Operations Manager

About This Role The Claims Manager exists to lead a high‑performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence. Responsibilities In this role, you will: Lead and develop the Claims team to deliver exceptional member support Oversee claims operations while ensuring accuracy, compliance, and efficiency Drive scalable processes and partner cross‑functionally to improve outcomes What You’ll Do In this role, you will: Own: Team performance, structure, and daily operations of the Claims function Lead: Team development, coaching, goal‑setting, and performance management Oversee: The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution Ensure: Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight Support: Members directly with escalated billing and claims issues, providing clear and empathetic communication Collaborate with: Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution Improve: Processes, workflows, and outcomes by identifying trends and reducing repeat issues Track: Performance through KPIs such as speed to process, appeals rates, and negotiation success Success Metrics Success in this role is measured by: Team performance and development Accuracy and efficiency in claims processing and resolution Member satisfaction and confidence in billing support Qualifications We’re looking for someone who: 5+ years in a supervisory or managerial role Experience in healthcare billing, reimbursement, or claims (Preferred) Proven leadership skills and operational excellence Strong communication and analytical thinking skills A customer‑first mindset with a passion for solving complex problems A hands‑on, collaborative leadership approach Must be based in the Phoenix, AZ area or able to reliably commute to an in‑person work environment. Benefits What you’ll earn: Salary: $70,000 per year FREE healthcare for you and your entire family Paid time off & sick time 401(k) access A mission‑driven team that believes in doing the right thing This is an in‑person position located in Phoenix, AZ Legal Stuff Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at‑will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment‑based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship. #J-18808-Ljbffr Redirect Health