Manager, Provider Dispute Resolution

About the role

This role will advance people and talent initiatives that strengthen organizational effectiveness, leadership capability, and employee experience. You will collaborate with business leaders, HR partners, and cross-functional stakeholders to align workforce priorities with business objectives. The position offers the opportunity to influence culture, talent strategy, and scalable people operations within a regulated financial services environment.

Responsibilities

• Lead daily operations of Federal IDR and Out of Network functions to meet service objectives
• Develop and execute plans to enhance business performance and customer experience
• Monitor, establish, and communicate key operational KPIs and metrics
• Utilize data insights to identify and mitigate risks and workflow bottlenecks
• Drive workflow redesigns and process optimizations for operational efficiency
• Champion adoption of AI-enabled tools to enhance productivity and quality
• Build partnerships across stakeholders to align business priorities and improve outcomes

Requirements

• Bachelor's degree in related discipline or equivalent experience
• 8+ years in healthcare operations, particularly in claims and dispute resolution
• 5+ years of experience managing operational teams
• Proven track record of leading process improvement initiatives successfully
• Experience managing operational inventories and workforce planning
• Strong analytical skills to leverage operational data effectively
• Excellent communication and stakeholder management capabilities

Location

Remote - US based candidates only, no visa sponsorship available

Pay

$100,000 – $120,000 annually

Benefits

• Flexible workplace with a hybrid approach to in-office and remote work
• Opportunity for professional development and continuous learning
• Focus on building high-performing teams with coaching and feedback
• Engagement in innovative practices promoting accountability and collaboration
• Exposure to working with a global team across various operational areas