Clinical Healthcare BPO Consultant
Core
Provide consultancy services to insurance and healthcare verticals to set up clinical/bill review/insurance practices and improve service delivery.
Role type
Senior Clinical Healthcare BPO Consultant / Director
Builds
Clinical utilization review programs, bill review practices, and insurance operational frameworks
Domain
Healthcare / Insurance / Business Process Outsourcing
Required skills
Clinical utilization review, Nurse reviews, Medical provider call center management, Intake processes, Strategic planning, Data analysis, Stakeholder management, Process compliance, Training needs analysis, System tool proficiency
Preferred skills
Leadership, Time management, Analytical skills
Technologies
Microsoft Office
Responsibilities
Establish and maintain communication with clients and team members to understand needs and resolve issues, Participate in RFPs, client proposals, and sales calls, Produce strategies based on data reports and analysis, Identify training needs for staff, Provide guidance on improving service delivery and outcomes, Conduct process compliance checks and provide recommendations to rectify gaps
Seniority
Senior, hands-on IC with Director-level experience