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Magna Infotech Limited
Job Shared by MonsterIndia
Job Description
BA

we are looking out for candidates with:
1) Good US Healthcare Understanding/experience (around 5 years or so) in Payer Domain
2) Good communication skills
3) Some of the keyword which we can explore are €œ US Healthcare Consultant€, €œHealthcare Consulting€, €œFacets€, €œEpic€, €œhealthcare Business Analysis€, €œPayer domain€, €œhealthcare analytics€, €œMedicare€, or €œMedicaid€, €œEMR/HER€, and €œEDI or Electronic Data interchange€

Please find the Detail JD:

Health Plan Membership & Billings
? Understand the current healthcare membership and billing process.
? Process all membership for Commercial groups or prepare the necessary membership change paperwork to be forwarded to Enrolment on an accurate and timely basis as per policies and procedures
? Notify billed groups on membership discrepancies and the changes made as a result of their payment submission
? Process the warning letters for all of the groups or individuals with unpaid premiums
? Communicate, orally and in writing, with employer groups and/or members of outstanding balances, discrepancies and other issue
Health Plan Administration
? Ability to analyze benefit administration issues to determine the need for and the scope of policies and procedures
? Develop administration policies and procedures or business recommendations to ensure uniform, cost effective claims administration practices that comply with the law, plan documents and other company policies
? Maintain project planning, model business requirements for new systems and enhancements to existing systems
Health Management & Consumer Experience
? Organize, direct, control and coordinate medical and health services in relation to policies set by authorities
? Help the mangers to plan budgets and set rates for health services as per current market
? Develop procedures for quality assurance, patient services, medical treatments, department activities and public relations outreach
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Qualities Needed for This Jobs
Business Analyst, Health, Care
Candidate Profile
Job Openings For Business Analyst
Looking for Any Graduate / Post Graduate graduates profile.
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More Information
Location Chennai
Education Any Graduate / Post Graduate
Experience 5 (yrs)
Industry Computers / IT
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