Health Admin Services Associate

Skill required: Provider Network - Life Sciences Regulatory Operations
Designation: Health Admin Services Associate
Qualifications:BSc,BCom,Bachelor of Arts
Years of Experience:1- 3 Years
Language - Ability:English(Domestic) - Intermediate

Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Songall powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries.
What would you do Candidate will be working on updating the Member Plan Benefit details as per the details received from Client Need to review and update/modify the plans. Ready to wort. in evening shift (US shift time). Configure health plan benefits in the core payer system (e.g HealthRules). Set up benefit plans based on approved Plan Benefit Packages (PBP) and business requirements. Configure: Coverage rules Deductibles Copays Coinsurance Out-of-pocket Maximums Service Limits Exclusions and authorization requirements. Create and maintain Benefit Plan Components (BPCs). Configure reusable benefit rules and processing logic. Update benefits during annual plan changes, regulatory updates, and client requests.Coordinate the essential documentation and resources required for the filing of global applications. Understand, manage process electronic submissions that include original application filings, Life Cycle Management submissions such as CMC, Ad-promos, amendments, annual reports, SPL submissions, etc.
What are we looking for Candidate will be working on updating the Member Plan Benefit details as per the details received from Client. Need to review and update/modify the plans. Ready to wort. in evening shift (US shift time). Configure health plan benefits in the core payer system (e.g HealthRules). Set up benefit plans based on approved Plan Benefit Packages (PBP) and business requirements. Configure: Coverage rules Deductibles Copays Coinsurance Out-of-pocket Maximums Service limits Exclusions and authorization requirements
Roles and Responsibilities: In this role you are required to do analysis and solving of lower-complexity problemsYour day to day interaction is with peers within Accenture before updating supervisorsIn this role you may have limited exposure with clients and/or Accenture managementYou will be given moderate level instruction on daily work tasks and detailed instructions on new assignmentsThe decisions you make impact your own work and may impact the work of othersYou will be an individual contributor as a part of a team, with a focused scope of workPlease note that this role may require you to work in fixed shift i.e. US Shift (India evening shift)


Qualification
BSc,BCom,Bachelor of Arts