02 Aug
|
MDI NetworX
|
Viman Nagar
02 Aug
MDI NetworX
Viman Nagar
Viman Nagar Pune
Key Responsibilities
Operational Excellence
- Assist in managing service delivery schedules and commitments as per the Statement of Work (SOW).
- Monitor key support functions to ensure optimal service delivery and adherence to SLAs.
- Oversee a team of 20+ resources, ensuring high performance in claims processing and US healthcare operations.
- Identify and implement training programs to enhance team skills and domain knowledge.
- Ensure operational efficiency with a focus on quality, productivity, and compliance.
- Support scope, time, quality, and budget management while maintaining transparent communication.
- Assist in building a high-performing team aligned with best practices and industry standards.
- Participate in program teams, proactively resolving project issues and mitigating risks.
- Analyze interdependencies between workstreams and assess the impact of process changes.
- Continuously drive SLA improvements and optimize production plans to ensure TAT compliance.
- Review and refine statistical trends related to client satisfaction, productivity, accuracy, and efficiency.
- Ensure adherence to organizational policies, objectives, and regulatory compliance.
People Management
- Conduct periodic check-ins, one-on-ones, and skip-level meetings to assess employee engagement.
- Act as a bridge between leadership and employees, escalating unresolved concerns to senior management.
- Foster a culture of collaboration, accountability, and continuous learning within the team.
Process Improvement & Strategic Initiatives
- Work closely with Quality, Admin, HR, and Product Delivery teams to ensure seamless operations.
- Identify and implement process improvement initiatives to enhance efficiency and service quality.
- Drive automation and digital transformation efforts to streamline workflows.
- Lead floor-level engagement initiatives to boost employee satisfaction and reduce attrition.
Skills & Qualifications
- Experience: 10+ years in Payer-side operations, preferably within US healthcare claims processing.
- Leadership: Solid ability to manage teams, drive performance, and develop future leaders.
- Communication: Excellent verbal and written communication for stakeholder engagement.
- Problem-Solving: Proactive approach to issue resolution and process enhancements.
- Process Improvement: Proven experience in automation, workflow optimization, and operational efficiency.
- Stakeholder Management: Ability to collaborate effectively across multiple departments and functions.
📌 Deputy Manager (Claims) (Viman Nagar)
🏢 MDI NetworX
📍 Viman Nagar