Director Operations (Prior Auth/AR)

Director Operations:

Who are we looking for?

• Should be a Graduate with total 13+ years of experience of which minimum 8+ years experience should be in US Healthcare (Preferably on the provider side of business).
• Experience is required in

  Prior Authorization OR AR

• Experience in leading & managing teams of 50+ people.
• Experience in managing all aspects of the delivery function including operations management, P&L Management, Client Management and People Management is required.
• Excellent verbal and written communication skills in English
• Candidate with excellent aptitude, highly adaptable and willingness to learn
• Open to Travel Domestic & International as applicable
• M.B.A or Post Graduate qualification in Operations, Finance, Healthcare Management, International Business and General Management would be an added advantage.

Location

US Healthcare experience is a must

Financials

Own achieving profitability/ Operating Efficiency targets for account / assigned function(s)

Ensure timely preparation and validation of monthly invoice

Forecast IKS Revenue, Costs and Headcount for signed SOWs

Manage to the contract (including scope creep, support contract renewals).

Deliver to the SOW(s)

Drive teams to achieve agreed SLA / Metrics by optimal use of resources, review & execution of identified action plans & team performance reviews

Adherence to defined Quality norms & identify process issues impacting delivery or client business

Proactively identify areas of improvement in overall performance and direction to direct reportees on delivery Course Correction (Analyze business metrics trends, potential issues & escalations, Client feedback & business strategy / goals)

Embrace escalations and identified opportunities from clients / Client Services / or market leader. Run toward smoke as if you were literally on fire. Track smoke on a monthly basis. Fix the root cause of the issues

Raise the bar of engagement & delivery to come across as a partner rather than a vendor

Become a healthcare / RCM expert thus enable value conversations with Clients down to any depth

Manage VOC & Customer Satisfaction for the account through governance and timely detection and prevention of issues while aligning with the client business objectives.