Manager I
12 hours ago
Role Proficiency:
Manager - Consulting Mandatory skill-set required:
1.US Healthcare Payer / US Health Insurance experience
- As a Healthcare Consultant, candidate should have experience with Assessments and Discoveries i. Current-state analysis (functional landscape (detailed), technical landscape (high-level)) and future-state definition (including study of Industry best practices, benchmarking, gap analysis) ii. Delivery of Recommendations and Implementation Roadmap - as outputs from the Assessment / Discovery exercise - for the actual Technical Remediation, next steps iii. Support to documentation work (including Statements of Work (SoWs)) for Discovery / Assessment phase, and for Implementation phase iv. Proficiency with MS Office suite - especially, PowerPoint (then, Word and Excel) v. Solutioning in proposals (proactive, reactive (RFX responses))
3 USA Healthcare Payer, USA Health Insurance, Healthcare Domain Consulting (Consultant) / Healthcare Industry Consulting(Consultant), USA Healthcare IT, Core Administration, Claim Processing, Membership Enrollment, Discovery (Discoveries),Assessment(s), HIPAA, Affordable Care Act (ACA), Medicare, Medicaid, Commercial Healthcare Business Analysis (Analyst), Healthcare Product Owner (Manager), Certifications in Business Analysis (like CBAP from IIBA, etc.), Healthcare Certifications from AHIP, AHM Desirable work experience 1.As a Healthcare Business Analyst, has the candidate done Requirements Mgmt.? i. Requirements definition, requirements elicitation / gathering ii. BA involvement in Joint Application Development (JAD) sessions iii. Requirements Traceability Matrices (RTMs) - end-to-end ownership iv.MS Visio diagrams, other unified modeling language (UML) diagrams, process-flow diagrams v. Proficiency with Water-fall and / or Agile methodology (methodologies) 2. As a Product Owner / a Product Manager, has the candidate been hands-on on? i. Product roadmap ii. Product backlog iii. Epics and user stories iv. Healthcare user-interface (screen) needs and healthcare data-management (database) needs Other Expectations 1..Healthcare Payer Functions and Business Processes - Strong Knowledge in i, ii,, iii, viii (below) - Augmented by good knowledge / understanding in other areas (below): i) Claim Processing, Core Administration ii) Membership Enrollment iii) EDI Transactions (HIPAA X X, 27X) iv) Risk Mgmt., Quality Mgmt. v) Care Management vi) Member services (E2E member management) vii) Provider services (E2E provider management) viii) Lines of Business (LoBs) - Commercial, Medicare, Medicaid, Duals, Exchanges 2.Any Relevant Certifications i) Healthcare Certifications (PAHM, FAHM, others) from AHIP, AHM ii) FHIR (good to have); HL7 ("could be considered") iii) Business Analysis Certifications from IIBA - ECBA, CBAP iv) CSPO
Required Skills
US Healthcare Payer,US Health Insurance,Healthcare Domain Consulting,US Healthcare IT
-
Motion Graphic Designer
11 hours ago
Thiruvananthapuram, Kerala, India The Animal-i Full time ₹ 9,00,000 - ₹ 12,00,000 per yearAbout The Animal-iThe Animal-i shapes influence across the ballot, boardroom, and buyer through Political PR, Branding, and Media Intelligence. We are the brand behind the brands - creating stories that move people and campaigns that drive change.Role OverviewWe are looking for a talented Motion Graphic Designer to join our creative team in Trivandrum. The...
-
Customer Relationship Manager
4 days ago
Chennai, Tamil Nadu, India ATO (I) Limited Full time ₹ 3,00,000 - ₹ 4,00,000 per yearATO(I) Limited is Urgently Hiring "Customer Relationship Manager"Greetings from ATO (I)Ltd…Job Description:Building and maintaining profitable relationships with the client.Overseeing the relationship with client handled by your team.Resolving client complaints quickly and efficiently.Meeting with managers in the organization to plan...
-
Construction Manager
7 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure.Key Responsibilities1. Construction ManagementPlan, coordinate, and supervise E&I construction and installation works at the offshore...
-
Construction Manager
7 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure.Key Responsibilities1. Construction ManagementPlan, coordinate, and supervise E&I construction and installation works at the offshore...
-
Construction Manager
7 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure.Key Responsibilities1. Construction ManagementPlan, coordinate, and supervise E&I construction and installation works at the offshore...
-
Construction Manager
6 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure. Key Responsibilities 1. Construction Management Plan, coordinate, and supervise E&I construction and installation works at the...
-
Construction Manager
7 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure. Key Responsibilities 1. Construction Management - Plan, coordinate, and supervise E&I construction and installation works at the...
-
Construction Manager
7 days ago
Chennai, India Kushi Civil Structural consultancy Pvt Ltd Full timeJob Description: Location: Hazira Department: Construction / E&I offshore Project Manager / Offshore E&I Construction Superintendent Exp-15+ years’ experience in E&I construction, with significant offshore oil & gas exposure. Key Responsibilities 1. Construction Management Plan, coordinate, and supervise E&I construction and installation works at the...
-
Senior DemandGen Marketer
2 weeks ago
Chennai, Tamil Nadu, India Illumine-i Full timeCompany DescriptionIllumine International Inc. (Illumine-i) is a full suite engineering and sustainability consultant specializing in energy infrastructure. With expertise in structural, electrical, and civil solutions, Illumine-i optimizes cost, time, and quality for energy projects. Our founders have extensive experience in renewable energy projects and...
-
Call center manager
3 weeks ago
Chennai, India I-PAC Full timeAbout I-PAC:I-PAC (Indian Political Action Committee) is a leading consulting firm that provides innovative solutions to our Campaign’s most challenging problems. We pride ourselves on delivering strategic insights and actionable plans that drive growth and improve performance.About the role:The Call Centre Manager will lead a team of TL and Quality...
