Analyst (Voice Process) 1-3 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Good communication skills
- Candidates with international calling experience (any domain is agreeable)
- Voice and accent trained Preferred
- Good analytical skills
- Good listening and comprehending skills
- System skills - typing
- Minimum experience 1 year
- People with legal background are an added advantage
- Willing to work Night Shift
AR Caller 0.6-2 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Calling US Insurance carriers for claims processing, analyzing the patient accounts and call the insurance carriers to get the claims paid and taking actions based on the outcome of the call.
- Good Domain knowledge, Communication skills, Analytical skills, working knowledge of MS Office and willing to work in Night Shift
Medical coder 3-4 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Coding certification (RHIT, RHIA, or CCS)
- 3-Years Auditing Inpatient coding experience
- 3-Years Minimum DRG hospital coding experience
- Audit Experience strongly preferred
- Extensive knowledge for DRG assignments and review, ICD9 Diagnosis & procedure assignment
- Extensive knowledge of Coding Rules (per Coding Clinic, AHIMA, etc)
- Basic proficiency with MS Office (Excel and Word)
- Strong written and communication skills (Occasional conference calls are required with facilities to discuss disputes/appeals) Written skills to explain coding software
- QA must be performed on 100% of cases until 100% proficient and then on sample size going forward.
- Willing to work in night shift
Process Associate 1-3 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Knowledge in Healthcare domain and Analytical skills - is mandatory
- Experience in Healthcare Overpayment Identification/Analysis - is mandatory
- Exposure to Hospital Claims & Contract Analysis - is mandatory
- Knowledge in development of database queries or RDBMS (in specific to MS-Access) concepts - is mandatory
- Hospital (UB) claims manual pricing/processing/auditing
Nurses (CGFNS Certified) 3-4 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- United States trained Registered Nurse, or has Commission on Graduates of Foreign Nursing Schools (CGFNS)
- Clinical experience in US hospitals
- Thorough understanding of medical terminology
- Understanding processes and procedures in medical/surgical interventions
- Ability to identify products used and appropriateness of items used during medical/surgical interventions and inpatient/outpatient medical care
Duties:
- To perform audits of Hospital Bills and charts
- Prepare reports and summaries for Field auditors to use while auditing
Transformation & Transition Lead 5-10 years experience Department: Operations
Job responsibilities
- Review the existing operating process in various claims audit and recovery programs in a healthcare analytics services provider in the US
- Conduct a time and motion study of various functions/roles
- Determine the volume of work and arrive at the productivity for various activities
- Benchmark productivity within and outside the organization and arrive at target productivity
- Identify value adding and non value adding activities
- Create a new capacity plan for each of programs
- Define the skill set required to perform each activity
- Compare the current skill set to the target skill set for each activity
- Propose re-engineered process for each program (transformation program) with a view to improve the operational efficiency
- Identify automation requirements and collaborate with the Application development team for necessary changes
- Drive the change management program based on the approved transformation program
- Review the current operational metrics and design/deploy a new metrics capture system
- As part of the transformation manage the transition to the global delivery model
- Monitor and manage the continuous process improvement.
- Experience : 5-10 years in Process re-engineering, Transformation, Transition; Healthcare Payer experience will be a plus
- Qualification : 6 Sigma Black Belt
- Skill sets - Strong process documentation, change management, conflict management, negotiation
Please Note: This position will be based in the US. Candidates who are already in the US with valid visas or people in India with a valid visa (preferably H1B) will be considered for this position.
Senior Manager-Predictive Modeling 3-5 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Provide methodological guidance for ongoing and future analytic efforts
- Strong healthcare background
- Conduct advanced statistical analyses including opportunity assessments, clinical and financial risk tracking, trend identification and predictive modeling exercises
- Coordinate and prioritize analytic projects including client communication, planning, and identifying operational process flow
- Create and maintain comprehensive and standardized data warehouse structures that integrate a variety of healthcare data
- Provide Assessment of data quality using advanced statistical testing and validation techniques
- Interpret and analyze outcomes data to accurately assess, evaluate and demonstrate program performance
- Interpret findings to both the internal executive team as well as client representatives using clear and concise methods
- Willing to travel to USA
- Candidates with US Visas preferred
Qualifications
The ideal applicant will have a strong background in mathematics and/or statistics with experience in healthcare analytics, outcomes research, data mining/integration and problem solving. The following qualifications are desired:
- 3-5 years of experience in healthcare data analysis and/or healthcare data warehousing
- Ph.D./Masters degree/terminal degree in mathematics, statistics, epidemiology, biostatistics, or other related field
- Ability to translate analytic solutions into viable business products
- Ability to plan and design analytic activities as well as analyze and solve complex problems
- Strong ability to communicate complex data analytics clearly in written and oral presentations to internal and external clients
- Ability to leverage analytic work to solve complex business problems
- Desire to work within a fast-paced environment
- Ability to work in a team environment and be flexible in taking on various projects
- Competency in SAS is strongly preferred
Project Delivery Lead 3-6 years experience Department: Operations
Job responsibilities
- Will be responsible for full life cycle development of health insurance systems. Strong Oracle SQL skills a must. MS Access, mainframe and DB2 skills a plus. Must be able to research solutions with minimal input. Must be able to work with large data warehouse tables
- Work directly with health insurance users to define and create Oracle SQL, mainframe and MS Access reporting solutions
- Consult with business stakeholders to identify operational opportunities for cost savings or strategic alignment
- Tune and maintain existing SQL scripts
- Ability to present and explain reporting results to business stakeholders
- Design and architect new database solutions
Please Note: This position will be based in the US. Candidates who are already in the US with valid visas or people in India with a valid visa (preferably H1B) will be considered for this position.
Role Essentials
- Bachelor’s Degree in Computer Science, Information Technology or related field.
- 3+ years experience with Oracle SQL
- MS Access
- Ability to collaborate and lead teams
Role Desirables
- Experience with medical claims/health insurance
- Project Management experience
- Six Sigma
PL/SQL Developer 3-4 years experience Department: Operations
Job Location: Chennai, India
Job responsibilities
- Oracle PL/SQL work experience - Mandatory
- Query Fine Tuning techniques - Mandatory
- Sound knowledge on Query Optimization Hints
- Work experience in Data Warehouse
- U.S. HealthCare knowledge - Recommended
- Online Analytical Processing Database - Recommended
Dot Net Developer 3-6 years experience Department: Technology
Job Location: Chennai, India
Job responsibilities
- ASP.NET 2.0, C#.net, SQL Server 2005, Reporting Services, XML, java script,Stored Procedure, Triggers
- Strong OOPS
- Designing and building enterprise ASP.NET and WinForm applications using either C# and VB.NET
- Architecture abilities
- Can handle project/task independently as well as be a team member.
- Prior Database experience - SQL, query optimization, migration
Senior Analyst, Health Analytics 7-9 years experience/4-5 years post-MBA work-ex Department: S&M
Job Location: Chennai, India
Job responsibilities
- Develop an understanding of SCIOinspire’s Health Analytics solutions
- Work closing with an international team to achieve business unit goals
- Provide analyst support (market, competitor and prospect research)
- Work closely with SCIOinspire’s marketing and sales eco-system
- Participate in RFxs including proposals, approach documents, presentations, and collateral
- Ensure maximum transparency of information and communication between presales and marketing
- Provide cross functional/location support on sales engagements and marketing activities
Experience
- 7-9 years experience/4-5 years post MBA experience in healthcare advisory services/healthcare consulting/payer services
- Should have minimum 3 years experience running an RFP process end-to-end
- Experience working on large complex knowledge-based/analytics solutions-driven deals
- US healthcare knowledge/AHM certified
- Experience working with senior leadership preferred.
- Articulate with exceptional writing skills
Marketing and Presales 8-12 years experience Department: S&M
Job Location: Chennai, India
SCIOinspire is looking for an experienced healthcare-focused Marketing and Presales Manager. In this role, the candidate will be responsible for SCIOinspire’s marketing and presales functions in conjunction with a global team. You will partner with key individuals from sales, operations, product management, technology and other functions to develop, and execute a comprehensive marketing and presales plan that will allow SCIOinspire to position itself to meet the needs of its’ clients and target segments. In addition, you will play a key role in coordinating the presales process; provide direction around market/competitor research and manage/nurture a dynamic team of professionals. An ideal candidate is very adaptable, thinks on his/her feet, has strong communication and project management skills, is a rational thinker, and possesses excellent operational dexterity.
Key Responsibilities:
- Provide overall administrative leadership for marketing and presales and lead/nurture a dynamic team of marketing and presales professionals
- Build a deep understanding of SCIOinspire’s services, products, and markets
- Assist with market segmentation, targeting and positioning of SCIOinspire’s services and products
- Build marketing and presales material including white papers, case studies, and marketing communications
- Work closely with sales and product management teams to fine-tune positioning
- Provide overall coordination-leadership for the RFP process and solution-support with various global stakeholders
- Build and nurture strong analyst relations with key consulting and research organizations
- Implement best practices within the team and mentor new members
- Lead SCIOinspire’s public relations and work closely with contracted agencies (agency management)
Required Skills:
- Must be from the healthcare industry (e.g. payer, provider, IT services, consulting, solution marketing, product marketing, presales, bid management)
- 8-12 years related experience, with a minimum of 4 years in a similar role managing a team
- Strong understanding of US payer healthcare (preferably AHM certified or similar)
- Strong communication, presentation, and logical reasoning skills
- Should have managed a pre-sales process end-to-end
- Ability and track record of working cohesively with different departments including technology, operations, products, and internal/external stakeholders to meet marketing goals
- Strong appreciation for technology, networking, hosted/non-hosted solution and services built around platforms
- Proven track record of managing and nurturing teams
- Should be proficient in all core marketing/presales functions
- Proficiency in Microsoft Office
- MBAs and Advanced Degrees strongly preferred
In addition, candidates should feel at home in a fast-paced, entrepreneurial environment and should be inspired by the opportunity to improve the quality of healthcare for all.
