6 Aca Jobs

Dear Applicants, Greetings from Teamware Solutions! Position: Business Auditor Experience: 3 - 6 Years Location: Mumbai (Apply if you are in western line) Notice Period: Immediate Joiners only Interested candidates can apply to the given Email ID: greeshma.t@twsol.com Job Description:- Understanding of the audit principles, tools, processes especially around issue validation/closure verification process which primarily includes the following. Conduct comprehensive validation of remediation efforts including enhanced/new controls and/or corrective actions completed by the Management. Understanding the risks and root cause associated to the issues and testing of the design and/or operating effectiveness of the controls in a timely manner. Document the work performed to clearly articulate the results/conclusion of testing or validation activities in line with guidelines/methodology. Ability to understand and adopt new audit tools and techniques (e.g., data analytics) and participate in learning and development opportunities to ensure the use of best-in-class processes and procedures. Identifying and implementing efficiencies and process improvements related to the issues validation work. Ability to effectively multi-task and manage multiple competing deliverables within tight timeframes without compromising on quality of output.

Legal Compliance Analyst, MHPAEA - India The Compliance Analyst, MHPAEA assists with developing Non-Quantitative Treatment Limitation (NQTL) Analyses, required by the Mental Health Parity and Addiction Equity Act (MHPAEA), for group health plan clients. This position offers the opportunity to help group health plans come into compliance with US federal requirements addressing coverage equity for mental health care and substance use disorder treatment. The focus of this role will be multi-faceted, ultimately working collaboratively with our customer success team, software development team, executives, and clients. Your role will include elements such as data validation, conducting focused analyses, developing reports, and other activities. This position requires superior communication, analytical, writing abilities, and interpersonal skills. A commitment to teamwork, an eye for detail, and the ability to manage time, handle multiple priorities, and work independently are also essential. Job Duties and Responsibilities : Reasonable accommodations may be made to enable individuals with a disability to perform the essential functions. Analyze US insurance benefits plan documentation and operations Review and assess US health plan documents and data to identify treatment limits and assess health plan practices Manage multiple projects at the same time and produce quality analysis and deliverables in a timely manner Ensure the timely and successful delivery of solutions according to client needs and objectives Serve as a primary drafter of MHPAEA NQTL comparative analytical reports Facilitate a critical communications role by interacting with subject matter experts, project team members, and development personnel Conduct research on regulations by reviewing regulatory bulletins and other sources of information Support other aspects of compliance services practice as needed Use innovative and effective methodologies to support compliance efforts Look for improvements to compliance services processes and procedures to support efficiency and growth Other office duties as assigned Skills and Qualifications: Bachelors in Law Prior US HR/benefits experience is a plus. Preferred: Practical experience with MHPAEA, ERISA, ACA and/or Section 125 Working knowledge of US federal laws and regulations and US government report preparation Working knowledge of US government reporting websites Excellent organizational and time management skills Extremely strong attention to detail Excellent English written and verbal communication skills and etiquette with a commitment to client satisfaction Strong analytical, strategic thinking, and problem-solving skills Ability to multitask and juggle several responsibilities simultaneously Experienced and skilled in computer systems in a Windows-based environment Demonstrated proficiency in the use of Microsoft Word, Excel and PowerPoint Demonstrated ability to articulate clearly and effectively Strong interpersonal skills Ability to collaborate in a globally distributed environment across multiple time zones Service orientation with a sense of urgency and responsiveness Eager to learn and contribute to the success of the organization Works diligently and well under deadline pressures Project maturity and professionalism Supports client escalations with a calm demeanor Approaches problems as opportunities and searches for mutually beneficial solutions

About the Role Youll be joining our Product Management team managing the entire GetInsured product line. You will work in a challenging, consumer-facing problem space, where you can make an immediate impact. You will get to work with the latest technologies and get the opportunity to have your say on the final product. Youll work alongside a great team in an open, collaborative environment. Responsibilities : Research and understand business needs and translate them into clear, written product requirements. Use data to determine why and when certain product needs should be addressed. Collaborate daily with engineering, operations, support, consulting, and other product managers appreciating the diverse mix of teammates who make things happen. Understand and negotiate technical implementation options with engineering and make decisions based on business needs. Lead and participate in sprint planning, grooming, and daily stand-ups to ensure a steady flow of work to the development team. Drive continuous improvement through the strengthening of tools, skills, infrastructure, and process improvements required to achieve business objectives. Assist in roadmap development, planning activities, support, and release management. Serve as a subject matter expert to developers, QA, and support. Working in close collaboration with multi-functional teams Create innovative solutions to enhance client experience. Use Agile methodology to develop and iterate on features. Collaborate with clients and internal staff. Function within a team and be a self-directed individual contributor. Requirements & Qualifications: A minimum of 6 years' experience as a technical product manager designing SaaS software Ability to understand and evaluate algorithms, data structures, and APIs. Experience writing requirements, use cases, technical design documents, and acceptance criteria. Ability to analyze and use data in decision making and to evaluate results. Excellent interpersonal, oral, and written communication skills and working session facilitation. Strong attention to detail, organization, and time management Ability to successfully balance deadlines, projects, and day to day responsibilities. Ability to communicate with business and technical stakeholders effectively both verbally and in writing. Ability to do cost/benefit analysis and make build/buy recommendations. Degree in Computer Science or related field (Master / Bachelor level) Additional Experience We Would Love to Have Experience with 834 EDI, preferably in ACA, is a huge plus. Background in design and development of Technology for Government Health and Human Services Experience with design and development of SaaS solutions MBA or MS in a related field is a plus.

Role & responsibilities Taxation: Direct and Indirect Financial Analysis and Planning Book Keeping/ Account payable/ Account Receivable Monthly MIS and consolidation Balance sheet finalization Dealing with Internal and external stakeholders Experience on AS9 (Accounting standard 9) which is revenue recognitions experience Preferred candidate profile CA Qualified/Semi qualified CA/ CA Inter/ ACCA/ CA drop outs only Good at managing the functions by contributing individually Apply if you can join in 15- 30 days Apply if you have exposure to all above functions Its a 6 days a week Candidates from the service industry will be an advantage

Finance Strategy and Enablement Program Management Specialist Job Summary : Finance Strategy & Enablement is a global team within the Finance Corporate Function. The team shapes our Finance Strategy supporting each Finance Function Lead to develop a functional transformation roadmap and to prioritize the programs that deliver that transformation. Strategy & Enablement ensures that day-to-day activities across Finance are supported by robust and compliant processes, user centered solutions and application support fundamental to the overall success and transformation of Finance. It also leads a broad range of key programs and change journeys, drives improvements in technology performance and reimagines our processes with the application of new technology in collaboration with CIO. We are looking for great people to join this team. We want ambitious problem-solvers who are excellent communicators, people who have a passion for creating something new, solving something unknown, and for learning, creating, and delivering new ideas to support our stakeholders. In this team you will get exposure to many different parts of Accenture business. The Initiatives Specialist will report to the Dublin Hub Lead and will be a key member of the team for Strategy and Enablement. They will collaborate with key stakeholders to build, implement and manage strong processes and programs to support the strategic objectives of this function. They will also develop expertise and knowledge of end-to-end processes, tools and initiatives to deliver strategic objectives. Key Responsibilities : S&E - PMO Contributing to the successful project delivery arising from the Strategy and Enablement Project Roadmap Plan and manage a "portfolio" of projects for the Hub Ability to create and manage project plans and budget and ensure each project runs to plan, budget and scope Manage, track and report on the business benefits delivered through Hub projects Manage project risks and take corrective action where necessary Manage program/project communications and status reporting with key stakeholders Drive QA reviews of key projects/project deliverables Leverage and demonstrate Finance experience and knowledge as relevant based on project needs and scope Research issues; prepare analyses; review processes, prepare light business cases which may turn into projects Build internal initiatives framework, establish/optimize processes, implement, run, review and optimize/refresh to enable continuous effectiveness and efficiency Successfully collaborate with global teams Support program office in enabling program teams to deliver superior results Support standard management reporting processes and metrics by creating templates, job aids and other materials as required Implement standard project management rigour such as governance structure, project planning, status reporting, management of risks and issues etc. Responsible for key Business Transformation activities including training and communications Business Knowledge-Understand the business Agile Methodologies Ensure the project stakeholders expectations are understood and managed. Ensure project members effectively manage dependencies and schedule Ensure compliance with deadlines. Manage relationships and coordinate work between different teams at different locations if applicable Organize and run internal team meetings (scheduling, agenda, take meeting notes/minutes follow-ups, presentation) and keep internal MS Teams/Channel content updated Technical and Personal Skills Project Management / Highly effective verbal and written communication and presentation skills Excellent written and verbal English language skills:able to deal confidently, tactfully and appropriately with people of different disciplines and at all levels of the organization Strong ownership mentality with initiative and high-quality work standard. Strong problem-solving skills with ability to work autonomously as well as collaboratively - reliable with "can do" attitude. Customer focused. Comfortable operating in a highly confidential, fast paced, agile environment Excellent time management and tasks prioritization Knowledge of FORM and agile methods desirable. MS Office:Excel proficiency and Proficient with PowerPoint Open to new experiences, excited by change, ambiguity and to learn continuously High flexibility to adapt, reprioritize, reframe initiatives as needed; Experience with SAP Qualifications Qualifications and Experience: Degree / Professional qualification. Preferably qualified/part qualified accountant. (ACA/CIMA or ACCA or equivalent) Proven Project management experience. 5+ years of progressive Financial Accounting experience.

Position Summary: This executive will be responsible for the Healthcare Payer domain will lead the strategic vision, operations, and innovation for the organization's payer-related services. He will be responsible for driving initiatives that improve payer processes, enhance member and provider experiences, and optimize cost and efficiency. Also he will work closely with executive leadership and healthcare partners to ensure the organization remains competitive and compliant in a rapidly evolving industry. Key Responsibilities: 1. Strategic Leadership: Develop and execute a comprehensive strategy for the payer domain, focusing on member engagement, claims processing, provider relationships, and cost containment. Identify opportunities for innovation and implement solutions leveraging data analytics, AI, and automation to improve payer operations. Stay informed about industry trends, regulatory changes (e.g., CMS, ACA), and market dynamics to adapt strategies accordingly. 2. Operational Excellence: Oversee end-to-end payer operations and customer service. Ensure efficient and accurate processing of claims and reimbursement in compliance with industry standards. Drive initiatives to reduce administrative costs and improve overall operational efficiency. 3. Technology & Data Integration: Collaborate with technology teams to implement advanced platforms for claims adjudication, payment integrity, and member engagement. Leverage data analytics and predictive modeling to enhance risk management, improve care outcomes, and optimize value-based payment models. Ensure interoperability and compliance with healthcare standards such as EDI, HIPAA, and FHIR. 4. Leadership & Team Building: Build and lead high-performing teams across payer operations, technology, and analytics functions. Foster a culture of collaboration, accountability, and continuous improvement. Provide mentorship and leadership development opportunities for team members. 5. Stakeholder Management: Partner with providers, employers, brokers, and regulatory agencies to strengthen relationships and improve service delivery. Collaborate with clinical teams to align payer strategies with population health management and care delivery goals. Represent the organization at industry forums, conferences, and regulatory meetings. 6. Financial Management: Develop and oversee budgets for payer operations, ensuring cost-effectiveness and ROI. Identify opportunities to enhance revenue streams and reduce medical loss ratios (MLR). Qualifications: Bachelors degree in Healthcare Administration, Business Management, or a related field; advanced degree (MBA, MHA) strongly preferred. 25+ years of experience in leadership roles within the healthcare payer sector. Proven expertise in claims management, value-based payment models, risk adjustment, and member engagement. Strong knowledge of payer-specific regulations, including CMS, HIPAA, and ACA. Experience with technology solutions for payer operations, including claims adjudication systems, analytics platforms, and CRM tools. Exceptional strategic thinking, decision-making, and problem-solving skills. Outstanding communication and interpersonal abilities, with experience working with executive leadership and external partners. Key Competencies: Visionary leadership with a strong focus on payer transformation and innovation. Deep understanding of healthcare payer operations and regulatory environments. Skilled in financial management, including reducing administrative costs and improving MLR. Ability to lead large-scale projects and manage cross-functional teams.