AVP - Business Process Outsourcing

Category:	IT- Software	Location:	Greenwood Village, Union and NYC, CO
Number of Openings:	1	Relocation:	No
Duration:	Full Time

Description:

The TriZetto® Group, Inc. is the leading provider of information technology and service solutions for the healthcare payer industry. TriZetto® ’s technology touches more than half of the insured population of the United States with offerings that include enterprise and component software, hosting and business process outsourcing services, and consulting. TriZetto® is committed to a vision of Integrated Healthcare Management (IHM) to improve the US healthcare system, by enabling the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer. We recognize that our employees are our greatest assets and want each one to have a long, successful career at TriZetto®. Therefore, we offer a variety of training programs and career development opportunities, and believe in a healthy work-life balance. TriZetto® offers paid vacation, sick, and holiday time. Additional company benefits include medical, dental, vision, short- and long-term disability, flexible spending accounts, tuition reimbursement, and a 401(k) plan. Please visit www.trizetto.com/careers for more information about the benefits and advantages of choosing a career at TriZetto®. • This position is for full time employment only. Contingent labor and agencies need not apply. • Candidates who are currently employed by a client of The TriZetto® Group may not be eligible for consideration. • Applicants for employment must possess valid work authorization. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Description: Primarily directs operations and staff for configuration, claims administration, training, documentation, audits and provider maintenance for assigned BPO clients. Participates in business planning, implementations and projects as needed. Ensures high customer satisfaction by adherence to contractual obligations, policies and procedures. Effectively communicates with clients and internal staff to maintain excellent working relationships. Primary duties and responsibilities include:  Manages client-specific service operations and performance standards to meet and exceed business goals and client SLAs; measures and reports on performance of assigned departments.  Carries out supervisory responsibilities in accordance with policies and laws. May require interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance via the KPMS; rewarding and disciplining employees; addressing complaints and resolving problems.  Maintains a positive work environment that supports self-directed teams and provides a structure to optimize the experience, skills, knowledge and capability of the teams.  Builds and maintains collaborative relationships and alliances with internal and external customers including vendors and offshore partners. Works with implementation staff, finance and other teams to achieve business goals.  Identifies potential issues, develops and implements innovative solutions.  Participates in the development of strategic, operational and tactical business plans to achieve desired goals. Implements and monitors plans, policies and procedures to ensure client and company goals are met.  Manages budget and controls expenses while meeting operational, financial and service level requirements. The position will be typically responsible for managing the following positions  BPO & BRC Management  Customer Delivery Management

Required Skills:

 Requires Bachelor's degree.  10-15 years with 8+ years management, healthcare/health plan, and external client facing experience.  Experience in the operational functions (claims, enrollment, billing, configuration), experience with client implementations preferred.

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