AVP - Practice Partner - US Healthcare Payment Integrity Setup

Qualified to degree level or professional equivalent is required : M.B.A. or Master's in a relevant discipline from a top university strongly preferred

Role demands :

- Excellence in strategic and analytical problem solving: Quantitative, fact-based approach to team-based problem solving and strategic approach to addressing issues and offering solutions.

- Must have an aptitude for analytical concepts and thinking.

- Business acumen and It knowledge: Strong business development skills.

- Must understand current market trends, risks and prevalent technologies used in the industry.

- Outstanding leadership, communication, relationship building and social networking skills: Polished verbal and written communication style. Ability to confidently build a strong rapport with the client and project teams.

- Personal drive: Entrepreneurial drive with a can-do attitude, a strong desire to learn and shape your own career path. Commitment tomaking a positive lasting client impact.

- Self-guided attitude: The ability to succeed ina professional environment where client and project direction is not always well defined. Qualified candidates will understand how to produce results when working in challenging client environments and/or new business areas.

- Facilitation skills: The ability to facilitate executive workshops and obtain consensus.

- Negotiation skills: Understanding of principled negotiation strategies and the ability to resolve differing opinions and seek a win-win resolution to conflicts.

- Location/ Travel: - Extensive travel (domestic or international) may be required

Experience :

- Overall 18+ years of Healthcare experience with 10+ year of Account Handling experience (Leadership role) in a Payment integrity setup

- Must have experience in managing a large team 500 to 1000 FTE's, Clinical and non-clinical

- Expertise in PI tool clinical and non-clinical along with fraud waste and Abuse.

- Expertise and good understanding of all kinds of processes in both pre and post payment set up

- Good experience in building payment integrity solutions clinical and non-clinical

Education : Minimum Graduate.

Skills Required :

- Works independently, demonstrates initiative and innovative thinking, clear and concise communication skills.

- Managing account P&L & Supports the learning environment.

- Ability to work on Outcome based metrics.

- Ability to plan and strategize to meet daily/weekly/monthly goals.

- Experience of developing PI solutions for RFP's

- Ability to define and implement analytical and process re engineering solutions.