Director of Claims Processing & Transformation

Summary

Join Sidecar Health, a company redefining health insurance, as their Director of Claims. Lead the claims team, ensuring accurate, efficient, and timely claim processing. Own end-to-end claims workflow operations, driving compliance and optimizing team performance. Collaborate with operations, product, and engineering teams to automate processes and improve efficiency. Build and develop a high-performing management team, fostering a culture of accountability and growth. This role requires a mission-driven leader who thrives in fast-paced environments and is passionate about building scalable, tech-enabled operations.

Requirements

• 7+ years in operations leadership, preferably in healthcare claims or revenue cycle
• Proven success managing large-scale processing teams in a deadline-driven environment
• Experience partnering with product and engineering teams on automation and tool development
• Comfort with AI, workflow tools, and modern process design
• Strong analytical skills and experience with operational forecasting and capacity planning
• A track record of building accountable, high-performing teams with a focus on continuous improvement
• Exceptional communication skills, with a focus on transparency, clarity, and collaboration
• Bachelor's degree required; advanced degree a plus

Responsibilities

• Own claim processing inventory management and queue oversight, ensuring work is routed appropriately and completed within prompt pay timelines
• Investigate and act on prompt pay misses, building systems to prevent recurrence
• Build and refine quality management processes, integrating team feedback and claims data to continuously improve performance
• Develop and maintain capacity models across claim types and queues, looking 6–9 months ahead to forecast volume, identify hiring needs, and ensure sufficient training
• Track and report the impact of operational and technical changes on efficiency and accuracy
• Translate company and team goals into executable programs and team initiatives
• Identify and champion opportunities to leverage automation, AI, and modern toolsets to reduce manual work
• Partner with product and engineering teams to guide development of tools that eliminate low-value tasks or eliminate operational risk in our workflows
• Promote transparency and collaboration across the department, building and developing a strong management team
• Cultivate a culture of accountability, ownership, and professional growth within the team

Benefits

• Competitive salary, bonus opportunity, and equity package
• Comprehensive medical, dental, and vision benefits
• A 401k retirement plan
• Paid vacation, company holidays, recharge days
• Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S