Strategic Payer Operations Leader

2 days ago


Hyderabad, Telangana, India People Impact Full time

About People Impact: We are a forward-thinking organization that empowers healthcare professionals to excel in their roles. As a leading player in the industry, we offer exciting opportunities for growth and development.

Estimated Salary Range: $150,000 - $250,000 per year

Job Description: We are seeking an experienced Director - Payer Domain to lead our payer operations team. In this role, you will be responsible for driving strategy, enabling technology, leadership, collaboration among stakeholders, and financial supervision.

  • Drive Strategy: You will drive strategy for payer operations, focusing on claims, member engagement, provider relationships, and cost management. Implement innovative solutions using AI, automation, and analytics to optimize processes.
  • Enable Technology: Collaborate with tech teams to deploy advanced platforms for claims adjudication, payment integrity, and member engagement. Utilize predictive analytics to enhance risk management and optimize value-based payment models.
  • Leadership: Build and lead high-performing, cross-functional teams, fostering collaboration and accountability. Champion a culture of innovation and continuous improvement while mentoring team members.
  • Collaboration Among Stakeholders: Partner with providers, employers, and regulatory agencies to strengthen relationships and drive service excellence. Align payer strategies with population health and care delivery initiatives.
  • Financial Supervision: Manage budgets to ensure cost-efficiency and ROI while identifying opportunities to reduce MLR. Require 25+ years of healthcare payer experience, expertise in claims management, value-based payments, and regulatory compliance (CMS, HIPAA). Proficiency with payer tech platforms, analytics, and CRM tools. Exceptional strategic, problem-solving, and executive communication skills.


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