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Accenture is seeking a Delivery Lead Sr Manager in Taguig Uptown Bonifacio Tower for a return-to-office setup. You will oversee staff delivering reviews of medical claims, ensuring compliance with policies and member contracts, and coordinate with operation managers to drive performance.
The role requires extensive experience in service delivery, leadership and the ability to manage client relationships, with shift patterns and overall project coordination across a large function.
Job Description:
—ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE
—POSITION TITLE: Delivery Lead Sr ManagerWORK SETUP: Return to OfficeOVERALL PURPOSE:Oversees staff whose teams’ primary duties may include, but are not limited to: Conducts pre-service, concurrent, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Service requests may be from inbound calls and facsimile. Outbound calls to the provider may be required to gather additional information that may be needed. Other staff responsibilities may be reviewing and analysis of post service claims utilizing the member’s benefit contract and health plan guidelines. Completes review of pending claims post service for Medical Necessity or Contractual Reviews.
RESPONSIBILITIES:
OTHERS:Project Shift Schedule: Night ShiftProject Rest Day: Weekends OffProject/Team Location: Taguig Uptown Bonifacio Tower 3
SKILL AND QUALIFICATIONS:
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About Accenture
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.
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