Sidecar Health - Senior Director of Claims Operations
Requirements
• 15+ years of operations experience, including 5+ years in healthcare • 8+ years in senior leadership roles, leading large teams in complex environments • Experience operating in a high-growth, tech-enabled health insurance or benefits company preferred • Comfort with data — able to build and interpret operational dashboards and hold teams to metric-based goals • Proven ability to lead through ambiguity, manage cross-functional stakeholders, and drive change in fast-moving environments • Strong financial acumen — experience owning budget, headcount planning, and cost-per-claim targets • Demonstrated results deploying AI or automation in a claims or complex operations environment • What You'll Get • What You'll Get • Competitive salary, bonus opportunity, and equity package • Comprehensive Medical, Dental, and Vision benefits • A 401k retirement plan • Paid vacation and company holidays • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
Responsibilities
• Build & Lead a High-Performance Claims Operation (50%) • Lead and scale a multidisciplinary Claims Operations team — spanning claims adjudication, quality, operations, and clinical — to drive accurate, timely claims processing and an exceptional member experience • Foster a culture of metrics-driven continuous improvement, accountability, and high performance across all Claims functions • Develop future leaders within the team and build the bench for a growing, complex operation • Drive AI, Automation, and Operational Transformation (30%) • Identify, prioritize, and lead automation that meaningfully increases end-to-end auto-adjudication rate, reduces claims processing time, and improves quality / accuracy • Partner with Product and Engineering to shape the roadmap for claims technology —acting as a strategic voice, not just an operator • Lead change management efforts as the team adopts new tools, workflows, and ways of working • Build and maintain governance structures that support scalable, compliant, and data-informed operations • Own Claims Strategy & Business Outcomes (20%) • Align claims operations with Sidecar Health's broader business objectives — including continued growth, sustainable MLR, and an obsessive focus on member experience • Drive payment accuracy, fraud prevention, and claims spend optimization through proactive stakeholder management and cross-functional initiatives • Translate operational data into strategic insights and recommendations for senior leadership • Mitigate operational and regulatory risk while maintaining full compliance with healthcare regulations • Own budget development and resource allocation, ensuring alignment with organizational priorities
Apply in one click
Upload My Resume
Drop here or click to browse · Tap to choose · PDF, DOCX, DOC, RTF, TXT