Deputy General Manager - Payer Operations - US Healthcare - BPO

Hiring for a leading BPO client at Chennai

- Handling Healthcare Payer Operations

Payer's domain :

- Pre Adjudication (Eligibility, Billing and Enrollment)

- Adjudication (Claims Adjudication on CAS and MTV Platforms)

- Post Adjudication (Rework, Financial Recovery, Special Projects and Cash posting)

- Grievances and Appeals

- Experience in managing business operations with focus on profitability and achieving the company's mission

- Operations-management executive with expertise in building/optimizing organizational processes, measurement systems to maximize business results

- Implementing processes in line with the pre-set guidelines