Manager - Health Insurance

HEADHUNTERS HR Pvt. Ltd.
  • Mumbai
  • Confidential
  • 12-22 years
  • 364 Views
  • 04 May 2015
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  • Operations

  • IT/ Technology - Software/ Services
Job Description

12-16 years experience in the Health Insurance(Payer) domain

Prior experience working in a Payer organization will be strongly preferred (Or should have worked in a leading IT organization as a Domain SME)

Deep knowledge of processes like member enrolment, eligibility verification, claims adjudication, underwriting, payments, medical coding, billing, denial management etc. along with knowledge of IT products/solutions used in the Health Insurance workflow is a must

Awareness of trends in Health Insurance for the USA geography is desirable (e.g. Obamacare legislation's, HITECH/ARRA, HIPAA, Meaningful Use, changes in Medicare/ Medicaid etc.)

Proven experience planning, designing, and implementing mid/ large scale business-IT solutions in the Payer environment

Certifications in Insurance or in the IT field would be an advantage

Exceptional communication and interpersonal and client-facing skills.

Strong leadership skills, decision making and problem solving abilities.

BS and/or MS in computer science or equivalent experience.


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HEADHUNTERS HR Pvt. Ltd.