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