Position Title:
Delivery Management - Assistant Manager EBA - BO - BF - 26745-42920-2 - JR209463
Job Family:
MBR > Membership & Enrollment Rep
Shift:
Job Description:
Job Title
Assistant Manager EBA
Requirement Type
Full-Time Employee
Job Location
Gurugram
Job Level
Assistant Manager
Hiring Manager
Senior Manager BPM
Primary Skill
Delivery Management
Business
Health Benefits and Health Solution Operations
Individual Contributor / People Manager
People Manager
ABOUT ELEVANCE HEALTH
Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 112 million individuals across 14 states.
A regular in Fortune 500 list, Elevance Health ranked 18 in 2026. Gail Boudreaux, President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 81st rank on this list.
ABOUT CARELON GLOBAL SOLUTIONS
Carelon Global Solutions (CGS) is a healthcare solutions company simplifying complex operational processes to improve the health of the healthcare system.
Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health (Previously Anthem Inc.). CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers.
Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective, and efficient.
OUR MISSION & VALUES
Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.
Our Values: Leadership | Community | Integrity | Agility | Diversity
JOB PURPOSE
- Carelon Global Solutions India is seeking an Assistant Manager EBA.
- The Operations Assistant Manager in US Healthcare is accountable for leading, managing, and delivering large-scale healthcare operations across functions such as benefit configuration, adjudication & testing.
- The primary purpose of this role is to ensure end-to-end operational excellence, delivering services in line with contractual commitments, client expectations, and regulatory requirements (CMS, HIPAA, ACA, Medicare, Medicaid, ERISA).
JOB RESPONSIBILITY
Operations Management
- Oversee day-to-day delivery of healthcare operations through Team Leaders/SMEs and ensure adherence to SLAs/KPIs (productivity, quality, TAT, RE).
- Track and analyze performance data, identify trends, and implement corrective actions for improvement.
- Execute forecasting and capacity planning to ensure optimal resource allocation.
- Manage escalations from Team Leaders/clients and resolve complex issues requiring deep domain knowledge.
- Support budget management by monitoring expenses and utilizing cost-control levers to ensure compliance with financial guidelines.
People Leadership & Team Development
- Lead and manage a team of 100+ employees, including direct supervision of Team Leads
- Conduct regular performance reviews, coach team leaders, and create development/action plans for their teams.
- Drive employee engagement through recognition programs, team-building, and open communication there by managing attrition
- Identify skill gaps and work with Training/Quality teams to build team capability.
- Team player in organizational activities
Quality & Compliance
- Ensure quality control through regular audits, feedback sessions, and error trend analysis.
- Partner with Quality teams to ensure corrective and preventive actions (CAPA) are implemented.
- Maintain compliance with HIPAA, CMS, and contractual audit standards.
- Keep documentation, SOPs, and regulatory updates current and audit ready.
Client & Stakeholder Management
- Support Operations Manager in client governance meetings, MBR, QBRs & operational reviews.
- Act as point of contact for client escalations at the mid-management level.
- Translate client requirements into actionable operational changes and ensure timely execution.
- Collaborate with other functions and proactively seek support when needed to meet shared goals
- Oversee seamless transition and integration of new work streams.
- Process Excellence & Automation
- Lead/participate in Lean Six Sigma & GB to improve efficiency and reduce costs.
- Support automation/digitization initiatives to reduce manual work and improve turnaround time.
- Encourage associates and Team Leaders to participate in continuous improvement initiatives.
- Foster a culture of innovation and continuous improvement
Technical Proficiency
- Leverage advanced excel skills for data analysis, reporting, and automation (e.g., pivot tables, formulas, dashboards).
- Create impactful presentations and reports using PowerPoint for leadership and client reviews.
QUALIFICATION
- Requires B.Com | BBA | BBM |BA |BSC (Computer Science- Generic )
- HS diploma or equivalent
- Post graduation in any stream, specialized trainings & certifications preferred
EXPERIENCE
- 12 + years’ experience with 60+ months in people management role
- Proven track record of leading teams, including experience in supervising, mentoring, and developing staff to achieve team objectives.
- Knowledge in Benefit Configuration & Testing
SKILLS AND COMPETENCIES
- In-depth knowledge of US healthcare operations & Benefit Configuration and Testing
- Exceptional verbal and written communication for effective client and team engagement
- Skilled in delivering impactful presentations
- Advanced proficiency in Microsoft Office tools
- Experienced in mentoring and coaching team members to achieve high performance
- Committed to inclusivity and collaboration across diverse stakeholder groups
- Strong analytical ability to interpret complex data and support strategic decision-making
- Adopt at solving problems and making sound decisions under pressure
- Capable of aligning client expectations with team capacity and deliverables
- Good understanding of SLA/KPI management, quality frameworks, and audit readiness.
THE CARELON PROMISE
Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.
It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.
This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.
LIFE @ CARELON
- Extensive focus on learning and development
- An inspiring culture built on innovation, creativity, and freedom.
- Holistic well-being
- Our culture and initiatives are underpinned by diversity, equity and inclusion
- Varied opportunities for rewards and recognitions
- Competitive health and medical insurance coverage
- Best-in-class amenities and workspaces
- Policies designed with associates at the center.
EQUAL OPPORTUNITY EMPLOYER
Carelon Global Solutions is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Reasonable Accommodation
Our inclusive culture empowers Carelon Global Solutions to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.
If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.
Disclaimer: Offered designation titles differ*
Job Type:
Full time
