Job Description

Department:

Health Claims

Role:

Associate Vice President - Process Excellence

Job Description:
Quality Assurance
Develop and implement quality control frameworks for health claims processing.
Monitor and audit claims to ensure accuracy, compliance, and timeliness.
Identify root causes of errors and lead corrective action plans.
Collaborate with training teams to address knowledge gaps and improve performance.

Process Management
Apply Lean Six Sigma principles to identify and eliminate waste, reduce variation, and improve process efficiency.
Lead DMAIC (Define, Measure, Analyse, Improve, Control) projects to optimize claims workflows.
Conduct Value Stream Mapping and Failure Mode and Effects Analysis (FMEA) to assess process risks and opportunities.
Design and implement standardized operating procedures (SOPs) aligned with Six Sigma best practices.
Coordinate with IT and automation teams to enhance system capabil...

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