AVP - Operational Excellence

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 imp...