Executives

Job Description – Associate

Position Title, Responsibility Level

Level 2

Function

Associate

Reports to

Assistant Manager

Permanent/ Temporary

Permanent

Span of Control

Nil

Location

Noida

Basic Function

Supplier will receive the work via the proprietary application and input the pharmacy benefits onto the proprietary system. The supplier may be doing the coding or auditing work depending on the assignment.

Essential Functions

• Responsible for the review, evaluation, and input of pharmacy benefits.
• Reviews documentation and interprets data obtained from the client benefit database.
• Coordinates with team POC / Supervisors whenever a benefit needs clarification.
  
  

• Processes transactions as per guidelines provided
• Attend team meetings to be aware of workflow updates.
• Participates in the client mandated trainings to maintain knowledge and performance.
• Coaching and team meetings with supervisors and managers.
  
  

• Coordinates with the appropriate onshore department regarding access or issues to the proprietary software.
• Summarization of complex information into a clear and precise clinical picture while working independently
• Corrects and reports cases with errors and/or defects.
• Sends the cases stateside via an automated process.
• Review incorrect benefit coding instructions and report any that is out of date.
  
  

• Position requires proficiency with computer skills
• Navigating multiple systems and keyboarding
• Basic Excel
  
  

• Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended hours, and typing on the computer.
• Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
• Typical office working environment with productivity and quality expectations
  
  

• Effective communication skills, both verbal and written.
  
  

• 0-1 year minimum BPO experience
• Preferably, with back office experience
• Resource needs be English medium educated (schooling)