Senior Operations Manager, Billing/Denials

The role

You will lead strategic initiatives and own high-impact processes within the Business Operations team. You will focus on denials management and claims optimization to reduce denials and improve revenue capture.

What you will do

• Oversee the claims lifecycle from post-submission to resolution.
• Design and implement scalable solutions to reduce friction and revenue loss.
• Investigate systemic issues behind rejections and denials using structured analysis.
• Implement preventative solutions to improve operational efficiency.
• Manage throughput, denial rates, and other key metrics for high-profile client accounts.
• Design repeatable, automated workflows to enable operational scale.
• Collaborate with product and engineering to define requirements for internal tooling.
• Serve as a subject matter expert for critical accounts.
• Partner with account managers and clients to troubleshoot issues and implement operational improvements.

Required qualifications

• 4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles.
• Strong analytical skills.
• Ability to independently perform data analysis.
• Excel required.
• Operational leadership experience managing cross-functional initiatives and improving process performance at scale.
• Systems thinker.
• Ownership mindset.
• Excellent communicator.
• Bias for action.

Nice to have

• Experience in high-growth or tech-enabled healthcare environments
• SQL strongly preferred

About the company

Commure is building the AI Operating System for healthcare. Their platform includes Ambient AI, intelligent Agents, and autonomous RCM processing billions in claims.