Operations Manager

Claims Manager

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 paycheckand the same is true for your spouse and children.

No monthly premiums

No deductibles

No 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 frustratingand 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 support

Oversee claims operations while ensuring accuracy, compliance, and efficiency

Drive 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 teams

Enjoys solving complex operational and billing challenges

Keeps 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 teams

Bringing clarity to complex billing and claims situations

Driving operational excellence while maintaining empathy for members

Using data and insights to continuously improve processes

How Success Is Measured

Success in this role is measured by:

Team performance and development

Accuracy and efficiency in claims processing and resolution

Member satisfaction and confidence in billing support

Improvement 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 role

Experience in healthcare billing, reimbursement, or claims (Preferred)

Proven leadership skills and operational excellence

Strong communication and analytical thinking skills

A customer-first mindset with a passion for solving complex problems

A hands-on, collaborative leadership approach

Must 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 premiums

No cost to add your spouse or children

No 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 year

FREE healthcare for you and your entire family

Dental & Vision insurance

Paid time off & sick time

401(k) access

A mission-driven team that believes in doing the right thing

This is an in-person position located in Phoenix, AZ

Ready to Make a Difference?

If you're looking for more than just a joband want to help reshape how healthcare works for familieswe'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.