Senior Manager - Operations

Job Title:

SM Operations

Level:

Senior Manager

Hiring Location:

Chennai

Department/Group:

claims

Business Unit:

Healthcare 

Travel Required:

Salary Range:

Sub Process:

Voice/Non Voice:

Non Voice

Grade

E1

Reporting To :

DGM

Responsibilities

• In-depth Knowledge and Experience in the US Health Care Payer System.
• 4-6 years of experience in Claims Adjudication. With over 3 years’ experience in managing teams.
• Desired experience in the Enrollment process.
• Develop a strong understanding of the business challenges and provide knowledge and insights with the help of tools like RPA.
• Ability to model data, create reports and experience in presenting the analysis and recommendations to clients and senior level management.
• Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals.

Key Performance Indicators

• Ensuring that the key Service Level Agreements are met consistently without any exceptions.
• Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded.
• Keen eye on process improvement and lean management with use of advanced technologies like AI and ML.
• Work in tandem with all Business functions to ensure smooth business process.
• Retention of key team members.

Reporting Structure

• Manager Operations – SM Operations – AD Operations

Qualification & Experience

Critical: Any Degree (Pass/Fail)

• Graduation is a must in any stream of Education

Desirable:

• Post graduation in any stream

Know How

Critical:

• Indepth Process knowledge in Claims Processing and Enrollment
• Front ending the client in a must
• Focus on continuous process improvement

Desirable: 

• Six Sigma certified
• Certification in any RPA tool
• Knowledge on AI and ML

Personal Attributes/Traits

• Consultative
•  Socially confident
• Achievement oriented
• Decisive and action oriented
• Creative
• Eager to learn
• Resilient

Competencies

•Business Foresight

• Influencing Others

• Fostering Partnerships With Customers

• Managing Transformation

• Driving Excellence

• Leading Teams

• Working Across Boundaries