This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
The Healthcare and Insurance Operations Analyst role requires a minimum of 5 years of experience in US healthcare, focusing on provider data management and enrollment. The candidate will be responsible for training team members, ensuring data integrity, and improving processes through automation. A university degree is required, and strong communication skills are essential.
Job Responsibility:
Process and update Provider Data Management and Provider Data Enrollment Resources to the Client’s main application according to its policies and procedures defined
Train the team on new process and process updates
Calibrate with QA’s to ensure process knowledge and variance are managed and under control
Create Process SOP, Process Map and identifying the outlier within process
Review Discrepancy report and comments, identify gaps and share with TL
Identify NVA and provide suggestion for automation opportunities
Identify refresher/re-trainable topics, conduct assessments, and certify staff to move to different levels of production
Drive team from the front in case of leadership unavailability
Co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors
Oversee data integrity of provider records and practitioner records that are loaded in the system
Provide research to correct errors in Provider and Practitioner data output within the provider information system
Maintain quality and production standards as outlined by government regulations and department policies & procedures
Completion of volumes in queue within specified Turn Around Time
Ability to meet their required production and Quality target
Setting productivity /Quality benchmark
Handles internal and external inquiries concerning provider forms, demographics, location details and practitioner records
Requirements:
Minimum of 5 years of experience in US healthcare, focusing on provider data management and enrollment
In-depth knowledge and experience in US healthcare (Non Voice) – Provider Data Validation and Provider Data management
3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management
University degree or equivalent that required 3+ years of formal studies
Ability to work in a 24/5 environment
shifts can be rotational
Ability to work in a team environment
Good logical thinking ability
Good English Comprehension/written skills should have exposure to MS Office
Good Communication Skills – Both Verbal and Written