Director of Claims Excellence

1 week ago

Bengaluru, Karnataka, India beBeeLeadership Full time ₹ 90,00,000 - ₹ 1,02,00,000
Senior Leadership Position

This leadership role requires 18-20+ years of overall experience, with at least 10-12 years specifically in US Healthcare Payor Claims Operations at a senior service delivery leadership level.

Ideation and Vision
  • Help ideate and reposition the organization as an innovative U.S Healthcare BPM services Market Leader, through Integrated Service Delivery approach as a Claims Operations AVP.
  • Design integrated Service Delivery practices and solutions for a mix of traditional administrative services along with cutting edge automation/transformation led solutions at each stage of the consumer journey and standardizing service delivery approach across all the geos through Metrics based governance.
Key Responsibilities
  • Leading Service Delivery Practitioner who can help design and articulate the Claims Operations to the Gold Standard.
  • Execute the Vision/Drive the Road Map for Claims Operations, Works with key stakeholders to execute the long-term vision and develop the roadmap for a differentiated and competitive offering in the marketplace through transformational Service Delivery approach.
  • Deep operationalize expertise and ability to manage large operations (+800 associates) with a portfolio size of 10 Million to 20 Million USD business size.
Objectives and Deliverables
  • IDentifying Transformational Value Creation via RPA and Analytics offerings.
  • Value additions and Process Improvement Initiatives.
Growth Path and Succession Planning
  • Track program performance and its impact on the financial goal from the Claims Operations perspective.
  • Create Growth Path/Succession Planning for the process.
Required Skills and Qualifications
  • Innovative team player with the energy, creativity, and an entrepreneurial spirit to achieve success.
  • Strong communicator who can take complex ideas and communicate them effectively internally, externally and using Project Management tools.
  • Subject Matter Expert for the sales and client services teams.

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