Global Excel Management Inc.

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Job Locations CA-QC-Sherbrooke
Customer service representative-Claim assistance (21$/H)   Are you a person withempathy?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 aCustomer Service Representative (CSR),you’llbe responsible for answering inbound calls. The CSR is responsible for backend claims and non-medical claims. Your role is to be an advocate for both the company and the client.    What are the main responsibilities?  - Take inbound calls from clients   - Take ownership of client complaints and advocate on behalf of both client and company  - Claim openings for medical files (backend)  - Claim openings for non-medical files  - Assist clients in the claims process   - Addressing minor complaints-Follow up with other teams as required - Explain insurance coverage by quoting correct policy benefits, exclusions and maximums. What skills and experience are we looking for?             - College Diploma or equivalent combined with experience in customer service, telecommunication, assistance and claims  - Excellent verbal and written communication skills (English and French), other languages are an asset  - Customer Service oriented  - Capacity to work with people in a fast-paced, team-based environment.  - Must exhibitstrong communication skills and professionalism.  - Proficient computer skills (Microsoft Office, Internet etc.)   
Category
Customer Service/Support
ID
2023-2083
Job Locations CA-ON-Windsor | CA-QC-Sherbrooke
Are you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you!   The Property & Casualty team is responsible for assisting clients through the claims process from claim opening to claim settlement for Purchase Security, Extended Warranty and Auto Rental Collision/Loss Damage insurance coverages. If you have a strong inclination for Customer Experience, this could be the opportunity for you.   What are the main responsibilities?   Reporting to the Team Leader – Property & 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 validating 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 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. French is an asset; - 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
2023-2072
Job Locations CA-QC-Sherbrooke
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? Do you want to be part of a talented team that genuinely cares about client and employee well-being? We would love to meet you!     The Director – Assistance Services will lead the Assistance team in achieving business results and delivering on our contractual promises. The Director willalso develop and coach the leadership team as well as take ownership of various continuous improvement initiatives with the goal of enhancing customer experience and operational efficiency.    What are the main responsibilities? - Create and document a leadership development plan for all leaders and foster a culture where leaders seek development opportunities;  - Establish team member performance evaluation, KPI results, performance management & progressive discipline, etc.;  - Define,communicate and manage monthly employee objectives, targets, metrics and results;  - Establish an employee onboarding and development roadmap (from new hire to 2 years or more);  - Manage staffing costs within budget;  - Manage OPEX and CAPEX costs within budget;  - Develop and ensure implementation of policies, procedures and quality standards and monitoring systems to track issues and compliance;   - Provide leadership in identifying and implementing leading practices and opportunities for improvement;  - Ensure that our client contractual commitments and quality standards are managed and met;  - Represent Global Excel & Assistance Services as needed for client facing meetings and presentations;  - Etc.  What skills and experience are we looking for?  - College diploma or University degree, with minimum of eight years of relevant experience; - Minimum five years in a leadership role in a contact center environment; - Experience with managing leaders; - Experience with data analysis and reporting; - Strong decision-making and analytical skills; - Solution and action oriented; - Excellent English written and verbal communication skills (bilingual French/English is an asset); - Available for occasional travel between Global Excel Canadian offices. 
Category
Customer Service/Support
ID
2023-2071
Job Locations CA-ON-Windsor | 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 the Subrogation Specialist, you will be responsible for the management of all aspects of subrogation efforts on payable claims including the Evaluation of Potential, the Pursuit of Recovery as well as the Recovery of monies paid by GEM clients on medical claims.  What does your typical day look like? - Review and evaluate new claims for any potential subrogation opportunities; - Obtain and examine accident information and reports; - Contact corporate clients and/or insured persons in order to obtain information necessary to support subrogation efforts; - Coordinate subrogation claims with other insurance companies; - Negotiate settlements with other responsible parties; - Collect and deposit monies from other insurances/parties; - Assist claims department with obtaining details of accident occurrences for claims purposes; - Avert claims forwarded to other insurance that are deemed primary; - Performs additional task as required. What skills and experience are we looking for?           - College or University; - Minimum of 2 years of experience in a similar position; - Bilingual an asset (English and French); - Excellent English communication skills both written and spoken; - Excellent skills with MS Office (Excel, Word, PowerPoint, Outlook) and Internet; - Autonomous work; - Problem solving, investigative and negotiation skills; - Claims handling knowledge; - Knowledge of EDI considered an asset; - Ability to receive requests from multiple internal/external clients and prioritize accordingly;  - Ability to foster professional relationships.
Category
Claims Management
ID
2023-2067
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor
Are you a person who enjoys implementing large, complex, global technology projects? Are you interested in working in a multilingual, dynamic and friendly environment that encourages personal and professional development? We would love to meet you! The position of ERP Project Manager Financials acts as an intermediary between Finance departments (Canada, USA, Mexico and Europe), the ERP Implementation team and the Vendor.  The ERP PM coordinates, monitors and leads projects from kickoff through Go-Live and Hypercare stages. The ERP Project Manager is responsible for the successful implementation of large, complex, global technology projects. The role involves the coordination of technical and functional resources across multiple teams and working on global projects.  The ERP Project Manager Financials is responsible for ensuring overall stakeholder alignment, including communication both inside and outside the team and the company, dependency identification and resolution, proper prioritization and execution of project tasks and milestones establishment and tracking. What does your typical day look like? - Establish positive relationships with internal clients and peers that build credibility, foster collaboration and empower the project team - Manage large technical projects (i.e., involving up to 20+ resources) by establishing strong relationships with functional and technical teams and integrating requirement definitions, project planning, and resource direction to meet the team and corporate objectives - Integrate inputs and schedules from multiple sources to create comprehensive project plans with an identifiable critical path, task dependencies, and major milestones and manages the project plans and schedules ensuring successful completion within scope, budget, time, and quality parameters - Mentor teams on best practices, process improvement, and project management skills. - Lead retrospectives and incorporate lessons learned into new approaches which drive projects’ success - Identify possible issues and escalate to stakeholders. Assist on identifying possible solutions. - Follow detailed project plans, including but not limited to scope definition, timelines, milestones and dependencies - Monitor progress and advancement toward completion, adjusting resources and timelines as needed, and escalate adequately to stakeholders as risks become known What skills and experience are we looking for?            - 6+ years of professional Project Management Experience - 2+ years experience with ERP Financials, Workday (preferred) MUST have ERP and experience with Finance Modules - PMP or equivalent certification is preferred. - Excellent communication skills, both verbal and written. Ability to communicate clearly and effectively with customers and colleagues in a remote working environment. Both in French and English. - Ability to work effectively remotely - Ability to meet travel requirements - Strong background with understanding of financial products and system architectures, including accounting business processes including financial and management reporting, month-end closing process, regulatory reporting, entity consolidations and multi-currency accounting.
Category
Accounting/Finance
ID
2023-2064
Job Locations MX-MEX-México City
This position exists to minimize overall claims costs by optimizing our cost containment practices using various methods while providing quality customer service to our clients and establishing and nurturing relationships with our medical providers in LATAM. Expected Outcomes & Actions – Weighting Financial 50%, Strategic preparation/ learning 30%, Projects 20% 1. Obtain signed agreements (one-offs & LOAs) to minimize claims costs 2. Provide billing information to providers and obtain signed agreements before services are rendered or patients discharged to optimize savings and facilitate claims processing 3. Evaluate claims and provide feedback/strategy to our clients to maximize savings using different negotiation strategies/policy benefits/wording. 4. Meet & exceed targets, SLAs, and TAT for our corporate clients based on service standards. 5. Asses claims to determine if negotiations or repricing would obtain the best discount using various tools. 6. Negotiate/prepare physician, out-patient hospital, surgery center, anesthesia, ambulance, pathology, DME, dental claims /bills using various calculator tools and techniques 7. Collaborate with our Legal team - Initiate PT advocacy as required to settle claim escalations for disputed APs 8. Work on various projects as needed 9. Evaluate bill edits and incorporate bill edits into negotiation strategy to obtain sign-off.   KSA (Knowledge, Skills, and Abilities/Attitudes) • Knowledge of the LATAM Healthcare industry • Knowledge of Go-Trex, Plug-Ins & E-Repricing applications • Knowledge of medical providers, networks, and competitors • Knowledge & understanding of correct coding initiatives • Must have an excellent working knowledge of MS Word, MS Excel • Knowledge of various fee schedules and how they are applied • Ability to analyze claims and develop a strategy for negotiation • Ability to prioritize time and workload in a rapidly changing environment • Ability to multi-task depending on work-load and demands • Ability to manage stress and pressure of job demands in a fast-paced environment • Strong interpersonal skills • Excellent language skills (written & verbal) • Must have the ability to be patient and diplomatic while being firm and confident • Ability to set priorities and make decisions • Self-motivating • Must be able to work independently as well as in a team • Must be resourceful and possess excellent problem-solving skills • Excellent knowledge of Word, Excel, Internet.   Requirements and Qualifications • D.E.C. in a Business related field or equivalent in work experience • Excellent language skills (English- written & verbal) • Minimum 2 years experience in a managed care environment or related field.    
Category
Other
ID
2023-2056
Job Locations CA-ON-Windsor
Case Coordinator - Primary Assistance 20,50$/h Are you a people person with a knack for providing excellent customer service? 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 Case Coordinator, you’ll be providing meaningful assistance to people globally, during travel-related medical and non-medical emergencies, thus making a difference in their lives. What does your typical day look like? - Open cases on the customer management system to assist clients throughout their medical emergency or other service needs. - Provide accurate and complete information to identify solutions to customer, health care facility/provider, and insurance partner inquiries by utilizing appropriate insurance policies and reference material. - Direct clients to appropriate medical providers, engaging third party affiliates and offering solutions for the lowest practical cost. - Appropriately handle, communicate, and exchange sensitive and confidential information in a professional manner, adhering to both company customer service guidelines and legislated privacy standards. - Provide emotional support to clients in need, to assist them in coping with a difficult situation. - Update case reserves/costs according to guidelines. - Outbound communication to health care facilities/providers, clients, insurance providers and other stakeholders to collect information related to travel insurance claims or to arrange direct billing payments.  What skills and experience are we looking for? - University degree or college diploma preferred, but not required. - Experience working in a customer service environment, contact center or medical, insurance/financial services. - Intermediate computer skills (Windows, Outlook, Excel). Including intermediate typing speed is required. - Bilingual French and English (verbal and written) an asset. - Strong attention to detail and critical thinking skills. - Good understanding of world geography and current events. - Must be willing and able to adapt to ongoing change and continuous learning. - Excellent verbal and written communication skills. - Strong interpersonal skills with a patient, calm and controlled disposition. - Able to work various shifts and days of the week including weekends and holidays as required.  When you apply: Note: Only applicants selected for an interview will be contacted.   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.    Start Date: Monday, October 9th, 2023    
Category
Customer Service/Support
ID
2023-2042
Job Locations CA-ON-Windsor | CA-QC-Sherbrooke
Are you a person who craves the opportunity to take ownership, delve into investigations, and make informed decisions? If you're someone who thrives on continuous learning and analytical thinking, we have an opportunity you'll love.   A successful candidate will learn all aspects of what it is to be a coverage assessor, so he/she can understand each facet of the role and begin to think analytically and strategically in the world of policy application. This individual must possess critical thinking skills, the ability to build strong relationships, has meticulous attention to detail, and a passion for success.  If this sounds like you then we want to hear from you!   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
Medical Case Management
ID
2023-2039
Job Locations US-FL-Miami | MX-MEX-México City
The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Service to our clients. Provides leadership and supervision to the Case Management Team. Assesses needs and plans, communicates and designs services that are appropriate to the company’s mission and clients’ needs. Integrates and coordinates services using continuous quality improvement tools   Expected Outcomes & Actions - STRATEGIC AND BUSINESS PLANNING  - Create and maintain budget related to operating and salary expenses. - Ensure that production standards are met with a focus on quantity and quality of care. - Ensure policy and underwriter intent is clear for team. - Evaluate key performance metrics and business plan trends. - Communicate corporate visions/business strategy and results to all employees. - Responsible for reviewing and resolving disputes or complaints from clients and providers and escalate when necessary. - Lead, resolve and escalate when necessary, all non-routine/complex cases. - Lead, resolve and escalate when necessary, all internal departmental disputes in a timely manner. - Ensure departmental processes/guidelines are focused on reducing claim costs.   - DELIVERING SERVICE EXCELLENCE  - Develop and ensure implementation of policies, procedures, quality standards and monitoring systems to track results, issues, and compliance - Develop and maintain workflow procedures and standards for principles and guidelines for case management. - Assist and facilitate the implementation of new business/systems. - Work with other departments and leaders to emphasize cross-site coordination in order to ensure Case management workflows are followed and understood. - Deliver multiple services 24/7, 365 days a year.   - LEADERSHIP AND TEAM DEVELOPMENT  - Create and sustain employee engagement to maintain a highly productive environment. - Ensure staff understand how their job impacts the customer and business objectives. - Create and foster an environment that is positive, and production driven. - Ensure the team has the tools and resources they need to work efficiently and effectively. - Ensure performance management practices are implemented for all team members, including direct reports, through actively monitoring work activities and measuring and providing feedback on assigned business objectives. Take corrective steps to address areas of concern and recognize and encourage areas of strength. - Continuous pursuance of medical and industry education and development opportunities   Profile KSAO (Knowledge, Skills, Abilities and Other Characteristics required of the position)   Knowledge of:   - Experience in successfully leading large groups accross different sites. - Knowledge of the US health care system and processes. - Bilingual (English / Spanish) strong verbal and written communication skills needed with ability to interact and present to internal and external business partners. Experience with leading presentations, product explanations, resolving customer requests, and interacting with executives preferred. - University degree + 5 years of experience in related field - Case Management experience - Experience/exposure with discharge planning - Experience in utilization review, concurrent review and/or risk management - Experience in International Healthcare, Business, or Operational Support strongly preferred. - Claims or Call Operations experience - International experience or exposure in professional working capacity - Willingness to adapt; development of policies and procedures experience - Background in Managed Care - Strong organizational skills and multitasking abilities - Experience with Microsoft Word, with the ability to navigate a Windows environment  
Category
Medical Case Management
ID
2023-2002
Job Locations MX-MEX-México City
As a Third-Party Administrator for dozens of Healthcare Insurance companies located overseas, the Customer Service Representative is responsible to handle Inbound requests received via phone and email for “Expat”, “Destination” and “Travel” patients whose medical services will take place either in the United States or the rest of the world. Besides providing coverage details to medical Providers/insured Members, coordinating cashless appointments worldwide, providing bill status information to Providers, the CSR will work closely with the Case Management department on services that require an authorization which include identifying services that must be pre-certified and initiating the pre-authorization process. Last but not least, the CSR will be working with Account Management for any bill related matters that need to be escalated.   Requirements - Bilingual (English & Spanish) - Must be detail-oriented and organized - Must possess critical thinking skills as well as the ability to manage time - Needs to communicate well with co-workers (verbal and written). - Professional phone etiquette and written skills - Ability to deal with irate customers and complaints while maintaining composure and control of the situation. - Knowledge of Microsoft
Category
Customer Service/Support
ID
2023-1993
Job Locations CA-QC-Sherbrooke
      Are you passionate about change management and business transformation? Do you want to contribute in creating a bright future towards our customer experience and sustained growth? Do you want to be part of a talented team that genuinely cares about client and employee well-being? At Global Excel, change management serves as a vital driver for organizational transformation.        We are actively seeking for an experienced Change Management Specialist to join our team and contribute as a key player in supporting our business transformation efforts. In this role, you will collaborate cross-functionally with various departments, project teams, and change management teams to ensure proper alignment and ownership of the change. Your primary responsibility will be to contribute to the development of change management strategies and establish comprehensive plans to facilitate a smooth transition, maximize stakeholder engagement and enable the business to fully reap the benefits of the change. Additionally, you will be accountable for efficiently managing the project activities outlined in the change management plan, ensuring successful execution within set timelines and objectives. Join our team today and be a driving force in shaping our organization's future through effective change management practices.   What are the main responsibilities? - Define and implement change management strategies to ensure effective stakeholder engagement throughout the organization. - Align change management initiatives with the overall program roadmap and objectives. - Develop and execute comprehensive communication plans, including the creation of key messages and communication tools. - Monitor and oversee the implementation of critical change management milestones across multiple projects, providing progress reports to the leadership team. - Identify and analyze change management risks and issues, assessing their impact on project delivery, and develop risk and issue management plans. - Proactively address any stakeholder resistance, issues, or roadblocks that may arise during the change process. - Collaborate with training and communication teams to develop content and support change management activities. - Provide coaching and advisory support on change management practices to the change management team, program team, HR business partners, and other key stakeholders.   What skills and experience are we looking for? - Minimum of 5-7 years of experience as a change management advisor or specialist. - Bachelor's degree in human resources, organizational development, industrial psychology, or equivalent field. - Master's degree in business administration, Change Management, or Organizational Development is an asset. - Demonstrated experience in supporting change initiatives during large and complex business transformations. - Change management certification or designation is highly desired, with Prosci Certification being a plus. - Solid understanding of organizational and individual change adoption processes, as well as organization design. - Ability to anticipate and measure the impact of change on individuals and propose proactive strategies to address them. - Familiarity with project management approaches, tools, and project lifecycle phases. - Bilingualism (French and English). - Excellent communication skills, both written and verbal. - Strong strategic influence and relationship-building abilities. - Collaborative mindset and ability to work effectively in a fast-paced and ever-changing environment. - hybrid work model 
Category
Human Resources
ID
2023-1984
Job Locations US-FL-Miami
The Patient Care Advocate coordinates with the patients, providers, and the rest of the company’s operation to provide the upmost in quality case management and medical concierge services. - MEDICAL CONCIERGE (75%) - CASE COORDINATION (25%) Requirements and Qualifications - College Diploma - 3+ years in healthcare related services - Clear and effective communication in both English and Spanish (written and verbal) - Capacity to work with people in a fast-paced, team-based environment - Must exhibit strong communication skills and professionalism - Capable and confident in negotiations and problems solving skills - Working knowledge of Microsoft Office application and Internet - Available for travel, mostly in the US, 5%  
Category
Medical Case Management
ID
2023-1976
Job Locations CA-QC-Sherbrooke | CA-ON-Windsor | US-FL-Miami | MX-MEX-México City
Are you a people person with a knack for attention to details, project management and teamwork? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? We would love to meet you!   The position of DevOps Specialist exists to bridge the gap between development and operations teams and to streamline the software delivery process. The DevOps Specialistis responsible for developing, implementing, and maintaining tools and processes that automate and optimize software development, testing, deployment, and monitoring.   What does your typical day looks like? - Design, implement, and maintain continuous integration and continuous delivery (CI/CD) pipelines that automate the software delivery process from development to production; - Automate the configuration, deployment, and management of infrastructure and applications using infrastructure as code (IaC) tools and platforms; - Develop and maintain monitoring and logging systems that provide visibility and insights into the performance and health of applications and infrastructure; - Collaborate with development and operations teams to identify and address software and infrastructure issues and optimize performance; - Continuously evaluate and recommend tools and technologies that improve the software delivery process.  What skills and experience do you need?   - Bachelor's degree in computer science, information systems, or a related field.  - Few(2-3 years) years of experience in DevOps, software development, or a related field.  - Strong knowledge of DevOps methodologies, tools, and technologies.  - Strong programming and scripting skills.  - Strong knowledge of infrastructure as code (IaC) tools and platforms.  - Strong knowledge of continuous integration and continuous delivery (CI/CD) pipelines.  - Excellent communication and collaboration skills.      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
Information Technology/Systems
ID
2023-1948
Job Locations MX-MEX-México City
Deliver personalized service and support to clients; assumes a proactive approach to delivering exceptional support and service to coordinate travel and medical assistance services. Identifies and resolves Client’s policy questions, concerns or complaints with a sense of urgency in order to ensure customer satisfaction.   Requirements: - Bilingual (English and Spanish) - Knowledge of Microsoft Office - Able to work weekends - Able to work from 23:00 to 7:00 
Category
Customer Service/Support
ID
2022-1769
Job Locations MX-MEX-México City
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 City
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