Global Claims Automation Lead

Job Overview:

The role of theClaims Automation Manager is to plan, lead and execute Global AP Health Strategy related to automation of claims and pre-approval decisions, according to strict deadlines, priorities and within budget. The Automation & Claims Engine Manager is responsible for defining automation objectives, automated cost containment measures and KPIs for the initiatives under the scope of implementation and oversee delivery throughout its life cycle. He/she will lead the team of professionals that oversee implementing Controls, Rules and Edits inside and outside core operational platforms used for adjudication of claims across AP Health Entities. She/he will also be responsible for monitoring and controlling the performance of operational implementation across Health OEs and apply the necessary governance to ensure strategic alignment and value-oriented prioritization.

What you do:

Responsibili...