Senior Operations Manager, Healthcare Billing/Denials

What You’ll Do

• Lead Denials Management Strategy: Oversee the claims lifecycle from post-submission to resolution, with an emphasis on denial trends. Design and implement scalable solutions that reduce friction and revenue loss.
• Drive Root Cause Analysis: Investigate systemic issues behind rejections and denials using structured analysis, and implement preventative solutions to improve operational efficiency.
• Own Key Operational Metrics: Manage throughput, denial rates, and other key metrics for high-profile client accounts. Use data to surface insights and drive continuous improvement.
• Build and Scale Processes: Design repeatable, automated workflows that enable operational scale and reduce manual effort. Collaborate with product and engineering to define requirements for internal tooling.
• Client Partnership: Serve as a subject matter expert for critical accounts. Partner with account managers and clients to troubleshoot issues and implement operational improvements.

What You Have

• 4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles. Experience in high-growth or tech-enabled healthcare environments is a strong plus.
• Strong analytical skills, with the ability to independently perform data analysis (Excel required; SQL strongly preferred). You're comfortable making data-driven decisions.
• Operational leadership experience with a track record of managing cross-functional initiatives and improving process performance at scale.
• Systems thinker: You naturally zoom out to see patterns and zoom in to identify root causes. You understand how people, processes, and technology interact to create value.
• Ownership mindset: You hold yourself and others to high standards and take accountability for results, not just tasks.
• Excellent communicator: You translate complexity into clarity—for both internal stakeholders and external clients.
• Bias for action: You thrive in fast-paced environments and are comfortable navigating ambiguity and evolving priorities.