Sr. Manager, Healthcare Claims & Revenue Cycle Operations

Intellivo • Saint Louis, MO

4d • Onsite

About The Position

Intellivo is hiring an on-site senior operational leader in its St. Louis office to lead a healthcare claims operation of more than 40 Case Specialists, through supervisors, managing approximately $1 billion in recovery opportunities. Reporting to the Senior Director of Recovery Operations, the role oversees the investigation, development, and progression of healthcare recovery opportunities through the recovery lifecycle.

This highly visible role combines people leadership, healthcare financial operations, data-driven decision-making, capacity management, and ownership of a significant recovery inventory. The leader develops frontline supervisors, uses operational data to identify opportunities and bottlenecks, prioritizes high-value work, and translates performance into improved financial outcomes. The position also helps build a scalable operation through stronger leadership, workflow technology, capacity planning, and performance management.

Intellivo is an industry market leader in subrogation, helping health plans and insurers pursue reimbursement from alternative third-party liability payers. The company has a 26-year history and represents more than 200 of the country's largest health plans.

Requirements

• At least 7 years of progressive experience in healthcare Revenue Cycle Management, healthcare claims, payment integrity, insurance operations, claims recovery, subrogation, or another high-volume healthcare financial operation.
• At least 5 years of people leadership experience, including leading supervisors, managers, or team leads.
• Demonstrated success leading large, high-volume operational teams against measurable expectations for quality, productivity, timeliness, and financial or operational outcomes.
• Experience managing large claims or case inventories.
• Strong analytical and problem-solving skills, including demonstrated ability to use operational data and KPIs to improve performance.
• Proven ability to build and develop frontline leaders.
• Experience improving workflows, reducing operational bottlenecks, and increasing scalability.
• Bachelor’s degree preferred; equivalent relevant healthcare operations and leadership experience will be considered.
• Ability to balance people, process, capacity, and technology to improve results and lead in a performance-oriented environment with measurable expectations.

Nice To Haves

• Bachelor’s degree.
• Direct subrogation experience is not required; strong healthcare operations leadership is emphasized.

Responsibilities

• Lead and develop supervisors and more than 40 Case Specialists, and own performance across case progression, quality, productivity, timeliness, and financial outcomes.
• Establish clear expectations and accountability, ensuring high-value and high-risk recovery opportunities receive appropriate attention and financial stewardship.
• Ensure recovery opportunities are thoroughly investigated, accurately developed, and efficiently advanced through the recovery lifecycle.
• Set consistent standards for case quality and progression; identify and resolve barriers that delay progression or limit financial recovery.
• Improve the speed, quality, and consistency of claims development, applying healthcare claims and Revenue Cycle Management discipline to operational and financial outcomes.
• Partner with attorney recovery leaders to ensure appropriate cases are complete, actionable, and ready for recovery.
• Monitor inventories for aging, progression, quality, financial value, risk, and operational barriers; prioritize work and allocate resources using case value, age, progression, and risk.
• Analyze operational data and KPIs to identify performance gaps, bottlenecks, capacity constraints, and emerging risks, and determine whether challenges stem from people, training, capacity, process execution, technology, or workflow.
• Use operational data, workflow technology, and performance reporting to improve prioritization, productivity, and scalability; translate results into clear priorities and actions.
• Measure whether operational changes improve throughput, quality, recovery progression, and financial outcomes.
• Coach and develop supervisors into effective frontline leaders who can coach performance, solve problems, and drive results.
• Build a culture of ownership, urgency, accountability, and problem-solving; establish expectations and coach teams to meet them.
• Strengthen organizational capability through hiring, onboarding, training, coaching, and development.
• Build an operation that can increase output without proportional increases in headcount.
• Align staffing and workload with demand and improve operational performance and financial recovery outcomes.

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 and 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.
• High-performing, collaborative culture focused on ownership, accountability, continuous improvement, and meaningful impact.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed