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Data Coverage Specialist

2 months ago

Providence, Rhode Island, United States NTT DATA Full time
Job Summary

The Healthcare Coverage Determination Representative II will work closely with healthcare providers to process prior authorization and drug benefit exception requests on behalf of NTT Data's client, in accordance with Medicare Part D CMS Regulations.

Key Responsibilities
  • Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases.
  • Phone assistance is required to initiate and/or resolve coverage requests.
  • Maintain compliance at all times with CMS and department standards.
  • Position requires schedule flexibility, including rotations through nights, weekend, and holiday coverage.
Requirements
  • At least 1 year of Medicare Prior Authorization experience.
  • 6+ months working in a virtual role where the supervisor is not physically in the same space.
  • Proficient computer skills and the ability to navigate in a Windows-based environment.
  • Ability to adapt to change and remain flexible.
  • Project a professional business image, through phone interaction as well as internal communications.
Benefits

NTT DATA Services is an equal opportunity employer and considers all applicants without regard to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law.

If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

The starting hourly range for this remote role is $17. This range reflects the minimum and maximum target compensation for the position across all US locations.

This position may also be eligible for incentive compensation based on individual and/or company performance.

Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.