Director - Payer Clinical IT Delivery(No OPS/BPO)

3 days ago

Chennai Hyderabad, India People Impact Full time ₹ 20,00,000 - ₹ 25,00,000 per year

Position: Director Payer - Clinical (IT Delivery)

Experience: 18+ years

Location: Hyderabad / Chennai

Note : NO Ops/BPO

Role Summary

We are seeking a seasoned IT Delivery Leader with proven expertise in the US Healthcare Payer domain, specifically within clinical IT delivery. The successful candidate will drive delivery excellence across programs such as Utilization Management, Care Management, and Appeals & Grievances, ensuring strategic alignment with business goals and client expectations. This role demands strong leadership, delivery governance, and a deep understanding of healthcare payer clinical systems.

Key Responsibilities

  • Lead and manage end-to-end IT delivery for clinical programs in the payer domain.
  • Ensure successful execution of large-scale projects in Utilization Management, Care Management, Appeals & Grievances.
  • Drive delivery governance, demand planning, and capacity management.
  • Establish best practices, frameworks, and KPIs to ensure delivery excellence.
  • Partner with business stakeholders, technology teams, and clients to align delivery with strategic objectives.
  • Manage and mentor senior managers, project managers, and delivery teams.
  • Oversee compliance with healthcare regulatory standards, data security, and quality requirements.
  • Build and maintain strong client relationships with a focus on value delivery and business impact.

Required Skills & Experience

  • 18+ years of overall IT experience with a strong background in delivery management.
  • Minimum 10+ years of experience in the US Healthcare Payer domain.
  • Expertise in clinical IT delivery Utilization Management, Care Management, Appeals & Grievances.
  • Proven track record of managing large distributed teams (onshore/offshore).
  • Strong knowledge of payer systems, clinical workflows, and healthcare compliance.
  • Exceptional leadership, communication, and stakeholder management skills.

Demonstrated ability to drive large programs and portfolios successfully

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