Operations Manager - Medical coding Pune, Maharashtra, India 0 years None Not disclosed On-site Full Time

JOB TITLE: Operations Manager PRINCIPLE PURPOSE OF JOB We are currently seeking an Ops Manager to support a growing client base and manage the dayto- day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS ➢ Medical degree/Life graduate with CIC/CCS certification or in-patient DRG experience ➢ Minimum of two years’ experience working as Asst. Mgr./Mgr. or equivalent ➢ Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred ➢ Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, AAOS, ICD-10-CM, ICD-10-PCS, CPT & HCPCS, etc. ➢ Practical clinical experience working in a hospital/office or nursing home preferred ➢ Has general knowledge of medical procedures, conditions, illnesses, and treatment practices ➢ Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency ➢ Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. JOB RESPONSIBILITIES • Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project • Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA • Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables • Identifying the areas of improvement for training for a team/individual based on error trend analysis • Effective planning in place to manage OJT period within the specified period • Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership • Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric • Ensures proactive identification of any negative deviations in the process • Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency • Willing to work in a 24*7 work environment post training • Training would be conducted during US business hours and may last up to 6 months • Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as company’s ability to resume operations from an office setting • Works effectively in co-ordination with the India team ATTRIBUTES AND BEHAVIORS • Develops and maintains positive working relationships with others • Shares ideas and information and has ability to collaborate efficiently • Assists colleagues and the team unprompted • Takes pride in the achievement of team objectives • Has credibility with peers and senior managers • Self-motivated – driven to achieve results • Works with a sense of urgency • High customer service ethic – is passionate about meeting customer expectations and improving service levels • Keeps pace with change – acquires knowledge/skills as the business evolves • Handles confidential information with sensitivity SKILLS & COMPETENCIES • Strong analytical, critical thinking and problem-solving skills • Excellent verbal and written communication skills • Quick learner and proficient in application of learnings • Excel proficiency • Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads • Able to get periodic analysis as per business needs, to improve productivity and quality • Ability to work well independently and maintain focus on a topic for prolonged periods of time

AVP Clinical Operations | US Healthcare Pune, Maharashtra, India 15 years None Not disclosed On-site Full Time

Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you Summary: We are currently seeking an AVP – Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance which would result in client delight. Handle large number of teams with the support of managers, AMs and team leads. Principal Duties/ Responsibilities: Program Management: Ensure that the SLAs are met consistently Identify initiatives and have the Team Leads work on them for improvement of key metrics Support QIPs to improve efficiency and quality Present SLAs and associated metrics to reporting manager as well as to the client Handle various teams in different phases (i.e. implementation, stabilization, BAU) Client Management: Timely, complete and articulate communication with the client Highlight issues and propose solutions even before Escalate to the reporting manager and client engagement team as required People Management: Managing people related issues that are escalated by TLs Coordinate with department heads for resolution Career planning of direct reports and guiding TLs in doing so for their teams Realistic and measurable goal setting Monitor & control attrition and shrinkage Create back up for each support role Initiative: Either come up with or identify initiatives that will result in measurable improvement Constantly monitor these initiatives and guide the team in making it a success Change Management: Manage various types of changes: Change in process Expansion due to volume increase New implementations Organizational changes e.g. Mergers, accreditation, etc Attributes and behavior: Should not just be a fast learner but also an effective mentor Have sound knowledge of the program and know where & how to access the finer details Willingness to work under pressure and stay motivated when there is less to be done Has credibility with peers and seniors Have a positive influence on others Self-motivated – driven to achieve results Have a levelheaded mindset which makes one think that ‘no problem is so big that it cannot be solved and none are too small to be attended to’ Passionate about delighting the customer time and again Good knowledge of general policies and procedures in industry Ability to adapt to policies and procedures specific to Cotiviti Maturity and leadership to manage senior support staff such as managers. Exhibit behavior consistent with Cotiviti Values Customer Driven Collaborative Accountable Open Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences preferred CPC/CIC/CCS certification Additional relevant certifications would be an added advantage 15 years of experience in BPO/KPO industry 3+ years of experience as Senior Manager/Director Operations Experience managing Managers or similar levels Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred Implementations/transitions experience preferred Regards Talent Acquisition Team COTIVITI

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