Health Operations Senior Analyst
Accenture · Mumbai · onsite · Posted 30d ago
Undisclosed5–8 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
About The Role
Skill required: Membership - Life Sciences Regulatory Operations
Designation: Health Operations Senior Analyst
Qualifications:BBA/BCom/BMS
Years of Experience:5 to 8 years
Language - Ability:English(Domestic) - Proficient
Technology and Operations services, and Accenture Song” all powered by the world's largest network of Advanced Technology and Intelligent Operations centers.
What would you do
The Team Lead – Medicare Enrollment is responsible for overseeing the daily operations of the enrollment team, ensuring accurate and timely processing of Medicare applications, renewals, and disenrollments. This role ensures compliance with regulatory guidelines (such as those from the Centers for Medicare Medicaid Services (CMS)) and internal policies while driving team productivity, quality, and continuous improvement.Team Leadership Management:Lead, mentor, and support a team of enrollment processorsAssign workloads and monitor productivity and turnaround times (TAT)Conduct team meetings, one-on-ones, and performance evaluationsProvide training, coaching, and development support to team membersEnrollment Operations Oversight:Oversee processing of Medicare enrollment, re-enrollment, and disenrollment applicationsEnsure accuracy and completeness of member recordsMonitor daily queues and prioritize workloads to meet SLAsHandle complex cases and provide guidance on escalationsCompliance Quality Assurance:Ensure adherence to CMS guidelines and regulatory requirementsMaintain compliance with Health Insurance Portability and Accountability Act (HIPAA) standards for data confidentialityConduct quality audits and provide feedback for performance improvementIdentify and mitigate compliance risksStakeholder Coordination:Collaborate with cross-functional teams (claims, billing, customer service, providers)Act as the point of contact for escalations from members, providers, and internal stakeholdersEnsure clear communication of enrollment updates and issuesReporting Process Improvement:Track and analyze team performance metrics (productivity, accuracy, TAT)Prepare reports and dashboards for management reviewIdentify process gaps and implement improvements to enhance efficiencySupport system updates, policy changes, and process transitions
What are we looking for
Health Insurance OperationsStrong leadership and team management skillsIn-depth knowledge of Medicare enrollment processesUnderstanding of CMS regulations and compliance standardsExcellent communication and interpersonal skillsAnalytical thinking and problem-solving abilityStrong organizational and time management skills
Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts
QualificationBBA,BCom,BMS
Skill required: Membership - Life Sciences Regulatory Operations
Designation: Health Operations Senior Analyst
Qualifications:BBA/BCom/BMS
Years of Experience:5 to 8 years
Language - Ability:English(Domestic) - Proficient
What would you do
The Team Lead – Medicare Enrollment is responsible for overseeing the daily operations of the enrollment team, ensuring accurate and timely processing of Medicare applications, renewals, and disenrollments. This role ensures compliance with regulatory guidelines (such as those from the Centers for Medicare Medicaid Services (CMS)) and internal policies while driving team productivity, quality, and continuous improvement.Team Leadership Management:Lead, mentor, and support a team of enrollment processorsAssign workloads and monitor productivity and turnaround times (TAT)Conduct team meetings, one-on-ones, and performance evaluationsProvide training, coaching, and development support to team membersEnrollment Operations Oversight:Oversee processing of Medicare enrollment, re-enrollment, and disenrollment applicationsEnsure accuracy and completeness of member recordsMonitor daily queues and prioritize workloads to meet SLAsHandle complex cases and provide guidance on escalationsCompliance Quality Assurance:Ensure adherence to CMS guidelines and regulatory requirementsMaintain compliance with Health Insurance Portability and Accountability Act (HIPAA) standards for data confidentialityConduct quality audits and provide feedback for performance improvementIdentify and mitigate compliance risksStakeholder Coordination:Collaborate with cross-functional teams (claims, billing, customer service, providers)Act as the point of contact for escalations from members, providers, and internal stakeholdersEnsure clear communication of enrollment updates and issuesReporting Process Improvement:Track and analyze team performance metrics (productivity, accuracy, TAT)Prepare reports and dashboards for management reviewIdentify process gaps and implement improvements to enhance efficiencySupport system updates, policy changes, and process transitions
What are we looking for
Roles and Responsibilities:
QualificationBBA,BCom,BMS
Sourced from naukri
Skills
Customer ServiceCMStime management skillsProcess Improvementteam managementleadershipcloudQuality Assurancetime managementoperationscomplianceHealth insuranceLife SciencesCoachingInsurance
About Accenture
Accenture
IT Services & Consulting
350k+
employees
1989
37 years old
Dublin
Ireland
About
Accenture plc is an Irish-American, professional services company based in Dublin, specializing in information technology services and consulting.
Industries
IT Services & ConsultingAnalytics & KPOSoftware ProductManagement Consulting
Employee ratings
73,428 reviews
3.7/ 5
Culture
3.7
Career growth
2.8
Work-life
3.6
Employees rate it well for
Work Life Balance8779Work Culture7586Salary7496Learning5602Senior Management4852
Find them on