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 Operations Manager
understands/manages staffing needs, tools, and training requirements.
Salary Range: $93,900 – $154,900 (based on experience, skills, and
qualifications)
Location: 100% Remote (U.S.-based)
Up to 5% annual travel (for team meetings and limited client onsite
engagements.)
For more information on benefits and what we offer please visit us
at https://www.exlservice.com/us-careers-and-benefits
[https://www.exlservice.com/us-careers-and-benefits]
RESPONSIBILITIES
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.
QUALIFICATIONS
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.
The posted base salary range is the hiring base salary range for this role.
Final offers are based on several factors, including: the candidate's skills and
experience, internal pay equity, work location, market conditions for the role,
and the specific scope and responsibilities of the position.