Strategic Payer Operations Leader
2 days ago
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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Payer Domain Strategic Leader
6 days ago
Hyderabad, Telangana, India People Impact Full timePayer Domain Strategic LeaderAt People Impact, we seek a seasoned Payer Domain Strategic Leader to drive strategic guidance for payer operations. This role focuses on claims, member engagement, provider relationships, and cost management.We require the candidate to drive strategy for payer operations by focusing on:Strategic Guidance- Drive strategy for...
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Hyderabad, Telangana, India People Impact Full timePayer Operations StrategistCompany Overview:At People Impact, we are seeking a highly experienced Payer Operations Strategist to lead our payer domain. The ideal candidate will have a strong background in claims management, value-based payments, and regulatory compliance.Job Description:We are looking for a skilled professional to drive strategy for payer...
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Healthcare Payer Leadership
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Hyderabad, Telangana, India People Impact Full timeJob DescriptionThe Director - Payer Domain will be responsible for driving strategic guidance, enabling technology, and leading cross-functional teams. Key responsibilities include:Strategic Guidance: Drive strategy for payer operations, focusing on claims, member engagement, provider relationships, and cost management.Enablement of Technology: Collaborate...
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Senior Payer Domain Strategist
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Hyderabad, Telangana, India People Impact Full timeCompany OverviewPayer operations is a critical function within healthcare, and the Director - Payer Domain role plays a pivotal part in its success. The team at People Impact requires an experienced leader to drive strategy, enable technology, and lead high-performing teams.
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Payer Operations Director
6 days ago
Hyderabad, Telangana, India People Impact Full timeEstimated Salary: $180,000 - $250,000 per annumThis is a senior leadership role that demands expertise in claims management, value-based payments, and regulatory compliance. The ideal candidate will have 25+ years of experience in healthcare payer operations and a deep understanding of industry trends and regulations.
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