Roles and Responsibilities
Track the implementation of agreed service delivery actions and targets across the Health claims function Assess and advise on competing priorities, ensuring that there is sufficient management time dedicated by management and senior stakeholders to all required areas Manage the coordination of communications in conjunction with the Strategic Programs team Coordinate both the budgetary planning process as well as the ongoing management of the budget Implement and operate functional level business reviews in support of the claims function Manage claims business updates and track reporting trend analysis Be a point of contact between global transformation teams and local Operations to adapt execution of global strategy and engage local teams to advance in relevant projects (E.g. VoC, CX, IRIS, RPA); participate in target discussions on claims digital transformation and the major requirements to be prioritized, steer business execution of agreed-upon strategies Review granular OPS KPIs for claims and participate in performance reviews; track implementation of remediation and action plans Track progress across all metrics on fraud, waste, and abuse ensuring that agreed plans are implemented and that deviation is highlighted and addressed What You Bring: To be successful in this position you will need to have the following skills/experience: 3+ years’ experience in a business coordination role where you have supported management in tracking the implementation of actions Strong knowledge of MS Office and general corporate communication tools including Power BI Ability to review and understand data with a capacity to present this in a concise manner Capability to operate to tight deadlines where clear summaries are required Fluent in English
Desired Candidate Profile
A
Projects Specialist
is a professional who plays a key role in managing and overseeing projects within an organization. They are typically responsible for coordinating resources, managing project timelines, ensuring the delivery of project objectives, and maintaining quality standards throughout the project lifecycle. Key Responsibilities of a Projects Specialist: Project Planning and Coordination: Defining Project Scope:
Assist in determining the scope of projects, identifying deliverables, milestones, and timelines. Creating Schedules:
Develop detailed project plans and timelines, including task assignments and deadlines. Resource Allocation:
Coordinate resources (people, materials, equipment, etc.) needed for project success, ensuring that resources are used efficiently. Budget Management:
Help track project costs, ensuring that the project stays within the allocated budget and adjusting resources as needed to stay on target.
Communication and Collaboration: Liaison between Stakeholders:
Serve as a point of contact between the project team, management, clients, and any other stakeholders. Regular Updates:
Provide regular project status updates to stakeholders, including progress reports, risk assessments, and any changes to timelines or budget. Team Collaboration:
Work closely with other team members (designers, engineers, contractors, etc.) to ensure project requirements are met and problems are addressed swiftly.
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Track the implementation of agreed service delivery actions and targets across the Health claims function Assess and advise on competing priorities, ensuring that there is sufficient management time dedicated by management and senior stakeholders to all required areas Manage the coordination of communications in conjunction with the Strategic Programs team Coordinate both the budgetary planning process as well as the ongoing management of the budget Implement and operate functional level business reviews in support of the claims function Manage claims business updates and track reporting trend analysis Be a point of contact between global transformation teams and local Operations to adapt execution of global strategy and engage local teams to advance in relevant projects (E.g. VoC, CX, IRIS, RPA); participate in target discussions on claims digital transformation and the major requirements to be prioritized, steer business execution of agreed-upon strategies Review granular OPS KPIs for claims and participate in performance reviews; track implementation of remediation and action plans Track progress across all metrics on fraud, waste, and abuse ensuring that agreed plans are implemented and that deviation is highlighted and addressed What You Bring: To be successful in this position you will need to have the following skills/experience: 3+ years’ experience in a business coordination role where you have supported management in tracking the implementation of actions Strong knowledge of MS Office and general corporate communication tools including Power BI Ability to review and understand data with a capacity to present this in a concise manner Capability to operate to tight deadlines where clear summaries are required Fluent in English
Desired Candidate Profile
A
Projects Specialist
is a professional who plays a key role in managing and overseeing projects within an organization. They are typically responsible for coordinating resources, managing project timelines, ensuring the delivery of project objectives, and maintaining quality standards throughout the project lifecycle. Key Responsibilities of a Projects Specialist: Project Planning and Coordination: Defining Project Scope:
Assist in determining the scope of projects, identifying deliverables, milestones, and timelines. Creating Schedules:
Develop detailed project plans and timelines, including task assignments and deadlines. Resource Allocation:
Coordinate resources (people, materials, equipment, etc.) needed for project success, ensuring that resources are used efficiently. Budget Management:
Help track project costs, ensuring that the project stays within the allocated budget and adjusting resources as needed to stay on target.
Communication and Collaboration: Liaison between Stakeholders:
Serve as a point of contact between the project team, management, clients, and any other stakeholders. Regular Updates:
Provide regular project status updates to stakeholders, including progress reports, risk assessments, and any changes to timelines or budget. Team Collaboration:
Work closely with other team members (designers, engineers, contractors, etc.) to ensure project requirements are met and problems are addressed swiftly.
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