Lead Manager of Insurance Operations - remote

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager, Insurance Operations - REMOTE. In this role, you will oversee essential functions related to payer denials and underpaid claims, ensuring timely resolution and operational efficiency. You will lead a team to drive performance excellence while maintaining a culture of collaboration and continuous improvement.

This position allows you to make a significant impact on reimbursement processes, contributing to the overall success of the organization and ultimately improving patient access to care.

• Oversee workflows for contracted payer denials and underpaid claims.
• Develop and implement strategies to reduce denials and recover underpayments.
• Monitor denial trends and collaborate with internal teams to address root causes.
• Manage insurance follow-up queues to ensure timely responses.
• Oversee negotiation and execution of Letters of Agreement and Single Case Agreements.
• Prepare and analyze reports on denial rates and recovery performance.
• Provide training and guidance to ensure team adherence to policies.

• Bachelor's degree in Healthcare Administration, Business, or related field.
• 8+ years of experience in reimbursement operations or revenue cycle management.
• Strong knowledge of insurance billing and payer contracts.
• Proven leadership experience in managing teams.
• Excellent communication and problem-solving skills.
• Proficiency in revenue cycle systems and Microsoft Office Suite.

• Competitive salary range with equity grant and bonus eligibility.
• Flexible work environment promoting work-life balance.
• Opportunities for professional development and career advancement.
• Supportive company culture emphasizing diversity and inclusion.
• Hands‑on coaching and mentoring from experienced leaders.

We use an AI‑powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top‑fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice:
By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre‑contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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