AM/DM- Health Management
Core
Planning and coordinating operational activities for health insurance operations, specifically managing high-risk customers with chronic diseases and delivering care per internal medical protocols.
Role type
Assistant Manager, Health Management Operations
Builds
Operational processes for chronic care management and risk mitigation in health insurance
Domain
Health Insurance / Chronic Disease Management
Deliverable
client delivery
Required skills
MS Office and Excel, knowledge of DRM processes, risk management, stakeholder relationship management, process improvement, data reporting and MIS design, regulatory compliance
Preferred skills
Understanding of medical diseases and management protocols, digitization of processes, vendor relationship management
Technologies
DRM systems, EMR, MS Office, Excel
Responsibilities
Manage high disease risk customers/patients over phone/emails/EMR, coordinate with external customers/patients based on risk triggers, create and maintain standards/protocols for the team, measure program performance with relevant reports, manage internal and external process audits, publish dashboards with analysis and insights, ensure timely and accurate updation of documents/reports in compliance with SOP
Seniority
Assistant Manager, hands-on operational leadership
