Global Excel Management Inc.

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Job Locations CA-ON-Windsor | CA-QC-Sherbrooke
Are you a person who is detailed oriented has excellent organizational skills? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you!     As a Claims Assessor - Medical in the Claims Management team, you’ll be responsible for reviewing, examining and processing claims. Your role is to be an advocate for both the company and the client.     What does your typical day look like? - Acknowledging receipt of claim forms with claimant - Verifying policy information to evaluate payment eligibility - Investigate, evaluate and settle claims - Contact or correspond with claimant, doctors and brokers to obtain any additional information required to validate claim - Prepare letters detailing non-covered benefits or partial payments - Handle incoming call inquiries from claimants/providers regarding claim status - Handle first level of disputes or complaints from clients/providers and escalate to supervisor when necessary - If applicable, translate clinical notes for team members and perform other duties as assigned   What skills and experience are we looking for?      - University/College Degree and high school diploma with relevant experience or international education experience - Strong communication skills, both verbal and written - Ability to handle sensitive and confidential information - Ability to assess situations, respond appropriately and make independent decisions - Benefits or claims examination experience is an asset - Bilingualism in French is an asset - Regular business hours; 8:30am-5:00pm   What does Global Excel offer you? - Global Excel offers more than a position; - We offer a professional future with a competitive compensation including base salary, performance bonus and benefits; - Please reach out to your local HR department if you would like to know more about benefits offered in your site. 
Category
Claims Management
ID
2022-1693
Job Locations CA-QC-Sherbrooke
Are you a people person with a knack for leadership? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you!   As a Team Leader – Technical Claims, you’ll lead a team of Claims Assessors specializing in the assessment of Technical claims. You will support the team ON-SITE by maintaining a high level of quality and accuracy, from claim opening to claim settlement, while ensuring a superior level of Customer Experience in all interactions.   What does your typical day look like?   - Monitor service level standards, team objectives and alignment with corporate strategic vision; - Track individual performance and communicate individual and team results regularly; - Identify areas for training, coaching and employee growth; - Develop and improve team guidelines and processes. What skills and training do you need? - MUST be able to come into the Sherbrooke office regularly; - Bachelor’s degree with a business emphasis or equivalent in supervisory experience; - Motivated by delivering best in class customer experience; - Ability to be autonomous and proactive;  - Knowledge of managerial principles, customer contact center metrics and Property & Casualty claims and inquiries are an asset; - Highly organized with the ability to multitask;  - Results driven;  - Excellent verbal and written communication skills in both French and English; - A sound knowledge of MS Office, including MS Word and Excel.     
Category
Claims Management
ID
2022-1676
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor | US-FL-Miami | MX-MEX-México
Product Manager: Digital Self-Service   The Product Manager is accountable to build and lead projects and provide business domain expertise and analysis for projects as they relate to the Digital Self-Service Products. This could include but not limited to Digital Assistance and Digital Claims tools.  The incumbent will be required to drive the project timelines and ensure that deliverables are met in a timely fashion as well as report on progress weekly. Further, the role requires an in-depth knowledge of the healthcare and Travel Insurance markets, with a good understanding of project management principles as well as our operational processes and technology.   This role will revolve around monitoring the development of self-service products and deliverables that are part of our digital experience roadmap.   What does your typical day look like? - Define product roadmaps that are aligned with business goals and needs; - Plan and implement client strategy sessions; - Advocate for customer-centric solutions; - Support Marketing efforts to sell solutions both internally and externally; - Engage in market research for new processes and solutions; - Strategically prioritize the release of product features through management of the product roadmap via projects/sprints; - Track project/sprint progress and ensure timeline and budget are well managed, reporting weekly on progress and results; - Manage deliverables and ensure risks are identified and mitigated; - Partner with internal and external stakeholders to define requirements needed to create and manage product roadmaps; - Document user cases, user stories, and requirements for engineering teams to develop specifications; - Define product visions/feature sets and prioritize release timing and content; - Provide deep industry understanding and expertise to support development teams; - Ensure QA efforts cover product features; - Define the testing plan and monitor testing outcome to determine whether requirements have been met; - Assist in managing resistance to change; - Support the program change manager in development of change communication to those impacted by Digital Transformation changes. What skills and experience are you looking for?  - University Degree or equivalent experience; - Project Management Experience, Agile methodology preferred and/or scrum; - Strong communication skills; - Knowledge of change management principles; - Solid understanding of the travel insurance, claims and healthcare concepts; - Knowledge of GEM systems and organizational structure - Technically competent with an ability to explain complex technical issues in a simple way; - Very strong analytical skills with a customer first mindset; - Knowledge of MS Office, MS Teams, MS planner, Visio; - 10 - 15 years’ experience in Product Management, Project Management, IT implementation or related roles; - Knowledge of process development and analysis; - Knowledge of the insurance industry or related service industry experience; - Proven application of structured approaches to analysis and synthesis of information; - Very Good verbal and written communication skills (English, Spanish and French an asset) When you apply:   If you require assistance or accommodation during our recruitment process, please notify Human Resources so that we can review and consider how we may be able to assist you based on your individual needs.     Note: Only applicants selected for an interview will be contacted.  
Category
Innovation and Technology
ID
2022-1672
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor
Are you a people person with a knack for providing excellent customer service? Are you interested in working part time (or partial) time in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you!   As a Claim Assessor , you’ll be reporting to the Team Leader – Property and Casualty. You will be an ambassador for Global Excel as you evaluate and enforce claim benefits and limitations based on a comprehensive understanding of the applicable policy wording, client culture and intent. You will contribute to cost containment efforts by validation claims for authenticity and investigating legitimacy of documentation received to direct the claim to the appropriate process or outcome. You will also have the opportunity to impact the customer journey through direct interaction with clients by phone and email to open claims, ensure their understanding on what information is needed and how to complete a claim submission. What are the main responsibilities? - Effectively utilize claims system to track claim progression and customer communication; - Inform customers on the overall claim process, required documentation and status of their claim; - Complete administrative tasks as delegated by the Team Leader and as per business needs; - Take ownership of complaints or complex files to ensure the claim is resolved.   What skills and experience are we looking for?                 - Motivated by delivering best in class customer experience; - College diploma or equivalent, with 1 or more years of customer service experience; - Excellent verbal and written communication skills in English and French; - Strong decision-making and organizational skills; - Autonomous, professional and detail-oriented; - Knowledge of claims assessment is an asset; - Working knowledge of Microsoft Office application (Word, Excel, Power Point, Access) and the Internet.
Category
Claims Management
ID
2022-1671
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor
Are you a person with strong organizational skills?Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! As the Director of Business Intelligence, you will direct the Business Intelligence department and manage the Corporate Business Intelligence program. The BI Director will drive, initiate and follow through on different initiatives and strategies and will build, mentor and guide the team. What does your typical day look like? - Managing, training and helping the development of team members; - Educating and mobilizing employees in understanding the organization’s visions and goals; - Working actively with the key business stakeholders on building vision, strategy and data governance; - Providing BI recommendations to the business partners; - Analyzing reporting needs, developing and delivering reports and dashboards in support to business operation and decision making at all levels; - Creating an environment in which new and existing technology is analyzed to determine how best to utilize the BI team to drive the business forward. What skills and experience are we looking for? - University degree or equivalent experience; - 10+ years of related work experience, 1-2 years in a leadership position; - Very good communication skills in both English and French; - Experience with Data modeling, metadata management and performance tuning; - Experience with architecting in conjunction with multiple BI/DW products; - PMP knowledge is an asset; - Strong organizational skills.
Category
Information Technology/Systems
ID
2022-1666
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor
Do you like to use your good judgment to resolve issues? The Customer Relations Officer will optimize customer experience through the management and resolution of claim decision appeals and/or complaints submitted by our clients and/or corporate clients. What does your typical day look like? - Review the claims, phone calls and feedback from the claimant in order to resolve all appeals or customer complaints appropriately; - Review the policy wording to ensure we have met all the claims requirements and processed the benefits and exclusions appropriately; - Contact claimant in order to obtain missing information and/or to provide a resolution; - Escalate to Management, in a timely manner, any barriers that might affect the customer experience or company image and/or experience; - Communicate with our corporate clients in order to give complaint claim summaries and to provide the corporate client with extra information as requested.  What skills and training do you need?  - A College diploma; - 5 + years of experience in customer service; - Excellent verbal and written communication skills in French and English; - Strong analytical and decision-making skills; - Autonomous and detail oriented; - Excellent interpersonal skills, judgment and professionalism.
Category
Customer Service/Support
ID
2022-1661
Job Locations CA-QC-Sherbrooke
Are you an analytical person and like to get things done? Are you passionate about customer service? We have a great opportunity for you!   As a client support administrator, you would have the responsibility to provide administrative support to our claims process in order to meet our corporate client’s expectations. This includes communicating with providers and/or clients to supply or obtain information needed for claim processing and ensuring timely updates are available to our clients. This also includes actioning administrative tasks related to specific networks as well as monitoring reports. Other responsibilities include assisting with requests from our diverse portfolio of international Corporate Clients.   What does your typical day look like? - Ensure the completion of tasks related to outbound provider and supplier communication; - Assist with the overflow of additional provider specific tasks in the Client Services Department e.g., obtaining medical records, placing accounts on hold, balance billing, etc.; - Perform cleanup activities and action monitoring reports as requested by the manager; - Complete various other tasks as assigned by leader; - Assist with coordination of Client Portal requests. What skills and experience are we looking for? - Post-Secondary Education or equivalent - Minimum of two years of work experience in customer service or telecommunication - Strong communication skills both written and oral (French and English); - Comfort with Microsoft suite of products; - Principles of good customer experience; - Speed of execution and respect for deadlines.
Category
Customer Service/Support
ID
2022-1660
Job Locations CA-ON-Windsor | CA-QC-Sherbrooke
Are you tech-savvy and solution oriented? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you! The System Administrator will work as a team and participate in the administration, the support, the design and the implementation of a global IT infrastructure. As a member of the infrastructure group, you are responsible for maintaining the servers, the storage, the phone systems, the backups, the network, the cloud platforms and the databases while ensuring a high level of security.   What does your typical day look like? - System Administration Responsibilities; - Mentoring the other team members and the Service Desk Team; - Keep Global Excel global IT operations running by reaching the uptime objectives; - Being able to close more than 75 % of the incident tickets.  What skills and training do you need?   - System Administration Knowledge; (Microsoft Azure, Amazon AWS (Asset), O365 applications, Citrix); - Solid interpersonal and communication (verbal and written) skills; - Teamwork oriented, ability to structure work and define priorities; - DEC or AEC in technologies with 5 or more years of experience with infrastructure or experience in a relevant IT field for more than 7 years.
Category
Information Technology/Systems
ID
2022-1654
Job Locations CA-QC-Sherbrooke
At Global Excel, we believe in challenging the status quo, do you? We run a multi-site, multi-channel contact center that offers round-the-clock support to those in need. We believe in the importance of offering the best possible service when it’s needed most. Are you looking for an opportunity to join a great team and make a difference? If so, this may be the position for you!   Global Excel is a full-service cost containment, claims management and medical assistance company offering a complete range of services to international, Canadian and U.S. domestic clients. This position would focus on our North American locations in Sherbrooke, Montreal, Windsor, Miami and Mexico. As a growing and evolving multisite/multichannel organization, we are seeking a Workforce Management Director to lead the business implementation of the new Genesys telephony Cloud features and functionalities and oversee the optimization of our Contact Center operations.       What does your typical day look like? - Implementation of new contact center technology with the business; - Customer experience optimization through contact centre technology and best practices; - Workforce management/contact center best practices and governance across teams and sites; - Developing and coaching a high-performance multisite workforce management team. - What skills and experience are we looking for?  - Extensive experience leading workforce management in a contact center; - Experience in an omnichannel and multisite environment; - Expertise in Genesys Cloud, Genesys Pure Connect, NICE or other contact center management systems; - Experienced in Lean Six Sigma or comparable process improvement discipline; - Advanced Excel skills; - University degree in Business, Information Technology or related field; - Strong verbal and written communication skills in English; French is an asset; - Experience utilizing Artificial Intelligence tools in a contact center would be an asset.
Category
Management
ID
2022-1650
Job Locations CA-QC-Sherbrooke
Are you a people person with a knack for finding a solution to problems ? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you! As Legal Support, you’ll be working to increase the Legal Department’s capacity for providing creative legal solutions to achieve business results, through activities such as negotiations, reviewing and drafting contractual agreements and legal communications, supporting the business as well as coordinating and providing support on litigated claims and on a variety of business matters. What does your typical day look like? - Provide contract administration services to support new and existing business; - Assist with trademark, licensing and corporate registrations and filings; - Perform legal research with a view to provide practical business solutions and guidance; - Provide support to the business on questions and issues governed by insurance, contract law, immigration, corporate, labor and privacy rules and regulations; - Assist with the management of disputes and litigated cases. What skills and training do you need?  - Law Degree from recognized University or Paralegal Certification; - Minimum of 2 years of experience in a related field; - Experience in a law firm; working extensively with a variety of contracts; - Exemplary English and French language drafting skills; - Excellent organizational and planning skills, with the ability to handle multiple projects simultaneously; - Self-starter; able to work with minimal supervision; problem solver; - Strong interpersonal and communication skills; - Ability to collaborate and function well in a team environment.
Category
Legal
ID
2022-1648
Job Locations CA-QC-Sherbrooke
  Are you a solution oriented person? Are you interested in working in a multi-location team focused on integrating or enhancing processes for our clients? If so, we would love to meet you! As an Integration Services Analyst you will assist in client onboarding/implementation, process and system enhancements and integration. The role focuses on client set up, governance across sites, and identification of solutions to the client and business-related subjects through analysis of processes and implementation of solutions. What does your typical day look like? - Participate in client implementation meetings ensuring consistency and best practices across sites - Coordinate client implementation with the business and act as a liaison between sites - Gather pertinent information from the business to complete product/policy/client set ups - Challenge leadership/sales with the requested set up to ensure there are no gaps for processes, reporting or documentation - Act as a business resource as it relates to system capabilities, fees, reporting (invoicing) - Coordinate the completion of the system set up of products/policies/clients in all systems. - Configure tasks, workflows and task automations within the systems - Be a resource to IT for Group creation and user permissions - Maintain ownership of IMO tools and GoTrex training environment, communicating with the business as needed with updates. - Work with leadership to provide translation of business needs and goals in order to identify clear objectives and solutions to implement strategies - Gain business knowledge by developing relationships with different business units - Work with multi-site departments to implement cost effective and innovative processes/ solutions. - Document inefficiencies in existing processes recommending specific innovative changes - Be a resource to IS and leadership for the prioritization and approval of system enhancements - Answer day to day questions about system and/or setup related processes and impacts What skills and experience are we looking for?                   - College degree or experience in industry - Minimum of 4 years of related work experience - Excellent communication skills - Analytical and critical thinking skills - Ability to organize and prioritize - Ability to lead and facilitate groups/meetings - Good knowledge of our systems and processes - Customer Service focused - Excellent interpersonal skills, judgment and professionalism - Ability to adapt to change and act as a catalyst for change  
Category
Other
ID
2022-1646
Job Locations CA-QC-Sherbrooke
Are you a detail-oriented person?Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! Reporting to the GlobalExcellence Program Manager, the Business Process Analyst (BPA) is responsible for the review, analysis, mapping/modeling, improvement and documentation of the business. The Business Process Analyst is responsible for identifying and improving the outcomes of operational processes to increase efficiency and customer satisfaction as well as reducing cost. The candidate will also be responsible for leading continuous improvement initiatives for all departments in the organization, as well as evaluating, planning and implementing the improvements in the business processes and practices. Other aspects of the job include group facilitation.   What are the main responsibilities? - Chart existing business processes to define current business activities for the development of procedures and models. Standard methodologies are to be used and implemented across departments and sites; - Develop and conduct compliance audits, program evaluations and reviews to drive results with the fortitude to ensure change is permanent; - Document, assess and improve Global Excel business processes to maximize efficiency; - Strong understanding of Continuous Improvement concepts, principles and practices; - Support/change management plans and training plans to ensure new processes are implemented in an optimal fashion, supporting the organization through the various stages of change; - Participate in training facilitation of key process enhancements where applicable. What skills and experience are we looking for?                 - Bachelor’s degree preferably in Industrial Engineering; - 3 years of experience in process improvements, cross-functional collaboration and workflow generation; - Exceptional communication skills, both verbal and written, in English and French; - Problem solving and analytical skills; - Willingness to lead, take charge, and offer opinions and direction; - Strong leadership skills, ability to learn and apply new concepts and overcome obstacles with change; - Results driven with an ability to effectively multi-task in a fast-paced environment; - Advanced knowledge of Microsoft word, excel, Visio and ERP applications; - Experience in Continuous improvement methodologies is an asset; - Lean Six Sigma Organizational training and certification is an asset.  
Category
Innovation and Technology
ID
2022-1640
Job Locations CA-ON-Windsor | CA-QC-Sherbrooke | US-FL-Miami | MX-MEX-México
Are you a person with a passion for technology and its application?Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! As a Business Analyst, you’ll be responsible for the identification of solutions to BI data-related requests through the analysis of business processes, core systems extracts and current BI solutions. You will participate in the process of defining and implementing standards for Corporate BI Solution (data intake, data quality, data curation, data management, process monitoring and data presentation). What are the main responsibilities? - Work with internal and external customers to provide reports and BI solutions that are in line with the business vision; - Create and maintain data process flow diagram to ensure that the right data is extracted, right business logic is applied, and that the data is provided to the right audience. This will apply for both Sales and Claims/Cases data extractions we are receiving; - Contribute to process enhancements to ensure data integrity and accuracy; - Help catalog, document, and maintain Catalogue of Services of Global Excel’sBI department; - Document high-level business needs and translate them into functional requirements for report/BI solutions development, both internally and externally; - In collaboration with IS /IT, participate (Project Life Cycle Process) in high-level assessment and evaluation of business requests; - Support business demands and become a key internal and external contact for BI data, reports, and visualizations related questions; - Perform as Scrum Master for diverse initiatives, applying Agile methodologies. What skills and experience are we looking for?                   - Bachelor’s degree with 3 to 5 years of experience as a Business Analyst (CBAP an asset) or equivalent related business experience; - Knowledge of BI processes and data modeling; - Knowledge of the insurance industry or related service industry experience; - Proven application of structured approaches to analysis and synthesis of information; - Very good verbal and written communication skills (French and English); - Working knowledge of Microsoft Office applications, internet, SQL, XML, Microsoft Project, Microsoft Visio, SharePoint; - Working experience applying Agile methodologies; - Working experience performing as Scrum Master.
Category
Information Technology/Systems
ID
2022-1624
Job Locations CA-ON-Windsor
Are you someone who's passionate about training and enjoys watching staff discover new concepts? Are you interested in working in a fast-paced team environment which still offers independence, and encourages personal and professional development?     A Training Coordinator is dedicated to supporting the onboarding and first several months of staff joining the assistance team. This includes needs assessments, design and development, delivery and evaluation of training workshops, and much more.     What does your typical day look like?  - Delivering training and/or completing evaluations;  - Providing support to the assistance department with questions that they have during ongoing calls;  - Coordinating new hire orientations;  - Maintaining the materials, making updates, etc.;  - Being present at the Windsor office most of the time, although some work-from-home might be possible.     What skills and training do you need?    - Bachelor’s degree in human resources, education, communication, or another related field;  - 2-4 years of training experience;  - Proficiency in the Microsoft suite products;  - Exceptional written and verbal communication in English; French language skills would be an asset;  - Highly organized, with the ability to multitask and prioritize;  - Prominent level of professionalism with excellent interpersonal skills.                        
Category
Customer Service/Support
ID
2022-1618
Job Locations CA-QC-Sherbrooke
Are you an analytical person with good decision-making skills? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! As a Coverage Assessor, you will evaluate claims where an issue has been identified that could impact the claimant’s coverage. You will be verifying the medical information on file in consideration of the insurance policy wording to come to a decision regarding the claim. You will also serve as a liaison and a resource person to facilitate a layman’s understanding of the decision rendered and the appeal process.   As a level 2, you will manage multiple priorities such as high-profile cases, high-cost claims and provide direct policy guidance during active case management.   What does your typical day look like?   - Analyze all information pertaining to the claim including medical records, medical declarations, policy wording and file specific communications. - Request additional information when required; - Ensure policy wording, medical declaration and intent are applied precisely; - Escalate to Corporate Clients (directly or indirectly) areas where guidance is required to clarify the policy application intent; - Render the appropriate evidence based, policy supported decision; - Receive appeals submitted by clients or council and perform the required analysis to render subsequent decision; - Assume all communication (verbal and written) concerning the claim. What skills and experience are we looking for?    - Post-secondary education or equivalent; - 2-3 years of experience; - Excellent communication skills in both English and French; - Problem solving and keen analytical mind; - Planning, time management and organizational skills; - Excellent interpersonal skills, judgment and professionalism; - Proficiency in Microsoft suite office products.
Category
Claims Management
ID
2022-1576
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor
Are you a person that likes to resolve problems?Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! As a Provider Payment Auditor, you will have to optimize cost containment solutions for bills assigned to First Level Negotiations and help to ensure fair claims payment for our clients.        What does your typical day look like? - Perform initial analysis of medical provider bills received - Determine the best course of action for provider bills based on internal data and tools - Negotiate on small-dollar claims to ensure fair and reasonable payment for our clients using different benchmarking methods - Ensure positive provider relationships are developed and maintained - Propose cost-effective solutions to providers for future payments What skills and experience are we looking for?       - Post-secondary education or equivalent - 3-5 years of experience in a customer service role or other relevant work experience - Excellent analytical, mathematical and organizational skills - Excellent verbal and written communication in English (other languages are an asset) - At ease with a broad range of technology platforms (including Microsoft Office)      
Category
Negotiation
ID
2022-1526
Job Locations MX-MEX-México
The Case Management Assistant (CMA) is primarily responsible for the assisting in obtaining the required information to open, update, and, process a cases The Case Management Assistant also will serve as an administrative resource to the Case Management department   Expected Outcomes and Actions Not limited to:     - Direct communications with customers, clients, providers via phone, email and any type of communication. For obtain medical or financial information to help in the estimated cost ( providers) before / during the patient is admititted -  Documentation of all calls or communications in the system - Provide claims information like status, process date, detailed payment amount, check number, discounts taken, etc. to members, clients and providers by making the necessary contacts - Identify potential problems and take prompt corrective actions in order to avoid escalated issues that require supervisory intervention. -  Coordination of medical appointments, this, in most cases, include locating and contacting several participating providers who have the availability and suit the patients preferences concerning location, language. -  Make decisions on when a specific issue needs to be brought to the attention of the supervisor/manager -  Follow up with insureds on claims in the appropriate timeframe in order to obtain updates, missing info, etc. - Complete administrative tasks as delegated by your team leader and according to business needs including, but not limited Request financial updates after services are rendered, Verification of PPO participation and send VOB to providers,Data Entry: Policy creation and renewal, Claim/Event creation - Serve as a resource for other departments and assist as needed
Category
Medical Case Management
ID
2022-1501
Job Locations MX-MEX-México
Position Purpose and Description   This position exists to enhance the cost containment performance, that drive revenue and minimize overall claims costs, by ensuring that payments are aligned with the reasonable value of the services received by the insured members of our Corporate Clients.    Expected Outcomes & Actions   - Develop and implement strategies which ensures a competitive edge in the market over the mid to long term -  Drive the development and implementation of cost containment strategies, with the support of various GEM participants, including the Cost Containment Manager, the sales team, the Managed Care team, the BI team, as well as other relevant participants - Research market trends in the health care industry via media sources, articles, books, conferences and discussions - Research and test new strategies that will lower healthcare costs - Be accountable for the overall performance of our cost containment strategies in LATAM - Act as a customer service advocate and ensure quality service excellence - Assist and facilitate the implementation of new business                                                                                                          - Development and leadership of a high-performance team                                                      - Recruit, equip, motivate, coach, train, evaluate, reward and retain quality resources - Ensure that team has the tools, procedures and materials to maximize their performance - Ongoing and frequent communication of business strategy and results to leaders and employees - Creating and fostering an environment that is positive and production driven   -  Leadership of optimized cost containment practices throughout the organization                                                          - Develop and communicate a cost containment vision that is aligned with the company’s strategic direction  - Define and communicate monthly and quarterly objectives, targets and metrics - Leading and implementing system changes that enhance cost containment efforts - Be accountable for the cost of saved dollar ratio in the department and enable your leaders to foster that culture with their teams.   Success Measures   - Optimize the revenue generated through cost containment while considering cost of operations. - Successful implementation of cost containment strategies, with measurable results - Right people in the right jobs meeting their mandated expectations - High client satisfaction levels   Major Job Accountabilities   - Develop and direct the management of the team to increase generated revenues by optimizing savings per bills, optimizing hit rate, and increasing productivity - Optimize our relationships and monitor performance of our networks. - Support the Business Development initiatives such as RFP’s and Dead Claims Analysis - Continue to improve management dashboards to monitor performance and productivity - Manage appropriate staffing levels to support the company’s profitability - Ensure employee engagement and retention   KSA (Knowledge, Skills and Abilities/Attitudes)   - Fast learner - Knowledge of the LATAM Healthcare Systems - Knowledge of E-repricing and Go-Trex systems - Knowledge of industry players (medical providers, networks, software vendors, competitors…) - Strong ability to influence others at all levels - Strong ability to organize and prioritize - Strong analytical and critical thinking skills/outside the box thinking   Requirements and Qualifications   - University degree - 10 plus years leadership and/or cost containment experience - Excellent communication skills in English (verbal and written) - Bilingual 
Category
Negotiation
ID
2022-1492