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Job description
At HCL Technologies we work as true partners with both our employees and our clients, embodying our number one value: People First . Our team is driven by a desire to always learn, improve, and innovate. We take an open-minded approach to opportunities and challenges and are focused on solving business challenges.
We deliver programs and projects that exceed stakeholder expectations. To be successful here, you will be a driver with a flexible working style and excellent communication skills; you will think strategically and act tactically.
Experience Required:
5+ years of Healthcare experience in any of the following – Billing, Enrollment and Claims
Must have L2 Production Support experience
5+ years of experience in one or more of the following – Incident Management, Problem Management, ServiceRequest Management and Change & Release Management.
Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
Strong knowledge of data languages such as .Net, C# and PLSQL
Ability to work independently, within a team environment and communicate effectively with employees at all levels
Knowledge and experience of Medicare & Medicaid state level reporting levels
Strong understanding of healthcare data formats, standards, and ability to map them to CMS and state level reporting needs
Good understanding on the lifecycle of claims adjudication
Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.
Responsibilities:
End to End Project Delivery
Manage SLA
Coordinate and Manage customer requirements
Manage with On-Site Engineers and attending customer calls
Help team technically if required.
Raising risks| issues and escalation to senior management and customer
To create all quality documents| collect metrics data and conducting Audits. To perform Value creation and KM activities.
To create project plans and keep track of schedule for on time delivery as per the defined quality standards.
To ensure process improvement and compliance| and participate in technical design discussion and to review technical documents
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Worksite address
new york, NY, 10261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.