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Healthcare Operations Sr. Manager (Claims, Enrollment and Billing)

UST

Taguig, National Capital Region, Philippines Full-time July 08, 2026

Found Description

The Healthcare Operations Sr. Manager is accountable for end-to-end service delivery, operational excellence, and client satisfaction across healthcare payer BPO workstreams. This role leads multi-functional teams spanning Claims, Enrollment & Billing, Provider Operations, Product Configuration, Contact Center, Clinical management ensuring SLA adherence, quality, productivity, and transformation outcomes.


The ideal candidate brings deep US healthcare domain expertise with hands-on management exposure to payer platform and a proven ability to operate and scale high-performance BPO delivery models.


Key Responsibilities


1. Service Delivery & Operations Ownership

  • Own end-to-end delivery across assigned workstreams (Claims, Enrollment and Billing, PDM, Contact Center, etc.) aligned to contractual SLAs
  • Drive consistent performance across quality, productivity, TAT, and cost benchmarks
  • Ensure adherence to SOPs, c...

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