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14 Carelon Global Solutions Jobs
RISK Adjustment - Senior Manager Solutions
7-12 years
Hyderabad / Secunderabad, Bangalore / Bengaluru
1 vacancy
RISK Adjustment - Senior Manager Solutions
Carelon Global Solutions
posted 1d ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
- Build Best-in class Quality Management System (QMS) from the internal and Industry best practices (Process, Template, Checklist, SOP, guidelines across BO, Tech, Agile, Waterfall).
- Responsible to manage Quality Management System (QMS) and its currency to industry trends and
Carelon Requirements. - Coach the delivery team in first time right quality culture, adoption of QMS practices and champion trainings.
- Ensure code quality, coding standards and peer reviews are followed in all the projects.
- Ensure Delivery tools are adopted across all the projects.
- Provide SME expertise in metrics definition, tracking and insights at tower and India level.
- Develop best-in class trends and analytics and help define organizational quality goals for future.
- Ensure Risk Management across all projects and highlight tower/organization level Risks and mitigations.
- Ensure Root Cause analysis (RCA) are completed, and corrective action are implemented in both Tech/BO Tower.
- Drive Knowledge management process (lesson learnt, best practices, any best-in class process/templates) across organization.
- Enforce knowledge codification, sharing and refresh across organization.
- Lead organization level Continuous Improvement (CI) initiatives.
- Report and governance on risks, project need attention, metrics deviations and potential escalations.
- Conduct quarterly quality Spot-check to verify QMS adoption, best practices and recognize for best projects.
- Experience in tools like Minitab and Confluence.
- Experience in independently driving QMS development and roll-out.
- Experience in running large Delivery Governance forums.
- BE/B.Tech/MCA
- Preferred Minimum experience: 20 years
- A thorough understanding of medical coding is required for this role.
- he individual should also be knowledgeable about the billing process and the various stages of the billing life cycle.
- The position will primarily focus on operational tasks, comprising 70% to 75% of the responsibilities, thus requiring significant operational knowledge.
- Ability to communicate at all levels with clarity and precision both written and verbally, good listener
- Ability to multi-task and switch context to changing priorities in a highly dynamic environment
- Excellent presentation and reporting skills to executive level audiences
- Good Strategic thinking and problem-solving skills
- Multi-project management/portfolio management experience
- Business acumen
Employment Type: Full Time, Permanent
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