Health Operations Analyst – Accenture (Chennai)
Company: Accenture
Job ID: AIOC-S01645430
Designation: Health Operations Analyst
Location: Chennai, India
Experience: 3–5 Years
Qualification: Any Graduation
Shift: Rotational / Night Shifts (as required)
Employment Type: Full-Time
Role Overview
The Health Operations Analyst will support healthcare membership and regulatory operations processes, ensuring accurate management of member records, enrollment activities, eligibility verification, billing, renewals, and compliance-related documentation. The role requires strong healthcare domain knowledge, process improvement capabilities, and stakeholder coordination skills.
Key Responsibilities
Healthcare Membership Operations
Manage healthcare membership processes including:
Enrollment
Eligibility verification
Billing support
Renewals
Membership maintenance and termination
Maintain accurate member records and documentation.
Address membership-related inquiries and escalations.
Ensure high levels of member satisfaction and operational efficiency.
Regulatory Operations Support
Coordinate documentation required for global regulatory submissions.
Process electronic submissions including:
Original application filings
CMC submissions
Advertising & Promotional (Ad-Promo) submissions
Amendments
Annual Reports
SPL submissions
Life Cycle Management activities
Process Improvement & Governance
Define and maintain SOPs for membership lifecycle processes.
Identify workflow inefficiencies and recommend automation opportunities.
Support operational transitions, system implementations, and policy changes.
Conduct root cause analysis and implement corrective actions.
Training & Knowledge Management
Train and mentor new team members.
Develop training materials, knowledge articles, and FAQs.
Act as a subject matter expert (SME) for healthcare membership operations.
Stakeholder Management
Collaborate with internal teams and supervisors.
Handle escalated cases and provide resolution support.
Ensure compliance with healthcare regulations and payer guidelines.
Required Skills
Healthcare Domain Knowledge
Healthcare Membership Operations
Enrollment & Eligibility Management
Healthcare Billing Processes
Insurance Policies & Regulations
Payer Guidelines
Healthcare Compliance
Operational Skills
SOP Development
Process Improvement
Root Cause Analysis (RCA)
Documentation Management
Regulatory Submission Coordination
Knowledge Management
Soft Skills
Analytical Thinking
Problem Solving
Attention to Detail
Communication Skills
Training & Mentoring
Stakeholder Coordination
Experience Requirements
3–5 years of healthcare domain experience.
Experience in membership operations, healthcare insurance, payer services, or healthcare BPO operations.
Familiarity with regulatory documentation and submission processes is advantageous.
Work Environment
Individual Contributor role within a team structure.
Moderate supervision and guidance.
Limited client interaction.
Rotational shifts, including night shifts.
Return-to-Office (RTO) requirement.
Candidate Suitability
Good Fit For:
Healthcare Operations Analysts
Membership Specialists
Healthcare Insurance Executives
Payer Operations Professionals
Medical Claims Professionals
Healthcare Process Experts
Not Ideal For:
Freshers
Candidates without healthcare domain experience
Pure Pharmacovigilance or Clinical Research professionals with no payer/membership operations exposure
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