CLD/RPA Analyst

  • Full-time
  • Business Unit (Internal): SaaS & BPaaS

Company Description

IntegriChain is the data and application backbone for market access departments of Life Sciences manufacturers. We deliver the data, the applications, and the business process infrastructure for patient access and therapy commercialization. More than 250 manufacturers rely on our ICyte Platform to orchestrate their commercial and government payer contracting, patient services, and distribution channels. ICyte is the first and only platform that unites the financial, operational, and commercial data sets required to support therapy access in the era of specialty and precision medicine. With ICyte, Life Sciences innovators can digitalize their market access operations, freeing up resources to focus on more data-driven decision support.  With ICyte, Life Sciences innovators are digitalizing labor-intensive processes – freeing up their best talent to identify and resolve coverage and availability hurdles and to manage pricing and forecasting complexity.

We are headquartered in Philadelphia, PA (USA), with offices in: Ambler, PA (USA); Pune, India; and Medellín, Colombia. For more information, visit www.integrichain.com, or follow us on Twitter @IntegriChain and LinkedIn.

Job Description

Position Details

  • 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.

Job Profile

  • 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.

Qualifications

  • Any bachelor's 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

#LI-YG1

Additional Information

What does IntegriChain have to offer?

  • Mission driven: Work with the purpose of helping to improve patients' lives! 
  • Excellent and affordable medical benefits + non-medical perks including Flexible Paid Time Off
  • Robust Learning & Development opportunities including over 700+ development courses free to all employees

IntegriChain is committed to equal treatment and opportunity in all aspects of recruitment, selection, and employment without regard to race, color, religion, national origin, ethnicity, age, sex, marital status, physical or mental disability, gender identity, sexual orientation, veteran or military status, or any other category protected under the law. IntegriChain is an equal opportunity employer; committed to creating a community of inclusion, and an environment free from discrimination, harassment, and retaliation.

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