Vinesh Raj Singh
@vineshrajsingh
Assistant Manager in operations, improving workflow efficiency, SLAs, and quality while leading cross-functional teams.
What I'm looking for
I’m a Dynamic Assistant Manager at OPTUM GLOBAL SOLUTIONS, focused on improving workflow efficiency and boosting team performance. I lead cross-functional work to address outstanding, denied, and appealed cases while managing performance metrics for timeliness and quality.
I strengthen operations through strategic planning and analytical decision-making, enforcing productivity standards and coaching employees to minimize rework. I also own Audit & Compliance requirements, conduct SLA reviews, track quality metrics, and deliver training plans to build consistent performance across the organization.
Earlier, as Team Lead at Pacific (An Access Health Care Company), I led teams to achieve service level agreements and targets. I shared daily and monthly performance updates, led team huddles to identify gaps impacting SLAs, communicated billing updates to minimize denials, and supported cash flow by analyzing denial patterns with stakeholders.
Before that, I worked as SME & Team Lead at ELi Research India Pvt Ltd and as a Claim Management Executive at MD Everywhere India Pvt Ltd. In these roles, I managed AR and billing teams, worked with EDI and Clearing House support teams, identified root causes of denials, followed up with insurance for timely resolution, and maintained process documents for smooth transitions—while staying strongly oriented toward problem resolution, teamwork, and efficient service delivery.
Experience
Work history, roles, and key accomplishments
Led cross-functional clinical investigator teams to address outstanding, denied, and appealed cases. Managed performance metrics and implemented productivity standards to improve SLA adherence, reduce rework, and strengthen audit/compliance and quality discipline.
Team Lead - Pacific
Pacific - An Access Health Care Company
Sep 2017 - Nov 2021 (4 years 2 months)
Led a team to meet service level agreements and targets, providing daily and monthly performance updates to clients and management. Managed attrition, training, and development, and analyzed denial patterns to support accounts receivable reduction and improved cash flow.
SME & Team Lead
ELi Research India Pvt Ltd
Apr 2016 - Aug 2017 (1 year 4 months)
Led AR and billing teams to meet SLA targets, delivering daily and monthly performance reports to both managers and clients. Performed denial root-cause analysis and collaborated with EDI, clearing house, and support teams to reduce denials and support AR reduction.
Claim Management Executive
MD Everywhere India Pvt Ltd
Mar 2013 - Mar 2016 (3 years)
Followed up with insurance for outstanding and denied claims to ensure timely resolution and payment. Conducted denial pattern analysis, collaborated with EDI and clearing house teams to address AR causes, and resolved client email issues while supporting payment and patient demo updates.
Education
Degrees, certifications, and relevant coursework
Sikkim Manipal University
Master of Science, Bioinformatics
2015 - 2019
Completed a Master of Science in Bioinformatics at Sikkim Manipal University from 2015 to 2019.
University of Delhi (Delhi University)
Bachelor of Science, Zoology
2008 - 2011
Completed a Bachelor of Science in Zoology at Delhi University from 2008 to 2011.
Kendriya Vidyalaya (Jhansi)
Senior Secondary School
2005 - 2006
Completed senior secondary education at Kendriya Vidyalaya in Jhansi from 2005 to 2006.
St. Marks School (Jhansi)
High School
2003 - 2004
Completed high school education at St. Marks School in Jhansi from 2003 to 2004.
Availability
Location
Authorized to work in
Job categories
Skills
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