Athelas · 2 months ago
Senior Operations Manager, Healthcare Billing/Denials Operations
Mountain View, CA
Full-time
Onsite
Mid, Senior Level
$120K/yr - $150K/yr
4+ years expAt Commure, our mission is to simplify healthcare through innovative AI solutions. The Senior Operations Manager will lead strategic initiatives focusing on denials management and claims optimization, collaborating closely with various teams to enhance operational efficiency and improve revenue capture.
BiotechnologyHealth CareLife Science
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
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)
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
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
Athelas
Athelas develops technology to monitor chronically ill patients in their homes.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$150.13MKey Investors
Tribe CapitalGeneral CatalystGeorges Harik
2023-10-04Acquired
2022-01-31Series C· $59.43M
2021-08-10Series B· $72M
Leadership Team
Tanay Tandon
Co-founder & CEO
Deepika Bodapati
Founder/COO
Recent News
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