Provider Data - Associate PND - GR - 39558-69891 - JR165036

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Job Description:

Job Title

Associate PND

Requirement Type

Full-Time Employee

Job Location

Bangalore

Job Level

I07

Hiring Manager

Team Lead/AM

Primary Skill

Communication, Analytical and Interpretation skills

Business

PDS

Skill Category

Generic

ABOUT ELEVANCE HEALTH

Elevance is a leading health company in America dedicated to improving lives and communities and making healthcare simpler.  It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 45 million lives across 14 states. 

A regular in Fortune 500 list, Elevance ranked 20 in 2022. Gail Boudreaux, President and CEO of Elevance has been a consistent name in the Fortune list of most powerful women and currently holds 4th rank on this list. 

ABOUT CARELON

Carelon Global Solutions was founded in 2017 as a fully owned subsidiary of Elevance (Previously Anthem Inc). 

At the center of Carelon is its philosophy of Think Limitless. This enables us to strive for operational excellence, design and cutting-edge innovations and solutions, and deliver exceptional business value for the clients.

Diversity is one of the cornerstone values at Carelon and we are proud of harboring a rich and wholesome environment that embraces differences, is inclusive, values talent and creativity, and discriminates against any bias.

Carelon received its ‘Great Place To Work’ certification in July 2021.  

OUR MISSION & VALUES

Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.

Our Values: Leadership | Community | Integrity | Agility | Diversity

JOB POSITION

Carelon Global Solutions India is seeking a highly creative and meticulous Process Consultant  who will provide insights on the provider data end to end. The incumbent will report to Assistant Manager / Manager – Business operations and must understand the business delivery metrics and should be coordinating with onshore partners as and when required.

JOB RESPONSIBILITY

• Responsible for accurate and timely maintenance of provider information on claims and provider databases. Primary duties may include, but are not limited to: Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
• Requires a 10+2+3 years of education; basic PC office software (especially MS Excel and MS Outlook); or any combination of education and experience, which would provide an equivalent background. 0- 1 year of experience in claims processing, provider, or credentialing preferred.
• Strong Analytical skills and have adequate expertise with data management along with strong oral and written communication skills.

QUALIFICATION

• Bachelors’ or Masters’ degree in fine arts/ design
• Non-BTech (preferably)

EXPERIENCE

• 0-1+ years of overall experience in HealthCare Domain
• Excellent Interpersonal skills & Communication skills

SKILLS AND COMPETENCIES

• Familiar with MS Office – basics (Excel/Power point/Outlook)
• Very strong Communication & Comprehension skills
• Excellent oral, written communication skills and problem-solving skills
• Flexible to work in any shifts/Work from office

THE CARELON PROMISE

Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.

It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.

This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.

LIFE @ CARELON

• Extensive focus on learning and development
• An inspiring culture built on innovation, creativity, and freedom
• Holistic well-being 
• Comprehensive range of rewards and recognitions
• Competitive health and medical insurance coverage
• Best-in-class amenities and workspaces
• Policies designed with associates at the center

EQUAL OPPORTUNITY EMPLOYER

Carelon is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Reasonable Accommodation
Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.

If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.

Disclaimer: Offered designation titles differ*

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