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Hiring Sr Manager Operations (Claims) @ HGS Healthcare

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 Hiring Sr Manager Operations (Claims)

Job Description

Hiring Sr Manager Operations (Claims Adjudication) For HGS Healthcare Bangalore location


Key Parameters :-


Big Picture Perspective:

Demonstrates awareness of competitor trends & it's business impact

Demonstrates an understanding of the impact of sub process/function performance on the engagement objective

Identifies long term issues, problems or opportunities for the sub process/process

Demonstrates a vision for the function / sub process

Understands and translates the organizations vision and goals into Program goals


Job Description:-

(b) Business Acumen:

Optimizes profitability for the process / function

Aligns functional objective with business profitability

Demonstrates expertise in functional knowledge and the ability to apply them in the organizational context

(a) Planning & Organizing:

  • Work with Program Head to help the account grow through Account Mining
  • Prepare program budget and plan manpower
  • Track program performance and its impact on the financial goals

(b) Directing & Monitoring:

  • Lead the Program to achieve the agreed goals

(c) Accountability

Handle end to end operations of the Program efficiently and effectively

Consistently meet program SLAs across sub/ processes

  • Ensure profitability of the process through cost optimization and accurate forecasting

(d) Problem Solving & Decision making

  • Understand and manage the P&L for the process
  • Learn to lead effectively in crisis, keeping focus on key information and decision points.

a) Relationship Building

  • Coordinating with the client on process related issues & updates

Build and Manage successful Client Relationships

  • Liaison with Client representatives to manage partner perception and day to day operational requirements

a) Passion for excellence

Manage daily performance to ensure that all Associates, Team Leads and Unit Leads are providing excellent Customer Service to all customers (internal and external).

Meet/exceed service and quality levels as assigned by Management/Client.

  • Uphold Organization & Client values

a) Managing Self

  • Optimal utilization of resources to meet productivity goals
  • Administers policies and procedures consistent with sound judgment and an element of fairness.

b) Inspiring others / Managing teams

  • Works with Cross-Functional Teams to ensure that both internal and external customer needs are met
  • Ensure employees have a clear understanding of Clients business goals and performance expectations
  • Provides leadership while coaching the teams to improve skills and ability
  • Conducts team reviews, prepares and presents reports of the process to the Program Head
  • Conduct appraisals
  • Build and develop highly motivated team
  • Mentor and coach team members with potential for growth/development
  • Provides continuous feedback in the areas of recognition and corrective action
  • Identify potential candidates for succession planning and create development pathway for them
  • Build team cohesiveness through staff meetings, team goal setting and brainstorming

Excellent communicator

Exercises diplomacy and posses excellent interpersonal skills

Time management skills

People development skills, mentorship skills and resource management.

Analytical skills

Problem Solving

Decision Making

Self-motivated and a self-starter

Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures, strong and competent creator, deliverer and driver of change (both operational and cultural)

Sound Knowledge of English

Excellent Client Relationship Management skills


Good understanding of the Domain

Good Knowledge of Financial Management

Knowledge of Six Sigma and application of Quality Tools is essential.

Minimum 8 years experience in the industry, out of which at-least 2 years experience as a Unit Lead

Graduation / Post Graduate / Preferably PMI Certified


Interested candidate may apply with your resume on ro********v@hg**********e.com


Thanks & Regards

Rohit

HGS



Job Classification

Industry: BPO / Call Centre
Functional Area: Customer Success, Service & Operations,
Role Category: Operations
Role: Operations
Employement Type: Full time

Education

Under Graduation: Any Graduate
Post Graduation: CA in Any Specialization, MBA/PGDM in Finance, Marketing

Contact Details:

Company: HGS Healthcare
Location(s): Bengaluru

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Keyskills:   US Healthcare Claims Adjudication Operations Management Six Sigma

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HGS Healthcare

A global leader in business process management and member/ patient experience,HGS Healthcare combines technology-powered services with decades of Healthcare domain expertise to drive positive outcomes.We optimize the entire member experience through service oerings for clinical, case managem...