Operations Director - Health Insurance BPO

Department: IBAS

Location: Horsham, PA

SUMMARY

This
position requires– migration, transitioning and setting up the operations in
steady state for healthcare vertical within Business Services.

Desired
Candidate Profile

Responsibilities
– Migration of large processes 300+FTEs from onshore and stabilizing the
operations.

Experience
& Skills – 15+ years of experience in US healthcare Insurance. Managed and
transitioned large processes offshore in healthcare domain. Experience in the
IT/ BPO industry, primarily in operations and transitioning role. Account
management and operational experience as well, good understanding of US
Healthcare Insurance industry. Bring in new perspective & lateral thinking
skills, able to work independently without constant supervision or guidance,
analytical & number driven individual, ability to work in multi-cultural,
global environment

QUALIFICATIONS

To
perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative
of the knowledge, skill, and/or ability required. Reasonable accommodations may
be made to enable individuals with disabilities to perform the essential
functions.

EDUCATION
and EXPERIENCE

Ø Atleast 12 years of experience in operations, transitioning in bpo/kpo
Industry.

Ø Experience in migration and managing
operations of health insurance backoffice.

Ø Understand US healthcare insurance space.

Ø Workflow with 837 EDI output.

Ø Process Mapping.

Ø Good knowledge of TPA services and product
offerings.

Ø Excellent Track record with demonstrative
success in following best practices in operations management.

Ø Desirable Black Belt in six sigma
methodology.

LANGUAGE
SKILLS

Excellent
communication skill and proficiency in English language.

Ability
to read, analyze, and interpret general business periodicals, professional
journals, technical procedures, or governmental regulations. Ability to write reports, business
correspondence.

Ability to effectively present information and
respond to questions from groups of managers, clients, and prospects.

WORK
ENVIRONMENT

The
work environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

Qualifications:

To
perform this job successfully, the individual must be able to perform each
essential duty effectively. The individual must possess;

Relevant
Long term care (LTC) OR Disability Insurance (DI) background is requiredWell
versed knowledge in using acronyms and terminology used in the LTC OR
Disability Insurance (DI) industryExcellent
oral, written and interpersonal communication skillsExcellent
customer orientationAbove
average core product knowledgeExtensive
experience in Life insurance operations / process managementProficient
in Microsoft Office tools – Word, Excel, Access, PowerPoint, SharePointSolid
understanding of insurance terminology and definitionsExceptional
listening and analytical skillsProficiency
in financial analysisCore
company knowledge of departmental processes and proceduresDecision
making skillsEnergy
and drive with a focus on deliveryStrong
people management and leadership skills Understanding
of technology and how to leverage for operational effectiveness and efficiencyAbility
to present and facilitate training content to ensure understanding by varied
audienceread
and interpret documents such as policies and operating and procedural manuals. Write
detailed correspondence, business cases, as well as internal and client-facing
presentationsspeak
effectively and professionally to clients, external and internal stakeholders,
employees of the organization.

Capgemini
is an Equal Opportunity Employer M/F/Disable/Veteran

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