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Job Details

Company Carelon Global Solutions
Position 01
Required Experience 1-3 Year
CTC As per the company norms
Location Bangalore, Gurgaon
Job Code 4224
Posted On 21 Nov 2023
Application Deadline 31 Dec 2023

Skills


VBA macros , MS Excel

Description


Process Requirements: 

  • Possess 1-2 years of US Healthcare knowledge with Benefits /Claims /Enrollment experience and sound knowledge on
  • Benefit Coding/ Configurations /Template testing 
  • End to end understanding of Benefit configuration cycle
  • Understanding of EOC/SOB/SBC documents
  • Identify the defects associated with testing and report those to upstream process
  • Detailed analysis on plans & benefits
  • Products (HMO, PPO, EPO, POS)

Technical Requirements: 

  • Expertise in below technical specifications
  • Proficiency in Advanced MS Excel with VBA macros (Mandatory)
  • Selenium (Mandatory) or any other equivalent technology
  • RPA (Robotic Process Automation) – (Added Advantage)
  • Data Analytics /Data visualization web applications using Python (streamlit, matplotlib, Pandas) – (Added Advantage)
  • Experience with automated data testing tools and ability to apply that knowledge to continuously improve upon existing automation toolsets used to pull data from one source and to compare that data from another source

Roles & Responsibilities:

  • Renewing Custom Contract Data Load to COM2 (for all plans) & P2A (for eligible plans only)
  • Generation and data analytics on all renewing group’s contract codes and benefit data
  • Working with DocGen Lights-On for data issues/SPIDER-WPD Config Issues when applicable
  • Working daily with COM2 triage and Data Governance Teams for data load needs/issue resolution
  • COM2 EUSRs (End User Support Requests) for Renewal Data Load
  • Internal Document Posting Site Publishing Instructions
  • Local DocOps Triage Mailbox inquiries from Sales
  • Attending Sales COM2 Office Hours Calls to answer questions/educate sales/resolve renewal data inquires.


Other Additional Market Expansions:

  • Taking on additional Individual Market Plan Documents Elevance Health/Anthem decides to launch
  • Ability to complete the assigned tasks on time, Understand the SLAs and ensure they are met 
  • Willing to work in rotational shifts

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