Language - Ability:English(Domestic) - Intermediate
About Accenture
Accenture is a global qualified services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com
What would you do? The SME serves as a functional expert responsible for providing guidance on complex cases.
ensuring regulatory compliance and driving process improvements. The role acts as a bridge- between operations. quality, and leadership teams by offering expertise in appeals and grievance handling, resolving escalations. and enhancing team performance. Serve as the primary point of contact for complex and escalated appeals and grievance cases. Provide guidance on case handling, policy interpretation, and decision making. Ensure accurate application of regulatory guidelines and business rules. C Case Review & Resolution: Review and validate high-risk, sensitive, and complex cases. Ensure proper documentation, investigation, and resolution of appeals and grievances. Conduct root cause analysis for recurring issues and recommend corrective actions. Compliance & Quality Assurance - Ensure adherence to CMS regulations and internal policies. Maintain HIPAA compliance and protect data confidentiality. Participate in quality audits arKI support internal and
📌 Health Admin Services Analyst (Navi Mumbai)
🏢 Accenture in India
📍 Navi Mumbai
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