Manager

• *Job Description: Experience:**

• Experience in US Healthcare / Payment Integrity / Payment Services preferred
• 2 – 4\+ years of experience in program management / PMO / operations leadership role
• Experience managing audit lifecycle, claims operations, or PI functions
• Strong experience in client\-facing roles and stakeholder management
• Experience in digital transformation / automation initiatives (Preferred)

• *Responsibilities: 1\.PMO Governance \& Program Management**

• Establish and enforce PMO frameworks, governance models, and operational standards
• Manage end\-to\-end lifecycle of programs/projects: planning, execution, tracking, and closure
• Ensure adherence to project timelines, SLA commitments, and delivery metrics
• Maintain program documentation, playbooks, SOPs, and reporting dashboards
• Drive portfolio visibility and track program performance across stakeholders

• *2\. Operations Management \& Delivery Excellence**

• Oversee day\-to\-day operations of Payment Integrity / Payment Services workflows
• Drive operational efficiency, productivity, and quality improvements
• Ensure compliance with HIPAA, CMS, payer guidelines, and internal policies
• Monitor KPIs such as quality, productivity, cost savings, recovery, and turnaround time
• Identify process gaps and lead continuous improvement initiatives

• *3\. Stakeholder \& Client Management**

• Act as a key interface between clients, operations, and leadership teams
• Present performance dashboards, insights, and improvement plans to stakeholders
• Coordinate with cross\-functional teams (Analytics, Compliance, Finance, IT, Training)
• Manage escalations and ensure timely resolution

• *4\. Analytics, Reporting \& Decision Support**

• Drive data\-driven decision\-making using dashboards and trend analysis
• Analyze operational and financial data to identify risks and improvement opportunities
• Prepare executive reports and business reviews
• Support leadership with strategic insights and recommendations

• *5\. Team Leadership \& Capability Building**

• Lead and mentor PMO / operations teams
• Drive accountability for KPIs, SLAs, and delivery milestones
• Support workforce planning, training, and performance management

• *Qualifications: Qualification:**

• Bachelor’s degree in healthcare / Life Sciences / Business Administration
• MBA from a IIT / IIM or reputed Business management school
• Certifications: PMP / Lean Six Sigma / Agile

• *Communication Skill:**

• Strong written (documentation) and oral communication skills

• *Working Hours:**

• 40 hours per week as Full\-time employee
• Shift time: 10:00 AM IST \- 7:00 PM IST
• Weekends Off

• *Telecommuter/Internet requirements, if applicable:**

High Speed internet connection at home, must be broadband

• Must understand and adhere with telecommuter policy.

• *Key Competencies**

• Strategic Thinking \& Program Governance
• Healthcare Operations Expertise
• Payment Integrity Knowledge (Claims / Coding / Audit)
• Data Analytics \& Reporting
• Stakeholder \& Client Management
• Process Improvement \& Automation
• Risk \& Compliance Management
• Leadership \& Team Management