Upgrade to Pro Member
Senior Consultant at Elixir
Views:3598 Applications:103 Rec. Actions:Recruiter Actions:0
Director - Health Care Payer Delivery (13-22 yrs)
To lead the Healthcare Payer Delivery Unit
Scope
This position is responsible for leading the Payer Delivery Unit. Responsibility includes providing leadership to a high performing delivery organization, anchor global transition, drive the transformation agenda across the engagements & also contribute to growth of the vertical. This position has complete p&L responsibility of the payer unit.
Skills & Competencies
- 15+ years of healthcare BPO service delivery experience - client base serviced should be Payer Only- NOT in Provider space)
- Managed U.S based payer accounts - leading National health plans or regional Blues (Not TPAs)
- Handled team of 600+ FTEs with global delivery responsibility (India, U.S, Philippines etc.)
- Strong domain exposure to Claims mgmt./adjudication, Benefit coding, Enrollment & Billing, Audits & recovery
- Basic exposure to provider or member call centre services
- Experience on leading payer platforms Facets/Trizetto, Pega & involved in robotics
- Strong grip on service delivery metrics & ability to drive productivity & quality targets
- Exposure to delivering on multiple revenue models - FTE, transaction based, Per member per month models
- Should have led operations excellence projects/continuous improvement initiatives
- Interfaced at leadership level (Director & above) at the client organization
- Led MBR, QBR for the engagement
- Demonstrated value realization through Automation & Transformation
- Exceptional communication & client interface skills
- Has driven growth in the payer segment - contributing to RFX solutions, bid defence & led client visits.
This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.
2-Step Verification - Action Required
We've updated our security procedures!
Your privacy and security are important to us. We've recently updated our security measures to make iimjobs.com safer and more secure for you. This change requires you to reset your password.
Please reset your password using the link sent to your email. If you did not receive any email, please check your spam folder..
