Key Requirement:
The Assistant Manager will be responsible for leading and managing a team
of CSRs, Nurse Associates, and medical services staff to ensure delivery
of high-quality, cost-effective healthcare management services while
meeting operational, quality, financial, and client-specific objectives.
Key Responsibilities:
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Manage day-to-day operations and ensure adherence to SLA, productivity,
quality, and compliance targets.
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Coach, mentor, and develop Nurse Associates/CSRs to improve performance
and achieve individual and team goals.
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Conduct regular performance reviews, feedback sessions, calibration
meetings, and skill-development activities.
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Identify performance and process gaps through root cause analysis and
implement corrective and preventive action plans.
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Monitor workload, staffing, productivity, and process volumes in
coordination with WFM/MIS and support teams.
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Ensure accurate and timely completion of operational reports,
dashboards, trackers, and business reviews.
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Act as a Subject Matter Expert (SME) for healthcare processes, clinical
documentation, care management interventions, and problem resolution.
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Ensure team compliance with internal policies, client requirements,
HIPAA/confidentiality standards, information security, and applicable
healthcare regulations.
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Handle client escalations, member/provider concerns, and complex
operational issues, ensuring timely resolution and appropriate
communication.
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Support implementation of new processes, policy updates, system changes,
training programs, and process improvements.
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Lead calibration sessions and quality initiatives to maintain
consistency in clinical decisions, documentation, and customer service.
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Build a positive, collaborative, and high-performance team culture
through engagement activities, recognition, coaching, and career
development.
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Develop succession plans and career-growth opportunities for team
members and prepare high-performing employees for future leadership
roles.
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Work closely with Operations Managers, Lead Assistant Managers, Quality,
Training, WFM, HR, IT, process owners, Case Managers, providers, and
US-based stakeholders.
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Participate in client calls, business reviews, process discussions, and
performance meetings as required.
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Promote continuous improvement, innovation, and best practices across
the medical management process.
Required Skills & Experience:
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Strong experience in healthcare/medical management or related healthcare
operations.
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Proven experience in team handling, people management, coaching, and
performance management.
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Experience managing escalations and complex customer/client issues.
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Good understanding of medical terminology, care management, utilization
management, and clinical documentation.
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Knowledge of the US healthcare system is highly desirable.
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Strong analytical, problem-solving, decision-making, and
root-cause-analysis skills.
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Ability to interpret operational and performance data and convert
insights into actionable improvement plans.
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Excellent communication, presentation, interpersonal, and
stakeholder-management skills.
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Strong planning, organization, multitasking, and time-management
abilities.
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Ability to work effectively in a fast-paced, target-driven, and
multicultural environment.
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Strong customer-service orientation with a focus on quality, compliance,
and client satisfaction.
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Ability to manage conflicting priorities and deliver results under
pressure.
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Good working knowledge of MS Office and healthcare/business information
systems.
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English communication skills equivalent to at least
B1 CEF
level.