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

Mumbai

Manager - Payor Operations 

Manager - Payor Operations  ,Job Description for Manager - Payor Operations  in T3Cogno Private Limited in  Mumbai for (6-12) years of experience. Apply Now!

Job Description for Manager - Payor Operations  in T3Cogno Private Limited in  Mumbai for (6-12) years of experience. Apply Now!