Health Information Retrieval Operations Manager

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Health Information Retrieval Operations Manager based in United States.

The Health Information Retrieval Operations Manager will play a critical role in managing medical record retrieval and supporting external audit operations within a healthcare environment. You will oversee multiple chart retrieval initiatives while ensuring records are collected accurately, efficiently, and in alignment with regulatory and audit requirements. The role combines operational management, data analysis, project coordination, and process improvement across complex healthcare workflows. You will use performance metrics and dashboards to identify opportunities for automation, efficiency gains, and stronger operational outcomes. As a key contributor to the External Audit Program, you will collaborate with teams across clinical data, provider networks, and other functions to facilitate effective data exchange. The position offers an opportunity to help strengthen healthcare data operations while contributing to initiatives with significant regulatory and organizational impact. This is a fully remote role within the United States, with standard working hours aligned to the Eastern Time Zone.

Accountabilities:

• Oversee and coordinate medical chart retrieval activities across multiple methods, programs, and simultaneous initiatives.
• Manage operational performance metrics and dashboards, translating data into actionable insights that improve medical record retrieval processes and outcomes.
• Develop and enhance AI-enabled monitoring of program-wide KPIs to support regular operational reporting and leadership updates.
• Support efforts to establish and expand access to Electronic Health Record (EHR) systems and improve the operational ability to obtain provider records.
• Identify discrepancies in medical record retrieval activities and implement strategies to investigate, resolve, and prevent recurring issues.
• Support and improve processes for obtaining provider attestations and ensuring required documentation is available for audit and operational needs.
• Collaborate with Clinical Data Acquisition, Network, and other cross-functional teams to establish, improve, and maintain efficient data exchange workflows.
• Serve as a primary liaison between the External Audit Program and relevant internal stakeholders to coordinate priorities, dependencies, and information flow.
• Continuously evaluate operational processes for automation opportunities, efficiency improvements, and scalable solutions.
• Standardize, document, and maintain operational processes to promote consistency, transparency, and effective execution.
• Manage multiple priorities, projects, deadlines, and evolving requirements in a fast-paced healthcare operations environment.

Requirements:

• Proven experience in healthcare operations management, particularly in medical record retrieval, audit preparation, or related healthcare data operations.
• Strong analytical capabilities, with the ability to interpret complex healthcare regulations, audit standards, operational data, and performance trends.
• Experience developing, managing, and analyzing performance metrics and dashboards to evaluate effectiveness and drive continuous improvement.
• Demonstrated ability to identify opportunities for automation, process optimization, and operational efficiency.
• Strong project management skills, including the ability to coordinate multiple priorities, initiatives, stakeholders, and deadlines simultaneously.
• Excellent verbal and written communication skills, with the ability to collaborate effectively across clinical, operational, technical, and business teams.
• Experience working with EHR systems and healthcare data management platforms.
• Strong spreadsheet and data-analysis skills, with a high degree of comfort extracting, organizing, and interpreting operational data.
• Experience with or willingness to leverage database query tools for more advanced data analysis.
• Initiative-driven approach with strong problem-solving skills and the ability to adapt to changing priorities, requirements, and operational challenges.
• Bachelor's degree in Healthcare Administration, Business, or a related discipline is preferred; a Master's degree is a plus.
• Familiarity with CMS regulations, Medicare Advantage, and Risk Adjustment Data Validation (RADV) audit processes is preferred.
• Ability to work effectively in a fully remote environment and collaborate across distributed teams.
• Residence within one of the 50 U.S. states is required, with preference for candidates in the Greater Boston Area.
• Ability to work standard business hours aligned with the Eastern Time Zone.
• Willingness to travel semi-annually to an office for on-site work when required.

Benefits:

• Annual salary range of $73,000-$125,000, with the actual offer based on factors including qualifications, relevant experience, skills, education, certifications or licenses, and work location.
• Employer-sponsored health, dental, and vision insurance, with low or no employee premiums.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options available to all employees.
• Bonus eligibility for eligible roles, excluding Director-level positions and above.
• Parental leave program.
• 401(k) retirement program.
• Additional total rewards and employee support programs for eligible full-time employees.
• Fully remote work arrangement available across the United States.
• Opportunities to contribute to healthcare operations, medical record retrieval, audit readiness, and data-driven process improvement.
• Professional environment focused on collaboration, continuous improvement, and the responsible use of technology and automation.