Payer Transformation Leader

5 days ago

Chennai, Tamil Nadu, India beBeeExecutive Full time ₹ 2,00,00,000 - ₹ 3,27,00,000
Executive Leadership Opportunity

Job Summary:

This executive leadership role is responsible for driving payer transformation, including member engagement, provider contracting, claims integrity, and value-based reimbursement.

Key Responsibilities:

  • Strategic Vision:
    • Develop and implement a long-range plan for the payer domain, incorporating data analytics, AI, automation, and predictive modeling to drive innovation.
    • Monitor trends in CMS, ACA, FHIR, HIPAA, and EDI standards, adapting strategy proactively.
  • Product & Technology Leadership:
    • Collaborate with product and engineering teams to deploy advanced claims adjudication systems, payment integrity platforms, and member/provider CRM portals.
    • Integrate analytics and predictive risk models to optimize value-based payment programs, ensuring interoperability, FHIR compliance, and robust data privacy/security standards.
  • Operational Efficiency:
    • Oversee end-to-end payer technology delivery, including claims adjudication workflows, payment post-processing, provider reimbursement models, and customer-facing systems.
    • Drive cross-functional initiatives to reduce administrative costs, minimize claim denials, and enhance operational efficiency.
  • Team Leadership & Talent Development:
    • Build and mentor high-performing product, engineering, and project management teams, fostering a culture of collaboration, innovation, accountability, and continuous improvement.
  • Stakeholder Engagement:
    • Engage key external stakeholders: payers, providers, brokers, employers, and regulatory bodies, while collaborating with clinical/population health leaders to align payer strategy with care delivery goals.
    • Represent your organization in industry forums, trade associations, and legislative engagements, advocating for strategic interests.
  • Financial Management:
    • Drive financial strategy for payer services, optimizing ROI, reducing medical loss ratio (MLR), and overseeing budgets, pricing models, and cost-reduction strategies tied to value-based contracting and digital automation.

Qualifications:

  • Education: Bachelor's in Healthcare Administration, Business, or related field; MBA, MHA, or advanced degree strongly preferred.
  • Experience: 25+ years of progressive leadership in healthcare payer domain, leading product or engineering-driven payer transformation.
  • Domain Expertise: Deep knowledge of claims adjudication, provider contracting, reimbursement models (FFS / value-based), risk adjustment, and member engagement platforms.
  • Technical Acumen: Hands-on experience with payer systems (analytics platforms, CRM, adjudication engines), interoperability standards (EDI, FHIR), and data security regulations (HIPAA).
  • Leadership Fit: Track record of building and leading large teams, partnering across executive, clinical, finance, and technology functions.
  • Communication & Influence: Exceptional presence with ability to engage Executive and Board-level stakeholders, negotiate complex payer contracts, and drive thought leadership.

  • Payer Domain Transformation Lead

    2 weeks ago

    Chennai, Tamil Nadu, India beBeeExecutive Full time ₹ 12,00,000 - ₹ 15,20,000

    Executive Leadership Opportunity Job Overview:A highly sought-after Executive Leader is needed to spearhead the payer domain, driving strategic growth through innovation and collaboration. Key Responsibilities:Pioneer transformative initiatives leveraging data analytics, AI, automation, and predictive modeling to enhance payer services.Partner with product...

  • Transformation Leader

    4 days ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 1,50,00,000 - ₹ 2,00,00,000

    We are seeking an accomplished Transformation Leader to spearhead business transformation initiatives, foster a culture of change readiness, and drive strategic growth.Key Responsibilities:Strategic Transformation Planning: Develop and execute comprehensive transformation strategies that align with business objectives.Stakeholder Engagement: Foster strong...

  • Digital Transformation Leader

    2 weeks ago

    Chennai, Tamil Nadu, India beBeeEnterprise Full time US$ 1,50,000 - US$ 2,50,000

    Job Title: Digital Transformation LeaderThis role is responsible for leading complex digital transformation programs, providing architecture and design leadership to drive business growth and improve operational efficiency.

  • Digital Transformation Leader

    6 days ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 2,00,00,000 - ₹ 2,50,00,000

    Drive business growth through strategic digital initiatives.Digital StrategyWe are seeking a Digital Transformation Leader to propel our Global Business Services (GBS) function into the next level of digital maturity.This is an exceptional opportunity for a seasoned leader to shape our digital strategy, leveraging emerging technologies to enhance operational...

  • Technology Transformation Leader

    4 days ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 1,55,52,000 - ₹ 2,59,20,000

    Job DescriptionWe are seeking an exceptional leader to champion transformative initiatives that drive impactful outcomes and elevate the employee experience.The ideal candidate will be responsible for developing and implementing robust measurement frameworks, leading cross-functional collaboration, leveraging customer insights, and cultivating strategic...

  • Site Transformation Leader

    2 weeks ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 40,00,000 - ₹ 45,00,000

    Drive Operational Excellence as a Site Transformation LeaderWe're looking for a skilled professional to lead site-level transformation and drive operational excellence.Our ideal candidate is a change agent with a passion for lean thinking and a proven track record of achieving results through process improvement.Responsibilities include:Leading the...

  • Visionary IT Transformation Leader

    5 days ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 1,50,00,000 - ₹ 2,50,00,000

    Strategic IT Transformation Leadership OpportunityWe are seeking a visionary IT leader to drive a complete IT transformation, turning it into a competitive advantage. As a hands-on Senior Director of IT, you will redefine our IT landscape from strategy to execution.About the RoleDriving Business Value: You'll demonstrate quantifiable impact by validating...

  • Transformation Leader

    1 week ago

    Chennai, Tamil Nadu, India beBeeDigital Full time ₹ 1,50,00,000 - ₹ 2,50,00,000

    Transformation Leader & Digital VisionaryOur client seeks a seasoned Transformation Leader to spearhead enterprise-wide digital initiatives, driving innovation and customer experience through cutting-edge solutions.Responsibilities:Strategic Planning & RoadmapDevelop and execute a holistic digital transformation strategy aligned with overarching business...

  • Digital Transformation Leader

    1 day ago

    Chennai, Tamil Nadu, India beBeeTransformation Full time ₹ 30,00,000 - ₹ 40,00,000

    Digital Transformation LeaderThe role involves overseeing the digital transformation of business processes, leveraging emerging technologies to improve efficiency and productivity.Develop a comprehensive digital strategy aligned with organizational goals.Lead projects that apply technology to streamline operations, enhance data analytics, and drive...

  • Digital Transformation Leader

    1 week ago

    Chennai, Tamil Nadu, India beBeeDigitalTransformation Full time ₹ 1,50,00,000 - ₹ 2,50,00,000

    Job Overview:The role of a Digital Transformation Leader is critical in driving business growth and innovation. We seek an experienced IT professional to spearhead our digital transformation strategy, leveraging their expertise in SAP and cloud infrastructure to drive process improvement and efficiency.About the Role:We are looking for a seasoned IT...