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Claims Specialist - US Claims Adjudication (Managed Care)


Adjility Information Technology Pvt. Ltd. (

Adjility Information Technology Pvt. Ltd., is a subsidiary of Alliance Life Sciences Consulting Group. Formed in 2001, Alliance Life Sciences helps our customers maximize revenues and optimize pricing in an outcomes-based world. We employ hundreds of professionals around the globe who help firms receive full value by solving problems in Contract Pricing, Reimbursement and Commercial Operations. We enable this mission in the healthcare world where the true focus is on patient’s health and well-being, the ultimate bottom line for everyone. ALSCG delivers for over 40 of the largest pharmaceutical and medical device companies, including 8 of the top-10 largest pharmaceutical manufacturers.

Work Location: Pune (Pune IT Park – Bopodi)

Profile Overview –

US Healthcare claim operations [Chargebacks, Managed Care & Medicaid].

The successful candidate will be responsible for –

  • Will be responsible for analyzing and processing distributors and wholesaler’s chargeback.
  • Has experience in Managed Care processing and rebate processing
  • Interprets customer chargeback issues and communicates performance with them.
  • Responsible for managing the membership of a specific GPO, including roster maintenance (adds, changes, and deletion), customer validation and account creation.
  • Will be responsible to maintain the quality of deliverables.
  • Will be responsible to identify the priorities & get the work done within timelines.
  • Willing to handle work pressure with minimal supervision.

Our requirements –

  • Has the knowledge of commonly-used concepts, practices, and procedures within a particular field, especially Pharma contracting domains, Life Sciences & Finance.
  • Should have experience into US Pharma Claims/Chargebacks
  • Knowledge of Pharma contracting system & distribution system like Revitas and Model N and other claim management applications
  • Strong analytical skills, conceptual thinking, effective time management skills & good communication skills.
  • Technical Skills: MS office [Excel, PPT, word], Basic SQL & Macros.

Education Qualification

  • Any Graduate
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