Position Details:
- Efficiently oversee CLD Claims for external clients ensuring files are downloaded through automation verifying successful uploads and promptly communicating the status of each request.
- Thoroughly examine diverse Excel and text files to address any error handling requirements in CLD uploads.
- Possess a proficient understanding of multiple portals adeptly navigating their functionalities and assisting colleagues in retrieving essential data.
- Effectively communicate any concerns within the business process ensuring seamless execution from initiation to completion.
- Collaborate with crossfunctional teams to streamline CLD claims processes and implement improvements for enhanced efficiency.
- Stay updated on best practices related to CLD claims management actively seeking opportunities to enhance internal processes.
- Contribute to a positive work environment fostering teamwork and actively participating in team meetings and initiatives.
- Resolve the errors based on a defined set of rules and perform corrections where required.
- Meeting contractual deadlines. Managing workload to accommodate more challenging timelines.
- Ensuring customer compliance with contract terms. Also there could be inconsistencies in information from different sources. Working with unconventional customer data formats.
- Working with a whole new contracting system that was recently launched in the market.
- Relies on instructions and preestablished guidelines to perform the functions of the job.
- Monitors and reviews data from the system.
- Reconcile track and troubleshoot requested vs actual data received/validated.
- Analyze errors and troubleshoot solutions.
Job Profile:
- Resolve the errors based on a defined set of rules and perform corrections where required.
- Meeting contractual deadlines. Managing workload to accommodate more challenging timelines.
- Ensuring customer compliance with contract terms. Also there could be inconsistencies in information from different sources. Working with unconventional customer data formats.
- Working with a whole new contracting system that was recently launched in the market.
- Relies on instructions and preestablished guidelines to perform the functions of the job.
- Monitors and reviews data from the system.
- Reconcile track and troubleshoot requested vs actual data received/validated.
- Analyze errors and troubleshoot solutions.
Qualifications :
- Any graduate (with preference for backgrounds in business finance accounting or information management preferred)
- Exceptional attention to detail and strong organizational skills.
- Excellent communication skills.
- Ability to convey complex issues using various communication methods (visuals writing etc.).
- Preferred experience in claims processing or utilization of claims data.
- Ideally experience in the Insurance Finance and Pharma contracting domains as a Data Analyst Claims Analyst Rebate Analyst or Process Associate.
- Proficient in analyzing large volumes of data to identify relevant trends.
- Quick learner able to adapt to new software rapidly.
- Previous knowledge in claims processing and financial report handling/generation is advantageous.
- Experience in endtoend data processing is preferred.
- Candidates with working knowledge of Managed Care Medicaid Contracting and government pricing applications are preferred.
- Proficiency in MS Office especially Excel is essential
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Additional Information :
What does IntegriChain have to offer
- Mission driven: Work with the purpose of helping to improve patients lives!
- Excellent and affordable medical benefits nonmedical perks including Flexible Paid Time Off and much more!
- Robust Learning & Development opportunities including over 700 development courses free to all employees
IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment selection and employment without regard to race color religion national origin ethnicity age sex marital status physical or mental disability gender identity sexual orientation veteran or military status or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion and an environment free from discrimination harassment and retaliation.
Remote Work :
No
Employment Type :
Fulltime