Title: Program Director - L1
Job Description
Job Summary: We are seeking a highly motivated and experienced Program Director to lead and drive our claims, BPaaS (Business Process as a Service), and CX (Customer Experience) initiatives within the US healthcare sector. The ideal candidate should have a strong background in healthcare operations, hands on in industry leading platforms like FACETS, Health Edge, Plexis etc.
He/she should have strong program management skills and should be able to drive build, execute strategies for driving practice across Healthcare BPaaS, Cognitive Claims management and Agentic Ai in customer experience
The ideal candidate should have proven track record of delivering successful projects and driving business growth.
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Key Responsibilities:
- Lead and manage the claims, BPaaS, and CX programs for US healthcare, ensuring alignment with organizational goals and objectives.
- Develop and implement strategies to drive cognitive, agentic ai into claims processing, enhance BPaaS offerings, and improve customer experience.
- Collaborate with cross-functional teams, including operations, IT, and customer service, to drive program success.
- Monitor program performance, identify areas for improvement, and implement corrective actions as needed.
- Ensure compliance with regulatory requirements and industry standards.
- Provide leadership and guidance to program teams, fostering a culture of innovation and continuous improvement.
- Manage program budgets, resources, and timelines to ensure successful delivery of projects.
- Build and maintain strong relationships with key stakeholders, including clients, partners, and industry leaders.
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Key Performance Indicators (KPIs):
- Program ROI: Evaluate the return on investment for the claims, BPaaS, and CX programs.
- Compliance Rate: Ensure adherence to regulatory requirements and industry standards.
- Innovation Metrics: Track the number of new initiatives and improvements implemented within the programs.
- Driving Revenue Growth: Evaluate strategies and initiatives that contribute to revenue growth and establish a healthy funnel of ~$100M ACV for each practice
- Team Performance: Assess the performance and productivity of program teams.
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Qualifications:
- Master’s degree in healthcare administration, business, or a related field
- Minimum of 25 years of experience in healthcare operations and platforms, program management, and customer experience.
- Knowledge of healthcare data analytics, interoperability standards, and cybersecurity measures.
- Ability to integrate technology solutions to enhance program efficiency and customer experience.
- Familiarity with emerging healthcare technologies and trends.
- Strong understanding of US healthcare regulations claims processing, and BPaaS.
- Proven track record of successfully managing complex programs and driving business growth.
- Excellent leadership, communication, and interpersonal skills.
- Ability to work effectively in a fast-paced, dynamic environment.
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Nearest Major Market: Jefferson City
Nearest Secondary Market: Columbia Missouri