General Manager - Payment Integrity Operations - Payer Operations - US Healthcare

Mandatory Requirements:

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

- Extensive experience in US Healthcare with 10+ years as a Leader in Payer Operations with relevant experience and exposure in Payment Integrity/ Benefit administration/ Rework/ Payment Recovery/ Cost Containment.

- Managed a large and Complex Delivery Team

- Strong P&L Management experience

- Upstream and Downstream Payment Integrity LOB management experience

- Client facing experience

- Proven participation on Improvements Project

- Excellent in communication and collaboration skills

- Strong metric based operational experience

As a Strategic Thinker:

- Identifying Transformational Value Creation via RPA and Analytics offerings.

- P&L Management (Revenue management, Cost Optimization, Improvements

- Client Communications Management

- Track program performance and its impact on the financial goal

- SLA & Metrics Management

- Responsible for monthly/quarterly/annual performance appraisals of employees in the vertical