Senior Manager, Healthcare Payer Operations (Remote)

SutherlandHouston, TX
Remote

About The Position

The Senior Manager, Member Enrolling & Billing Operations is responsible for leading multiple operational teams supporting member enrollment & billing, as well as leading operations within the Provider Enrollment area. This leader will drive operational excellence, client satisfaction, quality, productivity, and continuous process improvement while developing a high-performing team.

Requirements

  • 7+ years of leadership experience in healthcare operations
  • 3+ years leading managers or senior-level leaders
  • Experience supporting payer operations
  • Strong understanding of the healthcare provider lifecycle and payer operations
  • Experience in provider data management, credentialing, member enrollment, claims or related healthcare operations
  • Proven ability to manage large operational teams

Nice To Haves

  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field

Responsibilities

  • Lead managers and supervisors responsible for member enrollment & billing operations
  • Drive achievement of client SLAs, quality metrics, productivity and financial targets
  • Partner with clients and internal stakeholders to identify operational improvements
  • Coach and develop leaders while fostering a culture of accountability and continuous improvement
  • Monitor operational performance through reporting and key performance indicators
  • Manage staffing, workforce planning, and capacity forecasting
  • Identify opportunities for automation, standardization, and process optimization
  • Manage escalations and implement corrective action plans to improve client satisfaction
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