Manager - Operations - Healthcare Highmark

Role: Manager Healthcare Highmark

Hiring Location: Pune

Position: Band 7A

Job description:

- Health care domain expertise in US healthcare

- Healthcare certification would be good to have

- Should have worked in US healthcare Payer work stream (however does not limit to US healthcare provider work stream)

- Responsible to handle a team of approx 150 FTE's

- Individual with valid US B1 / B2 Visa

- People management

- To be able to work across lines of businesses e.g rework, adjudication, enrollment

- Providing daily direction and strategic inputs to the team and Monitor LOB level work allocation

- Achieve & exceed SLA's defined by the client, ensures that all processes run smoothly and meet standards

- Handle escalation and be part of issue resolution, Provide expertise and leadership in assigned functional area.

- Manage client expectation & required deliverables, communicate with primary clients to ensure that outsourced processes meet their standards of quality and efficiency

- Ability to deal effectively in high pressure, dynamic situation with a large degree of autonomy

- Responsible for performing change management

- Review and constantly monitor LOB performance

- Lead & mentor process improvement programs

- Motivate teams and take care of people management issues.

- Establish and maintain a working environmental conducive to positive morale, individual style, quality, creativity, and team work.

- Provide advice and assistance to senior management in the planning, implementation, evaluation/modifications to existing operation, systems and procedures.

- Responsible for attrition management and arranging backfills on a timely basis

- Responsible for client management, negotiation, SLA base lining, SOW and product management

- Experience in managing the internal and external stakeholders on the daily deliverables, glide path and core deliverables

Education Qualification:

- Any graduate (15 years of formal education i.e. 10+12+3 years graduation)

Desired Skills in US healthcare Payer work stream

- Candidate should be open to work any shift