous improvement.
- Provide ongoing coaching, feedback, and development opportunities.
- Address performance issues promptly and constructively.
- Build organizational capability through effective hiring, onboarding, and talent development.
Benefits
- Comprehensive medical, dental, and vision insurance
- 401(k) retirement savings plan with employer match
- Paid time off and paid holidays
- Company-paid life insurance
- Short-term and long-term disability coverage
- Employee Assistance Program with counseling, financial coaching, and legal resources
- Health Savings Account with company contributions for eligible employees
- Wellness, healthcare advocacy, and pet benefits
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
