Senior Operations Manager, Healthcare Billing/Denials Operations jobs in United States
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Commure · 2 months ago

Senior Operations Manager, Healthcare Billing/Denials Operations

Commure is a company dedicated to simplifying healthcare through innovative AI solutions aimed at improving care delivery. The Senior Operations Manager will lead initiatives focused on denials management and claims optimization, collaborating across teams to enhance operational efficiency and client partnerships.

Artificial Intelligence (AI)Health CareInnovation ManagementSoftware
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H1B Sponsor Likelynote

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

Qualification

Healthcare operationsRevenue cycle managementData analysisOperational leadershipRoot cause analysisCommunicatorBias for actionSystems thinkerOwnership mindset

Required

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
Strong analytical skills, with the ability to independently perform data analysis (Excel required; SQL strongly preferred). You're comfortable making data-driven decisions
Operational leadership experience with a track record of managing cross-functional initiatives and improving process performance at scale
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
Ownership mindset: You hold yourself and others to high standards and take accountability for results, not just tasks
Excellent communicator: You translate complexity into clarity—for both internal stakeholders and external clients
Bias for action: You thrive in fast-paced environments and are comfortable navigating ambiguity and evolving priorities

Company

Commure

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Commure is an AI-based company that specializes in health care.

H1B Sponsorship

Commure has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (50)
2024 (18)
2023 (2)
2022 (10)
2021 (4)
2020 (1)

Funding

Current Stage
Late Stage
Total Funding
$820.5M
Key Investors
General Catalyst
2025-06-19Series E· $200M
2024-05-31Series Unknown· $4.45M
2023-10-13Series Unknown· $70M

Leadership Team

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Heather Vogel
Executive Business Partner to the CEO
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Dhruv Parthasarathy
CTO
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Company data provided by crunchbase