MDIndia Health Insurance - Group Leader

Responsibilities:

Team Leadership and Management:

- Lead and mentor a team of PIMS professionals, ensuring productivity and quality.

- Allocate tasks, monitor performance, and provide guidance to team members.

- Conduct regular team meetings and performance reviews.

- Foster a collaborative and positive team environment.

PIMS Operations Management:

- Oversee the management and maintenance of the Provider Information Management System (PIMS).

- Ensure accurate and timely data entry, validation, and updates.

- Monitor and manage workflows to ensure efficiency and compliance.

- Identify and resolve operational issues and escalate as needed.

Data Management and Analysis:

- Ensure data integrity and accuracy in the PIMS database.

- Generate and analyze reports to identify trends and areas for improvement.

- Maintain documentation and records related to PIMS operations.

Stakeholder Collaboration:

- Collaborate with internal departments, external providers, and other stakeholders.

- Address inquiries and resolve issues related to PIMS data and processes.

- Maintain strong relationships with providers and internal teams.

Process Improvement:

- Identify and implement process improvements to enhance efficiency and accuracy.

- Develop and maintain standard operating procedures (SOPs).

- Ensure compliance with industry regulations and company policies.

Reporting and Documentation:

- Prepare and present regular reports on PIMS operations and performance.

- Maintain accurate and up-to-date documentation.

Requirements:

- Any Graduate.

- 2-3 years of experience in the healthcare/TPA industry.

- 1-2 years of team handling experience (minimum).

- Excellent written and verbal communication skills.

- Strong organizational and problem-solving skills.

- Ability to work in a fast-paced environment.

- Proficiency in MS Office Suite.

Preferred Qualifications:

- Experience in the insurance industry.

- Knowledge of healthcare industry regulations and standards.

- Experience with PIMS software and related systems.