ENROLLMENT & BILLING - GRADE 6
HC & INSURANCE OPERATIONS ANALYST

Position Overview:

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA Services currently seeks a “HC & INSURANCE OPERATIONS ANALYST” to join our team in “CHENNAI”

Position General Duties:

Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB.

Role Responsibilities:

In-depth knowledge and experience in the US healthcare (Non Voice) – Membership enrollment and billing.
Ability to train the team on new process and process updates.
Calibrate with QA’s to ensure process knowledge and variance are managed and under control.
Ability to create Process SOP, Process Map and identifying the outlier within process.




Review Discrepancy report and comments, identify gaps and share with TL.
Identify NVA and provide suggestion for automation opportunities.
Identify refresher/re-trainable topics, conduct assessments, and certify staff to move to different levels of production.
Drive team from the front in case of leadership unavailability.
Need to co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors.
Oversee data integrity of member enrollment records and remittance files transmitted from the state.
Provide timely, effective support for the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process.
Provide research to correct errors in membership and Primary Care Physician data output within the provider information system.
Research information on members/subscribers to resolve problems and disputes.
Maintain

📌 HC & Insurance Operations Senior Assoc. (Chennai)
🏢 NTT DATA Services
📍 Chennai