The Role
Delivery / Operations
- Manage clinical operations (Utilization Review, Physician Advisory, Clinical Denials and Appeals, CDI, etc.) with a group of clinicians and ensure in meeting or exceeding the customer SLAs such as production, quality, TAT, etc.
- Collaborate with customers and internal stakeholders to execute process improvement initiatives
- Leverage technology to improve process efficiency
- Manage P&L across multiple sites in one country by optimizing budget and resource allocation in-line with guidance provided from vertical leads to reduce delivery costs
- Act as interface between vertical leads and project manager to relay operational updates and organizational priorities
- Monitor dashboards and performance reports, support project managers in handling critical escalations, and ensure implementation of changes in monitoring systems in collaboration with the software integration team
- Create and implement business continuity and disaster recovery plans in coordination with the GRIC team
- Manage operations across multiple cities in one country
- Analyze staffing reports across projects and implement long-term initiatives to optimize resource utilization across sites, shifts, service offerings including buffer and bench management
- Facilitate cross-functional collaboration between project managers and other departments (K&T, IT, Admin, transformation function) to streamline delivery
- Drive implementation for operational efficiency improvement initiatives in coordination with process excellence team / transformation team identified by vertical leads, creating implementation roadmap, prioritizing teams / projects for implementation
- Leadership and team management
- Create a workplace that promotes a customer-centric, engaged, and inclusive culture that values collaboration, innovation, and high performance
- Enable talent development in collaboration with talent management team by supporting implementation of identified training and coaching initiatives
- Drive recruitment initiatives in coordination with the HR team, vertical leads to effectively counter attrition and manage talent mix in-line with market demand
- Facilitate focused group discussions with a minimum of 30% of the team members every month Client management
- Support vertical leads and customer success teams to grow existing accounts
- Manage client relations with Customer Success to build promoters by addressing escalations, comprehending needs and providing timely support
- Lead discussions with Customer Success in key meetings such as metrics reviews and escalation reviews; Lead MBR and support vertical leads in QBR calls and discussions
- Track regulatory changes, key market trends to add value to client conversations, support clients to determine and pursue priorities
Ideal Profile
Academic and professional background
Healthcare Operations : 11 years in leadership roles managing clinical support functions (e.g., revenue cycle, clinicaldocumentation)Academic Qualifications : Bachelor’s degree in healthcare administration, business administration, public health, or clinical discipline. OR a candidate with a Medical Degree (MD) from a recognized university, a Master’s Degree : MHA, MBA, MPH, or a master’s in nursing administrationClinical Knowledge : Experience as a licensed clinician (e.g., MD, nurse or allied health professional)Financial and P&L Management : Proven experience optimizing budgets, managing costs, and handling P&L across multiple sitesProcess & Project Management : Expertise in process improvements, project management, service line expansion and experience with Lean Six Sigma or similar methodologiesClient & Stakeholder Management : Track record in managing client relationships and improving satisfactionTalent Leadership : Experience leading large teams, managing talent development, and addressing workforce challenges like attritionRegulatory Knowledge : Familiarity with healthcare compliance and data privacy regulations (e.g., HIPAA).Competencies, skills, and other requisites
Subject matter expertise in at least one scope / process in clinical services (such as Utilization Review, Physician Advisory, Clinical Denials and Appeals, CDI, etc.)Service delivery leadership and strategic thought leadership to grow businessClient and internal stakeholder managementProblem solving ability and analytical skillsTeam management and interpersonal skillsAttention to detail and concern for accuracyStrong time management skills and multi-tasking abilityProficient in written and spoken EnglishIntegrity and personal work ethicsWhat\u2019s on Offer?
Leadership RoleFlexible working optionsOpportunity to make a positive impact#J-18808-Ljbffr