Claims Manager

Department: Repricing & Extended Functions – Strategic Team
Role Type: Manager (Operations & Transformation)

Role Overview
We are looking for an experienced and highly driven Operations Manager with strong expertise in US Healthcare Claims Adjudication, Overpayments, Implementations, Automation, and Strategic Operations Management. The role involves leading end‑to‑end operational strategy, building scalable frameworks, driving automation initiatives, managing cross‑functional stakeholders, and ensuring operational excellence across all programs.
This role requires someone who can think strategically, execute operationally, and lead teams with high ownership and accountability.

Key Responsibilities
1. Strategic Operations & Framework Development
Design, standardize, and implement strategic frameworks for Repricing & Extended Functions.
Build SOPs, workflows, controls, governance structures, and performance models across clients.
Identify gaps and d...

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