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Provider Data Operations Team Lead

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JOB DESCRIPTION

Job Title

Team Lead

Requirement Type

Full-Time Employee

Job Location

Gurugram

Requirement Level

Team Lead

Hiring Manager

Sr. Manager-BPM

Primary Skill

Analytical skills and problem-solving skills and highly proficient in Data management along with excellent oral and written communication skills.

Business

Provider data management

Skill Category

Generic

ABOUT ELEVANCE HEALTH

Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler.  It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 45 million lives across 14 states.

A regular in Fortune 500 list, Elevance Health ranked 20 in 2022. Gail Boudreaux , President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 4th rank on this list.

ABOUT CARELONCARELON

Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.

Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health (Previously Anthem Inc.). CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers.

Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, Limerick in Ireland and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective and efficient.

OUR MISSION & VALUES

Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.
Our Values: Leadership | Community | Integrity | Agility | Diversity

JOB POSITION

Carelon Global Solutions India is seeking a Team Leader Responsible for providing day-to-day direction for the Provider Experience Data Operations area.

JOB RESPONSIBILITY

  • Primary duties may include, but are not limited to: Manages the operations of demographic data and network affiliations for the system capabilities and the lines of business within that area.
  • Oversees day-to-day operations of the proactive maintenance of provider groupings and affiliations for all Commercial, Medicare Advantage, and Medicaid Plans.
  • Manages database requirements for new network/products for the designated system capabilities and lines of business.

QUALIFICATION

  • Graduates

EXPERIENCE

  • Overall 10-12+ Years of experience and requires 5+ years of management experience in an operations environment handling at least 20+ direct reporters; or any combination of education and experience, which would provide an equivalent background

SKILLS AND COMPETENCIES

  • Overall 10-12+ Years of experience and requires 5+ years of management experience in an operations environment handling at least 20+ direct reporters; or any combination of education and experience, which would provide an equivalent background.
  • Excellent Analytical skills and problem-solving skills and highly proficient in Data management along with excellent oral and written communication skills.
  • Should have been a member or have led a performance improvement project through Six sigma/lean/kaizen approach.
  • Should demonstrate capability and deep understanding of operating parameters / SLA to keep hygiene and engagement intact.

THE CARELON PROMISE

Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.

It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.

This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.

LIFE @ CARELON

  • Extensive focus on learning and development
  • An inspiring culture built on innovation, creativity, and freedom
  • Holistic well-being
  • Comprehensive range of rewards and recognitions
  • Competitive health and medical insurance coverage
  • Best-in-class amenities and workspaces
  • Policies designed with associates at the center

EQUAL OPPORTUNITY EMPLOYER

Carelon is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Reasonable Accommodation

Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.

If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.

Disclaimer: Offered designation titles differ*

Set alert for similar jobsProvider Data Operations Team Lead role in Gurgaon, India
Carelon Logo

Company

Carelon

Job Posted

a year ago

Job Type

Full-time

WorkMode

On-site

Experience Level

8-12 years

Category

Operations

Locations

Gurgaon, Haryana, India

Qualification

Bachelor

Applicants

Be an early applicant

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