Commure
Senior Operations Manager, Healthcare Billing/Denials
Mountain View, CA · Senior · Full-time
Sponsorship not specifiedDetected 1 day ago
SQLData AnalysisNLPAccount ManagementExcelValuationPatient CareLeadershipCommunication
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Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- You will be accountable for outcomes, leading root-cause investigations, designing repeatable processes, managing performance metrics, and collaborating closely with product, engineering, sales, and account management to refine tools and workflows.
- This role requires a strategic thinker with a builder's mindset, a sharp operational skillset, and a strong technical orientation.
- This full-time position is based on-site in our Mountain View, CA office, 5 days a week.
Responsibilities
- 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.
- 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.
Requirements
- Operational leadership experience with a track record of managing cross-functional initiatives and improving process performance at scale.
Nice to have
- SQL strongly preferred).
- You're comfortable making data-driven decisions.
- Strong analytical skills, with the ability to independently perform data analysis (Excel required
Compensation
- Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions.
Benefits
- 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.
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