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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Program Management and PMO frameworks, ensuring compliance with HIPAA and CMS guidelines while driving operational efficiency and continuous improvement. Proficient in stakeholder management, data analytics, and strategic decision-making to enhance program performance and accountability.
Highest-signal resume keywords
Program ManagementHealthcare Operations ExpertiseStakeholder ManagementRisk & Compliance ManagementData Analytics & Reporting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Program ManagementOperational StandardsProcess ImprovementData AnalyticsPerformance MetricsAudit Lifecycle ManagementDigital TransformationPayment Integrity KnowledgeSOP DevelopmentKPI Monitoring
Soft Skills
Client-Facing CommunicationLeadershipStrategic ThinkingTeam ManagementOral Communication
Tools & Technologies
Reporting DashboardsAnalytics ToolsProject Management SoftwarePerformance Tracking Systems
Certifications & Qualifications
PMPLean Six SigmaAgile
Industry Keywords
US HealthcarePayment IntegrityClaims OperationsComplianceSLA CommitmentsTelecommuter PolicyQuality Improvement
Tech Stack
Tools & technologiesPMP
About the role
Key responsibilities & impact- Establish and enforce PMO frameworks, governance models, and operational standards
- Manage end-to-end lifecycle of programs/projects: planning, execution, tracking, and closure
- Ensure adherence to project timelines, SLA commitments, and delivery metrics
- Maintain program documentation, playbooks, SOPs, and reporting dashboards
- Drive portfolio visibility and track program performance across stakeholders
- Oversee day-to-day operations of Payment Integrity / Payment Services workflows
- Drive operational efficiency, productivity, and quality improvements
- Ensure compliance with HIPAA, CMS, payer guidelines, and internal policies
- Monitor KPIs such as quality, productivity, cost savings, recovery, and turnaround time
- Identify process gaps and lead continuous improvement initiatives
- Act as a key interface between clients, operations, and leadership teams
- Present performance dashboards, insights, and improvement plans to stakeholders
- Coordinate with Analytics, Compliance, Finance, IT, and Training teams
- Manage escalations and ensure timely resolution
- Drive data-driven decision-making using dashboards and trend analysis
- Analyze operational and financial data to identify risks and improvement opportunities
- Prepare executive reports and business reviews
- Support leadership with strategic insights and recommendations
- Lead and mentor PMO / operations teams
- Drive accountability for KPIs, SLAs, and delivery milestones
- Support workforce planning, training, and performance management
Requirements
What you’ll need- Experience in US Healthcare / Payment Integrity / Payment Services preferred
- 2 – 4+ years of experience in program management / PMO / operations leadership role
- Experience managing audit lifecycle, claims operations, or PI functions
- Strong experience in client-facing roles and stakeholder management
- Experience in digital transformation / automation initiatives (Preferred)
- Bachelor’s degree in healthcare / Life Sciences / Business Administration
- MBA from a IIT / IIM or reputed Business management school
- Certifications: PMP / Lean Six Sigma / Agile
- Strong written (documentation) and oral communication skills
- Must understand and adhere with telecommuter policy
- Strategic Thinking & Program Governance
- Healthcare Operations Expertise
- Payment Integrity Knowledge (Claims / Coding / Audit)
- Data Analytics & Reporting
- Stakeholder & Client Management
- Process Improvement & Automation
- Risk & Compliance Management
- Leadership & Team Management
Benefits
Comp & perks- 40 hours per week as Full-time employee
- Weekends Off
- Shift time: 10:00 AM IST - 7:00 PM IST
- High Speed internet connection at home, must be broadband
