Strategic Health Operations Transformation Lead
hace 1 día
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 DescriptionRole 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.
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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