Assistant General Manager - Claims Adjudication - Healthcare

AGM Claims Adjudication

Experience:10 to 14 years overall, 5 to 7 years in Claims a must

Shift Timings: Night Shift (4pm-1am) 9hr shift

HeadCount / FTEs/ SPAN: 250+ FTEs, Multilocation

Requirement :

- Graduation / Postgraduate / Preferably PMI Certified

- Graduate in B-Pharma/Biotechnology preferred

- 15-17+ years' experience in the industry, out of which at-least 4 years' experience as a Unit Lead

- Extensive experience in US Healthcare with 12+ years in PHARMACY Operations/ Pharmacy management/Process excellence/operations strategy.

- Prior experience in managing Medicare part D programs is preferred

- US health care (ERISA/HIPAA/State Mandates)

- Preferably Six Sigma/ Lean Sigma certified

- Proven participation on Improvements Project

- Managed a large and Complex Delivery Team

- Preferable Onshore Transition experience

- Awareness of ISO, ISMS & other Compliance and Audit Parameters

- Astute understanding of MS Office Tools

- Displays a High Level of Integrity and Maturity

- Displays high level of People Management practices