Key Responsibilities:
Team Setup:
- Identify staffing needs, create job descriptions, and recruit/train team for operational readiness.
Team Development:
- Establish reporting hierarchy, allocate roles, and ensure operational efficiency.
Develop Authorization Frameworks:
- Create policies, workflows, and SOPs; define SLAs for approval timelines; analyze data for improvements.
Technology Deployment:
- Collaborate with IT and procurement teams to select and implement tools for authorization activities.
Daily Operations Management:
- Oversee authorization requests, ensuring SLAs and quality standards; manage high-value approvals and staffing during peak periods.
Risk and Fraud Prevention:
- Establish escalation paths, ensure proper risk assessments, and monitor for suspicious activities.
Performance and Reporting:
- Track KPIs (e.g., turnaround time, accuracy), conduct performance reviews, and report on trends and risk mitigation.
Compliance & Audit Documentation:
- Ensure authorization processes align with policies and regulatory requirements, maintain audit readiness, and collaborate with auditors.
Work Environment:
- Full-time position in call center environments, with potential for extended hours or weekend work based on business needs.