Benefitalign - Manager/Senior Manager - Operations

PRIMARY RESPONSIBILITIES :

- Identify/Build/Maintain the point of contact and relationship for fulfilment from each Healthcare Carrier for building the pathways appropriately (EDI/Email/Fax/FTP etc).

- Manage notifications for new applications and communicate those to appropriate teams as applicable.

- Responsible for handling different teams which includes Data Analyst, Pre-sales, Voice & Non-Voice support.

- Work with internal and external partners to conduct research and root-cause analysis related to enrolment/ fulfillment issues and track enrolment trends and data.

- Provide weekly standard reporting to management to assist with Fulfillment tracking Report daily updates/business dashboards to the reporting manager.

- Obtaining regular feedback on performance from the reporting and adopt improvements steps as needed.

- Adhere to company policy & HIPPA and CMS compliances as per established standards.

- Proactively support others through direct and indirect actions beyond activities particular to this role.

ADDITIONAL RESPONSIBILITIES :

- Support both Onshore & Offshore business teams in driving the sales and act as cohesion between customer and internal teams.

- Build a pipeline and generate business for fulfilment process through EDI or any other carrier specific pathways.

- Develop and manage relationships with the critical internal departments such as product development, Products & rates, DocGen and other strategic decision makers within the organization.

- Able to understand business requirements/updates quickly.

- Ability to work with internal/external stakeholder / cross functional teams.

- Ability to adopt quickly to the dynamic business landscape and deliver under challenging circumstances.

- Possess go-getter attitude with an ability to handle complex business scenarios under minimal supervision.

KNOWLEDGE AND SKILL REQUIREMENTS :

- Excellent verbal & written communication skills (Ability to handle US customer/carrier calls).

- Possess strong analytical and creative problem solving skills.

- Possess excellent research and document management skills.

- Familiarity with US health insurance ecosystem as a carrier, broker, member preferably in member enrolments/fulfilment process.

- Specific knowledge of enrolment processes in a commercial, Medicaid, or Medicare Health Plan/TPA organization, working knowledge of FTP.

- Flexible to work in night shift (US business hours).

QUALIFICATION :

- Any Full-time Grad/Post Grad from reputed institutes/universities.

- Any Technical or Management Certification is a plus.

- 10+ years of experience in Pre-Sales and Operations in a SaaS platform with 5+ years in handling Leadership