US Healthcare - Team Lead Claims - BF - 29099-57623

Overview

Carelon Global Solutions India is seeking a Team Lead Claims to be responsible for all business delivery and performance against set SLA parameters, leading a team of 18-20 members and coordinating with onshore partners as required.

What you'll do

• Lead a team of 18-20 members and ensure daily service delivery targets are met or exceeded.
• Coordinate and manage relationships between the process team and internal and external stakeholders.
• Share status reports with business leaders for review on a periodic basis.
• Ensure successful execution of the plans and strategies laid out by management from time to time.
• Maintain a clear understanding of the National Program Scorecard.
• Drive the team to achieve process Service Level Agreements and metrics, including productivity and quality targets within established timelines.
• Maintain operations rigor around daily huddles, visual management, knowledge management and cross training.
• Identify opportunity areas for improvement in quality and productivity.
• Ensure optimum resource utilization through cross training initiatives and buffer management.
• Engage with other processes to understand and implement best practices.
• Ensure adherence to engagement plans for team members.
• Manage attrition and absenteeism and maintain the Early Warning System (EWS) for the team to proactively address people issues.
• Identify and groom high potential team members for the next level.
• Conduct performance appraisals for team members.
• Follow the performance management grid and take immediate steps for any variance.
• Ensure performance reports (presentations or visual boards) are shared with the team on a regular basis.

What you'll need

• Bachelor's or Master's degree.
• US healthcare experience.
• 8+ years of overall experience.
• Strong written, oral and interpersonal communication skills.
• Strong analytical and organizational ability.
• Strong PC skills.
• Proficiency in MS Office, including Excel.
• Organizational and time-management skills.
• Decision-making skills.
• Stakeholder management and interaction.
• Analytics and reporting.
• Performance management.
• Mentoring.
• Delivery management.

Nice to have

• Provider and payer side experience.

Details

• Location: Gurugram, India.
• Employment type: Full-time.
• Flexible to work in any shift.
• Reports to Associate Manager, Business Operations.