Description

Experience:

- Experience in US Healthcare / Payment Integrity / Payment Services preferred
- 2 – 4+ years of experience in program management / PMO / operations leadership role
- Experience managing audit lifecycle, claims operations, or PI functions
- Strong experience in client-facing roles and stakeholder management
- Experience in digital transformation / automation initiatives (Preferred)

Responsibilities

1.PMO Governance & Program Management

- Establish and enforce PMO frameworks, governance models, and operational standards
- Manage end-to-end lifecycle of programs/projects: planning, execution, tracking, and closure
- Ensure adherence to project timelines, SLA commitments, and delivery metrics
- Maintain program documentation, playbooks, SOPs, and reporting dashboards
- Drive portfolio visibility and track program performance across stakeholders

2. Operations Management & Delivery Excellence

- Oversee day-to-day operations of Payment Integrity / Payment Services workflows
- Drive operational efficiency, productivity, and quality improvements
- Ensure compliance with HIPAA, CMS, payer guidelines, and internal policies
- Monitor KPIs such as quality, productivity, cost savings, recovery, and turnaround time
- Identify process gaps and lead continuous improvement initiatives

3. Stakeholder & Client Management

- Act as a key interface between clients, operations, and leadership teams
- Present performance dashboards, insights, and improvement plans to stakeholders
- Coordinate with cross-functional teams (Analytics, Compliance,



Finance, IT, Training)
- Manage escalations and ensure timely resolution

4. Analytics, Reporting & Decision Support

- Drive data-driven decision-making using dashboards and trend analysis
- Analyze operational and financial data to identify risks and improvement opportunities
- Prepare executive reports and business reviews
- Support leadership with strategic insights and recommendations

5. Team Leadership & Capability Building

- Lead and mentor PMO / operations teams
- Drive accountability for KPIs, SLAs, and delivery milestones
- Support workforce planning, training, and performance management

Qualifications

Qualification:

- Bachelor’s degree in healthcare / Life Sciences / Business Administration
- MBA from a IIT / IIM or reputed Business management school
- Certifications: PMP / Lean Six Sigma / Agile

Communication Skill:

- Robust written (documentation) and oral communication skills

Working Hours:

- 40 hours per week as Full-time employee
- Shift time: 10:00 AM IST - 7:00 PM IST
- Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

- Must understand and adhere with telecommuter policy.

Key Competencies

- Strategic Thinking & Program Governance
- Healthcare Operations Expertise
- Payment Integrity Knowledge (Claims / Coding / Audit)
- Data Analytics & Reporting
- Stakeholder & Client Management
- Process Improvement & Automation
- Risk & Compliance Management
- Leadership & Team Management

📌 Lead Assistant Manager - PMO (Chennai)
🏢 EXL
📍 Chennai