Remote Senior Manager, Healthcare Operations Excellence

Intellivo; Oregon; Hybrid; USD 150,000 - 190,000; Full time

Benefits offered by this job

Comprehensive medical insurance

401(k) retirement savings with match

Paid time off and holidays

Life insurance and disability coverage

Employee Assistance Program

Job summary

Intellivo is seeking a Senior Manager of Operational Excellence with deep healthcare billing, subrogation, or health insurance operations experience. This hands-on leader will mentor a small team of 5–7 and coordinate process and technology resolutions across multiple stakeholders to improve claim identification, case development, and recovery workflows.

You will diagnose root causes, validate fixes via UAT, and drive data-driven improvements using KPIs and BI tools.

Qualifications

• 8+ years of direct professional experience in healthcare billing or health insurance operations.
• 3+ years people management
• Experience working with healthcare claims, billing, reimbursement, revenue cycle, subrogation, coordination of benefits, recovery, or related insurance workflows.
• Demonstrated ability to investigate healthcare operational issues and identify root causes across people adherence, process, workflow, technology, and data.
• Experience performing UAT for system defects, bug fixes, workflow changes, and technology implementations.
• Experience translating operational issues into clear business requirements and test scenarios.

Responsibilities

• Monitor Operational Adherence: Evaluate whether established case workflows, processes, and operating standards are followed consistently.
• Use KPIs and performance signals to identify areas requiring investigation.
• Review operational activity across the healthcare claims and recovery lifecycle to identify breakdowns, inconsistencies, rework, delays, or unintended outcomes.
• Provide Recovery Operations leadership with evidence-based findings on adherence, training, or performance.
• Drive adoption of new processes and monitor adherence following implementation.

Skills

Analytical thinking

AI prompting

Leadership

Tools

Power BI

Excel

Job description

Intellivo is seeking a Senior Manager of Operational Excellence with deep healthcare billing, subrogation, or health insurance operations experience. This hands-on leader will mentor a small team of 5–7 and coordinate process and technology resolutions across multiple stakeholders to improve claim identification, case development, and recovery workflows.

You will diagnose root causes, validate fixes via UAT, and drive data-driven improvements using KPIs and BI tools.