Payer Domain Expert

3 weeks ago


Hyderabad, Telangana, India People Impact Full time

About People Impact: At People Impact, we are dedicated to making a positive impact on the healthcare industry. We strive to deliver exceptional results through innovative solutions, collaborative partnerships, and a commitment to excellence.

Estimated Salary Range: $200,000 - $300,000 per year

Job Responsibilities: As the Director - Payer Domain at People Impact, you will be responsible for leading our payer operations team, driving strategy, enabling technology, leadership, collaboration among stakeholders, and financial supervision.

  • Strategy Development: 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.
  • Technology Enablement: 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.
  • Team 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.
  • Stakeholder Collaboration: 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 Oversight: 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.


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