Healthcare Operations Associate - Utilization Management

Accenture India Private Limited; Bengaluru; On-site; INR 400,000 - 600,000; Full time

Job summary

Accenture India Private Limited is seeking a Health Operations Associate to support utilization management in healthcare services. The role includes evaluating service necessity, coordinating with providers, and ensuring cost-effective care.

The candidate should have 1–3 years of experience and a graduation in any field, with advanced English proficiency. The position may involve shift rotations and dynamic healthcare environments.

Qualifications

• Graduation in any discipline.
• 1–3 years of experience in healthcare operations.
• English (Domestic) requirement: Advanced.

Responsibilities

• Embed digital transformation in healthcare operations end-to-end to improve outcomes.
• Review medical records, coordinate with healthcare providers, and assist in coverage decisions.
• Analyze data to ensure appropriate and efficient use of resources.
• Handle day-to-day operations with potential rotation shifts.

Skills

Healthcare Utilization Management

Education

Any Graduation

Job description

Health Operations Associate Skill required: HM- Utilization Management - Healthcare Management Designation: Health Operations Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Advanced

About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song- all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our 784,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities. Visit us at www.accenture.com

What would you do?

Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrow. HM- Utilization Management involves evaluating the necessity, appropriateness, and efficiency of healthcare services. The goal is to ensure patients receive the right care while managing costs effectively. Responsibilities include reviewing medical records, coordinating with healthcare providers, and making coverage decisions. This role requires strong analytical skills and knowledge of healthcare regulations. It is essential for optimizing resource use and improving patient outcomes. The administration of hospitals, outpatient clinics, hospices, and other healthcare facilities. This experience includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and procedures, quality assurance, patient services, and public relations.

What are we looking for?

• Ability to perform under pressure
• Adaptable and flexible
• Ability to meet deadlines
• Ability to handle disputes
• Healthcare Utilization Management
• Health Insurance Data Requests & Referrals

Roles and Responsibilities:

• In this role you are required to solve routine problems, largely through precedent and referral to general guidelines
• Your expected interactions are within your own team and direct supervisor
• You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments
• The decisions that you make would impact your own work
• You will be an individual contributor as a part of a team, with a predetermined, focused scope of work
• Please note that this role may require you to work in rotational shifts