EXL

Executive

In short

This role involves master data management and provider data operations for a US Healthcare process, including data collection, validation, and discrepancy resolution. It requires a graduate with 1-3 years of experience in US Healthcare, with preferred familiarity with CertifyOS and provider data management operations. The job demands attention to detail, SLA-driven issue resolution, and compliance with HIPAA and regulatory requirements.

Responsibilities
•Assist in master data management (MDM) tasks, including data collection, cleansing, and standardization.
•Support in developing and maintaining master data records.
•Gain familiarity with MDM tools and methodologies.
•Participate in team meetings and contribute to discussions.
•Process provider additions, terminations, demographic updates, affiliations, specialties, tax IDs, and contract changes.
•Maintain accurate provider records across healthcare systems and databases.
•Validate provider data and perform quality checks to ensure accuracy and completeness.
•Analyze and resolve provider data discrepancies through root cause analysis.
•Investigate and resolve provider, client, and system-related issues within SLA timelines.
•Track productivity, quality, and service-level performance metrics.
•Conduct audits and quality reviews to ensure data integrity and compliance.
•Identify process improvement opportunities and support automation initiatives.
•Ensure compliance with HIPAA, regulatory requirements, client guidelines, and organizational policies.
Requirements
•Graduate in any discipline with 1-3 years of experience in US Healthcare.
•Prior experience working on CertifyOS is preferred.
•Prior experience in Provider Data Management operations is preferred.
•Graduate (non-technical)

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