About this role
About the Role: We’re looking for a Claims Operations leader who enjoys balancing people leadership with operational execution. In this role, you’ll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You’ll partner closely with internal teams, resolve escalations, and coach a team of claims professionals to deliver compliant, efficient, and accurate outcomes in a fast‑paced environment. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Lead daily claims operations to ensure quality, accuracy, and timely processing Manage claims inventory and prioritize workloads to consistently meet SLAs Support onboarding and implementation of new IPAs and claims operations Drive continuous improvement initiatives to increase claims efficiency and quality Resolve claims processing issues and escalations across assigned teams and IPAs Use claims systems and reports to monitor performance and share insights with leadership Coach, train, and develop claims staff (including offshore teams) to meet performance expectations Partner with internal teams on system updates, process improvements, and compliance needs Handle sensitive provider/member inquiries and high‑level claim issues as needed Other duties as assigned