Process Executive - Data Coimbatore null

About Cognizant

Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant is ranked 185 on the Fortune 500 and is consistently listed among the most admired companies in the world.

Responsibilities

Data Processes

• Provide the highest level of customer satisfaction.
• Strive to understand and resolve issues/queries in the first instance.
• Maintain the business controls as per the requirement

Project / Process

• Develop a complete understanding of the Procedures.
• Complete transactions for data preparation, submissions, etc as defined in sops.
• 100% Process adherence to transaction processing timelines. 
• Adhere to audit compliance ( SAS 70, SOX, Statutory Audit) of all processes as laid out in process documentation.
• Ensure process guidelines are followed and met as documented.
• Set productivity /Quality benchmark.
• Adhere to shift handover processes.
• Raise process-related issues/concerns on time with the process and team leads.
• Ensure to meet all Statistical, Financial, and TAT metrics.
• Stay updated with the process knowledge/changes and refer to knowledge updates/ repositories to effectively process transactions.
• Adhere to security practices set by the organization.
• Provide updates and submit reports related to your own area of work.
• Complete transaction/call volumes in the queue within specified Turn Around Time.
• Respond to data requests.
• Perform administrative duties which include maintaining accurate records of information regarding received claims/treatment requests.
• Record data relating to production statistics, end user-related notes, etc as appropriate.
• Maintain confidentiality of all information, policies, and procedures as required by the Health Insurance Portability and Accountability Act (HIPAA) protocols.
• Raise process-related issues/concerns to team leads/managers.
• Adhere to federal, state, URAC, client-specified, and established best practices regarding utilization management.
• Adhere to program quality standards and maintain acceptable levels of performance, including but not limited to attendance, adherence to protocols, customer courtesy, and all other productivity and efficiency targets and objectives.
• Continuous contribution to process excellence/improvement.
• Participate in project and organization initiatives led by the Delivery leadership.

Qualification

BE/BTech/MCA)

• For Medical Management Bachelor’s degree in Nursing or any health science-related field.
• For NA High School Equiv.