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Escalation Support Senior Analyst

ExperiencedNo visa sponsorship
Accenture logo

at Accenture

Consultancies

Posted 9 days ago

No clicks

**Escalation Support Senior Analyst**: Manage State Action Requests (SARs), submit Vendor Initiated Correspondence (VICs), and review/enroll provider applications. Uphold high-quality standards, collaborate with stakeholders, and recommend process improvements. Requires experience in provider enrollment, knowledge of Texas State Health-Care Programs, and proficiency in HIPAA guidelines. Remote work, Austin TX preferred.

Compensation
Not specified USD

Currency: $ (USD)

City
Austin
Country
United States

Full Job Description

Provider Enrollment Escalation Support Senior Analyst, L10

Location: Remote

Accenture is a leading global professional services company that helps the worlds leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen servicescreating tangible value at speed and scale. We are a talent and innovation led company with 738,000 people serving clients in more than 120 countries.

Technology is at the core of change today, and we are one of the worlds leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Accenture Song. These capabilities, together with our culture of shared success and commitment to creating 360 value, enable us to help our clients succeed 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.

The Escalation Support Senior Analyst must:

  • Process and respond to State Action Requests (SARs) received from the State for Provider Enrollment as assigned within the specified due dates; escalate to leadership as necessary.

  • Submit informational or directional requests on behalf of Provider Enrollment (PE) as Vendor Initiated Correspondence (VICs), to State staff regarding enrollment issues, clarification, or any other item that requires State notification or direction.

  • Review, re-assign, and process 100% of assigned applications utilizing documented work instructions within the specified due dates, including but not limited to, denied applications, informal desk review (IDR) requests, and IDR requests returned from the State with a final decision.

  • Interact professionally with providers, internal and State staff to provide appropriate and timely responses to inquiries, concerns, or assistance regarding provider enrollment and/or file maintenance for the Texas State Health-Care Programs.

  • Manage and monitor SAR Coordinator inventory and deliverables to ensure compliance with contractual requirements.

  • Adhere to the highest quality standards on all worked performed.

  • Act as PE Subject Matter Expert (SME) for audit requests.

  • Coordinate modifications to PE reporting deliverables as needed.

  • Make recommendations to management to improve efficiency and effectiveness of current manual processes through systemic modifications

  • Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements

  • Perform other duties as assigned by leadership.

  • Ideal candidate will be located in the Austin, TX area

Escalation Support Senior Analyst

Compensation

Not specified USD

City: Austin

Country: United States

Accenture logo
Consultancies

9 days ago

No clicks

at Accenture

ExperiencedNo visa sponsorship

**Escalation Support Senior Analyst**: Manage State Action Requests (SARs), submit Vendor Initiated Correspondence (VICs), and review/enroll provider applications. Uphold high-quality standards, collaborate with stakeholders, and recommend process improvements. Requires experience in provider enrollment, knowledge of Texas State Health-Care Programs, and proficiency in HIPAA guidelines. Remote work, Austin TX preferred.

Full Job Description

Provider Enrollment Escalation Support Senior Analyst, L10

Location: Remote

Accenture is a leading global professional services company that helps the worlds leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen servicescreating tangible value at speed and scale. We are a talent and innovation led company with 738,000 people serving clients in more than 120 countries.

Technology is at the core of change today, and we are one of the worlds leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Accenture Song. These capabilities, together with our culture of shared success and commitment to creating 360 value, enable us to help our clients succeed 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.

The Escalation Support Senior Analyst must:

  • Process and respond to State Action Requests (SARs) received from the State for Provider Enrollment as assigned within the specified due dates; escalate to leadership as necessary.

  • Submit informational or directional requests on behalf of Provider Enrollment (PE) as Vendor Initiated Correspondence (VICs), to State staff regarding enrollment issues, clarification, or any other item that requires State notification or direction.

  • Review, re-assign, and process 100% of assigned applications utilizing documented work instructions within the specified due dates, including but not limited to, denied applications, informal desk review (IDR) requests, and IDR requests returned from the State with a final decision.

  • Interact professionally with providers, internal and State staff to provide appropriate and timely responses to inquiries, concerns, or assistance regarding provider enrollment and/or file maintenance for the Texas State Health-Care Programs.

  • Manage and monitor SAR Coordinator inventory and deliverables to ensure compliance with contractual requirements.

  • Adhere to the highest quality standards on all worked performed.

  • Act as PE Subject Matter Expert (SME) for audit requests.

  • Coordinate modifications to PE reporting deliverables as needed.

  • Make recommendations to management to improve efficiency and effectiveness of current manual processes through systemic modifications

  • Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements

  • Perform other duties as assigned by leadership.

  • Ideal candidate will be located in the Austin, TX area