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

• Solid 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 & Ca

📌 Manager (India)
🏢 EXL
📍 India