IKS Health
Location
Navi Mumbai | India
Job description
Candidate Profile
Essential: ▪ 6+ Years of experience in Managing transitions / Operations or as SME for the respective functions ▪ Proven Ability to understand the end to end process and capture Nuance ▪ Unflinching Rigor towards timely and effective execution ▪ Innovative thinking, diagnostic skills, and problem-solving skills ▪ Adept in deployment of risk management & mitigation frameworks. ▪ Ability to work in an entrepreneurial environment with multiple stakeholders across geographies ▪ Strong attention to detail ▪ Assertive personality, skilled in conflict management ▪ Excellent verbal and written communication skills ▪ Strong skills in MS Office and/or Google tools, including PowerPoint / Google Slides and Excel / Google Sheets ▪ Masters degree in business or healthcare or Project management advanced certifications. Job Responsibilities: Understanding the Customer current process, Business context & define IKS way forward processes ● Customize Knowledge transfer questionnaire ● Finalize the Tools / Websites/ accesses etc requirement with client and provide Inputs to IT ● Study Insurance Contracts/ Review analytics, reports and incorporate analysis within process manuals ● Initiate sample accounts analysis for in scope functions ● Review relevant Information (CPTs, Insurances, Payers, Etc.) for the specialty team to add relevant document (Top payment/denials/appeals) ● Review Client specific guidelines, policies and procedures Creation, Sign off & Customer Alignment on To Be SOP & Exceptions handling ● Lead all knowledge transfer calls and create SOPs ● Document current workflow practices basis review of accounts, financial analysis and existing process manual ● Capture Geography Specific Payer Nuances ● Capture Client specific Tribal Knowledge ● Finalize the Tasking Metrics/ Exceptions Grid ● Ensure Execution of the SOPs in Training & Ops Responsible for baselining & success metrics calibration for their functions ● Share List of Required Reports with the BI Team ● Review output & provide Inputs to BI for finalizing baselining . ● Read the BI reports, Identify patterns /opportunities and share their findings w, ith Leadership Designing, Implementing & Monitoring FMEA's Process & Quality Controls for their function ● Designing, work allocation Strategy ● Create Day to Day work order strategy, post go live ● Review Process Control for the functions and sub functions ● Reviewing Daily Inventory / Outcomes & controls for their respective function for first 90 Days Reviewing the training Schedule, content and progress of the users ● Review and Approve the assessment on Specialty Nuances for Trainees ● Review & approve Client specific Training content ● Review the trainee Ramp up target. ● Review the progress of the TraineesJob tags
Salary
