2 Payor Jobs

Job Type Full Time Schedule – Night shift Education – Bachelor’s Degree Qualifications / Eligibility: Graduate in any discipline US Healthcare background with Experience into Revenue Cycle Management preferred with Payor side Trained / Certified Lean Six Sigma Green Belt Minimum 2 years in the team management role as Quality Team Leader / Asst Manager Working knowledge of 7 QC tools and FMEA / Risk assessment Roles and Responsibilities: Manage a team of minimum 10 Quality Analysts Enable business to deliver high quality and faster outcomes and maintain the quality SLAs. Adhere to quality framework and ensure timely completion of audits, reports, and analysis. Identify Lean Six Sigma / Continuous Improvement projects / Problem Solving Projects Drive Ideation to invite potential ideas for improvement. Help team achieve core deliverables (PKTs, Audits, Team Meetings, RCA, POA etc.) Drive internal and client calibrations. Maintain and present / discuss process and business performance dashboard with internal and external stakeholders including but not limited to senior management. Perform end-to-end business diagnostic analysis to dissect to identify potential risks, gaps, and areas of improvement. Work with cross functions (Operation, Training, and others) to make action plans and drive the same to achieve better results. Plan and coordinate for resource planning and QA framework execution Initiate and execute remediation plans resulting in better business performance. Key Skills: Effective Coaching and feedback skills Ability to identify, analyze opportunities in RCM specific US Healthcare processes (End to End), propose improvement actions and execution Ability to analyze data / information and derive insights. Strong report management skills Extremely good in Excel, Power Point Skills in numerical and statistical analysis Good Communication

Role Purpose Senior Consultants are able to leverage their experience to deliver discrete projects with minimal supervision. They demonstrate clear understanding of the clients business issues, detailing and tailoring consulting solutions to generate maximum value through idea generation and engagement experience. The Senior Consultant must achieve high personal billability. Do Consulting Execution An ambassador for the Wipro tenets and values, secures great feedback from multiple clients Consulting project Manager or equivalent coordinates teams of consultants, responsible for assuring quality of deliverables Flexible in approach, ability to coordinate resource with expertise in various areas Decisive and directive delivery focus with a can do attitude, demonstrates both hard and soft skills Coaches, mentors and motivates team and client staff, build trust and confidence through focus on quality and delivery Effective at engaging with clients, extracting information, e.g., developing facilitation and communication skills Responsible for ensuring project administration is up to date e.g., SoW, tagging, etc., Business development Ensures high levels of individual utilisation achievement in line with the levels expected as part of the goal setting process Consistently agrees personal extensions with client Demonstrates developing network of relationships with clients and provides required intelligence/insights to solve clients business problems Builds relationships with client peers and provides required intelligence/insights to solve clients business problems Leads smaller scale meetings with sales teams, leads proposal development to a high standard working with sales teams as appropriate Anchors market research activities in chosen area of work Consistently plays a major role in opportunity identification, raising potential pursuits to practice leadership team, helping them proactively in pursuits Thought Leadership Develops insight into chosen industry and technology trends, ensures they are shared with the wider practice/GCG in one of the various channels Contributes to team thought leadership Ensures a track record is written up of own assignment and, where appropriate, ensures it is written up as a case study Contribution to Practice/Wipro Continually delivers all Wipro admin in a timely manner (timesheets, appraisals expenses, etc.,) Demonstrates contribution to internal initiatives Suggest ways to improve an engagement through leverage of tools, methods assets, information sources , IP available within the knowledge management platform Organises the contribution of IP and knowledge assets to the central repository of Wipro and GCG and promotes reuse Engages with other consulting and delivery teams to enhance collaboration and growth and is part of the Wipro 'Communities' activities Proposes new service offerings/capabilities and demonstrates value through innovation and subject matter expertise Provides on/off site training, demos to existing staff as needed. Develops process assets and other reusable artefacts based on learnings from projects Routinely connects with SMEs to ensure delivery approach considers downstream requirements Proactively participates in and suggests ideas for practice development initiatives Actively shares knowledge and points of view within the team and within relevant communities of interest Deliver Strategic Objectives Parameter Description Measure (Select relevant measures/ modify measures after speaking to your Manager) Deliver growth in consulting revenues Support business performance for direct consulting against relevant quarterly/annual targets Improve quality of consulting by flawless delivery of transformation engagements % of Personal Utilisation Achievement (against target) No. of RFI/RFPs responses supported No. of transformation engagements delivered No. of referenceable clients, testimonials Average CSAT, PCSAT across projects Generate Impact Enable pull through business/ impact for Wipro through front end consulting engagements/deal pursuit/client relationships Number and value of downstream opportunities identified for GCG and larger Wipro Grow market positioning Lead/actively contribute to the development of thought leadership/offerings/assets for the practice to support business growth Eminence and thought leadership demonstrated through content, citations and testimonials Contributions to white papers/POVs/assets such as Repeatable IP, Frameworks & Methods Number of ideas generated and active contribution to the development of new consulting offerings/solutions/assets Provide consulting leadership to accounts Generating growth and integration across the consulting services, growing client relationship profile and supporting the achievement of the Wipro-wide account objectives Support GCG Account Lead/Account team to grow consulting service portfolio Number & $ value of consulting deals in the account supported Grow the consulting talent Grow skills and capabilities to deliver consulting engagements in new industries, business themes, frameworks, technologies Self Development - Min 32 hrs on training in a year. Combination of online and classroom on new industries, new business themes, new technologies, new frameworks, etc. Build the consulting community Individual contribution to People Development and Collaboration Effectiveness Distinct participation in and demonstration of: Collaboration across GCG - through the contribution to cross-practice offerings, sharing of best practices/industrial/technological expertise, consulting community initiatives Knowledge Management - Number of Assets owned and contributed to Consulting Central Mandatory Skills: HC - Payor.