Health Operations Analyst

Health Operations Analyst

Skill required: Membership - Life Sciences Regulatory Operations
Designation: Health Operations Analyst
Qualifications:Any Graduation
Years of Experience:3 to 5 years
About Accenture
Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song— all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com
What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow In a Membership job profile, responsibilities include managing and supporting the membership base of an organization. This involves tasks like processing applications, renewals, and cancellations, as well as maintaining accurate member records. The goal is to enhance member satisfaction and retention through excellent customer service and engagement activities. The role may also involve organizing events, communicating benefits, and addressing member inquiries. Effective membership management is crucial for the growth and sustainability of the organization. Coordinate the essential documentation and resources required for the filing of global applications. Understand, manage & process electronic submissions that include original application filings, Life Cycle Management submissions such as CMC, Ad-promos, amendments, annual reports, SPL submissions, etc.
What are we looking for? • Act as the go-to expert on healthcare membership processes (enrollment, eligibility, billing, renewals). • Interpret healthcare policies, insurance rules, and regulatory requirements. • Stay updated on industry changes (payer guidelines, compliance rules, etc.). • Define and document SOPs for membership lifecycle (onboarding ? maintenance ? termination). • Identify inefficiencies and recommend automation or workflow improvements. • Support transitions (e.g., new systems, policy updates). • Train new hires and upskill existing teams. • Create knowledge base FAQs, and training materials. • Support root cause analysis and corrective actions. • Act as escalation point for critical cases. • Flexible to work in Night Shifts & RTO • 3- 4 years of Health domain experience. • Act as the go-to expert on healthcare membership processes (enrollment, eligibility, billing, renewals). • Interpret healthcare policies, insurance rules, and regulatory requirements. • Stay updated on industry changes (payer guidelines, compliance rules, etc.). • Define and document SOPs for membership lifecycle (onboarding ? maintenance ? termination). • Identify inefficiencies and recommend automation or workflow improvements. • Support transitions (e.g., new systems, policy updates). • Train new hires and upskill existing teams. • Create knowledge base FAQs, and training materials. • Support root cause analysis and corrective actions. • Act as escalation point for critical cases. • Flexible to work in Night Shifts & RTO • 3- 4 years of Health domain experience.
Roles and Responsibilities: •In this role you are required to do analysis and solving of lower-complexity problems • Your day to day interaction is with peers within Accenture before updating supervisors • In this role you may have limited exposure with clients and/or Accenture management • You will be given moderate level instruction on daily work tasks and detailed instructions on new assignments • The decisions you make impact your own work and may impact the work of others • You will be an individual contributor as a part of a team, with a focused scope of work • Please note that this role may require you to work in rotational shifts