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2495 PwC Jobs

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

2-5 years

₹ 3 - 18.91L/yr (AmbitionBox estimate)

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This is an estimate of the average salary range for this position. It has not been reviewed by the company, and the actual salary may differ.

Hyderabad / Secunderabad

1 vacancy

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

PwC

posted 7d ago

Job Role Insights

Flexible timing

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
NA
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

Read full job description

PwC Interview Questions & Tips

Prepare for PwC Associate roles with real interview advice

Top PwC Associate Interview Questions

Q1. What is Materiality, How to decide Materiality , who decide what will be the level of Materiality ?
Q2. Create a table with specified columns Alter the table and add new columns Create another table with help of existing tables Write a query wh ... read more
Q3. 1. How are the fixed income products valued in accordance with the Prudential norms on valuation Master Circular RBI? ( My Job profile was r ... read more
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What people at PwC are saying

3.4
 Rating based on 1.3k Associate reviews

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.

  • Work satisfaction - Poor
  • +2 more
Read 1.3k Associate reviews

Associate salary at PwC

reported by 13.2k employees
Lock Unlock
₹4.8 L/yr - ₹17 L/yr
41% more than the average Associate Salary in India
View more details

What PwC employees are saying about work life

based on 9.2k employees
75%
88%
57%
88%
Flexible timing
Monday to Friday
No travel
Day Shift
View more insights

PwC Benefits

Submitted by Company
Staff discounts
Professional Memberships
In-house learning tools
Referral Bonuses
Corporate Plan
Buy more leave! +7 more
Submitted by Employees
Work From Home
Health Insurance
Cafeteria
Job Training
Soft Skill Training
Free Transport +6 more
View more benefits

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PwC Hyderabad / Secunderabad Office Location

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Hyderabad Office
Plot no. 77/A, 8-624/A/1,3rd Floor,Road No. 10,Banjara Hills,Hyderabad Hyderabad
500 034

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