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vlbpo logo
vlbpo

VLBPO is a next-generation outsourcing partner redefining what world-class Customer Experience should look like.

Operations Manager – Insurance Case Management

OperationsOperationsFull TimeRemoteSeniorTeam 201-500Since 2019H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

134 days ago

Salary

$60K - $85K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Operations Manager – Insurance Case Management

vlbpo

• Oversee daily insurance case management operations including authorizations, claims processing, and care coordination to ensure efficiency and accuracy. • Lead Team Leads, Supervisors, and Case Managers; conduct coaching, performance reviews, and corrective actions to drive results. • Monitor productivity, accuracy, QA scores, utilization, and turnaround times to ensure all SLAs are consistently met. • Manage staffing levels, workflow distribution, and case prioritization to meet client demand and optimize performance. • Act as the primary point of contact for clients; manage escalations, expectations, and maintain strong relationships. • Prepare and present operational reports, insights, and lead Weekly/Monthly Business Reviews. • Ensure adherence to HIPAA regulations, data privacy standards, and internal compliance requirements. • Identify operational gaps and implement process improvements to enhance efficiency and service delivery.

Job Requirements

  • Bachelor’s Degree in Business Administration, Management Studies, or related field.
  • Minimum 5+ years of experience in a BPO or call center environment, with leadership experience managing operations teams.
  • Proven experience managing high-volume operations and multiple teams.
  • Strong understanding of insurance case management, claims processing, or healthcare operations.
  • Solid knowledge of HIPAA compliance and data privacy regulations.
  • Strong leadership, coaching, and team development skills.
  • Excellent communication skills with client-facing experience.
  • Strong analytical and reporting skills with the ability to interpret data and drive decisions.
  • Ability to take full ownership of an account and operate independently.

Benefits

  • Professional workspace
  • Reliable high-speed internet connection
  • Opportunity to manage multiple teams
  • Flexibility during peak volumes and client demands

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