Senior Manager- HCC Coding Operations

Full–time

Posted on: 3 days ago

As a senior operations leader at a leading healthcare company specializing in HCC Risk Adjustment Coding in Pune, India, you will be responsible for overseeing a large team of 100+ coders across day and night shifts. Your role will involve ensuring high coding accuracy, operational efficiency, and maintaining strong client relationships.
  • *Key Responsibilities:**
  • - Lead end-to-end HCC coding operations for teams totaling 100+ coders across day and night shifts.
    - Ensure consistent achievement of productivity, quality, and SLA targets.
    - Oversee team leads, QA teams, and production teams to maintain operational stability.
    - Drive operational planning including capacity planning, workforce allocation, and workload balancing.
  • *Team Leadership & Organizational Development:**
  • - Build and manage high-performing leadership layers (Team Leads, QA Leads, Supervisors).
    - Mentor and develop second-line leadership within the coding organization.
    - Establish clear organizational structures, escalation frameworks, and performance management systems.
  • *Client & Stakeholder Management:**
  • - Act as a key operational interface with US healthcare clients.
    - Lead regular client reviews, performance updates, and operational discussions.
    - Proactively manage client expectations and resolve escalations.
  • *Quality & Compliance Oversight:**
  • - Ensure adherence to CMS Risk Adjustment guidelines and coding compliance standards.
    - Work closely with QA leadership to maintain industry-leading coding accuracy and audit readiness.
    - Implement quality improvement initiatives based on audit findings.
  • *Reporting & Data-Driven Management:**
  • - Develop and monitor operational dashboards covering productivity, quality, and turnaround times.
    - Present operational insights and improvement plans to senior leadership and clients.
    - Use analytics to identify productivity gaps and optimize performance.
  • *Process & Workflow Optimization:**
  • - Design and implement scalable operational workflows to support business growth.
    - Drive initiatives that improve coding efficiency, turnaround time, and operational scalability.
    - Establish structured SOPs, documentation, and process governance.
  • *Required Experience:**
  • - 10-15 years of experience in US healthcare operations, with significant exposure to HCC/Risk Adjustment coding.
    - 3+ years managing large coding teams (80-150+ people).
    - Proven experience managing offshore delivery for US healthcare clients.
    - Strong background in operational leadership, reporting, and process design.
    - Demonstrated ability to manage multi-shift operations.
  • *Key Competencies:**
  • - Large-scale Operations Management
    - Risk Adjustment/HCC Coding Expertise
    - Client Relationship Management
    - Organizational Design & Team Development
    - Operational Reporting & Analytics
    - Process Optimization & Efficiency

    In summary, the ideal candidate for this role should have experience in managing large HCC or risk adjustment coding operations, be adept at managing operational delivery and client-facing responsibilities, possess strong leadership skills, and be experienced in building structured workflows in growing organizations. As a senior operations leader at a leading healthcare company specializing in HCC Risk Adjustment Coding in Pune, India, you will be responsible for overseeing a large team of 100+ coders across day and night shifts. Your role will involve ensuring high coding accuracy, operational efficiency, and maintaining strong client relationships.
  • *Key Responsibilities:**
  • - Lead end-to-end HCC coding operations for teams totaling 100+ coders across day and night shifts.
    - Ensure consistent achievement of productivity, quality, and SLA targets.
    - Oversee team leads, QA teams, and production teams to maintain operational stability.
    - Drive operational planning including capacity planning, workforce allocation, and workload balancing.
  • *Team Leadership & Organizational Development:**
  • - Build and manage high-performing leadership layers (Team Leads, QA Leads, Supervisors).
    - Mentor and develop second-line leadership within the coding organization.
    - Establish clear organizational structures, escalation frameworks, and performance management systems.
  • *Client & Stakeholder Management:**
  • - Act as a key operational interface with US healthcare clients.
    - Lead regular client reviews, performance updates, and operational discussions.
    - Proactively manage client expectations and resolve escalations.
  • *Quality & Compliance Oversight:**
  • - Ensure adherence to CMS Risk Adjustment guidelines and coding compliance standards.
    - Work closely with QA leadership to maintain industry-leading coding accuracy and audit readiness.
    - Implement quality improvement initiatives based on audit findings.
  • *Reporting & Data-Driven Management:**
- Develop and monitor operational dashboards covering productivity, quality, and turnaround times.
- Present operational insights and improvement plans to senior leadership and clients.
- Use analytics to ide