AGM/ GM- US Healthcare Operations(With Leading Healthcare Org)

5 days ago


New Delhi, India Winfort Full time

Key Responsibilities:- Lead and manage large-scale Health & Welfare operations, ensuring seamless service delivery in alignment with US Healthcare domain regulations. - Oversee enrolment processes, file processing, data processing, and carrier file management, ensuring compliance and accuracy. - Manage health payroll operations, ensuring timely and error-free processing. - Drive operational excellence by implementing process improvements, automation, and best practices. - Ensure regulatory compliance and adherence to HIPAA and other US healthcare industry standards. - Work closely with stakeholders, clients, and internal teams to streamline healthcare benefits administration. - Lead health implementation projects and ensure successful execution of benefits programs. Manage a team of 100+ employees, including hiring, training, mentoring, and performance management. - Drive service level agreements (SLAs), key performance indicators (KPIs), and quality metrics. Collaborate with cross-functional teams to enhance operational efficiency and client satisfaction. Provide strategic insights and recommendations to senior leadership on process optimization and business growth.Key Requirements:- 20+ years of experience, with at least 15+ years of relevant experience in US Healthcare Operations. - Strong expertise in Health & Welfare, enrolment, data processing, file processing, carrier files, and health payroll. - Experience in Healthcare Implementation & Benefits Administration is a plus. - Proven ability to manage and lead large teams of 100+ professionals in a high-volume environment. - Hands-on experience in process automation, operational improvements, and quality management. - Strong knowledge of US healthcare regulations, compliance, and industry best practices. - Ability to work in a US shift and manage client interactions effectively. - Excellent leadership, communication, and stakeholder management skills.



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