Senior Manager - Claims Payer Operations - US Healthcare

Experience: 10 to 14 years overall, 5 to 7 years in Claims a must

Shift Timings: 4pm to 1am Shift

HeadCount / FTEs/ SPAN : 200 + FTES

Requirement:

US health care (ERISA/HIPAA/State Mandates)

- Graduation / Postgraduate / Preferably PMI Certified

- 10 - 12 experience in US Healthcare

- Span of Control should be minimum 150+

- Exposure or Understanding to P&L Management is preferable

- Experience in Claims Adjucation/ Processing for at least with 7+ years in Payer Claims

- Operations Experience in Pre-Authorisation and Post Authorisation

- Experience in RPA & Analytics

- US health care (ERISA/HIPAA/State Mandates)

- Preferably Six Sigma/ Lean Sigma certified

- Proven participation on Improvements Project

- Managed a large and Complex Delivery Team

- Preferable Onshore Transition experience

- Awareness of ISO, ISMS & other Compliance and Audit Parameters

- Astute understanding of MS Office Tools

- Displays a High Level of Integrity and Maturity

- Displays high level of People Management practices