Operations Representative II

2 days ago


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

We are seeking a highly skilled Operations Representative II to join our team at NTT DATA. As a key member of our operations team, you will be responsible for reviewing and processing medication prior authorizations, ensuring timely and accurate resolution of appeals, and providing exceptional customer service to our clients and patients.

Key Responsibilities
  • Review and process medication prior authorizations, ensuring compliance with regulatory requirements and company policies
  • Resolve appeals in a timely and accurate manner, communicating effectively with clients and patients
  • Provide exceptional customer service, responding to inquiries and resolving issues in a professional and courteous manner
  • Collaborate with cross-functional teams to ensure seamless operations and achieve business objectives
  • Stay up-to-date with changing regulations and guidelines, applying knowledge to ensure compliance and quality
Requirements
  • At least two years of experience in a related field, with a focus on problem resolution, business writing, quality improvement, and customer service
  • Proven ability to work independently, with minimal supervision, and as part of a team
  • Excellent communication and interpersonal skills, with the ability to effectively communicate with clients, patients, and internal stakeholders
  • Strong analytical and problem-solving skills, with the ability to navigate multiple software systems and prioritize tasks
  • Ability to work in a fast-paced environment, meeting deadlines and achieving quality standards
About NTT DATA

NTT DATA is a leading IT and business services company, providing innovative solutions to clients across the globe. We are committed to delivering exceptional service, quality, and value to our clients, and we are seeking talented individuals to join our team.

We are an equal opportunity employer, committed to diversity and inclusion. We welcome applications from qualified candidates who share our values and are passionate about delivering exceptional results.



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