Jobs at SKYGEN USA

Serve as primary client liaison managing day-to-day account requests, resolving issues, coordinating internal teams, tracking deliverables, facilitating audits and corrective action plans, organizing client meetings, identifying upsell opportunities, and recommending process improvements to ensure contractual compliance and client satisfaction.

Analyze provider data to identify outliers and trends, document cases and departmental activity, recommend corrective actions to improve benefit outcomes and control costs, coordinate chart audits and peer reviews, maintain benchmarks and processes, and collaborate with clinical, provider relations, client teams, and developers using internal systems and reports.

Recruit and contract providers for the network through outreach, prospecting calls, negotiations, and relationship management. Perform market and geographic access analysis, ensure contract and network compliance, use proprietary software and web portal, and resolve access-to-care issues for members.

Serve as technical lead for TPA clients to configure the enterprise system, lead implementations, translate business requirements into system and workflow specifications, liaise with internal teams, provide ongoing technical support and training, produce SQL-based reports, participate in upgrades, and report system defects.

Prepare, analyze, and interpret monthly, quarterly, and annual TPA financial reports. Use SQL and Excel to extract and model data, build dashboards and management reporting, support audits, collaborate with IT/data teams, and identify process automation and data-quality improvements to streamline financial reporting.