Operations AGM & Above

The role of a Vice President and Head of Payer Operations is to drive organization's strategic business initiatives, ensure successful service delivery for our clients, and continually raise the bar of our Operations. An experienced, well rounded ‘hands-on’ leader, comfortable communicating at all levels of an organization both internally within organization and our clients, and responsible for a $40m+ P&L, spanning multiple clients, sites, or delivery teams.Operations AGM & Above

Education:
Any Graduate or Postgraduate

Experience:
19+ years Call Center and/or Claims Administration experience in an outsource environment responsible for multiple sites and clients. Healthcare Industry Preferred. 15+ years of team handling experience. 7+ years of experience in strategic business management

Mandatory Skills:

• Expert level proficiency in core Claims Administrations - Non Voice revenue cycle

• Proven ability to lead and manage multiple projects and drive the team to results

• Excellent interpersonal, oral and written communication skills

• Ownership driven and results oriented 

• Have a flair for numbers, works well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude

• Negotiation skills and the ability to develop strong working relationships

• Solutions-minded, compliance-minded and results oriented

• Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately.

• Ability to juggle multiple priorities successfully

• High-energy, hands-on employee who thrives in a fast-paced work environment

• Flexible, adaptable and can adjust to a rapidly changing and growing environment

• Ability to develop both tactical and strategic solutions to business challenges

Roles & Responsibilities:

• Conceptualize(Client, internal) and manage large (multi-capability) $10M-$25M annual savings per client transformational projects

• Establishes and maintains collaborative working relationships with employees, Board of managers, customers and multiple Operations system executive suites.

• Participates in the budget process to ensure departments operates within approved budgets.

• Successfully integrate new growth opportunities into the company and its Operations

• Participate in developing and implementating contracts with payors, providers, Operations systems and vendors.

• Work with Sagility health physicians to build relationships, monitor performance, improve processes and solve problems.

• Work with department heads to enhance existing services, develop new services and manage expenses

• Ensure assigned areas of responsibility comply with the company's compliance program. Collaborate with the company's legal counsel and compliance officer as needed

• Provides leadership and guidance for operational areas as needed

BangaloreIndia