jobseeker Logo
Now Apply on the Go!
Download iimjobs Jobseeker App and get a seamless experience for your job-hunting
06/10 Soujanya Prakash
Managing Director at T3Cogno Private Limited

Views:127 Applications:15 Rec. Actions:Recruiter Actions:6

Manager - Payor Operations (6-12 yrs)

Mumbai Job Code: 1164476

Ideal candidature would be 8-12 + YEARS OVERALL EXPERIENCE WITH MIN 4-5 YEARS IN US HEALTHCARE PAYER/ RCM OPERATIONS

Responsible for Payor Claims Operations

(A) As a Strategic Thinker:

- Transition Planning and Coordination

- Identifying Value additions and Process Improvement Initiatives

- Process Metrics review with the senior management and the team

- Identifying, recommending, and implementing ways to increase the productivity and the quality of the team

- Adherence to company policies

- Ensuring the process meets the defined Service Levels

- ISO and HIPAA compliance

(B) As Driving Results:

- Creating Growth Path/Succession Planning for the process

- Effective Resource Utilization

- Define and review KRA of Leads, AMs & DMs

- Manages day to day Operations

- Timely reporting of deliverables like Performance Incentive, Internal Dashboards

- Responsible for timely invoicing.

- Attend to Process Escalation and provide effective solutions

- Responsible for Balance Score Card and its parameters

- Attend to Client calls, Status Meeting and Client Feedback.

- Review and Regulate SOP

- Is able to identify problems and take decisions independently

- Provides solutions to individual and organizational challenges

(C) As a Partner with Clients:

- Co-ordinate on Process Quality requirements

- Passion for excellence

- Driving Perfect Service

- Driving Formula one and other Developmental Programs for the team

- Identifying, recommending, and implementing ways to increase the productivity and the quality of the team.

(D) Lead People

- Managing Self

- Identify and participate in training / developmental programs

- Inspiring Others / Managing Teams

- Control Absenteeism and Attrition in the Process

- Coaches and mentors AMs & DMs

- Hiring as per the process requirements

Women-friendly workplace:

Maternity and Paternity Benefits

Add a note
Something suspicious? Report this job posting.