5+ years of experience in Healthcare, specifically in Billing, Enrollment, and Claims.
L2 Production Support experience is essential.
5+ years in Incident Management, Problem Management, Service Request Management, and Change & Release Management.
Strong analytical, planning, and problem-solving skills with effective communication abilities.
Proficiency in data languages such as .Net, C#, and PLSQL.
Ability to work independently and collaboratively across all organizational levels.
Knowledge of Medicare & Medicaid state-level reporting requirements.
Understanding of healthcare data formats and claims adjudication lifecycle.
Responsibilities
Deliver projects from start to finish, ensuring quality and timeliness.
Manage Service Level Agreements (SLAs) effectively.
Coordinate customer requirements and expectations throughout the project.
Collaborate with on-site engineers and participate in customer calls.
Provide technical assistance to team members as needed.
Identify and escalate risks and issues to senior management and clients.
Create quality documentation, collect metrics, and conduct audits for continuous improvement.
Develop project plans and monitor schedules to ensure on-time delivery.
Benefits
Flexible working style to accommodate diverse needs.
Opportunities for professional development and skill enhancement.
Collaborative work environment with cross-functional teams.
Engagement in strategic discussions and decision-making processes.
Full Job Description
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
About HCL Technologies
HCLTech is an Indian multinational information technology services and consulting company headquartered in Noida, Uttar Pradesh. It is a subsidiary of HCL Enterprise. Originally a research and development division of HCL, it emerged as an independent company in 1991 when HCL entered into the software services business. The company has offices in 52 countries and over 210,966 employees.
HCLTech is on the Forbes Global 2000 list. It is among the top 20 largest publicly traded companies in India with a market capitalisation of $50 billion as of September 2021. As of July 2020, the company, along with its subsidiaries, had a consolidated annual revenue of ? 23,464 crore.
