Strategic Health Operations Transformation Lead

hace 1 día


Gijón, Asturias, España Glints A tiempo completo
About Us

Glints is an HMO dedicated to providing top-notch health plans for small to medium enterprises (SMEs) in the Philippines. With over three decades of experience in delivering high-quality healthcare and leveraging innovative technology, we offer comprehensive digital health plans through our user-friendly platform. Together, we're transforming access to affordable, high-quality healthcare for millions of Filipinos.

Job Description

Role Overview: We are seeking a seasoned Strategic Health Operations Transformation Lead to join our team. The ideal candidate will possess strong analytical skills, experience in process automation, and excellent communication abilities.

Key Responsibilities:

  • Recommend and implement technological solutions to optimize workflows, utilizing operational and technical insights.
  • Drive improvements in healthcare claims operations, focusing on automation and efficiency.
  • Collaborate cross-functionally with healthcare, finance, and product teams to ensure seamless integration of new systems and procedures.
  • Oversee claims processing, ensuring all supporting documents are complete and accurate.
  • Develop and enhance reporting tools to ensure data accuracy for hospital bills, procedures, and professional fees.
  • Manage claims reimbursement processes for services like maternity, dental, and lab fees, ensuring timely payments.
  • Generate comprehensive reports for internal review.

Qualifications:

  • A Bachelor's degree in Healthcare Administration, Business, or a related field.
  • Experience in financial operations, systems integration, or claims management.
  • The ability to understand and navigate healthcare claims processes.
  • A strong analytical mindset, with a record of enhancing business processes.
  • Experience in process automation and system integration, with the ability to work independently.
  • Curiosity, results-driven approach, and growth mindset.
  • Excellent verbal and written communication skills.
  • A collaborative team player with adaptability in a fast-paced environment.
  • A passion for innovation in healthcare.
Benefits

We offer a competitive salary range of PHP 80,000 - PHP 120,000 per month, depending on experience. Additionally, you'll enjoy:

  • Health benefits and sick leave.
  • A company laptop.
  • 13th-month pay.
  • Career development and mentorship opportunities.
  • Access to global tech and advisory support from institutions like Harvard and Stanford.


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