Analyst, Managed Care
IntegriChain · Pune · onsite · Posted 59d ago
About a minute. You'll make an account on the way through.
About this role
Your mission at IntegriChain:
To help ensure success of high quality and on time delivery of rebate claims processing for IntegriChain s Managed Services Customers.
What this role entails:
- Process Managed Care Rebates
- Download, log and track rebate and contract submissions
- Run and create reports/analysis in Excel spreadsheets and other software packages to support payment reviews and approvals
- Ensure rebate calculations are in compliance with contractual terms
- Reconcile and document any rebate variances
- Resolve errors and disputes within the rebate system based on defined set of rules and procedures
- Follow and ensure compliance with defined business processes and pre-established guidelines to perform analyst functions
- Provide updates to team leads/management as required on delivery status of assigned tasks
- Ensure department SLA s and quality expectations are met
- Prepare and analyze ad hoc reporting
- Support ad hoc projects
What success looks like in this role:
- Rebate claims are delivered on time and are of high quality
- Data and contracts are downloaded within required SLAs
- Compliance with department business processes
- Proactive and clear communication with Team Lead and other business partners Qualifications
What you ll need to thrive in this role:
- Ability to prioritize and manage multiple tasks effectively and work in a fast-paced environment
- Attention to detail, along with strong troubleshooting and data analysis skills
- Ability to adapt to change
- Excellent verbal and written communication skills
- Ability to interact with all levels of personnel, including management, from both business and technical teams
- Advanced skill in Microsoft Office applications: Word, Excel, PowerPoint, and SharePoint
- Ability to rapidly learn new software systems and processes
What you ll bring to the table:
- Graduate of finance, accounting, or information management preferred
- Experience in claims processing or handling claims utilization data is preferred
- Preferably worked in Insurance, Finance, and Pharma contracting domains as a Data Analyst/Claims Analyst/Rebate Analyst/Process Associate
- Experience with ICyte, Model N(Flex) or Model N(Powered by N) a plus
- Previous experience with Managed Care Rebates and Formulary review and determination is preferred
- 1+ years of relevant experience, 3+years of overall experience
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About IntegriChain
IntegriChain
IT Services & Consulting
350
employees
2005
21 years old
Philadelphia
US
₹10.9L PA avg
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