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Operations Manager

$70k – $70k/yr Phoenix, US on-site full time manager 22d ago

About this role

Healthcare shouldn’t be something you worry about when taking care of your family. That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children. No monthly premiumsNo deductiblesNo surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs compared to traditional health plans. This isn’t a perk. It’s part of our mission. Who We Are Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance. We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity. If you want your work to matter to families every single day, you’ll find purpose here. How We Work (Our Core Values in Action) At Redirect Health, our values guide how we show up for each other, our clients, and our members. We do our best work when we: Obsess Over People We are always helpful, friendly, and human. Own It to Completion If we take something on, we see it through. Always Improve & Adapt We learn quickly and adjust without ego. Always Start with “Yes, We Can Help You” We lead with solutions and figure out the rest. Succeed as a Team We win together through trust and collaboration. Detest Waste & Unnecessary Complexity We remove friction so we can focus on what truly helps people. If these values resonate with you, you’ll feel at home here. About This Role The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence. In this role, you will: Lead and develop the Claims team to deliver exceptional member supportOversee claims operations while ensuring accuracy, compliance, and efficiencyDrive scalable processes and partner cross-functionally to improve outcomes This is a hands-on leadership role for someone who: Thrives in building and leading strong teamsEnjoys solving complex operational and billing challengesKeeps the member experience at the center of every decision What You’ll Do In this role, you will: Own: Team performance, structure, and daily operations of the Claims function Lead: Team development, coaching, goal-setting, and performance management Oversee: The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution Ensure: Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight Support: Members directly with escalated billing and claims issues, providing clear and empathetic communication Collaborate with: Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution Improve: Processes, workflows, and outcomes by identifying trends and reducing repeat issues Track: Performance through KPIs such as speed to process, appeals rates, and negotiation success A strong performer in this role is known for: Building high-performing, accountable teamsBringing clarity to complex billing and claims situationsDriving operational excellence while maintaining empathy for membersUsing data and insights to continuously improve processes How Success Is Measured Success in this role is measured by: Team performance and developmentAccuracy and efficiency in claims processing and resolutionMember satisfaction and confidence in billing supportImprovement in key metrics (speed, appeals rates, outcomes)Strong collaboration across departments What We’re Looking For We’re looking for someone who: 5+ years in a supervisory or managerial roleExperience in healthcare billing, reimbursement, or claims (Preferred)Proven leadership skills and operational excellenceStrong communication and analytical thinking skillsA customer-first mindset with a passion for solving complex problemsA hands-on, collaborative leadership approachMust be based in the Phoenix, AZ area or able to reliably commute to an in-person work environment. Why Join Redirect Health What “Free Healthcare” Actually Means When we say free, we mean no money out of your paycheck and no cost when you need care: No monthly premiumsNo cost to add your spouse or childrenNo deductibles (we reimburse them)No out-of-pocket maximums This benefit alone can save families tens of thousands of dollars. What You’ll Earn Salary: $70,000 per yearFREE healthcare for you and your entire familyDental & Vision insurancePaid time off & sick time401(k) accessA mission-driven team that believes in doing the right thingThis is an in-person position located in Phoenix, AZ Ready to Make a Difference? If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you. Legal Stuff Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship. Locations: Phoenix, AZ
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