Operations Manager, Healthcare - Remote US

The Manager of Operations ensures client savings and internal revenue are achieved. The Manager of Operations is responsible for planning, coordinating, and directing the activities of the audit program, ensuring staff is well trained, knowledgeable, responsive, and adherent to client SLAs. The Manager of Operations  has day to day oversight of program inventory, aging, issues, and risks, and is able to work across functional areas/departments to achieve corporate/division goals. The Manager of Operation provides regular program updates to clients and senior leaders, prepares for and participates in monthly/quarterly QBRs and new client implementations. The Manager of Operations understands/manages staffing needs, tools, and training requirements.

Revenue Management: Ensures client savings and internal revenue goals are achieved

• Ensures a pipeline of selected cases are placed in the workflows each month
• Ensures records are requested in a timely manner each month for all clients and a good process exists
•   for daily receipt of records
• Ensures daily productivity goals are achieved and tracks if audited claims will result in savings/revenue
• Ensures revenue/findings files are submitted each month in a timely manner and a returning file is received for invoicing
• Ensures invoicing is performed timely each month
• Ensures record fees and client confirmed overpayments are imported into audit system for tracking
•   future forecasting and reporting
• Understands factors that generate/prevent revenue and solves issues that puts savings/revenue at risk

Performance Management: Ensures employees are aware, connected and accountable to program goals

• Ensures productivity and quality goals are established and communicated to all employees
• Ensures employees are provided with monthly one on ones (PIP/Counseling when below standard)
• Ensures team meetings are held to communicate with staff (performance, issues, risks, updates, plans)
• Provides training (re-training) coaching and development to ensure employees can be successful in their role
• Builds a high performance team and strives for operational excellence

Client Management:

• Provides client with performance updates as needed and/or when scheduled
• Ensures team is responsive to client emails/requests and provides quality, satisfactory responses
• Works with clinical staff/leaders to prepare for client presentations, address issues, and provide appropriate updates

Continuous Improvement:

• Understands issues, barriers, performance gaps and creates action plans to improve results
• Works across functions to solve issues and improve results (Selections, Workflows, IT, Implementations)
• Looks for ways to continuous develop self and others
• Brings forth at least 1 new solution/improvement per quarter
• Assist others as needed (not all inclusive)

Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

Supervisory Responsibilities: 

Supervisors, clinical and non-clinical, coordinators. Works hand in hand with Clinical Leaders.

• Bachelor’s degree or equivalent work experience in clinical auditing
• Minimum 5-8  years or equivalent work experience in clinical auditing/supervisory
• Minimum 2 years of Healthcare experience.
• Strong leadership skills and ability to perform a wide range of duties. 
• Excellent computer skills, proficient in excel, word, and outlook. 
• Excellent people management skills, interpersonal skills, and communication skills. 
• Able to train and delegate.

What We Offer: 

• EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions. From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
• You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth
• We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
• Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

Salary Range is $65k - $90k with the possibility of 10% travel

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits