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5.0 - 10.0 years
8 - 12 Lacs
Gurugram
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. In this role, you will represent the Workforce Management (WFM) team during migrations for the OMNI channel implementation project, providing comprehensive WFM expertise and oversight. A thorough understanding of current real-time call delivery, scheduling practices, and capacity planning concepts is essential to replicate workforce requirements within a modern cloud-based solution. Your focus will be on ensuring that we achieve the desired business outcomes in the most efficient and straightforward manner. You will collaborate with Workforce Management partners and site leaders to ensure adequate staffing, contingency planning, and workflow monitoring throughout the migration process. Your responsibilities will include partnering with the WFM teams to communicate migration updates, participate in end-to-end testing, and be the migration resource for multiple areas of business while migrations are on-going. You will maintain and execute on the Enterprise Workforce Organizations (EWO) vision of Creating and adapting our enterprise workforce ecosystem through innovative and tailored solutions, fostering a culture of accountability, and driving operational success in a rapidly evolving global healthcare landscape. Primary Responsibilities: Partner with the OMNI project teams to define future state requirements and real time best practices for the call centers Partner with the WFM team to discuss rollout plans and gather risks that need to be shared back to the project team Partner with call routing to test and ensure future state is working as designed Partner to ensure the NOC/OCC have the ability to allocate call volumes Represent and be the liaison for the project team on behalf of WFM Utilize call center tools to provide recommendations for future state Ensure that system is appropriately set up to ensure WFM can effectively manage real-time inbound call traffic across multiple contact center locations to help ensure that service levels are met Gain an understanding of the technical and business solutions being offered and present them to leadership Provide training to WFM on policies, procedures, and best practices from Genesys to Amazon Connect Share feedback from WFM back to the project team Drive innovation and process improvement within Workforce Management Perform ad hoc reporting and analysis as needed to improve overall performance of the call center, and enable solid understanding of the business Complete other duties as assigned for OMNI or WFM as assigned Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: 5+ years of WFM contact center experience 5+ years of process improvement, workflow, benchmarking and/or evaluation processes 5+ years of operational and/or procedural aspects of a call center 5+ years of working closely within a team environment Experience working with and influencing cross-functional team Preferred Qualifications: Experience with call routing, IVRs, PBXs, ACDs, Genesys or CXone, CMS modifications and vendor scripting Project Management experience Tableau or reporting creation experience Experience with workforce planning concepts Experience with call center capacity planning and staffing models At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp
Posted 1 week ago
5.0 - 8.0 years
12 - 14 Lacs
Pune, Bengaluru
Hybrid
Working hours : 3pm-11:45pm (GMT) Location : Pune / Bangalore Qualification : Bachelors / Masters degree in Business Administration, Communications or related field, or Bachelors or Masters degree / equivalent qualification in Project Management and a strong interest to transition to an operations management and coordination Experience : 5 - 8 years in relevant role ******************************************************************************************* * IMMEDIATE JOINERS ALERT !* We're looking for candidates who can * join immediately *. If you're available, please * send your CV via WhatsApp only * to: * 9076159575 * Please note: * No calls * will be entertained. ******************************************************************************************* We are seeking to hire an Senior Analyst - Programs . We are looking for a dynamic Senior Analyst - Programs to support the delivery of our comprehensive business strategy. In this role, you will provide project management support for US and other Global campaigns. You will coordinate with various, divisional team members, key stakeholders and central services such as the Art department, content team, web and digital teams to assist in executing engaging campaigns. This role requires someone who is organised, with a keen eye for detail, able to meet deadlines and work successfully in a team environment. 1. Develop and maintain project plans and campaign plans. 2. Assist with creating and maintaining planning documents, reporting and budget documents using PowerPoint presentations and reporting tools eg: Excel 3. Create and manage engaging content in collaboration with the Global team 4. Project manage campaigns. 5. Develop and maintain collateral for internal and external audiences, ensuring alignment with brand guidelines and business objectives. 6. Analyse and report on the performance of activities to identify improvements and ensure effective outcomes. 7. Assist in delivering group projects and initiatives. 8. Ensure the company brand is consistent; ensure the brand is integrated appropriately throughout all collateral and local/regional initiatives (seminars, events, association content, etc.) 9. Collaborate with the team to deliver plans across online and offline channels and thought leadership. 10. Reporting including mid-year reviews 11. Conference Season support with email sends and attendee lists 12. Various newsletters . Support with email sends and copy 13. Editorial calendar support gathering info and inputting for the year
Posted 2 weeks ago
5.0 - 10.0 years
7 - 12 Lacs
Bengaluru
Work from Office
The Senior Resilience Analyst Third-Party is a versatile and innovative risk professional who can support all aspects of Resilience, including Business Continuity, Disaster Recovery and Corporate Crisis Management. You will be responsible for supporting the implementation of a global, enterprise level and sustainable resilience framework in conjunction with a wide range of business stakeholders. About the Role: As the Senior Resilience Analyst, you will: Define the standard of adequate contingency plans for critical third- parties Wholistically pull the together the internal and external plans in case of third-party disruption Work with critical TR stakeholders to inform them of the Resilience framework and its importance. Will play a critical role in the mapping of vendors against critical operations as part of the operational Resilience Program Work with Third-party risk management team to review and approve Business Continuity and Disaster Recovery clauses Deliver subject matter expertise on resilience control function responsibilities within the Third-party lifecycle activities. Have an in-depth knowledge of Business Impact Analyses and work with key stakeholders to get them completed. Deliver BIA training sessions for process and asset owners to better familiarize them of expectations and requirements. Support the implementation of common resiliency and recovery taxonomies and policies. Identify business processes and then work to ensure they are resilient. Meet KPIs for process identification and BIA completion. Leverage BIA output to design new recovery strategies and refresh existing strategies for maintenance and resumption of operations to meet business requirements. Document the strategic information captured through the BIA within standardized business recovery plan templates to support the execution of strategies and the continuation and recovery of business activities. Work with the other teams in Risk and Compliance to drive efficiencies and risk mitigation capabilities across the Risk and Compliance organization. Work together with Third-Party Risk to identify critical third-party vendors (leveraging BIA output) and begin to co-develop recovery strategies with vendors to support continuity of services. Support the enterprise-wide Crisis Management process and integrate escalation and response protocols into the Resiliency function. About you: A Bachelors degree level in relevant subject (e.g., Business Administration/Management, Economics, Finance, Technology, Innovation) 5+ years in a similar role or any valid combination of education and experience Versatility to understand various and complex subjects to adequately build collaborative, productive and trust-based relationships within the business segments and functions Solid experience in creating, editing, and proofreading executive-level documentation and material Proven ability to take initiative and influence within a matrix organization to achieve results Knowledge of controls in business and technology environments (e.g., SOx) Expert knowledge of MS Office (Word, Excel, PowerPoint) Strong knowledge of GRC tools, specifically Fusion Excellent organizational skills and attention to detail, with the ability to autonomously set and meet deadlines Additional key differentiators would be: Hands-on experience in the design and scaling of a Resilience Framework and enhancing organisational maturity. In depth knowledge of ISO 22301. In depth knowledge of Fusion, including process automation. Technology fluency: Knowledge of PowerBI, Tableau and good understanding of technology concepts such as AI, ML, RPA, and data science.
Posted 3 weeks ago
8.0 - 12.0 years
13 - 17 Lacs
Pune
Work from Office
JOB PURPOSE Overseeing the process of GMC Investigations to Identify Fraud cases / Minimize liability of Company through extensive "in time" investigation and fact finding of all referred and triggered claims Ensure faster in time investigation of cases with minimum expenses to optimize claims cost saving/ recovery revenues. Developing risk management controls, contingency plans and Communicating recommendations to Under writer Developing Analytical Risk for prediction Managing and assisting team members and Responsible for Pan India PRINCIPAL ACCOUNTABILITIES Investigations & Quality Improvement Quality checks of the Investigations which is assigned through external and internal Vendors Review the evidence/documents collected to analyze the overall fact pattern of claim and provide recommendations Ensure LOB wise target achievement as per AOP Assisting on FIR filing on fraud identified cases Reviewing the forensic experts reports and giving relevant inputs to conclude the facts of the case. Conduct assessments to define and analyze possible risks and initiative projects as a tool of prevention In-depth Investigation of suspected fraud / triggered claims / Critical & High value claims. Responsible to Complete the Case within Stipulated Turn-around Time (TAT) Trigger Management Developing new trigger after analyzing the patterns of losses Recommend, implement and monitor preventative and corrective actions to ensure that quality assurance standards are achieved Evaluate Trigger efficiency and recommend the prioritization Monitor LR and Create new triggers based on the Outliers Risk & People Management Vendor Management – Training the external investigators, Control measures, Quality check for the investigation reports. Design processes to eliminate or mitigate potential risks: Fraud nexus, Location wise severity. Liaison closely with internal (claims, legal team or any team associated and external stakeholders (Lawyers, Police, Hospitals, Govt Missionaries, etc.) Manage and prioritize high case load effectively and efficiently to achieve results of Timeline and Success Training, evaluating, supporting the investigators, towards the fulfilment of the required actions Develop contingency plans to manage crises like Disaster claims, Pandemic situations etc. Enhance existing procedures in investigation by deploying new tools Prepare reports, presentations, recommendations and Performance review to Management Monthly Stat report and Sharing with Concern Channels of GMC Conducting meeting with GMC HR for identified fraud and taking actions Roles and Responsibilities 3
Posted 3 weeks ago
9 - 14 years
30 - 40 Lacs
Bengaluru
Work from Office
Marketing execution plan in collaboration with internal brand, platform teams, coordinating with external agencies for execution reporting. Strategically advocate direct marketing and reduced reliance on paid marketing initiatives.
Posted 1 month ago
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