Senior Manager- HCC Coding Operations

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