Primary responsibilities :
Customer related :
- Keep abreast with the process of claims processing in the healthcare industry.
- Have thorough knowledge of the job.
- Have a good understanding of the performance SLA's and meet the SLA's.
- Understand all binding laws and regulations related to the project.
- Developing in-depth knowledge base among the team members relating to domain and process.
Financials related :
- Responsible for driving quality improvement initiatives, among the teams aligned to them, to ensure avoidance of penalty.
- Should manage the P&L for the process.
People related :
- Good communication skills, inter personal skills and excellent team handling skills .
- Provide feedback on error, submit progress reports of the processors to reporting manager.
- Conduct individual performance reviews and propose the required action plan.
- Derive Action plans based on teams error trends and help in effective implementation .
Process related :
- Plan & forecast resources for optimal utilization of manpower
- Accountable for the production and quality targets of the team
- Updating management on team performance
- Coordinating with the client on process related issues and updates
- Identifying, recommending and implementing ways to increase the productivity and the quality of the team
- Addressing the technical queries raised by the team
- Identify key people and build good leaders and motivating team members
- Interacting with management, and put forth queries/concerns of the team
- Identify & Facilitate training programs for the team
- Conducting team reviews, submitting progress reports of the team to the manager and conducting appraisals
- Recommending benefits, bonus, incentives and promotions for the team
- Counseling of team members on improving Quality & productivity
- Play an active role recruitment process
- Meeting attrition goals for their respective process
- Supporting the management team on business development
- Sharing management views with the team
Secondary responsibilities (if any) :
a. Customer related
b. Financial related
People related :
- Ability to work with a diverse population.
- Ensure the process follows strict adherence to the process workflow and apt behavior is observed.
- Ensure good leaders are developed.
- Final point of Escalation of issues/concerns with the support groups i.e., HR, Admin, TSG, QAG and Finance.
- Handling disciplinary issues and administrative issues of the project.
Process related :
- Put forth queries/concerns of the BUH and address accordingly.
- Counseling of team members on improving Quality & productivity.
- Reviewing continuous quality improvements processes.
Knowledge:
- Knowledge in the healthcare industry will be preferred.
- Team handling skills is a mandate .
Skills: Knowledge of basic necessary computer applications.
Attitude : Have a positive attitude.
Domain expertise, if any : Any healthcare BPO industry .
Educational qualifications:
High school +2+3.
Experience (years): 6+ years (healthcare industry).
Certifications (Technical / Non-technical), if any :
- Immediate reporting manager.
- Employees reporting into the role of Senior Manager.
- Internal support functions Viz, HR, Admin, TSG.
- All vendors associated with the organization.
- The client.
Harish.B
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