EH
Hiring companyElevance Health
Active listing
Associate Director - Process Excellence
Gurugram,India Full-time On-site
About the role
Transformation and Growth Office - Corporate at Carelon Global Solutions India drives scalable payment integrity platforms for health plans. The Associate Director leads payment integrity programs, designs claim editing strategies, and mentors analysts while collaborating with clinical, analytics, and technology teams. Bengaluru, Hyderabad, Gurugram, on-site.
What you’ll do
- Lead payment integrity programs for payer clients
- Design and implement pre- and post-payment claim editing
- Analyze claims to detect errors and fraud
- Collaborate with cross-functional teams to improve accuracy
- Manage client relationships and present cost-saving insights
- Drive automation and AI-enabled solutions
- Monitor KPIs such as savings and audit yield
- Mentor analysts and consultants
What you’ll bring
Bachelor's degree
Nice to have
- 6-15+ years healthcare consulting
- Payment integrity expertise
- U.S. health plan experience
- Claims analytics
- SQL and Excel
- Power BI or Tableau
- AI/ML familiarity
- Stakeholder management
Skills
payment integrityclaims analyticsstakeholder managementSQLPower BIAI/MLhealthcare consultingteam leadership
Benefits
- Learning and development focus
- Holistic well‑being programs
- Diversity, equity and inclusion initiatives
- Comprehensive health insurance
- Best‑in‑class amenities