- Efficiently oversee CLD Claims for over 12 internal clients, ensuring files are downloaded through automation, verifying successful uploads, and promptly communicating the status of each request.
- Thoroughly examine diverse Excel and text files to address any error handling requirements in CLD uploads.
- Possess a proficient understanding of multiple portals, adeptly navigating their functionalities, and assisting colleagues in retrieving essential data.
- Effectively communicate any concerns within the business process, ensuring seamless execution from initiation to completion.
- Collaborate with cross-functional teams to streamline CLD claims processes and implement improvements for enhanced efficiency.
- Stay updated on best practices related to CLD claims management, actively seeking opportunities to enhance internal processes.
- Contribute to a positive work environment, fostering teamwork, and actively participating in team meetings and initiatives.
- Resolve the errors based on defined set of rules and perform correction where required.
- Meeting contractual deadlines. Managing workload to accommodate more challenging timelines.
- Ensuring customer compliance with contract terms. Working with unconventional customer data formats.
- Monitors and reviews data from the system.
- Reconcile, track, and troubleshoot requested vs actual data received/validated.
- Analyze errors and troubleshoot solutions.
- Any bachelors level degree accepted (finance, accounting, or information management preferred)
- 3+ total years of experience in a professional work environment, including 1+ years of relevant experience
- MS-Office working knowledge, especially strong capability in using Excel, is a must
- Experience in claims processing or handling claims utilization data is preferred.
- Prior work experience preferred in Insurance, Finance, and Pharma contracting domains as a Data Analyst/Claims Analyst/Rebate Analyst/Process Associate.
- Familiarity with data scrubbing, NCPDP data formats and Microsoft Access software is a plus
- Previous working knowledge of claims processing, financial report handling/generation is preferred
- Prior experience in end to end data processing in ERP and financial systems is preferred
- Ability to analyze large volumes of data for relevant trends.
- Candidates with working knowledge on Managed Care, Medicaid, Contracting, and Government Pricing applications shall be prioritized
Business process; ERP; Automation; Pharma; Finance; Contracting; Data processing; Information management; MS Office; Claims processing
IntegriChain is a life sciences commercial analytics company that helps innovative bio/ pharma manufacturers identify and remove barriers to patient therapy initiation and adherence. Our ICyte Platform and solutions uniquely focus on what happens after the patient and provider commit to therapy. More than 140 life science manufacturers rely on insights delivered from IntegriChains data, analytics, and managed services to drive strategic decision- making and on- going business management across their payers, specialty pharmacies, patient services, and distribution channel partners. IntegriChain is backed by Accel- KKR, a leading Silicon Valley technology private equity firm. The company is headquartered in Philadelphia, PA; the Access Management Operations center is in Ambler, PA; and the Patient Services Center is in Atlanta, GA.