Presales Manager - US Healthcare

Key Responsibilities :

• Managing all Operating Group, senior client buyer and functional owner relationships for the designated solution Driving
• Driving the necessary sign-off of the solution with proper input from the Operating Groups on client business objectives, industry, risk assessment, budget, and preferences (see service group rules / process and escalation approach for specifics)
• Deep knowledge of Healthcare Payer Processes and experience of Proposal Development for Healthcare Clients
• Industry Certifications in Healthcare – AHIP, AHM, Healthcare Coding
• Knowledge of the application of Digital technologies like Automation, AI, ML, Process Mining, Cognitive Bots, Conversational AI.
• Process Knowledge : Claims Operations, Contact Center Operations, Clinical Services – UM, CM. DM, Quality Management – HEDIS, STAR, Risk Adjustment Services, Provider Data Management, Credentialing, Member, and Provider Services.
• Managing the sales team, Subject Matter Experts required during the sales process and the communication / collaboration with the delivery organization(s)
• Directing and coordinating with Legal & Commercial and Corporate Transaction Services (CTS) in areas specific to the solution to ensure the use of standards
• Collaborating with the Operating Groups to provide input to Terms and Conditions and in some cases accountable for specific Outsourcing contractual terms and conditions
• Identifying leadership contacts for service transition and operations and ensuring appropriate solution plan transition for closed deals
• Interfacing with the delivery organization / s to ensure effective transition, shape services, collaborate on clear solution assumptions, determine appropriate service delivery locations and related cost to deliver
• Solution Planning and Deal Shaping for Qualified Deals
• Understand and translate buyer requirements into a standard solution offering deal approach, solution plan, proposal and cost estimate leveraging standard process methods, deliverables and the right collection of offerings
• Preparing the BD to spend estimate, schedule, work plan, resource / sourcing plan
• Understand and clearly define the input required to create cost estimates; Preparing the cost model estimates working with a delivery organization(s), Solution Management (if applicable) and CTS to deliver the defined scope of services
• Collaborating as a key member of the sales team to represent the solution offering to the client buyer and other internal groups
• Requires identifying and assessing complex problems for area(s) of responsibility. Creates solutions in situations in which analysis requires in-depth knowledge of organizational objectives.
• Requires involvement in setting strategic direction to establish near-term goals for the area(s) of responsibility.
• Interaction is with Leadership level at a client and / or within an organization, involving negotiating or influencing on significant matters.
• Power to influence or complete assignments independently and ability to make decisions, as indicated by latitude to devise work products or plans, reliance on instruction and decision-making ability
• Latitude in decision-making and determination of objectives and approaches to critical assignments
• Risk or consequences in the event of failure, as indicated by the range of expected impact, such as within a team or across a team or area of responsibility and level of risk
• Decisions have a lasting impact on area of responsibility with the potential to impact areas outside of own responsibility
• Degree of accountability for assigned tasks, our clients and / or the organization, as indicated by the size of work effort and scale of entity and / or program
• Manages large teams and / or work efforts at a client or within Leadership DNA living the Core Values and adhering to our Code of Business Ethics

Key Performance Indicators

About Firstsource

A RP Sanjiv Goenka Group company. Firstsource is a leading provider of customized Business Process Management (BPM) services. We are trusted custodians and long-term partners to 100+ leading brands with a presence in the US, the UK, India, and Philippines. Our ‘rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services and Insurance Verticals. Our Clientele includes Fortune 500 & FTSE 100 companies.

To know more about Firstsource please visit our website www.firstsource.com

Please find below JD of this position, go through and see if this is in line with what you are doing and meets your career aspiration.

⚠️ Disclaimer : Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.