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2558 PwC Jobs
Managed Services
0-3 years
Hyderabad / Secunderabad
1 vacancy
Managed Services
PwC
posted 20d ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
A career in our Managed Services team will provide you an opportunity to collaborate with a wide array of teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Appeals and Grievances Managed Services (AGMS) team will provide you with the opportunity to act as an extension of our healthcare clients business office. We specialize in appeal and grievances functions and addressing member complaints for health plans and their business partners. We leverage our clients customized workflows and associated automations in conjunction with PwC s data advanced data analysis and quality assurance processes to enable our clients to achieve better compliant results, which ultimately allows them to provide better services to their members.
Minimum Degree Required (BQ)
Bachelor s Degree
Degree Preferred
Bachelor s Degree
Required Field(s) of Study (BQ)
Any Graduation
Preferred Field(s) of Study
Minimum Year(s) of Experience (BQ) US
5 years of experience in US Health care Payor side
Certification(s) Preferred
AHM250 (Added advantage)
Required Knowledge/Skills (BQ)
- US Healthcare Experience
- Experience in Appeals & Grievances (A&G, Medicare/Medicaid)
Preferred Knowledge/Skills
Desired Knowledge / Skills
- 5 years of experience in US Health care Payor side
- 2 years of training experience in Appeals & Grievance
- Training on Appeals & Grievance process
- Denial Management
- Newhire training on US Health Care, Claims Adjudication, Rework & A&G
- Mentors/coaches all staff members to be proficient in A&G, including, but not limited to counseling low performers; providing training opportunities to improve quality of work and/or to address an individual s ongoing developmental goals; and answering questions and concerns from staff;
- Consults with Continuous Improvement Specialist to identify and assess training needs associated with changes in policies, procedure regulations, business initiatives and technologies.
- Provides new hire training on US Health Care, Claims Adjudication, Rework & A&G engagementspecific policies; and organizationspecific processes.
- Suggests performance improvement measures and evaluates their effectiveness against predetermined objectives.
- Monitors team performance and success against predefined key performance indicators (ie productivity, quality, etc);
- Executes the development and preparation of job aids, instructional materials, classroom, and online training appropriate to specific objectives; and,
- Makes recommendations to improve client service based upon training observations.
- Experience Level 5+ years
- Shift timings Flexible to work in night shifts (US Time zone)
Employment Type: Full Time, Permanent
Read full job descriptionPwC Interview Questions & Tips
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What people at PwC are saying
Rating based on 445 Manager
reviews
Anonymous · Engineering - Software & QA
in Hyderabad / Secunderabad
Likes
Compensation is competitive to the market
- Salary - Good
+2 more
Dislikes
No work life balance.. all projects planned eith very limited resources and tight timelines forcing team members to extend personal time gor work
- Work-life balance - Bad
Manager salary at PwC
reported by
6.8k
employees
with 4-18
years exp.
₹14
L/yr - ₹45
L/yr
86%
more
than the average Manager Salary in India
View more details
What PwC employees are saying about work life
based on 9.2k employees
Flexible timing
Monday to Friday
No travel
Day Shift
PwC Benefits
Submitted by Company
Staff discounts Professional Memberships In-house learning tools Referral Bonuses Corporate Plan
Submitted by Employees
View more benefits 
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