Svitla Systems Inc. is looking for an Eligibility and Accumulator Analyst for a full-time position (40 hours per week) in Mexico.
Our client is a pharmacy company that uses AI-powered health analytics.
You will join the production support side team, ensuring that the files they receive and send contain the correct data, responding to incidents, eligibility issues, and issues related to accumulators. The client wants to expand the monitoring capability to automate it, but they still need personnel to physically check and ensure everything is working correctly. They will be assigned to TPA – third-party administrators (6-8 to each), which could be vendors or multiple clients. These 6-8 TPAs will have 30-40 clients to report to. They will be monitoring everything in this space ( eligibility, accumulation pieces, etc.).
Working hours: 12 pm EST – 8 pm EST, holidays and weekends are also covered, they will either have either a day-by-day rotation ( shifted working day, like for example Tuesday- Saturday for some people and Wednesday-Sunday for others) across the team or standard working schedule ( M-F) with an additional day off after working weekend/holiday day. Have peak periods (like Q4-Q1). During Christmas and New Year, limit the number of vacations. January 1st is a working day, and there is no vacation in January. The number of vacations during the peak period is very limited ( less than 5 working days, usually or even less).
