At HCL Technologies we work as true partners with both our employees and our clients, embodying our number one value: People First. Our team is driven by a desire to always learn, improve, and innovate. We take an open-minded approach to opportunities and challenges and are focused on solving business challenges.

We deliver programs and projects that exceed stakeholder expectations. To be successful here, you will be a driver with a flexible working style and excellent communication skills; you will think strategically and act tactically.

Experience Required:

• 5+ years of Healthcare experience in any of the following – Billing, Enrollment and Claims
• Must have L2 Production Support experience
• 5+ years of experience in one or more of the following – Incident Management, Problem Management, ServiceRequest Management and Change & Release Management.
• Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
• Strong knowledge of data languages such as .Net, C# and PLSQL
• Ability to work independently, within a team environment and communicate effectively with employees at all levels
• Knowledge and experience of Medicare & Medicaid state level reporting levels
• Strong understanding of healthcare data formats, standards, and ability to map them to CMS and state level reporting needs
• Good understanding on the lifecycle of claims adjudication
• Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.

Responsibilities:

• End to End Project Delivery
• Manage SLA
• Coordinate and Manage customer requirements
• Manage with On-Site Engineers and attending customer calls
• Help team technically if required.
• Raising risks| issues and escalation to senior management and customer
• To create all quality documents| collect metrics data and conducting Audits. To perform Value creation and KM activities.
• To create project plans and keep track of schedule for on time delivery as per the defined quality standards.
• To ensure process improvement and compliance| and participate in technical design discussion and to review technical documents