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