Live opening · Posted 1 day ago
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About the role
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Greetings for the Day…!!!
We are looking for a Assistant Manager-US Healthcare for one of our esteemed clients in Pune having experience in US Healthcare, Claims,Healthcare Operations,Medical Management and People Management.
Exp: 4+ Years
CTC: Upto 8 LPA
Location: Pune
Shift : US Shift
Job Description:-
The Assistant Manager will be responsible for leading and managing a team of CSRs, Nurse Associates, and medical services staff to ensure delivery of high-quality, cost-effective healthcare management services while meeting operational, quality, financial, and client-specific objectives.
Key Responsibilities:
Manage day-to-day operations and ensure adherence to SLA, productivity, quality, and compliance targets.
Coach, mentor, and develop Nurse Associates/CSRs to improve performance and achieve individual and team goals.
Conduct regular performance reviews, feedback sessions, calibration meetings, and skill-development activities.
Identify performance and process gaps through root cause analysis and implement corrective and preventive action plans.
Monitor workload, staffing, productivity, and process volumes in coordination with WFM/MIS and support teams.
Ensure accurate and timely completion of operational reports, dashboards, trackers, and business reviews.
Act as a Subject Matter Expert (SME) for healthcare processes, clinical documentation, care management interventions, and problem resolution.
Ensure team compliance with internal policies, client requirements, HIPAA/confidentiality standards, information security, and applicable healthcare regulations.
Handle client escalations, member/provider concerns, and complex operational issues, ensuring timely resolution and appropriate communication.
Support implementation of new processes, policy updates, system changes, training programs, and process improvements.
Lead calibration sessions and quality initiatives to maintain consistency in clinical decisions, documentation, and customer service.
Build a positive, collaborative, and high-performance team culture through engagement activities, recognition, coaching, and career development.
Develop succession plans and career-growth opportunities for team members and prepare high-performing employees for future leadership roles.
Work closely with Operations Managers, Lead Assistant Managers, Quality, Training, WFM, HR, IT, process owners, Case Managers, providers, and US-based stakeholders.
Participate in client calls, business reviews, process discussions, and performance meetings as required.
Promote continuous improvement, innovation, and best practices across the medical management process.
We are looking for candidates who can join us with in 30 days.
Thanks & Regards,
Work arrangement
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