Job Purpose
Minimum 8-10 years’ Experience in US Health Care. Experience in Benefit coding, testing & Configuration & Claims Testing is an added advantage.
Managing the day-to-day operations
Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
Capacity planning
Assess capacity shortages and requirement for overtime
Ensures individuals and the team meet their performance objectives
Act as a liaison with the client for any process updates, additional scope, training
Job Responsibility
Responsible for ensuring SOPs and Training Materials are up-to-date
Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
Additional focus required for Open Enrollment capacity planning.
Operational management including driving KRA’s and feedback.
Conduct timely performance appraisal for associates.
Excellent knowledge on Excel & PowerPoint.
Assists in Function level reporting.
Inter-team col… See More
Job Purpose
Minimum 8-10 years’ Experience in US Health Care. Experience in Benefit coding, testing & Configuration & Claims Testing is an added advantage.
Managing the day-to-day operations
Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
Capacity planning
Assess capacity shortages and requirement for overtime
Ensures individuals and the team meet their performance objectives
Act as a liaison with the client for any process updates, additional scope, training
Job Responsibility
Responsible for ensuring SOPs and Training Materials are up-to-date
Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
Additional focus required for Open Enrollment capacity planning.
Operational management including driving KRA’s and feedback.
Conduct timely performance appraisal for associates.
Excellent knowledge on Excel & PowerPoint.
Assists in Function level reporting.
Inter-team collaboration with other leaders providing assistance and seeking support wherever required.
Active participation on Process improvements & Project Management.
Willing to work in US shifts.
Timely management of bottom quartiles performers
Partner connect.
People Engagement
Qualification
Minimum education: Graduation/ Post graduation in any stream Specialized training, certifications, and/or other special requirements: NA Preferred education: NA
Experience
Minimum experience. Minimum 8-10 years’ Experience in US Health Care
Preferred experience. Preferred with basic US Healthcare knowledge.
Knowledge and Competencies
Strong communication skills, Ability to perform individually in a competitive environment, Superior ability to manage customer relationships.
Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity, Capacity planning )
Excellent knowledge on Excel & PowerPoint
Inclusive mindset and collaborating with diverse stakeholders.
The Carelon Promise
Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.
It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.
This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging
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