SME/TL-US Healthcare

Required Qualifications

• Bachelors degree or equivalent relevant experience in healthcare, life sciences, nursing, pharmacy, health information management, business administration, or a related discipline.
• Experience in one or more of the following areas:
• Healthcare payer operations
• Member or customer services
• Claims processing
• Prior authorization
• Provider services
• Pharmacy benefits
• Medical billing
• Care management
• Healthcare contact-center operations
• Strong written comprehension and analytical skills.
• Ability to interpret complex conversations and apply detailed annotation guidelines consistently.
• High attention to detail and ability to identify subtle differences in intent, context, and response quality.
• Ability to work with confidential and sensitive healthcare information.
• Strong documentation and issue-escalation skills.
• Proficiency with spreadsheets, quality trackers, and web-based annotation tools.

Interested candidates do share resume to [email removed] or call/Whats App-[phone removed]