JOB RESPONSIBILITY
Lead EBA (IND) will be responsible for the following:
- Minimum 8-12 years' Experience in US Health Care. Preferably experience in Benefit configuration 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)
- Forecasting & Capacity planning
- Assess capacity shortages and requirement for overtime.
- Ensures individuals and the team meet their performance objectives.
- Act as a liaison with the various internal & external business partners 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 KRA's 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 & flexible for all shifts
- Timely management of bottom quartiles performers
- Partner connects
- People management
- Employee Retention/Employee engagement
- Experience in JIRA EWM applications
- Team player in organizational activities
- Quality Management Experience in Quality metrics/Tools, RCA & CAPA
QUALIFICATION
- Bachelor’s or master’s degree
EXPERIENCE
- 8 to 12 years of experience in US healthcare process
SKILLS AND COMPETENCIES
- Strong US Healthcare expertise
- Experience in Claims Testing and Benefit Configuration
- People Management & Stakeholder/Partner Management
- Day-to-day operational management & Delivering results
- Good vocal and written communication skills
- Good PowerPoint and presentation skills
- Excellent reporting and excel skills
- Capacity planning & Forecasting
- Conflict Management
- Decision-making
- Process improvements & Project Management
- Relationship Building
- Planning and Organizing
- Adaptability/Change Management
- Efficient Problem-Solving Skills
THE CARELON PROMISE
Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.
It is our robust belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.
This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.
LIFE @ CARELON
- Extensive focus on learning and development
- An inspiring culture built on innovation, creativity, and freedom.
- Holistic well-being
- Comprehensive range of rewards and recognitions
- Competitive health and medical insurance coverage
- Best-in-class amenities and workspaces
- Policies designed with associates at the center
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EQUAL OPPORTUNITY EMPLOYER
Carelon is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Reasonable Accommodation
Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.
If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.
Interested candidate can share their resume
[email protected]
📌 Opening For Team Lead - US healthcare - Payer (Hyderabad)
🏢 Legato
📍 Hyderabad