area manager, fulfillment center operations Jobs in Hyderabad

area manager, fulfillment center operations

assistant human resources manager Jobs in Hyderabad

assistant human resources manager

associate product manager-process optimization Jobs in Hyderabad

associate product manager-process optimization

bpo-operations manager (healthcare) Jobs in Hyderabad

bpo-operations manager (healthcare)

business operations associate Jobs in Hyderabad

business operations associate

bpo operations manager healthcare

VXI Global Solutions

<div>
 
 
 Job Summary:
 
 
 
 The position is responsible for managing day-to-day operations and execution of programs. It involves supervising multiple Senior/Team Leads (4&ndash;8 direct reports) and ensuring operational performance, client satisfaction, and achievement of program metrics. Depending on the program size, the role may oversee a single Line of Business (LOB) or multiple programs.
 
 
 
 Key Responsibilities:
 
 
 
 
 1. Analysis
 
 
 
 Manages call center operations by reviewing and analyzing reports, records, and data to ensure that quality, efficiency, and productivity standards/targets are met. Metrics may vary as per client directives and are outlined in Operations Performance Expectations.
 
 
 
 2. Reporting
 
 
 
 Analyzes reports from multiple sources (client-based or internally generated). Attention to detail is crucial, and the role holds Operations or other departments accountable for necessary improvements. Responsible for delivering reports to both external clients and internal business leaders.
 
 
 
 3. Goal-Setting
 
 
 
 Sets operational goals and business objectives. Translates these into actionable items across all levels&mdash;from Group/Shift Managers to Team Managers. Includes setting or recommending topics for pre-/post-shift meetings, discussing goals, trends, action plans, and conducting comprehension checks.
 
 
 
 4. Strategy Development
 
 
 
 Supports the Operations Director in formulating long-term sales and quality strategies based on continuous needs assessment and feedback from Operations and Quality Monitoring processes.
 
 
 
 5. Process Monitoring
 
 
 
 Monitors calls and provides feedback using approved processes and tools (e.g., Tri-Level Coaching, Call Observation/Looping Forms) to Operations Managers, Group Managers, and Team Managers.
 
 
 
 6. Discipline &amp; Compliance
 
 
 
 Ensures strict adherence to company processes and policies. May initiate corrective actions for performance gaps and analyze trend data to coach Group and Team Managers accordingly. Involves managing programs like A-Bay and implementing Performance Improvement Plans.
 
 
 
 7. Communication
 
 
 
 Effectively communicates program updates and strategic plans to the Operations Manager and broader operations team. Updates may include leadership changes, sales strategies, business announcements, and HR policies. Requires a sound understanding of the overall business and company-related developments.
 
 
 
 8. Client Interfacing
 
 
 
 Maintains regular interactions with clients in coordination with Client Services and the Operations Director. Engagements include call calibrations, performance reviews, and daily summaries. Meeting client deadlines is critical.
 
 
 
 9. Performance Management
 
 
 
 Assists in conducting performance reviews, identifies root causes of performance gaps, and recommends actionable improvement plans. Focuses on key metrics such as Close Rate, Advance Product Take Rate, Package Penetration, AHT, and Quality. Reviews are conducted through scorecards or one-on-one sessions as needed.
 
</div>

BPO-Operations Manager (Healthcare)

Bristol Myers Squibb

<div>
 
 JOB DESCRIPTION
 
 
 Job Title:
 
 Director, Compliance &amp; Ethics Lead, India &amp; Hyderabad
 
 
 
 Location :
 
 Mumbai or Hyderabad
 
 
 
 
 
 
 Position Summary
 
 
 This role leads the Compliance &amp; Ethics (C&amp;E) operations across India &ndash; both (i) BMS commercialization entity in Mumbai and (ii) center of excellence located in Hyderabad. The position drives a culture of integrity, ensures alignment with global compliance standards, and partners closely with both country (BMS India) and Hyderabad site leadership teams to embed ethical practices into daily operations.
 
 
 Key Responsibilities
 
 <ul>
 <li>
 Promote the right tone throughout the organization (BMS India and Hyderabad site), and partner closely with the leaders of the organization to ensure a steadfast commitment by all employees to integrity, quality, compliance and uncompromising ethics.
 </li>
 <li>
 Lead the execution of global and regional compliance programs in partnership with the global C&amp;E organization.
 </li>
 <li>
 Serve as the primary compliance advisor to BMS India&rsquo;s commercial, medical, and enabling functions. For Hyderabad site, serve as the primary point of contact who can appropriate triage specific function related questions and/or advise on matters related to healthcare compliance issues in close collaboration with the global C&amp;E function with subject matter expertise.
 </li>
 <li>
 Co-chair the India Compliance Committee with BMS India general manager, and establish and operate a similar compliance governance in Hyderabad Site, ensuring effective governance and risk management.
 </li>
 <li>
 Oversee compliance training, monitoring, analytics, and communication strategies tailored to both market and site needs.
 </li>
 <li>
 Lead integrity champion activities of BMS India and Hyderabad site.
 </li>
 <li>
 Closely partner with relevant functions such as C&amp;E Investigations, Legal, HR, etc. to support investigations, risk assessments, and remediation activities.
 </li>
 <li>
 Represent BMS in relevant industry associations and forums in India.
 </li>
 <li>
 Stay abreast of local regulatory developments and industry trends to proactively manage compliance risks.
 </li>
 <li>
 Participate in periodic internal audits, monitoring and due diligence activities in the responsible markets, and, as appropriate, coordinate execution of follow-up actions.
 </li>
 </ul>
 
 
 
 
 Key Stakeholders
 
 
 General Manager of BMS India and members of BMS India Operating Committee, Hyderabad site leadership team members and global C&amp;E leadership/CoE members.
 
 
 
 
 Requirements
 
 <ul>
 <li>
 15+ years of experience in compliance (can be combined with legal and/or internal audit/monitoring) in highly regulated industry.
 </li>
 <li>
 Bachelor&rsquo;s degree in risk and/or business management (e.g., law, accounting, business management, etc.)
 </li>
 <li>
 License and/or certification in compliance, law, accounting, risk management, etc. is highly preferred.
 </li>
 <li>
 Experience in the healthcare industry is strongly preferred, but not required
 </li>
 <li>
 Superior personal integrity and ethics, including an exceptional sense of discretion.
 </li>
 <li>
 Demonstrated ability to establish and maintain strong relationships with stakeholders
 </li>
 <li>
 Strong strategic-thinking skills with an ability to identify and recommend process improvements and best practices
 </li>
 <li>
 Ability to prioritize and manage multiple projects under deadline pressure with flexibility to work on broad range of matters
 </li>
 <li>
 Ability to discuss controversial topics with senior executive leadership and obtain their buy-in.
 </li>
 <li>
 Excellent written and spoken English.
 </li>
 <li>
 Role model behaviors with BMS values: Integrity, Innovation, Inclusion, Passion, Accountability, Urgency.
 </li>
 </ul>
 
 
 
 
 Travel Required
 
 
 Domestic and international travel when required.
 
</div>

Director, Compliance & Ethics Lead, India

Google Operations Center

<div>
 
 Join Us!
 
 
 
 At Google Operations Center we help Google users and customers solve problems and achieve their goals&mdash;all while enjoying a culture focused on improving continuously and being better together. We work hard, we play hard, and we want you to join us!
 
 
 The Process Excellence Specialist will be responsible to lead an improvement agenda for the vertical and work closely with Senior Stakeholders, including Clients. S/he is responsible to ensure smooth delivery on functional and vertical goals of the site in alignment with the global level and charter agenda that covers: Optimization, Productivity Improvement, Customer centricity, Customer experience elevation. Through Continuous Improvement or Transformative ideas, drive improvements to all customer facing metrics like CSAT, Quality, Turn around time, wait time and for the organization enhance productivity, Accuracy, Quality and Resource Utilization by using LSS methodologies &amp; DNA building within the Organization.
 
 
 
 Position Responsibilities
 
 
 
 <ul>
 <li>
 Spearheading Process Excellence / Customer Experience by developing and deploying Service Excellence framework; focussing on creating best in class user experience/ or customer delight
 </li>
 <li>
 Evaluate current current and to-be-transitioned processes including flow chart, value stream maps, performance metrics, Systems and tools , Customer Journey, Agent Journey to determine Gaps, Opportunities and optimize process performance &amp; Leads handover process and documentation to Operation
 </li>
 <li>
 Assist the teams is establishing the right business performance standards, set the right improvement goals in each step and collaborate with operations on designing the process to attain such metrics, reduce variation in critical business processes
 </li>
 <li>
 Be independent and sole owner of Process Excellence / Continuous Improvement for the site and act as change agent for each assigned improvement / Transformation
 </li>
 <li>
 Act as the liaison between relevant stakeholders to help them determine appropriate synergies and document dependencies, dates, schedules, project owners and linkages that are critical for the success of transformation activities.
 </li>
 <li>
 Work collaboratively with the leadership team, Portfolio Owner , Business Verticals &amp; their Leadership team to understand goals and objectives related to the user experience needs, create Continuous improvement (CI) agenda and deliver on it by designing and executing programs to bring Transformational Opportunities , Elevate Customer experience and deliver Business Values using established tools and framework
 </li>
 <li>
 Build relationships with other regions and Global teams in order to support identification, review, prioritization and execution of key opportunities across Sites / Verticals
 </li>
 <li>
 Coaches project team on required topics according to the specific needs of the process &amp; Provide lean trainings to the team/and other members, where needed
 </li>
 <li>
 Represent GOC Site / Vertical aligned to in Business Reviews with GOC Leadership / Vertical Leadership
 </li>
 <li>
 Understanding of new age trends on Technology and be able to identify processes that can be automated and deliver on the same by working closely with the development team
 
 
 </li>
 </ul>
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 3-6 yrs of overall Service Sector experience with expertise in Process Transformation and Operational Excellence in BPO environment
 </li>
 <li>
 Experience with Lean tools such as value stream mapping, 5S, standard work, 5 Why Analysis, etc &amp; LSS certification - Green or Black belt
 </li>
 <li>
 Capable of applying problem solving LSS methodologies to propose corrective action plans, including root cause analysis and preventative measures proposal
 </li>
 <li>
 Capable of identifying Transformative Opportunities to bring in exponential Business Value
 </li>
 <li>
 Knowledge in Automation (RPA, ML, AI &amp; cognitive is a plus)
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 We support you with competitive wages and comprehensive health care including medical, dental and vision coverage
 </li>
 <li>
 We support your family with gender-neutral baby bonding leave, 14 week birth-parent maternity leave, and generous life, accident and disability insurance minimums
 </li>
 <li>
 Employees who work onsite can enjoy free meals and snacks, and fun onsite experiences
 
 
 </li>
 </ul>
 At the Google Operations Center, we don't just accept differences - we celebrate them, we support them, and we thrive on them for the benefit of our employees, our products, and our community. We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation, please let us know.
 
 
 Information collected and processed as part of your GOC jobs profile, and any job applications you choose to submit is subject to GOC's Applicant and Candidate Privacy Policy
 
 .
 
 
 
 
 Thanks for your interest in this opportunity! Our recruitment team will contact you if your profile is a good fit for the role. If you don't hear from us within 2-3 weeks, please consider your application unsuccessful at this time. We value your patience throughout this time. For any questions, feel free to reach out to us at
 
 goc-candidate-global@googleoperationscenter.com
 
 .
 
</div>

Process Excellence Specialist

Experian

<div>
 
 Company Description
 
 
 
 Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them save time and money.
 
 
 We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.
 
 
 We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.co
 
 m
 
 
 
 
 Job Description
 
 
 
 
 Product Owner &ndash; Identity and Fraud Platform
 
 
 
 We're looking for a Product Owner to join our Identity and Fraud division, reporting to the Product Director for Platform and Partnerships. This role focuses on our API-based platform, the strategic foundation for delivering Identity and Fraud solutions.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 You will be based in Hyderabad and reporting to Director Product Management
 </li>
 <li>
 Backlog &amp; Prioritization: Manage and prioritize the product backlog using agile methodologies to balance business, client, and technical needs.
 </li>
 <li>
 Requirements &amp; User Stories: Define and document business requirements; collaborate with technical teams to translate them into user stories.
 </li>
 <li>
 Roadmap Delivery: Partner with Product Managers and Technology teams to align on the product roadmap and ensure successful launches.
 </li>
 <li>
 Technical Collaboration: Work closely with engineering to deliver the platform vision and enhance user experience.
 </li>
 <li>
 Continuous Improvement: Drive ongoing enhancements to the product and platform.
 </li>
 <li>
 Innovation: Identify creative solutions that align with strategic goals and deliver customer value.
 </li>
 <li>
 Sprint Planning: Coordinate with technical teams to plan and execute development sprints.
 </li>
 <li>
 Quality Assurance: Ensure features meet acceptance criteria and are ready for release.
 </li>
 <li>
 Issue &amp; Release Management: Manage bugs and collaborate with the Release Manager to assess release impacts.
 </li>
 <li>
 Operational Alignment: Ensure non-functional requirements are met by working with engineering, operations, and service teams.
 </li>
 <li>
 Progress Reporting: Track and report on the status of business requirements across teams.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 3+ years as a Product Owner, ideally in business information services.
 </li>
 <li>
 Strong background in agile methodologies and Scrum team collaboration.
 </li>
 <li>
 Solid technical understanding and ability to work closely with engineering teams.
 </li>
 <li>
 Experience with API integration, microservices, and cloud-based platforms.
 </li>
 <li>
 Defining the right features and ensuring high-quality delivery.
 </li>
 <li>
 Formal agile certifications
 </li>
 <li>
 Experience in the Identity and Fraud domain, including market trends, client needs, and compliance standards (e.g., data protection, security).
 
 
 </li>
 </ul>
 
 Additional Information
 
 
 
 Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward &amp; recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces&trade; 2024 (Fortune Global Top 25), Great Place To Work&trade; in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site and Glassdoor to understand why.
 
 
 Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is a critical part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, color, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.
 
 
 
 Benefits
 
 
 
 Experian care for employee's work life balance, health, safety and wellbeing. In support of this endeavor, we offer best-in-class family well-being benefits, enhanced medical benefits and paid time off.
 
 
 Experian Careers - Creating a better tomorrow together
 
 
 Find out what its like to work for Experian by clicking here
 
 
</div>

Product Owner

Sanofi

<div>
 
 Job Title: Global Lead Buyer Events &amp; Medical Communication
 
 
 
 <ul>
 <li>
 Location: Hyderabad
 
 
 </li>
 </ul>
 Sanofi is an innovative global healthcare company headquartered in Paris, France with one purpose: Chase the miracles of science to improve people&rsquo;s lives. We are dedicated to making a positive impact on the lives of the patients and families we serve, and we accomplish our goals through world-class research and with the compassion and commitment of our employees. The company is focused on accelerating development to deliver breakthrough medicines and vaccines to patients, delivering excellence though Diversity. Sanofi operates in 90 countries with 91 000 employees worldwide, working in 59 manufacturing and 20 Research &amp; Development (R&amp;D) sites. In 2022 business net income was &euro;10.3 Billion, delivered by 4 Global Business Units: Specialty care, Consumer Healthcare, Vaccines &amp; General Medicines. Sanofi covers major therapeutic areas, including immunology, cardiovascular, diabetes, oncology, rare diseases, etc.
 
 
 Within Sanofi,
 
 the Procurement function
 
 is a powerhouse maximizing savings to fund the company&rsquo;s future growth. The Chief Procurement Officer is reporting to the Chief Financial Officer, member of the sanofi executive committee. The Procurement organization is divided into five Domains (Manufacturing &amp; Supply, Marketing &amp; Sales, Professional Services, Scientific &amp; Medical and Digital) leveraging Global Procurement Operations and the Procurement Center of Excellence &amp; Transformation. The yearly spend coverage is around 15B&euro; with a special focus on Procurement excellence, Supplier Diversity and Sustainability. Closely collaborating with Finance, Business Operations and Business Units, Procurement is instrumental in achieving cost efficiency and savings. Procurement plays a critical role in optimizing Business Operational Impact with a focus on driving simplification, efficiency, and productivity. It forges strategic partnerships with suppliers, prioritizing innovation and data driven solutions.
 
 
 
 About The Job
 
 
 
 <ul>
 <li>
 The Global Lead Buyer Events &amp; Medical Communication is responsible for developing Global category strategies. He/She guarantees that best market value is captured and incorporate in Sanofi with clarity on execution excellence and alignment with his Global or key Local Stakeholders across GBUs, GTMC and SBO. This role is global with frequent coordination of actions at local level to ensure adaptation and executability of the Global strategies.
 </li>
 <li>
 This includes activities such as, but not limited to, partnering with the internal stakeholders (Global and cross-categories procurement, business, Finance), assist with building project scopes based on business needs in compliance with Global procurement strategy and preferred supplier, conduct Global Request for Proposal (RFP), negotiate contracts, rate cards / discount schedules, ensure building a strong savings pipeline including rigor on tracking, reporting and validation by Finance, manage overall relationships with key suppliers (performance evaluations, QBRs, action plans, SRM programs)
 </li>
 <li>
 The Events and Medical Communications Agencies category includes all spend natures related to internal and external events, Booths, publications, Scientific Engagement, Medical Communications services, targeted communications, production &amp; adaptation.
 </li>
 <li>
 Main focus of this role will be to: Support Events &amp; Medical Communication services transformations by delivering best in class sourcing strategy(ies)Business partnering with the Sanofi Business Operations Hub leaders, Global meeting &amp; Events, and Key GBUs/R&amp;D stakeholders. Support Events optimization drivers execution in International Regions and key markets as needed.
 
 
 </li>
 </ul>
 
 About You
 
 
 
 <ul>
 <li>
 Operations Management: Supports others Global Lead Buyer or the Regional Category Manager of the category to ensure strategy's execution. Lead Market analysis and capture market value. Delivers savings pipeline in line with targets. Leads RFIs/RFPs and contract negotiations for his/her category. Leads local transformational projects according to Category Management with ability to connect any markets to global needs. Reports on status, savings, performance, and risks on the sourcing activities he/she is in charge of including regular touchpoints with Finance business partners. Undertakes benchmarking against other industries and best practices. Run SRM program with suppliers of his/her scope. Support pre/post-audit management, Crisis management. Maintains comprehensive understanding of Procurement Policies/Processes related to Risk/CSR/Compliance and ensures that these are adhered to by relevant team members. Identifies non-compliant processes and defines appropriate corrective measures
 </li>
 <li>
 Stakeholder Management: Develops strong partnerships with his/her key internal customers, including senior management and foster two-way supportive relationships with them. Presents Procurement strategies to key internal customers for review and input. Identify cross-GBU synergies even in absence of cross-GBU stakeholders
 </li>
 <li>
 Experience: 5+ years&rsquo; experience in Procurement or related field (including agency-side experience). Knowledge of Pharma Industry
 </li>
 <li>
 Soft Skills/ Technical skills: The position requires sourcing professional skills with a strong ability to develop relationships within and across the different lines of business and throughout the Procurement organization, including transversal / project management skills as well as management skills in a multi-cultural environment.
 </li>
 <li>
 Knowledge of best-in-class Procurement techniques and processes. Experience with Procurement Systems (eg SAP, Coupa). Consistency of focus upon delivery of outcomes and results. Demonstrated analytical skills and ability to utilize tools/systems accordingly. Ability to work independently on multiple concurrent priorities/projects
 </li>
 <li>
 Defines and balances strategic priorities against immediate operational challenges. Able to quickly assimilate new information/skills. Readily adapts to new environment, processes, ways of working, etc. Willingness and ability to challenge the status quo. Creativity in imagining new processes, innovative ideas, and solutions. Possesses strong competency in partnering with various stakeholders to deliver successful outcomes
 </li>
 <li>
 Encourages collaboration within team and across other functions/groups. Strong planning, problem-solving and responsive decision-making skills. Strong communication, presentation, change management and negotiation skills. Role model in compliance and ethics. Actively seeks feedback to identify opportunities for improvement. Resilience and aptitude to navigate in a complex organization
 </li>
 <li>
 Education: Minimum Bachelor&rsquo;s degree from accredited University (master's degree is preferred)
 </li>
 <li>
 Languages: Fluent in English is a must.
 
 
 </li>
 </ul>
 
 Pursue
 
 
 Progress
 
 .
 
 Discover
 
 
 Extraordinary
 
 .
 
 
 Progress doesn&rsquo;t happen without people &ndash; people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. You can be one of those people. Chasing change, embracing new ideas and exploring all the opportunities we have to offer. Let&rsquo;s pursue progress. And let&rsquo;s discover extraordinary together.
 
 
 At Sanofi, we provide equal opportunities to all regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or gender identity.
 
 
 Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com!
 
 
 null
 
 Pursue
 
 
 Progress
 
 .
 
 Discover
 
 
 Extraordinary
 
 .
 
 
 Join Sanofi and step into a new era of science - where your growth can be just as transformative as the work we do. We invest in you to reach further, think faster, and do what&rsquo;s never-been-done-before. You&rsquo;ll help push boundaries, challenge convention, and build smarter solutions that reach the communities we serve. Ready to chase the miracles of science and improve people&rsquo;s lives? Let&rsquo;s Pursue Progress and Discover Extraordinary &ndash; together.
 
 
 At Sanofi, we provide equal opportunities to all regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, protected veteran status or other characteristics protected by law.
</div>

Global Lead Buyer Events & Medical Communications

ValueLabs

<div>
 
 We are seeking a highly motivated and experienced
 
 Product Owner
 
 with a strong background in
 
 Benefits Administration
 
 and deep expertise in the
 
 US Healthcare domain
 
 . The ideal candidate will have 8+ years of relevant experience and a proven track record of working with cross-functional teams to deliver high-quality, customer-centric healthcare solutions. This role will be based out of our
 
 Hyderabad
 
 office.
 
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 
 8+ years of experience
 
 in product ownership or business analysis, primarily in
 
 US healthcare and benefits administration
 
 .
 </li>
 <li>
 Strong understanding of
 
 US healthcare plans
 
 , benefits eligibility, enrollment workflows, COBRA, FSA, HSA, etc.
 </li>
 <li>
 Experience working in
 
 Agile/Scrum environments
 
 .
 </li>
 <li>
 Exceptional analytical and problem-solving skills.
 </li>
 <li>
 Excellent communication and stakeholder management abilities.
 </li>
 <li>
 Prior experience with
 
 HIPAA-compliant systems
 
 and healthcare data workflows.
 </li>
 </ul>
 
 
 
 
 
 
 
 Interested candidates can share their resume at mounikaindrani.s@valuelabs.com.
 
 Only immediate Joiners.
 
 
 
 
</div>

Product Owner – Benefits Administration (US Healthcare Domain)

Zelis

<div>
 
 About Us
 
 
 
 Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts&mdash;driving real, measurable results for clients.
 
 
 
 Why We Do What We Do
 
 
 
 In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.
 
 
 Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis&rsquo; award-winning culture.
 
 
 
 Position Overview
 
 
 
 The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical records and coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest possible savings for clients.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Conduct reviews of many claim types by applying a series of audit techniques to identify areas with savings potential
 </li>
 <li>
 Review and validate charges against medical documentation to unsure billing accuracy
 </li>
 <li>
 Contact medical providers via phone or email and request a review of billing inconsistencies
 </li>
 <li>
 Document tracking and claim review notes that illustrate progress and final outcome on every claim
 </li>
 <li>
 Manage a report of 25+ claims with the ability to prioritize according to client stipulations at all times
 </li>
 <li>
 Maintain personal production metrics and quality assurance scores consistently
 </li>
 <li>
 Communicate claim inquires and client needs to Team Lead and leadership
 </li>
 <li>
 Maintain awareness of and ensure adherence to Zelis standards regarding privacy
 
 
 </li>
 </ul>
 
 Job Requirements
 
 
 
 <ul>
 <li>
 Current RN/LPN license required
 </li>
 <li>
 Varied clinical experience, including Med/Surg, ICU or Emergency Medicine required
 </li>
 <li>
 Understanding of hospital coding and billing rules or, experience in medical claims review with an understanding of audit techniques and identification of revenue opportunities preferred
 </li>
 <li>
 Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs preferred
 </li>
 <li>
 Excellent communication and presentation skills to effectively interact directly with providers and team members
 </li>
 <li>
 Exceptional organizational skills
 </li>
 <li>
 Proficient knowledge of Microsoft Outlook, Word, and Excel
 </li>
 <li>
 Proficient in basic mathematical calculations
 </li>
 <li>
 Detailed-oriented and able to work in a fast-paced environment
 </li>
 <li>
 Ability to withstand long period of computer work while utilizing multiple computer screens at one time
 
 
 </li>
 </ul>
 
 Work Environment
 
 
 
 <ul>
 <li>
 A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary, due to the needs of the integration team.
 </li>
 <li>
 A standard business environment exists with moderate noise levels.
 </li>
 <li>
 Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
 </li>
 <li>
 Ability to sit for extended periods of time.
 </li>
 </ul>
</div>

Nurse Reviewer

Explore 86+ Bpo operations manager healthcare in Hyderabad this September. Find roles across top companies and apply now to boost your career.