Agilon Health

16 Job openings at Agilon Health
Senior Insights Engineer Bengaluru 0 - 3 years INR 11.0 - 13.0 Lacs P.A. Work from Office Full Time

Company : AHIPL Agilon Health India Private Limited Job Posting Location : India_Bangalore Job Title : Senior Insights Engineer Job Description : Position Summary: As an Insights Engineer at agilon, and you will build the infrastructure, reports, and dashboards to analyze critical aspects of the business. You will be an expert leader in healthcare quality metrics and processes at agilon, including Star Ratings, HEDIS/NCQA measure logic, and the common data sources that drive their calculations. You will work in with other teams such as Finance, Clinical Analytics, and Central Operations to analyze the quality program at agilon, and develop the dashboards they need to do their daily work. Essential Job Functions: Develop analytical data pipelines and production-grade dashboards to support agilon s quality management program Become an expert in the complex system of quality and pay-for-performance metrics in value-based care Be part of an agile team working collaboratively with agilon leadership and many different cross-functional teams, including UX, Product, Technology, Operations, and our Clinician teams Leverage your analytical thinking to explore our datasets, test hypotheses, and provide insights on how to improve quality management Required Qualifications: Minimum Experience 4+ years experience performing data analysis and generating intuitive reports for common quality metrics in the healthcare domain: e.g. NCQA, STARs, HEDIS, risk adjustment, clinical analytics, or health economics Education/Licensure Bachelor s and/or master s in a quantitative field, such as Computer Science, Data Science, Economics, or Mathematics. Knowledge, Skills, and Abilities: Highly proficient in SQL skills (prefer Snowflake + dbt) and data modeling. Experience with data visualization tools (prefer Sigma). High attention to detail in analytical deliverables and logic, including the ability to parse complex documentation into precise SQL scripts. Deep understanding of quality metrics in US value-based care system, and knowledge of common healthcare concepts and data-sources. Intellectual curiosity and a passion for using data to solve real-world problems at scale. Excellent communication skills and the ability to proactively explain complex analyses to non-technical stakeholders. Enthusiasm for learning and adapting in a dynamic startup environment. Location : India_Bangalore

Prospective Chart Review Quality Auditor Bengaluru, Karnataka 2 years Not disclosed On-site Full Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Review Quality Auditor Job Description: Performs audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation. Evaluates suggestions or clinical alerts presented by Prospective Chart reviewers, ensure that these suggestions meet specificity requirements to support clinical indicators and in compliance with Risk Adjustment documentation standards. Conducts review and communicates feedback to professionals such as Clinical Chart Reviewers and third-party vendors. Responds to questions submitted by Prospective Chart reviewers. Document detailed audit findings including all errors and missed opportunities in the Prospective chart reviews. Correlate activities, processes and HCC results/ metrics to evaluate outcomes. Assist in developing workflows, curriculum and policies and procedures related to the Pre-visit Medical Record review team. Other Job Functions: Understand, adhere to, and implement the Company’s policies and procedures. Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. Engage in excellent communication which includes listening attentively and speaking professionally. Set and complete challenging goals. Demonstrate attention to detail and accuracy in work product. Required Qualifications: Minimum Experience 2+ years of clinical experience required 5+ year of chart review and medical coding/auditing experience required Advanced level of clinical knowledge associated with chronic disease states required Education/Licensure: Medical doctor or Nurse required Coding Certification through AHIMA or AAPC required CPC or CPMA preferred Skills and Abilities: Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner Provider contracting and customer service techniques General understanding of the health care industry, ideally the provider relations field-desired Excellent interpersonal and telephone communication skills are required Exercise attention to detail; ability to provide accurate data entry Ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must Excellent analytical, problem solving and organizational skills a must. Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Location: India_Bangalore

Facilities Lead Bengaluru 6 years INR 5.0 - 6.52 Lacs P.A. On-site Part Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Facilities Lead Job Description: Key Responsibilities: Supervise and manage the daily operations of all facilities (housekeeping, security, pantry, maintenance, etc.) Coordinate preventive and corrective maintenance activities for infrastructure. Manage relationships with service providers, contractors, and vendors, monitor SLAs and AMCs. Ensure workplace safety, cleanliness, and regulatory compliance (fire safety, health, statutory requirements, etc.) Oversee seating arrangements, space planning, and workstation management. Manage office supplies and inventory of consumables, ensuring timely procurement and optimal stock levels. Handle facility-related escalations and resolve them efficiently. Support in planning and execution of office events, relocations, and infrastructure upgrades. Monitor utility usage and implement cost-saving measures wherever possible. Maintain accurate records of facility operations, budgets, and vendor agreements. Prepare regular reports and dashboards for management review. Required Qualifications: Bachelor’s degree in any discipline (Facilities Management certification is a plus) 6+ years of experience in facilities or administrative roles, preferably in a corporate setting Strong knowledge of facility systems and maintenance procedures Experience in vendor management and contract handling Excellent communication and interpersonal skills Strong problem-solving and organizational abilities Proficient in MS Office (Excel, Word, PowerPoint) Preferred Attributes: Proactive, self-motivated, and able to work independently Attention to detail and ability to handle emergency situations Familiarity with environment, health & safety (EHS) protocols Location: India_Bangalore

Prospective Chart Reviewer-6 Bengaluru, Karnataka 2 years None Not disclosed On-site Full Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-6 Job Description: Essential Job Functions: Performs pre-visit medical record reviews to identify chronic conditions reported in prior years Identify diagnoses that lack supporting documentation Prioritizes clinical alerts and presents those that are strongly suggestive of an underlying condition Present information to providers in a concise complete manner All other duties as assigned Other Job Functions: Understand, adhere to, and implement the Company’s policies and procedures. Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. Engage in excellent communication which includes listening attentively and speaking professionally. Set and complete challenging goals. Demonstrate attention to detail and accuracy in work product by meeting productivity standards and maintaining a company standard of accuracy Qualifications: Minimum Experience 2+ years of clinical experience required Advanced level of clinical knowledge associated with chronic disease states required Relevant chart review experience required Education/Licensure: Medical Doctor or Nurse required Coding Certification through AHIMA or AAPC preferred Skills and Abilities: Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Location: India_Bangalore

Prospective Chart Reviewer-6 Bengaluru 2 years INR 3.642 - 5.442 Lacs P.A. On-site Part Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: Prospective Chart Reviewer-6 Job Description: Essential Job Functions: Performs pre-visit medical record reviews to identify chronic conditions reported in prior years Identify diagnoses that lack supporting documentation Prioritizes clinical alerts and presents those that are strongly suggestive of an underlying condition Present information to providers in a concise complete manner All other duties as assigned Other Job Functions: Understand, adhere to, and implement the Company’s policies and procedures. Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. Engage in excellent communication which includes listening attentively and speaking professionally. Set and complete challenging goals. Demonstrate attention to detail and accuracy in work product by meeting productivity standards and maintaining a company standard of accuracy Qualifications: Minimum Experience 2+ years of clinical experience required Advanced level of clinical knowledge associated with chronic disease states required Relevant chart review experience required Education/Licensure: Medical Doctor or Nurse required Coding Certification through AHIMA or AAPC preferred Skills and Abilities: Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Location: India_Bangalore

HEDIS Abstractor and Overreader bengaluru, karnataka 2 years None Not disclosed On-site Full Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: HEDIS Abstractor and Overreader Job Description: Position Summary: The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with internal and external stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures. Essential Job Functions: Review and abstract clinical data from electronic medical records in alignment with HEDIS technical specifications Perform overreads of abstracted medical records for accuracy, completeness and measure compliance Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to close gaps in care Collaborate with internal and external partners to resolve documentation discrepancies and provide recommendations for improvement Support audit preparation and participate in internal quality reviews and training sessions Manages all activities to meet health plan contractual and reporting timeframes Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadership Other Job Functions: Other duties as assigned. Required Qualifications: Minimum Experience Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in all measures Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools Familiarity with Medicare Advantage lines of business and Stars Measures Familiarity with supplemental data processes and quality data integration Education & Licensure Minimum of Bachelor’s degree or equivalent degree Skills and Abilities: Ability to be a team player and exercise initiative in responding to team members or Sr. Manager. Thorough understanding of medical record documentation and medical terminology High level of attention to detail and ability to follow direction on project deadlines Ability to work independently Strong language skills in English speaking and understanding Ability to meet high productivity requirements and Interrater Reliability standards Strong Excel skills Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts. Ability to apply deep level of measure understanding to legal medical records Strong Adobe skills (including saving records in PDF format and annotation) Ability to interpret large data files for needed abstraction Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading Ability to report clearly on both positive or negative findings and apply possible solutions on Team calls Location: India_Bangalore

HEDIS Abstractor and Overreader bengaluru 2 years INR Not disclosed On-site Part Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: HEDIS Abstractor and Overreader Job Description: Position Summary: The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with internal and external stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures. Essential Job Functions: Review and abstract clinical data from electronic medical records in alignment with HEDIS technical specifications Perform overreads of abstracted medical records for accuracy, completeness and measure compliance Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to close gaps in care Collaborate with internal and external partners to resolve documentation discrepancies and provide recommendations for improvement Support audit preparation and participate in internal quality reviews and training sessions Manages all activities to meet health plan contractual and reporting timeframes Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadership Other Job Functions: Other duties as assigned. Required Qualifications: Minimum Experience Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in all measures Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools Familiarity with Medicare Advantage lines of business and Stars Measures Familiarity with supplemental data processes and quality data integration Education & Licensure Minimum of Bachelor’s degree or equivalent degree Skills and Abilities: Ability to be a team player and exercise initiative in responding to team members or Sr. Manager. Thorough understanding of medical record documentation and medical terminology High level of attention to detail and ability to follow direction on project deadlines Ability to work independently Strong language skills in English speaking and understanding Ability to meet high productivity requirements and Interrater Reliability standards Strong Excel skills Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts. Ability to apply deep level of measure understanding to legal medical records Strong Adobe skills (including saving records in PDF format and annotation) Ability to interpret large data files for needed abstraction Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading Ability to report clearly on both positive or negative findings and apply possible solutions on Team calls Location: India_Bangalore

HEDIS Abstractor and Overreader bengaluru, karnataka 2 years None Not disclosed On-site Full Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: HEDIS Abstractor and Overreader Job Description: Position Summary: The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with internal and external stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures. Essential Job Functions: Review and abstract clinical data from electronic medical records in alignment with HEDIS technical specifications Perform overreads of abstracted medical records for accuracy, completeness and measure compliance Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to close gaps in care Collaborate with internal and external partners to resolve documentation discrepancies and provide recommendations for improvement Support audit preparation and participate in internal quality reviews and training sessions Manages all activities to meet health plan contractual and reporting timeframes Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadership Other Job Functions: Other duties as assigned. Required Qualifications: Minimum Experience Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in all measures Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools Familiarity with Medicare Advantage lines of business and Stars Measures Familiarity with supplemental data processes and quality data integration Education & Licensure Minimum of Bachelor’s degree or equivalent degree Skills and Abilities: Ability to be a team player and exercise initiative in responding to team members or Sr. Manager. Thorough understanding of medical record documentation and medical terminology High level of attention to detail and ability to follow direction on project deadlines Ability to work independently Strong language skills in English speaking and understanding Ability to meet high productivity requirements and Interrater Reliability standards Strong Excel skills Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts. Ability to apply deep level of measure understanding to legal medical records Strong Adobe skills (including saving records in PDF format and annotation) Ability to interpret large data files for needed abstraction Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading Ability to report clearly on both positive or negative findings and apply possible solutions on Team calls Location: India_Bangalore

Business Support Analyst haryana 3 - 10 years INR Not disclosed On-site Full Time

You will be working as a Business Support Analyst at MPHIN My Personal Health Record Express India Pvt. Ltd. in Gurgaon, India. Your primary responsibilities will include: - Serving as the initial point of contact for clients regarding issues, escalations, inquiries, and support related to products or services through various communication channels. - Monitoring the application and system health on a regular basis, ensuring continuous coverage. - Analyzing multiple monitoring system events and application statuses to diagnose issues accurately. - Assessing the severity and urgency of incidents and taking prompt action to restore services, escalating to Engineering staff when necessary within defined SLAs. - Ensuring adherence to established communication protocols during system impacting events. - Identifying areas for process improvements and offering recommendations for enhancement. - Being available for shifts, working on holidays, and taking on-call responsibilities as part of the 24x7x365 operational model. To be successful in this role, you should have: - 3-10 years of experience in global client support with a customer-centric approach. - Strong verbal and written communication skills and proficiency in handling customer/client interactions via email, ticketing system, and telephone. - Understanding of Service Level Agreements and ability to work towards meeting and exceeding service levels consistently. - Proficiency in structured query language and the capability to analyze data by navigating databases for troubleshooting purposes. - Exceptional analytical and problem-solving skills within defined timelines. - Willingness to learn new technologies to support business requirements. - Ability to work in a 24x7 environment on a rotational basis. - Team player mindset with a track record of delivering exceptional results under pressure. - Knowledge of Linux basics and familiarity with MongoDB queries would be advantageous. If you are looking for a challenging role that requires strong communication skills, analytical thinking, and a proactive approach to problem-solving, this position is an excellent opportunity for you.,

HEDIS Abstractor and Overreader bengaluru, karnataka 2 years None Not disclosed On-site Full Time

Company: AHIPL Agilon Health India Private Limited Job Posting Location: India_Bangalore Job Title: HEDIS Abstractor and Overreader Job Description: Position Summary: The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with internal and external stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures. Essential Job Functions: Review and abstract clinical data from electronic medical records in alignment with HEDIS technical specifications Perform overreads of abstracted medical records for accuracy, completeness and measure compliance Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to close gaps in care Collaborate with internal and external partners to resolve documentation discrepancies and provide recommendations for improvement Support audit preparation and participate in internal quality reviews and training sessions Manages all activities to meet health plan contractual and reporting timeframes Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadership Other Job Functions: Other duties as assigned. Required Qualifications: Minimum Experience Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in all measures Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools Familiarity with Medicare Advantage lines of business and Stars Measures Familiarity with supplemental data processes and quality data integration Education & Licensure Minimum of Bachelor’s degree or equivalent degree Skills and Abilities: Ability to be a team player and exercise initiative in responding to team members or Sr. Manager. Thorough understanding of medical record documentation and medical terminology High level of attention to detail and ability to follow direction on project deadlines Ability to work independently Strong language skills in English speaking and understanding Ability to meet high productivity requirements and Interrater Reliability standards Strong Excel skills Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts. Ability to apply deep level of measure understanding to legal medical records Strong Adobe skills (including saving records in PDF format and annotation) Ability to interpret large data files for needed abstraction Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading Ability to report clearly on both positive or negative findings and apply possible solutions on Team calls Location: India_Bangalore

QA Lead haryana 5 - 9 years INR Not disclosed On-site Full Time

**Job Description:** As a QA Lead at AHIPL Agilon Health India Private Limited, you will play a crucial role in ensuring the quality of our products. Your responsibilities will include: - Creating test strategies and plans for new software projects - Leading a team of QA engineers to execute test cases and scenarios - Identifying and reporting bugs and issues in a timely manner - Collaborating with cross-functional teams to ensure product quality - Implementing and improving QA processes and procedures **Qualifications Required:** - Bachelor's degree in Computer Science or related field - Proven experience as a QA Lead or similar role - Strong knowledge of software QA methodologies, tools, and processes - Excellent communication and leadership skills Join us at AHIPL Agilon Health India Private Limited and be a part of our dynamic team dedicated to delivering high-quality products to our customers.,

Facilities Lead karnataka 6 - 10 years INR Not disclosed On-site Full Time

You will be responsible for supervising and managing the daily operations of all facilities including housekeeping, security, pantry, maintenance, etc. You will need to coordinate preventive and corrective maintenance activities for infrastructure and manage relationships with service providers, contractors, and vendors. Monitoring SLAs and AMCs will be part of your role, ensuring workplace safety, cleanliness, and regulatory compliance, such as fire safety, health, and statutory requirements. Additionally, overseeing seating arrangements, space planning, and workstation management will be under your purview. You will be managing office supplies and inventory of consumables, ensuring timely procurement and optimal stock levels. Handling facility-related escalations efficiently and supporting in planning and execution of office events, relocations, and infrastructure upgrades will also be part of your responsibilities. Monitoring utility usage and implementing cost-saving measures wherever possible will be expected. Maintaining accurate records of facility operations, budgets, and vendor agreements, and preparing regular reports and dashboards for management review are essential tasks for this role. - Supervise and manage the daily operations of all facilities - Coordinate preventive and corrective maintenance activities for infrastructure - Manage relationships with service providers, contractors, and vendors - Ensure workplace safety, cleanliness, and regulatory compliance - Oversee seating arrangements, space planning, and workstation management - Manage office supplies and inventory of consumables - Handle facility-related escalations and resolve them efficiently - Support in planning and execution of office events, relocations, and infrastructure upgrades - Monitor utility usage and implement cost-saving measures - Maintain accurate records of facility operations, budgets, and vendor agreements - Prepare regular reports and dashboards for management review - Bachelor's degree in any discipline (Facilities Management certification is a plus) - 6+ years of experience in facilities or administrative roles, preferably in a corporate setting - Strong knowledge of facility systems and maintenance procedures - Experience in vendor management and contract handling - Excellent communication and interpersonal skills - Strong problem-solving and organizational abilities - Proficient in MS Office (Excel, Word, PowerPoint) The company AHIPL Agilon Health India Private Limited is based in India_Bangalore.,

Prospective Chart Review Quality Auditor karnataka 2 - 6 years INR Not disclosed On-site Full Time

Role Overview: As a Prospective Chart Review Quality Auditor at AHIPL Agilon Health India Private Limited, your main responsibility will be to perform audits of pre-visit medical record reviews to identify chronic conditions reported in prior years and conditions that lack supporting documentation. You will also be evaluating suggestions or clinical alerts presented by Prospective Chart reviewers, ensuring that these suggestions meet specificity requirements to support clinical indicators and comply with Risk Adjustment documentation standards. Additionally, you will conduct reviews and communicate feedback to professionals such as Clinical Chart Reviewers and third-party vendors, as well as respond to questions submitted by Prospective Chart reviewers. Your role will involve documenting detailed audit findings, including all errors and missed opportunities in the Prospective chart reviews, and correlating activities, processes, and HCC results/metrics to evaluate outcomes. You will also assist in developing workflows, curriculum, and policies and procedures related to the Pre-visit Medical Record review team. Key Responsibilities: - Perform audits of pre-visit medical record reviews to identify chronic conditions and lack of supporting documentation - Evaluate suggestions or clinical alerts to ensure specificity requirements and compliance with standards - Communicate feedback to professionals and respond to questions from reviewers - Document detailed audit findings and correlate activities to evaluate outcomes - Assist in developing workflows, curriculum, and policies related to the Pre-visit Medical Record review team Qualifications Required: - Minimum 2+ years of clinical experience - Minimum 5+ years of chart review and medical coding/auditing experience - Advanced level of clinical knowledge associated with chronic disease states - Medical doctor or Nurse required - Coding Certification through AHIMA or AAPC required - CPC or CPMA preferred Additional Details: You will be expected to understand, adhere to, and implement the company's policies and procedures. Providing excellent customer service skills, displaying awareness and sensitivity to the needs of internal and external clients, and taking personal responsibility for personal growth are essential. Engaging in excellent communication, setting and completing challenging goals, and demonstrating attention to detail and accuracy in work product are also key aspects of this role. Note: The location for this job is India_Bangalore.,

Automation Engineer haryana 2 - 6 years INR Not disclosed On-site Full Time

You have the opportunity to join Agilon Health India Private Limited as an Automation Engineer based in Gurgaon, India. As an Automation Engineer, your role will involve the following responsibilities and qualifications: **Role Overview:** - Develop and implement automation strategies. - Design, develop, and execute automation scripts. - Collaborate with cross-functional teams to define and implement automation solutions. **Key Responsibilities:** - Develop automation frameworks to support software testing. - Identify and troubleshoot automation issues. - Ensure the stability and reliability of automation systems. - Stay updated with the latest automation trends and technologies. **Qualifications Required:** - Bachelor's degree in Computer Science or related field. - Proven experience in automation development. - Proficiency in programming languages such as Python, Java, or C++. - Strong problem-solving skills and attention to detail. Please note that additional details about the company were not provided in the job description.,

Business Support Analyst haryana 3 - 10 years INR Not disclosed On-site Full Time

Role Overview: You will be serving as the first line of communication with clients for issues, escalations, global inquiries, and support related to products or services through the ticketing system, mail, and calls. Your responsibilities will also include periodically checking application and system health involving 24x7x365 coverage efforts, correlating multiple monitoring system events and application status, determining severity and urgency of incidents, and ensuring that established communications structures are followed during system impacting events. Additionally, you will be expected to look for improvements and offer recommendations to existing processes and documentation. Please note that as a 24X7X365 organization, shifts, work on holidays, and on-call responsibilities are required. Key Responsibilities: - Serve as the first point of contact for clients regarding issues, escalations, and support - Check application and system health periodically - Correlate multiple monitoring system events for proper diagnosis - Determine severity and urgency of incidents and take necessary actions within defined SLAs - Follow established communication structures during system impacting events - Identify areas for process improvements and offer recommendations - Work in a 24X7 environment on rotational basis Qualification Required: - 3-10 years of experience in global client support - Customer-focused approach with excellent verbal and written communication skills - Understanding of Service Level Agreements and ability to work accordingly to meet and exceed service levels - Good knowledge of structured query language (SQL) for data analysis and troubleshooting - Strong analytical and troubleshooting abilities within defined deadlines - Willingness to learn new technologies to support business needs - Ability to work under pressure and as part of a team - Knowledge of Linux basics and MongoDB queries is an added advantage (Note: Additional details about the company were not provided in the job description.),

Senior Data Engineer karnataka 5 - 9 years INR Not disclosed On-site Full Time

Job Description: As a Senior Data Engineer at AHIPL Agilon Health India Private Limited, you will play a crucial role in the data engineering team. Your primary responsibility will be to design, develop, and maintain scalable data pipelines and infrastructure to support the organization's data processing needs. Key Responsibilities: - Designing and developing data pipelines to extract, transform, and load data from various sources. - Building and optimizing data warehouse and data lake solutions for efficient data storage and retrieval. - Collaborating with cross-functional teams to understand data requirements and provide technical solutions. - Implementing data quality processes to ensure accuracy and consistency of data. - Monitoring and troubleshooting data pipelines to identify and resolve issues in a timely manner. Qualifications Required: - Bachelor's or Master's degree in Computer Science, Engineering, or a related field. - Proven experience in data engineering, ETL processes, and data modeling. - Proficiency in programming languages such as Python, Java, or Scala. - Strong understanding of database technologies and cloud platforms. - Excellent problem-solving skills and attention to detail. (Note: No additional details about the company were provided in the job description.),