India Prior authorization specialist Jobs – 63 Open Jobs Today

Data Specialist - Payer Intelligence
Roche —Hyderabad, Telangana
- Google Suite
- Microsoft Excel
- SQL
3d
Intake Specialist
Prochant —Chennai, Tamil Nadu
- Night shift
Sales Incentive Commissions Analyst & Insights Specialist
Tata Consultancy Services —Bengaluru, Karnataka
- Night shift
- Oracle
- English
- SQL
Principal Specialist-Supplier Metallurgical Control Specialist
Pratt & Whitney —Bengaluru, Karnataka
- Full-time
- Bachelor's degree
- Travel
- Communication skills
2d
Product Specialist, North
DiaSorin —Delhi
- Full-time
- Laboratory experience
- Research
DME Specialist
ACIDUS MANAGEMENT SOLUTIONS PRIVATE LIMITED —Coimbatore, Tamil Nadu
- ₹18,000 - ₹30,000 a month
- Full-time
- Customer service
- Administrative experience
- Bachelor's degree
Quick apply
5d
Medical Assistant - US Healthcare
SARA INFOTECH —Coimbatore, Tamil Nadu
- ₹8,086.00 - ₹48,156.04 a month
- Full-time
- English
- Microsoft Office
- Bachelor's degree
- Commuter assistance
- Health insurance
Quick apply
15h
Senior batch specialist
Alight —Noida, Uttar Pradesh
- Computer Science
- Master's degree
- SQL
- Health insurance
- Paid sick time
5d
T4 - Lead Operations
Alight —Gurugram, Haryana
- Night shift
- Customer service
- Analysis skills
- Bachelor's degree
- Paid sick time
Programming Manager
PHASTAR —Remote
- Full-time
- Remote
- Computer Science
- B.Sc
- Bachelor's degree
Associate- Customer Service (COE)
Alight —Gurugram, Haryana
- Night shift
- Customer service
- Analysis skills
- Bachelor's degree
- Paid sick time
UK and Ireland Payroll Human Capital Consulting, Senior Specialist
Strada Global —Hyderabad, Telangana
- Presentation skills
- Bachelor's degree
- Human resources
- Health insurance
- Paid time off
Benefit Verification Specialist - AI Agents (Healthcare)
100MS —Bengaluru, Karnataka
- Full-time
- English
- Master's degree
- In-person
Quick apply
Associate- Customer Service
Alight —Gurugram, Haryana
- Night shift
- Customer service
- Analysis skills
- Bachelor's degree
- Paid sick time
Medical Officer
Vital Healthcare Services —Bangalore City, Bengaluru, Karnataka
- ₹3,00,000 - ₹8,00,000 a year
- Full-time
- Microsoft Powerpoint
- Medicine
- Microsoft Excel
- Paid time off
- Paid sick time
Quick apply
Medical Billing Specialist
Curasia Multispeciality Hospital —Zirakpur, Punjab
- Full-time
- In-person
Quick apply
Lead Assistant Manager – Record Retrieval Opeartions
EXL Service —Noida, Uttar Pradesh
- Full-time
- Bachelor's degree
- Business Administration
- Leadership
Sales Lead Generator
Emplevia global —Gota, Ahmedabad, Gujarat
- ₹9,874.52 - ₹20,548.56 a month
- Full-time
- Microsoft Excel
- Customer service
- Research
Quick apply
7d
Sr Clinical Operation Specialist / Lead Clinical Operation Specialist (immediate Joiner)
サイネオス・ヘルス —Pune, Maharashtra
- English
- Communication skills
Cloud IaaS-Azure Devops
Zensar Technologies —Hyderabad, Telangana
- Azure
- DevOps
- Bachelor's degree

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Data Specialist - Payer Intelligence

Roche -
Hyderabad, Telangana

Apply Now

Job details

3 days ago

Qualifications

Dentistry
Google Suite
Power BI
Microsoft Excel
SQL
Analysis skills
Bachelor's degree
Communication skills
Python
FDA regulations

Full job description

Bei Roche kannst du ganz du selbst sein und wirst für deine einzigartigen Qualitäten geschätzt. Unsere Kultur fördert persönlichen Ausdruck, offenen Dialog und echte Verbindungen. Hier wirst du für das, was du bist, wertgeschätzt, akzeptiert und respektiert. Dies schafft ein Umfeld, in dem du sowohl persönlich als auch beruflich wachsen kannst. Gemeinsam wollen wir Krankheiten vorbeugen, stoppen und heilen und sicherstellen, dass jeder Zugang zur Gesundheitsversorgung hat – heute und in Zukunft. Werde Teil von Roche, wo jede Stimme zählt.

Die Position

Data Specialist - Payer Intelligence
Roche India – Roche Services& Solutions
Chennai / Hyderabad

A healthier future. It’s what drives us to innovate. To continuously advance science and ensure everyone has access to the healthcare they need today and for generations to come. Creating a world where we all have more time with the people we love.

Who we are
Roche has established the Global Analytics and Technology Center of Excellence (GATE) to drive analytics& technology driven solutions by partnering with Roche affiliates across the globe.

The candidate will have an option to join Chennai or Hyderabad office and would be required to come to office in a hybrid mode - the number of days the candidate is required to be in person in the office lies with the management and might change as required by the business.

The Opportunity:
As aData Specialist - Payer Intelligence,you will play a critical role in reading, understanding, and assessing the medical and pharmacy policies of US Health Insurance companies (also called payers) based on the criteria defined by the subject matter experts. This role requires excellent communication skills, as the Sr Analyst will be responsible for distilling complex policy information into understandable terms and engaging effectively with stakeholders to ensure compliance and alignment with our objectives.

Conduct detailed reviews of medical and pharmacy policies from various US Health Insurance Companies across Commercial, Medicare, and Medicaid plans and formulary validation.
Assess these policies in the context of our guidelines& criteria such as payer coverage criteria, formulary status, prior authorization (PA), step therapy (ST), and other utilization management (UM) restrictions as established by the business leads.
Utilize analytics tools and methodologies to generate insights, providing recommendations for business improvements.
Act as a thought partner, collaborating with internal teams to strategize and optimize business processes& rules based on analytical findings.
Clearly communicate findings, implications, and recommendations to internal teams and external partners; ensuring complex information is easily interpretable.
Develop and maintain documentation related to policy assessments and compliance activities.
Contribute to the internal initiatives, which includes adhoc projects and employee engagement programs.

Who you are:

You hold a bachelor's degree in Life Sciences (Pharmacology, Dentistry, or a related field) and 2 to 5 years of experience in Pharma/Healthcare (pharmacovigilance, insurance, health IT).
Certification in SQL, Power BI, or similar technical skills is preferred
Prior experience in the corporate healthcare industry is required.
Experience in healthcare policy, insurance, compliance, or related areas with solid knowledge of US healthcare regulations is highly desirable.
Familiarity with secondary data sources such as FDA databases, Redbook, and clinical labels is preferred.
Strong analytical mindset with keen attention to detail, able to communicate complex information clearly and concisely.
Excellent interpersonal and communication skills with proven stakeholder engagement skills; effective team member in a cross functional and dynamic environment.
Proficient in Microsoft 365 and Google Suite Workspace.
Technical expertise in Excel required; working knowledge of SQL and Python or similar programming language is good to have.
Demonstrated ability to work independently as well as collaboratively in a dynamic environment, managing multiple priorities effectively.

Wer wir sind

Eine gesündere Zukunft treibt uns zur Innovation an. Mehr als 100.000 Mitarbeiter weltweit arbeiten gemeinsam daran, wissenschaftliche Fortschritte zu erzielen und sicherzustellen, dass jeder Zugang zur Gesundheitsversorgung hat – heute und für zukünftige Generationen. Durch unser Engagement werden über 26 Millionen Menschen mit unseren Medikamenten behandelt und mehr als 30 Milliarden Tests mit unseren Diagnostik-Produkten durchgeführt. Wir ermutigen uns gegenseitig, neue Möglichkeiten zu erkunden, Kreativität zu fördern und hohe Ziele zu setzen, um lebensverändernde Gesundheitslösungen zu liefern.

Gemeinsam können wir eine gesündere Zukunft gestalten.

Roche ist ein Arbeitgeber, der die Chancengleichheit fördert.

Apply Now

Refine Your Search

prior authorization specialist jobs in india

Data Specialist - Payer Intelligence

Intake Specialist

Sales Incentive Commissions Analyst & Insights Specialist

Principal Specialist-Supplier Metallurgical Control Specialist

Product Specialist, North

DME Specialist

Medical Assistant - US Healthcare

Senior batch specialist

T4 - Lead Operations

Programming Manager

Associate- Customer Service (COE)

UK and Ireland Payroll Human Capital Consulting, Senior Specialist

Benefit Verification Specialist - AI Agents (Healthcare)

Associate- Customer Service

Medical Officer

Medical Billing Specialist

Lead Assistant Manager – Record Retrieval Opeartions

Sales Lead Generator

Sr Clinical Operation Specialist / Lead Clinical Operation Specialist (immediate Joiner)

Cloud IaaS-Azure Devops

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