Senior Manager Claims Payer Operations Us Healthcare
Job Description
Experience: 10 to 14 years overall, 5 to 7 years in Claims a must
Shift Timings: 4pm to 1am Shift
HeadCount / FTEs/ SPAN : 200 + FTES
Requirement:
US health care (ERISA/HIPAA/State Mandates)
- Graduation / Postgraduate / Preferably PMI Certified
- 10 - 12 experience in US Healthcare
- Span of Control should be minimum 150+
- Exposure or Understanding to P&L Management is preferable
- Experience in Claims Adjucation/ Processing for at least with 7+ years in Payer Claims
- Operations Experience in Pre-Authorisation and Post Authorisation
- Experience in RPA & Analytics
- US health care (ERISA/HIPAA/State Mandates)
- Preferably Six Sigma/ Lean Sigma certified
- Proven participation on Improvements Project
- Managed a large and Complex Delivery Team
- Preferable Onshore Transition experience
- Awareness of ISO, ISMS & other Compliance and Audit Parameters
- Astute understanding of MS Office Tools
- Displays a High Level of Integrity and Maturity
- Displays high level of People Management practices
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Job Detail
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Job IdJD2921273
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationBangalore, Karnataka, India
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EducationNot mentioned
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ExperienceYear