Lead EBA - Benefit Coding & Testing
- Legato
- 8 - 10 years
- Bengaluru
- 10 months ago
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Job Description
Carelon Global Solutions India is seeking Lead EBA who have good US healthcare knowledge & People management skills. Preferably experience in claims, Benefit coding, testing & Configuration & Claims Testing is an added advantage.
JOB RESPONSIBILITY
Lead EBA (IND) will be responsible for the following:
- Minimum 8-10 years Experience in US Health Care. Experience in claims, Benefit coding, testing & Configuration & Claims Testing is an added advantage.
- Managing the day-to-day operations
- Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
- Capacity planning
- Assess capacity shortages and requirement for overtime
- Ensures individuals and the team meet their performance objectives
- Act as a liaison with the client for any process updates, additional scope, training
- Responsible for ensuring SOPs and Training Materials are up-to-date
- Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
- Additional focus required for Open Enrollment capacity planning
- Operational management including driving KRAs and feedback
- Conduct timely performance appraisal for associates
- Excellent knowledge on Excel & PowerPoint.
- Assists in Function level reporting
- Inter-team collaboration with other leaders providing assistance and seeking support wherever required
- Active participation on Process improvements & Project Management.
- Willing to work in US shifts.
- Timely management of bottom quartiles performers
- Partner connect
- People Engagement
QUALIFICATION
- Bachelors or Masters degree
EXPERIENCE
- 8 to 10 years of experience in US healthcare process
SKILLS AND COMPETENCIES
- Managing the day-to-day operations
- Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
- Capacity planning
- Assess capacity shortages and requirement for overtime
- Ensures individuals and the team meet their performance objectives
- Act as a liaison with the client for any process updates, additional scope, training
- Responsible for ensuring SOPs and Training Materials are up-to-date
- Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
- Additional focus required for Open Enrollment capacity planning
- Operational management including driving KRAs and feedback
- Conduct timely performance appraisal for associates
- Excellent knowledge on Excel & PowerPoint.
- Assists in Function level reporting
- Inter-team collaboration with other leaders providing assistance and seeking support wherever required
- Active participation on Process improvements & Project Management.
- Willing to work in US shifts.
- Timely management of bottom quartiles performers
- Partner connect
- People Engagement
Job Classification
Industry: IT Services & ConsultingFunctional Area:
Role Category: Quality Assurance and Testing
Role: Quality Assurance and Testing
Employement Type: Full time
Education
Under Graduation: Any GraduatePost Graduation: Any Postgraduate
Doctorate: Doctorate Not Required
Contact Details:
Company: LegatohealthcomLocation(s): Bengaluru
Keyskills: SAN Claims Coding Project management Healthcare Performance appraisal Genetics Medical insurance Capacity planning
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Legato Health Technologies is committed to transforming healthcare through operational excellence. We are constantly innovating technology, finding better solutions and efficient programs that give consumers greater access to healthcare, and working with providers to ensure quality healthcare experi...
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