# Senior Operations Manager, Healthcare Billing/Denials

**Company:** [Commure](https://hotfix.jobs/companies/commure)
**Location:** Mountain View, CA
**Role:** Revenue Operations
**Salary:** $120k – $160k/yr
**Experience:** 4+ years
**Skills:** SQL, Excel, revenue cycle management, denials management, claims optimization, Root Cause Analysis, Process Improvement, Data Analysis
**Posted:** 2026-07-30

> Lead denials management and claims optimization for healthcare revenue cycle operations. Drive root cause analysis, build scalable processes, own key metrics, and partner with clients, product, and engineering teams to reduce denials and improve revenue capture.

## Job Description

## 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.

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