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PwC

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3.4

based on 9.2k Reviews

Video summary

380 PwC Jobs in Hyderabad / Secunderabad

Managed Services - BOS - Appeals & Grievances - Associate -Processor

Pricewaterhouse Coopers Private Limited

3.4

based on 9.2k Reviews

2-6 years

₹ 3 - 30L/yr (AmbitionBox estimate)

Hyderabad / Secunderabad

1 vacancy

Managed Services - BOS - Appeals & Grievances - Associate -Processor

PwC

posted 4d ago

Job Role Insights

Flexible timing

Key skills for the job

Data Analysis Consulting Auditing Microsoft Power BI US Healthcare Data Collection

+ 3 more

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

2+ years of experience in US Health care Payor side

Certification(s) Preferred

Required Knowledge/Skills (BQ)

US Healthcare Experience
Experience in Appeals & Grievances (A&G, Medicare/Medicaid)

Preferred Knowledge/Skills

Strong verbal and written communication skills, including letter writing experience.
Excellent English skills with the ability to read, comprehend, write and communicate verbally with stakeholders & customers.

Ability to work with firm deadlines, multitask, set priorities and pay attention to details

Ability to successfully interact with members, medical professionals, health plan and government representatives.
Knowledge on Appeals & Grievances and Medicare/Medicaid
Proficiency with Microsoft Word, Excel, and PowerPoint.
Excellent organizational, interpersonal and time management skills.
Must be detailoriented and an enthusiastic team player.
Knowledge of Pega computer system a plus.

Desired Knowledge / Skills

2+ years of experience in US Health care Payor side
1 + years of processing experience in Appeals & Grievance
Denial Management
Knowledge on US Health Care, Claims Adjudication, Rework & A&G
Experience Level 1+ years
Shift timings Flexible to work in night shifts (US Time zone)

Employment Type: Full Time, Permanent

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What people at PwC are saying

3.4

Rating based on 1.3k Associate reviews

Anonymous · Risk Management & Compliance in Mumbai

Likes

Good clients and good team

Skill development - Good

+1 more

Dislikes

Work life balance, dry promotion and no shift allowance specially at Mumbai location, also pay is not good for Mumbai. They pay same for Kolkata and Mumbai and force people to come to Mumbai.