[Remote] Claims Operations Manager at Sidecar Health

Remote

Sidecar Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries

Requirements

  • Proven experience leading or managing a team, with a focus on coaching and results
  • 5+ years of experience in claims processing or a related field (healthcare experience preferred)
  • 5+ years in a leadership or supervisory role
  • 3+ years of experience using metrics to manage team performance (quality, productivity, utilization)
  • Strong organizational, problem-solving, and communication skills
  • Comfortable working with claims systems and regulatory processes (a plus)
  • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and collaboration tools like chat and messaging platforms
  • A self-starter mindset — able to thrive in a fast-paced, dynamic environment

Responsibilities

  • Lead and develop your team: Train, coach, and mentor processors to perform at a high level while supporting their growth and success
  • Drive performance excellence: Use data, feedback, and process tools to ensure accuracy, productivity, and quality standards are consistently met or exceeded
  • Empower your people: Celebrate wins, address challenges constructively, and help each team member develop professionally
  • Collaborate across teams: Partner with departments like Quality, Compliance, and Product to keep operations aligned with company goals
  • Use insights to improve outcomes: Gather and analyze performance metrics, communicate results in one-on-one and team settings, and take action to drive results
  • Champion process improvement: Participate in pilots, special projects, and process redesigns that make our operations better and faster
  • Model accountability: Ensure policies and standards including attendance, telecommuting, and performance management are followed and consistently applied
  • Keep communication clear and timely: Share updates, priorities, and process changes with your team to keep everyone aligned
  • Lead through change: Adapt quickly and confidently in a fast-moving environment while keeping your team focused and motivated

Skills

Key technologies and capabilities for this role

Team LeadershipPerformance MetricsProcess ImprovementData AnalysisCoachingComplianceQuality AssuranceOperations Management

Questions & Answers

Common questions about this position

What experience is required for the Claims Operations Manager role?

You need 5+ years in claims processing or a related field (healthcare preferred), 5+ years in a leadership or supervisory role, and 3+ years using metrics to manage team performance, plus proven experience leading teams with a focus on coaching and results.

What are the key skills needed for this position?

Strong organizational, problem-solving, and communication skills are required, along with comfort working with claims systems and regulatory processes as a plus.

Is this a remote position?

The job mentions ensuring policies including attendance and telecommuting are followed, but specific remote or location details are not provided.

What is the salary or compensation for this role?

This information is not specified in the job description.

What kind of company culture does Sidecar Health have?

Sidecar Health has a passionate team from diverse backgrounds like tech, policy, and healthcare, focused on building a culture of accountability, development, continuous improvement, and empowering people to transform healthcare.

Sidecar Health

Affordable health insurance with price transparency

About Sidecar Health

Sidecar Health provides health insurance plans that focus on affordability and transparency, including options compliant with the Affordable Care Act (ACA). The company allows members to see average cash prices for medical services upfront, helping them make informed decisions and avoid unexpected costs. Revenue is generated through member premiums, which cover medical expenses, while also benefiting from the difference between negotiated cash prices and premiums. Sidecar Health's goal is to empower members to take control of their healthcare expenses with straightforward and cost-effective insurance options.

El Segundo, CaliforniaHeadquarters
2018Year Founded
$319.1MTotal Funding
SERIES_DCompany Stage
Financial Services, HealthcareIndustries
201-500Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
Paid Vacation
Paid Holidays
Stock Options
Company Equity

Risks

Increased competition from similar insurtech companies may erode market share.
Regulatory scrutiny on cash pay models could pose compliance challenges.
Economic downturns might reduce consumer spending on health insurance premiums.

Differentiation

Sidecar Health offers transparent pricing, empowering members with upfront healthcare cost information.
The company provides customizable plans, aligning with individual coverage needs and budgets.
Partnerships with institutions like Ohio State University enhance their fixed-price care model.

Upsides

Recent $165M Series D funding supports expansion and innovation in health insurance.
Partnership with Mark Cuban Cost Plus Drug Company lowers prescription drug costs for members.
ACA-compliant product line expansion increases market reach and consumer options.

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