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| Job Location | Mumbai City |
| Education | Not Mentioned |
| Salary | Rs 3.5 - 6 Lakh/Yr |
| Industry | Medical / Healthcare |
| Functional Area | Allied Health ServicesMedical Transcription |
| EmploymentType | Full-time |
Acts with honor and integrity, serving as a role model for the company. Analyzes prospective and current client utilization data to identify utilization trends, calculate cost of healthcare and identify opportunities for New Century Health to add value to customers. Works with internal business customers to define report and dashboard requirements for use in managing day to day operations more efficiently. Assists with the QC/Validation of the data currently being developed into the data warehouse. Validates the completeness of potential client data files using various techniques. Extracts and compiles both internal and external data elements used in all aspects of the business from client pricing, medical cost management, operational reporting and general financial analysis as required. Populates existing pricing model with potential client information and makes suggestions on potential improvements to the model or corresponding presentation/reporting. Participates in or conducts presentations to prospective clients regarding New Century Healths pricing methodologies. Reconciles capitation payments to eligibility data to ensure monthly payments received are accurate. Calculates and analyzes monthly capitation payments made to network providers; identifies and investigates unusual fluctuations and determines root cause of potential problems. Conducts recurring and ad hoc provider utilization analyses; prepares meaningful, professional reports for health plans. Respects and maintains HIPAA confidentiality guidelines. Acts as an interdepartmental liaison between all New Century Health offices, departments, and committees. Performs other duties as assigned.
Keyskills :
healthcarereporting analysisoperations root causemanagement rootbusiness utilization