Source Job

  • Lead managers and supervisors responsible for member enrollment and billing operations.
  • Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
  • Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.

Healthcare Operations Leadership Process Improvement

20 jobs similar to Senior Manager, Healthcare Payer Operations

Jobs ranked by similarity.

US 4w PTO

  • Lead daily enrollment and billing cash operations, ensuring accurate payment posting and strong accounts receivable performance.
  • Coach, mentor, and develop team members through regular feedback, training, and performance management.
  • Partner with internal teams, payers, and vendors to improve workflows, reduce issues, and enhance service delivery.

Our partner is a healthcare organization focused on improving financial operations and patient outcomes. They foster a supportive, remote-first environment with a collaborative culture and commitment to employee well-being.

US

  • Own end-to-end operating model and outcomes for provider engagement and growth programs, ensuring timelines, milestones, and intended results are met.
  • Track program performance through data, translate into concise reports for senior leadership, and provide recommendations for prioritization.
  • Collaborate with cross-functional teams and engage directly with providers and practice staff to maintain momentum and drive program success.

Counterpart Health transforms healthcare with an AI-enabled primary care tool, Counterpart Assistant, that supports earlier diagnosis and management of chronic conditions. As a subsidiary of Clover Health, they have a remote-first culture with a focus on diversity and inclusion, and thousands of practitioners using their tool.

$60,000–$68,000/yr
US Unlimited PTO

  • Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
  • Design quality controls and error-catching checkpoints that reduce rework and rejected applications.
  • Conduct persistent, proactive follow-up with payers to push applications through to approval.

Allara is a comprehensive women's health provider that specializes in expert, longitudinal care for women through every life stage. Trusted by over 60,000 women nationwide, Allara is one of the fastest-growing women's health platforms in the U.S., bridging gaps in healthcare for women.

$107,000–$140,000/yr
US Unlimited PTO

  • Lead end-to-end operating models and drive provider engagement and growth programs in a healthcare tech environment.
  • Monitor program performance using data insights, identify risks, and ensure alignment with strategic goals.
  • Partner with cross-functional teams and external healthcare providers to create scalable processes and improve outcomes.

Jobgether is an AI-powered job matching platform that connects candidates with opportunities. They use technology to streamline hiring, and this role is listed on behalf of a partner company.

$175,000–$195,000/yr
US Unlimited PTO

  • Oversee overall performance of Evergreen-aligned patients across all markets and payers.
  • Lead the buildout and growth of the Evergreen Provider Group as a scalable virtual care delivery model.
  • Manage, coach, and develop teams to foster a high-performance culture with clear expectations and growth opportunities.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture focused on innovation and collaboration.

$120,000–$150,000/yr
US

  • Lead a team to ensure a high functioning revenue cycle and achieve financial goals through billing and follow-up.
  • Develop operational processes aligned with revenue cycle best practices to maximize reimbursement.
  • Partner with product department to identify areas of improvement in technology workflow processes.

BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, it is now the world's largest online therapy service with a network of over 30,000 licensed therapists.

US

  • Lead execution and optimization of integrated clinical service operations across behavioral health, pharmacy, and nursing service lines.
  • Oversee workforce planning, capacity management, and performance tracking against key clinical and operational metrics.
  • Manage unit economics and translate growth strategies into operational roadmaps for new markets and payer partnerships.

Our partner is a mission-driven, high-growth healthcare organization focused on improving outcomes for complex patient populations through coordinated, value-based care. They operate in a fast-paced, remote-first environment with a strong focus on professional growth and cross-functional collaboration.

  • Lead the Prior Authorization and Financial Assistance team in a remote setting.
  • Oversee large-scale healthcare operations and drive operational excellence.
  • Develop and mentor high-performing teams to enhance patient support outcomes.

Shields Health Solutions provides specialty pharmacy management services to health systems, focusing on prior authorization and financial assistance. They are a rapidly growing organization committed to operational excellence and patient-centered care.

US

  • Lead operational improvement strategies and transformation programs across healthcare service operations.
  • Drive end-to-end program delivery including planning, risk management, and executive communications.
  • Conduct operational assessments, root cause analysis, and design enablement materials to support process adoption.

This partner company in the healthcare technology sector drives operational excellence and transformation across complex service environments. It is a remote-first organization with a supportive culture focused on innovation and continuous improvement.

US

  • Oversee end-to-end health plan enrollment process and manage vendor performance.
  • Ensure accurate and timely processing of enrollment requests while maintaining compliance with SLAs.
  • Act as subject matter expert in payer enrollment requirements and resolve enrollment delays.

Medallion is a healthcare technology company that automates licensing, credentialing, and compliance monitoring for healthcare organizations. It is one of the fastest-growing healthcare technology companies, ranked #3 on Inc. Magazine's 2024 Fastest-Growing Private Companies in the Pacific Region and a Glassdoor Best Place to Work in 2024 & 2025.

$155,000–$165,000/yr
US

  • Plan, develop, and direct all aspects of onshore and offshore BPaaS activities to ensure operational efficiency and customer success.
  • Establish operational objectives, policies, and procedures in compliance with contracts and regulations, and develop strategies to achieve key performance measures.
  • Provide executive-level briefings to senior leadership and build collaborative relationships with client leadership to drive continuous improvement.

UST HealthProof is on a mission to reshape healthcare insurance by reducing administrative costs and building better healthcare experiences for health plans and their members. The company is run by leaders with strong health plan and technology backgrounds, fostering a supportive, start-up-like environment that nurtures individual growth.

US

  • Oversee multiple functional areas within the RCM department including scheduling, eligibility, prior authorizations, and billing.
  • Review daily and monthly performance metrics to ensure service level agreements are met.
  • Collaborate with regional and line management to provide seamless interface with patients and external customers.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering advanced O&P solutions and clinically differentiated programs. With 160 years of clinical excellence, Hanger's employees touch thousands of lives daily, helping people achieve new levels of mobility and freedom.

US

  • Manage patient-facing and internal billing questions, including resolving denials and processing insurance verifications.
  • Work claims end-to-end with cross-functional stakeholders to ensure smooth billing experiences.
  • Support efforts to streamline existing processes by suggesting automation and maintaining reliable execution.

Nourish is an AI-native digital health system that matches patients with registered dietitians, physicians, and medications for insurance-covered metabolic health care. They have completed millions of appointments, tripled year-over-year, and partner with health plans covering 200M+ Americans, with a culture of high talent density and relentless resilience.

US

  • Own your team's core operational metrics like productivity, quality, and SLA targets using data-driven daily monitoring.
  • Develop your team through direct, specific feedback and ramp plans that close performance gaps.
  • Handle escalations by diagnosing root causes, resolving issues, and implementing process improvements.

Generator Health helps patients access their medications through streamlined operations. The company is a growing healthcare startup focused on operational excellence and patient-centric workflows.

Global

  • Lead a high-performing team responsible for scheduling, patient communications, and call center operations.
  • Develop scalable workflows and monitor operational KPIs to ensure operational excellence.
  • Partner cross-functionally with clinical, product, and operations teams to improve patient experience and drive continuous improvement.

Heartbeat Health is revolutionizing cardiovascular care delivery with a remote-first, high-autonomy team. They are a small, lean, and mission-driven company focused on improving patient experience through operational excellence.

US Unlimited PTO 12w maternity 12w paternity

  • Manage a portfolio of enterprise health system clients to ensure long-term success and satisfaction.
  • Build trusted relationships with executive stakeholders and lead strategic business reviews.
  • Drive product adoption and monitor client health metrics to deliver measurable outcomes.

SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. They are a remote-first team with a mission-driven culture, offering unlimited PTO, 401(k) match, and comprehensive benefits.

US 4w PTO 12w maternity 12w paternity

  • Develop and execute comprehensive GTM launch blueprint for all new and renewing value-based care contracts.
  • Construct explicit implementation timelines and operational workflows from signed contract to active status in the field.
  • Partner with Analytics, Outreach, Provider Networks, and Strategic Payer Partnerships to align priorities and execution.

Aledade, a public benefit corporation, empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.

$100,000–$120,000/yr
US

  • Lead day-to-day communication for assigned health plan clients
  • Manage requests and deliverables with tight tracking
  • Coordinate outreach, scheduling, field ops, reporting

US

  • Oversee daily operations for medication refill administration and inbound pharmacy patient inquiries.
  • Manage productivity and quality of 50+ team members, including supervisors and regional leads.
  • Partner with leadership to develop staffing plans, launch new services, and drive continuous improvement.

Shields Health Solutions is a fast-growing company focused on patient medication refill administration and pharmacy patient inquiries. While exact employee count is not given, it supports a large team of 50+ employees and emphasizes high quality, performance accountability, and employee development.

US

  • Directs and governs the entire self-pay vendor ecosystem, including coverage discovery and bad debt collections.
  • Develops vendor strategy, SLAs, KPIs, and leads quarterly business reviews with key vendors.
  • Builds and mentors a high-performing team of analysts, ensuring workflow excellence and compliance.

Ventra is a leading business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, they partner with private practices and health systems to deliver data-driven solutions, and as a large enterprise with a robust rewards program, they emphasize a collaborative culture.