
Executive Director of Claims Management
1 week ago
We are seeking an experienced Claims Adjudication Manager to join our team.
Job description involves overseeing processes, streamlining workflows and driving business results through effective people management.
Key qualifications include in-depth knowledge of the US Health Care Payer System, 4-10 years experience in Claims Adjudication with proven track record in managing teams, excellent coaching skills and ability to articulate employee challenges to management.
- In-depth Knowledge and Experience in the US Health Care Payer System.
- 4 - 10 years of experience in Claims Adjudication. With over 1 year of experience as a Team leader.
- Proven track record in managing processes, streamlining workflows and excellent people management skills.
- Circulating quality dashboards at agreed periodic intervals to all relevant stakeholders.
- Adhering to various regulatory and compliance practices.
- Maintaining and Ownership of reports both internal as well as for the clients.
- Presentation of data and providing deep insights about the process to the clients as well as Internal Management.
- Managing and co-ordinating training programs.
- Excellent in Coaching and providing feedback to the team.
- Taking necessary HR actions as part of the Performance Improvement Process.
Benefits include working in tandem with business functions to ensure smooth business process, retention of key team members and meeting revenue and profitability targets.
Suitable candidates will have a strong background in claims adjudication, leadership skills and excellent communication abilities.
This is an exciting opportunity to drive business success and develop your career in a dynamic industry.
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