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  • Posted: Apr 16, 2024
    Deadline: Not specified
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    We’re a health insurance company that acts like a technology company. We’re using software, data science and telemedicine to make health insurance more affordable, easier to access and more of a delightful experience
    Read more about this company

     

    Finance Associate

    Description

    We seek a meticulous Finance Associate to support our Financial Controller in daily financial operations and collaborate across various markets and Divisions within the group. Your responsibilities will include initiating payments to vendors, maintaining account records, reviewing and revising financial reports, and preparing financial data for reporting, audit, reviews, and tax purposes. 

    A top-notch Finance Associate will demonstrate expertise that leads to precise financial reporting and streamlined account management. 

    • Assist with the preparation and analysis of financial reports, including balance sheets and income statements. 
    • Participate in month-end and year-end closing processes, including journal entries, accruals, account reconciliations including banks and credit cards. 
    • Ensure compliance with relevant financial regulations and reporting standards, such as GAAP (Generally Accepted Accounting Principles) or IFRS (International Financial Reporting Standards). 
    • Timely processing of payments, bills and financial transactions to employees, vendors and providers. 
    • Support external annual audit processes by providing documentation, explanations, and assistance as needed. 

    Requirements

    • Bachelor's degree in finance, accounting, or in a related field. 
    • Professional qualification such as ICAN, ACCA 
    • At least 5 years' experience working as a finance associate. 
    • Proficiency in integrated financial management software, such as NetSuite, yooz and Approvalmax. 
    • Extensive knowledge of accounting standards, fiscal procedures, and applicable tax codes. 
    • Attention to details 
    • Excellent collaborations and communication skills 

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    Sales Ops Manager - Process and Automation

    Description

    We are seeking a highly skilled and motivated B2B Sales Operations Manager to join our team. The ideal candidate will be responsible for revamping our sales process by identifying gaps, implementing improvements, and managing the technology systems required to support the process, particularly our CRM system. This role offers the opportunity to play a pivotal role in driving sales effectiveness and efficiency within our organization.

    Key Responsibilities: 

    • Analyse the current sales process and identify areas for improvement and optimization. 
    • Develop and implement strategies to streamline the sales process and enhance sales productivity. 
    • Collaborate with cross-functional teams, including sales, marketing, and IT, to ensure alignment and integration of sales processes with overall business objectives. 
    • Manage and optimize the CRM system to support sales operations and drive data-driven decision-making. 
    • Lead the selection, implementation, and integration of sales technology solutions to enhance sales effectiveness. 
    • Develop and maintain sales performance metrics and KPIs to measure the effectiveness of sales processes and initiatives. 
    • Provide training and support to sales teams on sales processes, tools, and systems. 
    • Continuously monitor and evaluate the effectiveness of sales processes and technology solutions, adjusting as needed to drive continuous improvement. 
    • Stay abreast of industry trends and best practices in sales operations and technology to inform strategic decision-making. 

    Requirements

    • Bachelor's degree in business administration, sales, marketing, or related field. 
    • 5 years of experience in B2B sales operations or a related role. 
    • Proven track record of successfully revamping sales processes and driving sales productivity improvements. 
    • Extensive experience with CRM systems, particularly Zoho, Salesforce, HubSpot, Dynamics, etc. 
    • Good understanding of sales qualification methodologies like – BANT, SPIN, MEDDIC, etc. 
    • Experience with prospecting and sales productivity platforms like – LinkedIn Sales Navigator, Lusha, Apollo, Outreach, SalesLoft, HighSpot, Chilli-piper, Tableau etc. 
    • Strong analytical skills with the ability to analyse data, identify trends, and make data-driven recommendations. 
    • Excellent communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams. 
    • Ability to prioritize and manage multiple projects simultaneously in a fast-paced environment. 
    • Detail-oriented with a focus on accuracy and quality. 

    go to method of application »

    Director of Claims and Tariff Management

    Description

    Reliance Health is seeking a dynamic, data-driven, and experienced Director of Claims and Tariff Management to lead our efforts in optimizing claims processing and tariff management across our international markets, with a primary focus on Egypt and Nigeria. Join Reliance Health and be part of a team dedicated to transforming healthcare services in emerging markets. Apply now and contribute to our mission of making quality healthcare accessible and affordable for emerging markets.

    Key Responsibilities:

    Cost Reduction and Fast Reimbursement Cycles:

    • Implement strategies to reduce costs and ensure rapid reimbursement cycles for claims across all active markets, enhancing overall operational efficiency and customer satisfaction.

    Efficiency Improvement and Unpaid Claims Reduction:

    • Oversee initiatives to enhance the efficiency of claims and optimize team productivity and processing systems to reduce unpaid claims backlogs and streamlining workflows for faster adjudication.

    Automation and Rules-Based Claims Processing:

    • Lead the improvement of rules-based automated claims processing engines, leveraging technology to enhance accuracy, speed, and consistency in claims adjudication.

    Prior Authorization Enhancement:

    • Enhance the accuracy and turnaround time for complex prior authorization requests, ensuring timely access to necessary healthcare services for our members.

    Tariff Management and MER Improvement:

    • Drive improvement in turnaround time for tariff renegotiations and enhance Medical Expense Ratios (MER) through data-driven tariff and provider network tiering strategies.

    Benefits Design and Operationalization:

    • Support the design and operationalization of benefits across our B2B and B2C offerings in multiple international markets, ensuring alignment with regulatory requirements and customer needs.

    Fraud, Waste, and Abuse Mitigation:

    • Collaborate with provider and case management teams to identify and mitigate claims loss attributed to fraud, waste, and abuse, implementing proactive measures to safeguard against financial losses.

    Requirements

    • MBBS or Bachelor's degree in Healthcare Administration, Business Management, with a preferred background of master’s level studies in data analysis or business administration  
    • 8+ years of experience in claims management and tariff negotiation within the healthcare industry
    • Proven track record of implementing process improvements to enhance claims efficiency and reduce costs.
    • Strong background in data analysis and demonstrated ability to work with data to solve complex problems, utilizing advanced analytical tools and methodologies
    • Strong understanding of rules-based automated claims processing systems and prior authorization workflows.
    • Experience in tariff negotiation, provider network management, and benefits design across diverse markets.
    • Excellent leadership and communication skills, with the ability to collaborate effectively across cross-functional teams.
    • Analytical mindset with proficiency in data-driven decision-making and performance metrics evaluation.

    Method of Application

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