Business Analyst (Health Care)

at Healthcare MNC ( US Based)

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Pune
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4 - 10 yrs
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₹15L - ₹35L / yr
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Full time
Skills
Business Analysis
Business Analyst
Healthcare
Extensive knowledge in health insurance third party administrator concepts for
commercial, federal and state government plans specifically support operational
processes for provider data management functions, enrollment and eligibility,
member benefits, claims adjudication and EDI Interfaces functions.
• Knowledge of State regulations to determine provider meets qualification to be
enrolled.
• Knowledge of provider files from State Medicaid programs to decipher provider
enrollment and eligibility rules.
• Knowledge of provider type designation identified by the State Medicaid programs.
• Knowledge of provider and member portal functions.
• Knowledge of provider reimbursement methodologies about Commercial, CMS and
State defined guidelines.
• Knowledge of provider matching criteria for claims.
• Knowledge of Coordination of Benefits (COB) and Claim Authorizations functions.
• Knowledge of Setting up communications for EDI transmissions using FTP, SFTP and
real time API setups
• Knowledge of health insurance, HMO and managed care principles including
Medicaid and Medicare regulation.
• Solid analytical skills with the ability to compile data from many sources and define
designs for enrollment to benefit plan configuration.
• Research, interpret and summarize new state, federal and client rules regarding
department functions. Alter or create policies and procedures to adhere to those
rules.
• Solid communication skills with working session facilitation.
• Strong time management, attention to detail, analytic and organizational skills.
• Excellent interpersonal, oral and written communication skills.
• Able to work independently and within a collaborative team environment with little
guidance/supervision.
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Do you want to have fun at work – uplevel your skills by learning directly from the CEO and Head of Marketing – make the world a healthier, happier and more connected place!? 


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Note: Read the entire job posting. The only way to apply is not what you would expect, and I describe it towards the end of this post.


MyYogaTeacher connects incredible yoga teachers in India with clients around the world (right now, mostly in the US), for online yoga sessions. These sessions transform our client’s lives – getting them in great fitness, great health, and deep peace of mind.


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We’re dedicated to overcoming every challenge that comes in front of us. And we’ve already overcome tons of big challenges.



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We’re looking to hire a 1 in 10,000 Business Analyst.


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If this is you, then this is your chance to skyrocket your career!


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If you’re arrogant, entitled, selfish, “only work for the money”, don’t care about what you do in the world, don’t care about helping other people, lazy, or scammy – DO NOT APPLY.


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Step 1: Study our website and service. Read “Hacking Growth” - by Sean Ellis (read the entire book - ideally in 2 days so you can apply ASAP, we’re hiring a great person fast for this position). And then send me a voice message recording (.mp3), < 10 minutes long. And tell me, in depth, about one concept from that book, what it really means, how it could apply and help MyYogaTeacher, and why you think it would work.


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deadlines.
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the team.
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conclusion by making appropriate assumptions.
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 Experience in tools like Jira, Clickup, Confluence, Basecamp, etc.
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 Experience working with Google Spreadsheets, Docs, Microsoft Excel, Word, etc.


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Gurugram
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0.9 - 3 yrs
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Requirements :

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Job posted by
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via Unnati
Customer Retention
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Team building
Management Information System (MIS)
Automation
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omnichannels
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NCR (Delhi | Gurgaon | Noida)
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6 - 8 yrs
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₹10L - ₹15L / yr
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  • Ensuring non- recurrence of customer issues by root cause analysis
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  • Developing a holistic customer journey and shaping all customer touch points
  • maximizing customer satisfaction across all stages of engagement by exhibitions,
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  • Discussing and handling complex escalations by coordinating with the company’s legal counsel.
  • Identifying the CRM needs of the company
  • Making necessary additions to the company’s prowess in terms of software and hardware.
  • Working with HR and Management in hiring new members for the team from time to time.
  • Analysing regular competitive landscape and staying ahead of the curve.
  • Assessing, appraising and training regularly team members and help in building organisational capability.

 

What you need to have:

  • Proven experience in augmenting customer experience and ratings at a company
  • Ability to work independently.
  • Prior experience or deep understanding of Omni-channel business strategies.
  • Strong Understanding/ keen interest in technology/ automation.
  • Strong interpersonal Skills
  • Proven Experience in managing teams.
  • Excellent Written and Spoken Communication Skills
  • Hands on experience in managing teams and getting results.
  • Should have worked on integrating a CRM for a company.
  • Strong analytical abilities and an empirical thought process.
  • Ability and readiness to work and thrive in an ambiguous and constantly changing environment.
  • Keen interest and prior experience in building systems and processes from the ground up.
  • Deep understanding of business and business metrics
  • Ability to stretch long hours.
  • Proactive approach to business problems.
  • Candidates with prior marketing experience are preferred.
  • Excellent problem identification and solving abilities.
  • Inquisitive bent of mind.
  • Strategic thinking and the ability to make holistic and well-grounded in reality business plans.
  • Should exhibit strong leadership abilities.
  • Should understand Web Technologies.
  • Tier 1 B-Schools with 6 to 8 years’ experience.
  •  
Job posted by
Gayatri Joshi
PowerBI
Qlik
Business Objects
SAS
ETL
Business Analysis
Telecom
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Bengaluru (Bangalore), Gurgaon
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4 - 7 yrs
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₹8L - ₹13L / yr
· Strong analytical skills with the ability to collect, organize, analyse, and disseminate significant amounts of information with attention to detail and accuracy
· Prior experience of statistical modelling techniques, AI/ML models etc. will be value add
· Working knowledge of reporting packages (Business Objects, QLIK Power BI etc.), ETL frameworks will be an advantage.
· Knowledge of statistics and experience using statistical packages for analysing datasets (MS Excel, SPSS, SAS etc.)
· Experience on Python, R and other scripting languages is desirable, but not must
Job posted by
Rampriya K
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