Director - Claim Operations - Healthcare

This profile requires people with experience in Operations Management, Process Management and should currently handling a large team size.

Director – Claim Operations

Years of Experience :- 10-20 years.

Location :- Noida

Responsibilities

- Establishes aggressive goals and delivers results.

- Translate business vision and strategy into operational tactics while building organizational support and infrastructure

- Identifies and solves problems that impact the management and direction of the business.

- Ensures the organization meets Service Level Agreements / Performance Guarantee goals.

- Ensures alignment with key business partners to serve their customers

- Hiring, coaching, mentoring and performance management of the leadership team and their functional departments to ensure talent is working toward improving our business and servicing our customers

- Provides leadership to and is accountable for the performance and results through multiple layers of management

- Analyze industry trends and evolving technology to proactively identify improvement opportunities.

- Supports and leads operational execution programs and quality to deliver on our value proposition to customers.

- Leverages shared resources to drive improvements.

- Collaborates in building of business plans

- Establishes and maintains an environment conducive of positive morale, creativity and team work.

- Collaborates with Human Capital to develop and implement retention strategies.

- Uses appropriate control mechanisms to monitor and manage the business segment(s) overall performance.

- Builds and reviews business scorecards and performance metrics for the assigned segment(s) and appropriately builds action plans.

- Shares best practices with the business partners.

Competencies

- Proven track record of leading change and focus on operational efficiencies and continuous process improvement.

- Demonstrated ability to lead high performing teams.

- Demonstrated financial acumen with solid understanding of how business operations affect P&L and/or experience creating budgets.

- Strong operational knowledge and ability to understand operational metrics and solve operational and business problems

- Excellent communication skills, including ability to communicate effectively with all levels of staff including senior leadership.

- Demonstrated ability to work in an ambiguous environment and flexible to change and re-direct as business needs change

- Demonstrated ability to utilize critical thinking skills to bring solutions to meet business needs.

- Demonstrated experience in presenting information to senior-level executives.

- Strong analytical and problem solving skills

- Proven organizational skills with ability to be flexible and work effectively in a matrixed environment

- Familiarity with healthcare payment integrity, fraud operations and technology, a plus

- Ability to travel both domestically and internationally

Contact at pranoti@mancerconsulting.com

Pranoti Jha
Mancer Consulting Services
Delhi | Mumbai | Hyderabad | Ahmedabad | Bangalore

+ 91 11 66417248 (direct line)
+ 91 11 26854003 / 26854043 / 66417200 (ext 248)
+ 91 11 66417210 (Telefax)
pranoti@mancerconsulting.com
www.mancerconsulting.com