Manager overseeing record to report processes and providing development opportunities for associates at Walmart Global Tech. Engaging with stakeholders and ensuring compliance with financial policies and procedures.
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Hybrid Area Manager – Claims Management, Medical Billing and Claims Processing
Posted 4 months ago
About the role
- Area Manager responsible for healthcare claims operations and service delivery excellence. Ensuring client engagement and overseeing audit lifecycle in the healthcare sector.
Responsibilities
- Serve as the key liaison between POD Leader and Operations/Program Leaders to ensure alignment on client engagement, requirements, and escalation management.
- Align POD-level goals with program objectives and the broader business strategy.
- Partner with Program and POD Leaders for strategic planning, including forecasting performance, capacity planning, and staffing to meet revenue goals.
- Collaborate across functions to ensure effective service delivery throughout the audit lifecycle—from data management and selections to recovery.
- Review exceptions, analyze anomalies, and provide insights with appropriate narrative and resolution actions.
- Maintain dual accountability with Program Leaders for client-facing communications and engagement.
- Ensure timely and appropriate client communication alongside Program Leaders.
- Drive technology initiatives to enhance operational efficiencies and work closely with Program Leaders on solutioning.
- Conduct continuous 360-degree reviews of service delivery and identify improvement areas.
- Present performance metrics, revenue trends, and risk assessments to senior management.
Requirements
- Bachelor’s degree in any or related field; MBA or relevant advanced degree preferred.
- Minimum of 10 years’ experience in US Healthcare and Payment Services LOB preferred.
- 5+ years of experience in operations management, preferably in audit lifecycle or service delivery domains.
- Proven experience in strategic planning, client engagement, and cross-functional team leadership.
- Strong analytical skills with proficiency in metrics tracking, reporting, and business intelligence tools.
- Excellent communication skills with client-facing experience.
- Ability to manage multiple stakeholders and complex escalations effectively.
- Experience with compliance standards (HIPAA, CMS) and quality assurance.
- Familiarity with digital transformation initiatives and technology-driven process improvements.
Benefits
- Competitive salary
- Opportunities for professional development
- 401(k) retirement plan
Job title
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Experience level
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Not specified
Degree requirement
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