Job Opportunity for GW CC Integ Q

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks.

You are a reliable, contributing member of a team. In our fast-paced environment, you are expected to adapt, take ownership and consistently deliver quality work that drives value for our clients and success as a team.

Skills

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

• Apply a learning mindset and take ownership for your own development.
• Appreciate diverse perspectives, needs, and feelings of others.
• Adopt habits to sustain high performance and develop your potential.
• Actively listen, ask questions to check understanding, and clearly express ideas.
• Seek, reflect, act on, and give feedback.
• Gather information from a range of sources to analyse facts and discern patterns.
• Commit to understanding how the business works and building commercial awareness.
• Learn and apply professional and technical standards (e.g. refer to specific PwC tax and audit guidance), uphold the Firm's code of conduct and independence requirements.

Job Summary -

A career in our BSCO team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients

to achieve better results, which ultimately allows them to provide better patient care.

Minimum Degree Required (BQ) *:

Bachelor’s Degree

Degree Preferred

Bachelor’s Degree

Required Field(s) Of Study (BQ)

Computer Science, Data Analytics, Accounting

Preferred Field(s) Of Study

Minimum Year(s) of Experience (BQ) *: US

5 year of experience

Certification(s) Preferred

Required Knowledge/Skills (BQ):

Preferred Knowledge/Skills *:

Insurance Follow-Up:

Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims, and resubmit claims when necessary.

Documentation and Reporting:

Compliance and Regulations:

Team Collaboration:

Requirements

GW Claim center QA

Skill - GW Testing - Senior Associate

Total Experience – 5 - 9 years

Edu Qualification: BTech/BE/MTech/MS/MCA

Job Description -

● Reviewing requirements / specifications / technical design documents

● Designing detailed, comprehensive and well-structured Test Plans and Test Cases

● Setting up Test Environment & Test Data

● Executing tests as needed throughout the project.

● Analyzing and reporting test results.

● Identifying and tracking defects through their lifecycle.

● Understanding of Integration - Technical Design Document and Use Case

● Testing experience of any one of the Guidewire products: PolicyCenter

● Experience on policy transactions, workflow ,Audits, forms inference

● Performing thorough testing [Smoke / System / Integration / Regression / Stabilization

● Possessing expertise in Test Management Tools like ALM / Jira

● Understanding of data loading frameworks for data migration and datahub projects.

● Understanding of data warehousing concepts.

● Strong analytical skills to build data mapping from Guidewire Claims

● Strong SQL knowledge