Lead EBA

JOB POSITION

Carelon Global Solutions India is seeking Lead EBA who have good US healthcare knowledge & People management skills. Preferably experience in Claims Testing and Benefit configuration is an added advantage.

JOB RESPONSIBILITY

Lead EBA (IND) will be responsible for the following:

• Minimum 8-12 years' Experience in US Health Care .Preferably experience in Benefit configuration is an added advantage.
• Managing the day-to-day operations
• Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
• Forecasting & Capacity planning
• Assess capacity shortages and requirement for overtime.
• Ensures individuals and the team meet their performance objectives.
• Act as a liaison with the various internal & external business partners for any process updates, additional scope, training
• Responsible for ensuring SOPs and Training Materials are up to date.
• Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
• Additional focus required for Open Enrollment capacity planning.
• Operational management including driving KRA's and feedback.
• Conduct timely performance appraisal for associates
• Excellent knowledge on Excel & PowerPoint.
• Assists in Function level reporting
• Inter-team collaboration with other leaders providing assistance and seeking support wherever required
• Active participation on Process improvements & Project Management.
• Willing to work in US shifts & flexible for all shifts
• Timely management of bottom quartiles performers
• Partner connects
• People management
• Employee Retention/Employee engagement
• Experience in JIRA EWM applications
• Team player in organizational activities
• Quality Management Experience in Quality metrics/Tools, RCA & CAPA

QUALIFICATION

• Bachelors or Masters’ degree

EXPERIENCE

• 8 to 12 years of experience in US healthcare process

SKILLS AND COMPETENCIES

• Strong US Healthcare expertise
• Experience in Claims Testing and Benefit Configuration
• People Management & Stakeholder/Partner Management
• Day-to-day operational management & Delivering results
• Good vocal and written communication skills
• Good PowerPoint and presentation skills
• Excellent reporting and excel skills
• Capacity planning & Forecasting
• Conflict Management
• Decision-making
• Process improvements & Project Management
• Relationship Building
• Planning and Organizing
• Adaptability/Change Management
• Efficient Problem-Solving Skills