T Nagar Chennai Tamil Nadu Analyst internal audit Jobs – 119 Open Jobs Today

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3838848-Senior Executive
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3877033-Senior Executive
EXL Service —Chennai, Tamil Nadu
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SGB Transformers India Pvt. Ltd. —Chennai, Tamil Nadu
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Guidehouse India Pvt Ltd —Chennai, Tamil Nadu
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3876997-Assistant Vice President
EXL Service —Chennai, Tamil Nadu
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TD Synnex —Chennai, Tamil Nadu
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EXL Service —Chennai, Tamil Nadu
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Saaki Argus & Averil Consulting —Chennai, Tamil Nadu
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HCLTech —Chennai, Tamil Nadu

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Business Analyst (IC)

EXL Service -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time
8 days ago

Qualifications

BCS
Data mining
Computer Science
Inventory management
System architecture
Business analysis
Data analysis skills
SQL
Bachelor's degree
EMR systems
Software development
Time management
SDLC

Full job description

Job Description: About the Mission of this role:

Claims auditing is a core function of health plan payment integrity operations, but many payment integrity departments lack the ability to track and manage inventory effectively, and others struggle with disparate processes or workflow solutions that require custom builds and integration workarounds into claims platforms.

Our proprietary workflow application, EXLMINE™, is a robust payment integrity system, supporting both pre-payment and post-payment modalities, and is designed to help audit staff to identify, manage, and act on potential improper claims payments. The system improves effectiveness and efficiency by centralizing all functions needed to manage the entire life cycle of an audit from data intake to overpayment recovery to reconciliation and reporting.

EXLMINE™ centralizes all claims audit processes on a single platform, delivering an intelligent experience for claim workflows and inventory management. The EXLMINE™ platform is highly configurable, customizable to meet the demand of any data mining or audit program to support our clients’ business needs.

The Business Analyst is a key role to ensure to ensure requirements are captured to design workflows and provide solutions to internal stakeholders and provide the implement the tools required in EXLMINE.

Functional Responsibilities:

Collaborate with key stakeholders (internal and in some cases, external client partners) to capture and define business requirements that will identify and solve the immediate challenge.
Lead the effort to develop and document business requirements, business process flows, supplement specification, and resolve requirement issues for large-scale, cross-divisional complex projects.
Lead and document discovery sessions with business owners and subject matter experts to design and develop standard workflows in EXLMINE application adhering to EXL Standards.
Design and maintain letter templates for all correspondence in the EXLMINE application software.
Partner closely with various business units and clients to identify and validate new opportunities by collecting and validating critical data for analysis.
Actively perform triage, testing, and root cause analysis to validate proposals using pertinent data and facts.
Review system fields and provide field-level data mapping to the Reporting Hub (Enterprise Data Warehouse) for operational reporting.
Review, understand, and document the current operational processes and data sources to establish support for current and future reporting requirements.

Knowledge and Skills Requirements:

The candidate is expected to demonstrate strong experience in hands-on data analysis of healthcare databases, including EHR / EMR claims of either Payer’s or Providers.
Ability to understand the system architecture and provide solutions to meet the business needs.
Strong knowledge of software development life cycle with different methodologies.
Knowledge in SQL for querying the underlying data in the system for analysis.
Proficient in the analysis of data and the use of process visualization software.
Excellent attention to detail and the ability to work independently without supervision, be self-directed and demonstrate initiative.
Effectively understand claims data payment process and the roles of payer and provider intersection.

Responsibilities: What We Offer:

EXL Health offers an exciting, fast paced and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
You can expect to learn many aspects of businesses that our clients engage in. You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.
We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.
Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

Qualifications: Qualifications:

Bachelor’s degree required in computer science and 12 – 18 years’ experience, or equivalent combination of education and experience
Minimum of 5 years’ experience as a business analyst within a Healthcare claims or auditing industry setting.
Experience working with healthcare data is mandatory
Experience working in a software development environment is preferred
Must be authorized to work in the U.S.

Apply Now

Refine Your Search

analyst internal audit jobs in t nagar chennai tamil nadu

Business Analyst (IC)

Quality Analyst

Analyst - Order Management - Lead to Cash

Automation Engineer

System Registration Analyst

Engineer - GISOCC Security IS

3838848-Senior Executive

Data Engineer with Pyspark Kafka Snowflake

3877033-Senior Executive

CMA Qualified / Semi Qualified

Team Lead

Business Advisory Associate

Assistant Manager- Qaulity

Team Lead

3876997-Assistant Vice President

AI and Cloud Security Engineer

3876995-Senior Manager

Senior Analyst – Visitor and Event Coordinator

APAC Regional Trade Compliance Manager

Senior Technical Lead

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