---ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Delivery Lead Sr Manager WORK SETUP: Return to Office OVERALL PURPOSE: Oversees staff whose teams’ primary duties may include, but are not limited to: Conducts pre-service, concurrent, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Service requests may be from inbound calls and facsimile. Outbound calls to the provider may be required to gather additional information that may be needed. Other staff responsibilities may be reviewing and analysis of post service claims utilizing the member’s benefit contract and health plan guidelines. Completes review of pending claims post service for Medical Necessity or Contractual Reviews. RESPONSIBILITIES: • Work hand in hand with the Operation Managers & Leads in making independent decisions, which have major day-to-day impact on the area of responsibility, and may influence direction of other areas. • Accountable for results of work to both Accenture and clients. • Accountable for medium-term planning, objective setting, and development of new procedures within areas of responsibility. • Lead discussions and provide possible solutions in addressing complex business problems/issues • Provide and assist in the implementation of business-focused solutions within time/cost constraints. • Self-directed within broad goals and strategic direction in satisfying organization or client objectives. • Responsible for developing and managing key internal/external client relationships across spheres of influence, including situations in which no relationship previously existed. • May participate in business development opportunities and communicate them to senior management. • Required to act as effective stand-in for immediate manager on operational direction of complex or large function or project, or medium-size unit within stable mature operation, or key element of volatile environment. • Responsible for client satisfaction in area of responsibility, against service level agreement, and ensures achievement of key performance indicators/project milestones. • Required to provide valuable contribution in communication of strategy, initiatives, local plans, and performance metrics across areas of responsibility. • Initiate and promote continuous improvement programs across spheres of influence. • Lead and manage a team, typically delivering results through others. • Allocate resources and responsibilities across a team to deliver business results and develop team members. • Manage and ensure consistent application of human resource processes including career development, salary review, resources, and performance management within areas of responsibility. • Evaluate direct reports and provide formal counselling and mentoring to staff. • Define and manage group/team structures and resource levels to support business needs. • Demonstrate a thorough understanding of client relationships/business practice. OTHERS: Project Shift Schedule: Night Shift Project Rest Day: Weekends Off Project/Team Location: Taguig Uptown Bonifacio Tower 3SKILL AND QUALIFICATIONS: • Standard SDL Profile • >12 years of relevant experience in Service Delivery • 10+ years of supervisory experienceAbout Accenture
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.Visit us at www.accenture.comÂ
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We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
