Infosys BPM - Head - Client Operations & Services - Healthcare - Payor Domain

Role Designation - Lead Client Operations & Services

Requirements

- Basic requirement: Full time MBA with at least 14 years of experience in managing operations of Health care in Payor domain

- Good understanding of BPO Healthcare Operations from 3rd party and in-house Shared Service center perspective

- Should have managed Payor processes like claims management, Emolument, Benefits coding, Provider Data, Contracting

- Sound exposure of BPO Operations like Service Delivery, SLA Management, Governance, Client Management, and Engagement P&L.

Responsibilities:-

- Prepare the annual budget aligned with corporate / divisional objectives for the engagement, coordinate with the account manager for the account plan (New areas of growth) in order to achieve the business objective of the engagement

- Handle all facets of operation, HR, Hiring, Finance, Facilities, and Technology Infrastructure etc.

- Work closely with sales and Account Management team to increase revenue

- Maintain and build contacts with stakeholders supporting the client on Technology.

- Ability to speak at different forums at the client side and ability to address large crowds internally as well as client senior folks.

- Sign off on the training /certification methodology at the engagement level in order to ensure right skilling on engagement.

- Co-ordinate resource deployment across all processes for the engagement(Team Size, Span, Shift Utilization, Skill sets, technology rollout) in order to ensure budget & pricing assumptions compliance

- Identify training needs for operation managers and signs off on the engagement training plan in order to ensure competency development across domain, operations and behavioral

- Prepare internal and external governance model in order to track and monitor contractual compliance, employee engagement, performance and relationship health

- Sign off on the service quality plan including the quality control, assurance and improvement in order to create a comprehensive quality program for the engagement

- Create the scorecard for the engagement and ensure flow down for the team, in order to align the team with the engagement objectives

- Create career development & succession planning for direct reportees, reviews the career development methodology for the engagement in order to ensure sustainable employee engagement & motivation in the engagement.

- Conduct periodic reviews with ops managers and drives corrective action where required in order to ensure delivery predictability

- Ensure compliance to the governance model and builds long term relationship with stake holders in order to ensure strong customer relationships and enhance business

- Conduct monthly financial review with direct reportees and BU head, takes corrective actions in order to ensure meeting of business plan objectives

- Anchor the key internal and external governance meetings, Monitors adherence within engagement in order to sustain delivery predictability

- Approve resource for process reengineering, validates the results and manages client interactions around technical and commercial aspects in order to meet client and internal commitments on a continuous basis

- Identify opportunities for work redesign, work flow enhancement, shift utilization, Staff mix, and staff utilization in order to meet / exceed internal financial goals

- Prepare the engagement team for self-assessment, actively participates in independent assessments in order to ensure delivery predictability for the engagement