254 Cerner Jobs

We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, inclusive culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Senior Associate, Healthcare Systems Implementation Consultant RSM's National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Basic Qualifications Bachelor's degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/india.html. RSM does not tolerate discrimination and/or harassment based on race; colour; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender (including gender identity and/or gender expression); sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the Indian Armed Forces; Indian Armed Forces Veterans, and Indian Armed Forces Personnel status; pre-disposing genetic characteristics or any other characteristic protected under applicable provincial employment legislation. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please send us an email at careers@rsmus.com.

Job Summary Job Description 3 10 Yrs Exp Location: Hyd/Blr/Pune/Chennai ¿ Cerner Application support, Incident resolution, Implementation of Cerner Millennium Projects. ¿ Experience in configuring and troubleshooting CERNER solution functionalities/Components. ¿ Perform complex troubleshooting investigations and documenting notes and knowledge articles. ¿ Gather requirements and determine scope of work and plan for on time delivery. ¿ Ability to work self sufficiently on assigned time sensitive tasks. ¿ Develop and maintain good relationship with peers and client, provide timely feedback to encourage success. ¿ Strong communication skills with excellent interpersonal skills both in written and verbal correspondence. ¿ Ability to learn and adapt to changing landscape and acquire new skills with technology advancement and to work, coordinate with global teams. ¿ Readiness towards work at odd hours/on call and weekends as and when needed. Interfaces Required Skills : FSI (Foreign system Interface), HL7 Standards, Interface Engine, Mirth Connect, cloverleaf, Open Engine/ Interfaces / Hub / MFT/ FSI Alias

🧩 *About the Role* We are looking for a Fractional AI Agentic Solutions Architect with deep healthcare experience to help design and implement intelligent automation workflows around Eligibility Verification and Pre-Authorization . You will leverage platforms like Workato , Azure , Epic/Cerner , and Availity , while incorporating LLMs and modern agent orchestration strategies to streamline payer-provider workflows. As a fractional contributor, you'll work on high-impact sprints with product, automation, and revenue cycle teams to rapidly deliver and iterate solutions. 📌 *Key Responsibilities* Lead automation discovery, solution design, and agentic architecture for healthcare workflows. Build and optimize no-code/low-code automation flows using Workato, Azure Logic Apps, or similar tools. Integrate EMRs/EHRs (Epic, Cerner) and payer platforms (Availity, PVerify) via secure APIs and FHIR. Leverage OpenAI or Azure OpenAI APIs to power conversational agents and workflow triggers. Create MVP prototypes, document reusable logic, and train internal teams for continuity. Participate in standups or sprint planning for engagements when needed. Provide guidance on best practices for compliance, data handling, and automation testing. 🧠 *Required Skills & Experience* 5+ years in healthcare technology, automation, or API-based systems integration. Proven success in delivering automation projects in fractional or consulting capacity. Familiarity with eligibility verification (270/271), prior auth workflows, and EHR APIs. Hands-on with Workato, Azure, or similar integration platforms. Experience with LLM-based orchestration or intelligent agents a strong plus. Strong communication skills and client-facing experience in agile teams. ⭐ *Preferred Qualifications* Workato Pro I/II or Azure Integration Architect certified Prior experience with RevOps or Patient Access use cases Exposure to clinical workflows or payer-side systems Familiar with SaaS delivery or digital health startup models 🛠️ *Tech Stack* Workato, Azure Logic Apps, Python Epic/Cerner APIs, Availity, PVerify FHIR, HL7, REST/JSON OpenAI, LangChain, Postman, GitHub Notion, Slack, Jira for async collaboration

Billing Manager – Hospital Setting: Key Responsibilities 1. Patient Billing Oversight Ensure accurate and timely generation of patient bills based on services rendered. Supervise entry of charges from departments like radiology, surgery, lab, and pharmacy. Validate that billing reflects correct coding (ICD-10, CPT, HCPCS) and insurance rules. 2. Insurance Claims and Reimbursements Oversee submission of insurance claims to private insurers, Medicare, and Medicaid. Ensure compliance with payer-specific requirements and government regulations. Track claim statuses and manage rejections, denials, and appeals. 3. Revenue Cycle Management Coordinate the full cycle from patient registration to final payment. Monitor accounts receivable and collections; work to reduce days in A/R (Accounts Receivable). Collaborate with revenue integrity, finance, and HIM (Health Information Management) departments. 4. Team Leadership Manage and train billing and coding staff. Delegate tasks effectively and ensure staff follow hospital billing protocols. Conduct performance reviews and staff development activities. 5. Compliance and Audit Readiness Ensure billing practices comply with: HIPAA CMS (Centers for Medicare & Medicaid Services) guidelines Local and federal regulations Prepare documentation for internal and external audits. 6. Patient Communication and Support Address patient inquiries regarding charges, statements, and payment plans. Coordinate with patient financial services to resolve billing concerns or complaints. 7. Technology and Reporting Oversee the use and maintenance of hospital billing systems (e.g., Epic, Cerner, Meditech). Generate reports on billing performance, claim rejections, and revenue metrics. Work with IT and compliance teams to upgrade billing software and implement automation. 8. Interdepartmental Coordination Liaise with clinical departments, admissions, and case management to ensure complete charge capture. Support the finance department in forecasting and budgeting related to billing. Critical Skills Required Deep knowledge of medical billing and coding standards (ICD-10, CPT, DRGs) Familiarity with hospital billing software (e.g., Epic, Cerner) Strong understanding of payer guidelines (Medicare/Medicaid/Private) Leadership, communication, and analytical skills Job Type: Full-time Pay: ₹15,000.00 - ₹20,000.00 per month Benefits: Provident Fund Schedule: Morning shift Night shift Rotational shift Supplemental Pay: Yearly bonus Ability to commute/relocate: Mangadu, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Experience: Billing: 1 year (Required) Language: English and Tamil (Required) Shift availability: Day Shift (Preferred) Night Shift (Preferred) Work Location: In person Application Deadline: 03/08/2025 Expected Start Date: 12/08/2025

Who We Are CitiusTech - Shaping Healthcare Possibilities. CitiusTech is a global IT services, consulting, and business solutions enterprise 100% focused on the healthcare and life sciences industry. We enable 140+ enterprises to build a human-first ecosystem that is efficient, effective, and equitable with deep domain expertise and next-gen technology. With over 8,500 healthcare technology professionals worldwide, CitiusTech powers healthcare digital innovation, business transformation, and industry-wide convergence through next-generation technologies, solutions, and products. Our Purpose We are shaping healthcare possibilities to make our clients’ businesses successful, which is not just a statement but our purpose, driving us to explore what’s next in healthcare. Our goal is clear: to make healthcare better for all – more efficient, effective, and equitable . We are investing in people, technology, innovation, and partnerships to create meaningful change. We see technology not just as a tool but as a catalyst that amplifies human ingenuity to solve complex healthcare challenges. 100% healthcare focus | Trusted by 140+ healthcare and life sciences enterprises | 40% of Fortune 500 healthcare enterprises are our clients | #1 Rated as a leader by top analyst firms Our vision To inspire new possibilities for the health ecosystem with technology and human ingenuity. What is in it for you? As a Senior Healthcare Business Analyst –RCM , you will be a part of an Agile team to design and build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - Help Clients innovate and grow with potential opportunity savings identified. Assess the impact of regulatory changes like pricing transparency on overall RCM processes. Identify opportunities for process optimization, areas of improvement and efficiency improvements within the systems Demonstrate problem solving abilities and strategic thinking to drive continuous improvement in client system and applications. Track latest developments in domain, competitors and healthcare technology developments. Prepare some competitor analysis as valid. Lead one or more accounts and consulting teams to ensure Customer Success, in a billable role, develop relationships with customer business sponsors, demonstrate CitiusTech consulting and domain leadership with transformative approach Experience: - 7 - 8 Years Location: - Mumbai Pune Chennai Educational Qualifications: - Engineering Degree – BE/ME/BTech/MTech/BSc/MSc. Technical certification in multiple technologies is desirable. Skills: - Mandatory Technical Skills: - Strong domain experience in all areas of RCM spanning across patient access, Clinical data, prior authorization, Medical coding, Benefit verification, payment reconciliations, appeals. Must have deep understanding of relevant processes such as data collection, validation, discrepancy management. Must have worked on at least one EHR product (Epic/ Cerner/Allscripts/e-clinical works/McKesson) and Electronic Data Interchange (EDI) data sets Able to derive high impact use cases with good understanding of digital technologies such as AI/ML/Analytics/ Gen AI/ Automation, and more along with industry trends Excellent communication and interpersonal skills for effective collaboration with clients Should have innovative skills to adapt and create solution as per customer requirement, and create service offerings/solutions in identified areas Good to Have Skills: - Knowledge of denials data, Edits and scrubbing Strong understanding of data collection methodologies and regulatory requirements (HFMA) Strong analytical skills for identifying the possible solution Proven experience as a Business Analyst in major areas within RCM Proactive, adaptable to change with the ability to envision the final work product Our commitment To combine the best of IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding. Together, we’re humanizing healthcare to make a positive impact on human lives. What Drives Us At CitiusTech, we believe in making a tangible difference in healthcare. We constantly explore new ways to transform the industry, from AI-driven solutions to advanced data analytics and cloud computing. Our collaborative culture, combined with a relentless drive for excellence, positions us as innovators reshaping the healthcare landscape, one solution at a time. Life@CitiusTech We focus on building highly motivated engineering teams and thought leaders with an entrepreneurial mindset centered on our core values of Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge . Our success lies in creating a fun, transparent, non-hierarchical, diverse work culture that focuses on continuous learning and work-life balance. Rated by our employees as the ‘ Great Place to Work for’ according to the Great Place to Work survey. We offer you comprehensive benefits to ensure you have a long and rewarding career with us. Our EVP Be You Be Awesome is our EVP. It reflects our continuing efforts to create CitiusTech as a great workplace where our employees can thrive, personally and professionally. It encompasses the unique benefits and opportunities we offer to support your growth, well-being, and success throughout your journey with us and beyond. Together with our clients, we are solving some of the greatest healthcare challenges and positively impacting human lives. Welcome to the world of Faster Growth, Higher Learning, and Stronger Impact. Here is an opportunity for you to make a difference and collaborate with global leaders to shape the future of healthcare and positively impact human lives. To learn more about CitiusTech, visit https://www.citiustech.com/careers and follow us on Happy applying!

🚀 We're Hiring: Data Operations Specialist 📍 Remote | 1 day/month in Noida 🕒 Experience: 2–4 Years Join our team to support and optimize healthcare data operations! ✅ What You'll Do: Troubleshoot using SQL , support incidents, and manage data workflows Work with Excel , Salesforce , and healthcare data formats (HL7, CCD, FHIR) Ensure compliance with HIPAA/PHI Collaborate across teams and drive automation 🔍 What We’re Looking For: 2+ yrs in SQL , Linux/SFTP , incident support Strong communication & problem-solving Experience in healthcare IT/EMR (Epic, Cerner, etc. a plus) Familiarity with healthcare data formats like HL7, CCD, CCDA, FHIR (a plus)

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place sto Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Position Title: Operation Delivery Leader (Coding Quality) Function: Coding Location: Hyderabad Shift Timings: 12:00 to 22:00 Hrs. (flexible) Reporting To: Director Responsibilities Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations. Lead closer calibrated quality outcomes for end customers. Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns. Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding. Actively collaborate new customer engagements for better quality outcomes including calibration, SOP inputs Drive the structure and governance for ongoing customer calibrations. Collaborate and drive coding compliance reviews, alignment, and actions. Lead quality representation in business reviews – weekly, monthly, and quarterly as well customer and internal stakeholders/leadership visits. Drive high level of visibility on business performance and measures to relevant internal stakeholders. Actively lead collaborative efforts and cohesive outcomes between US and Global QA teams Drive and guide analytics for comprehensive quality dashboards along with business insights and publish for internal stakeholders and leaders Drive quality transformation initiatives and continual process improvement. Create effective quality sampling process and governance. Drive QA effectiveness and alignment with customer perceived quality. Collaborate with product team to build and manage comprehensive QA workflow tool along with reporting and insights capabilities. Drive process improvement initiatives including process reengineering, lean and automation initiatives to drive efficiency. Drive value-based initiatives including upstream opportunities from AR to coding, coding denials to abstract coding as well coding optimization, benchmarking, and CDI/provider education initiatives as well technology initiatives such as autonomous coding, coding edits/scrubbers and auto fixes. Collaborate with training team to drive effective feedback loop to address quality gaps through onboarding training. Drive high performing quality operations with closer governance on KPIs such as productivity, absenteeism, shift adherence, utilization, productive time etc Drive high people engagement including framework for periodical connects including 1 to 1, skips, FGDs as well use the people survey tool to drive meaningful actions, EWS and employee retention and govern attrition. Manage all exceptions and escalations for quality team. Drive people development efforts and framework around IDP and R&R initiatives and be an inspiring people leader Closely work with operations to meet dynamic business needs on quality support. Review and govern external audits rebuttals and final outcomes. Govern transactional quality operations as well drive strategic initiatives and implement best QA practices. Identify process improvement/business excellence/process reengineering opportunities and drive further. Drive automation and transformation initiatives. Exposure to digital solutions, automation, AI and analytics and ability to implement digital solutions. Analytical and structured approach with extensive experience in implementing high impact projects and delivering transformation projects in scale. No of years of Experience: Minimum 18 Years of Experience in managing Multispecialty Coding in RCM/US healthcare is preferred along with understanding on Quality Concepts. Minimum Qualification: Graduation. Required Qualifications License/Certifications: Currently holds and maintains at least 1 role-related certification (CCS or CIC for inpatient roles, CPC, COC, CCS, CCS-P for outpatient roles, CPMA for auditing role). Additional certifications in specific specialties (CEMC, CASCC, CEDC, CGSC, CHONC, CIRCC, COBGC) are a plus. Experience in professional and facility coding. Strong knowledge of CMS guidelines, Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) edits, and Inpatient Prospective Payment System (IPPS). Desired Qualifications Experience in RCM/US Healthcare: Preference strong domain understanding of US healthcare (Payer/Provider); Provider experience preferred. To learn more, visit: www.r1rcm.co Excellent communication skills, presentation skills, and proficiency in MS Excel & PowerPoint. Education – Bachelor’s degree in a medical allied course is preferred. For other courses, a high level of knowledge and relevant work experience to illustrate capability. Proficiency in medical terminologies and disease processes. Strong attention to detail. Ability to work independently and as part of a team. At least 1 year of experience as a quality auditor is preferred. Experience working with coding software such as Epic, Cerner, Meditech, and 3M 360. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com Visit us on Facebook

Senior Manager EXL/SM/1433582 Payment ServicesChennai Posted On 26 Jul 2025 End Date 09 Sep 2025 Required Experience 12 - 18 Years Basic Section Number Of Positions 1 Band C2 Band Name Senior Manager Cost Code D005930 Campus/Non Campus NON CAMPUS Employment Type Permanent Requisition Type Backfill Max CTC 1100000.0000 - 2200000.0000 Complexity Level Not Applicable Work Type Hybrid – Working Partly From Home And Partly From Office Organisational Group Healthcare Sub Group Healthcare Organization Payment Services LOB Payment Services SBU Payment Integrity - Operations Country India City Chennai Center IN Chennai C51 Skills Skill MEDICAL CODING AUDIT SME ANALYSIS MANAGEMENT Minimum Qualification BACHELOR OF SCIENCE Certification No data available Job Description Job Description & Skills Requirements Job Name: Manager Position Title: Senior Manager Band: C2 Role: Managment Reporting to: AVP / Sr. AVP Location/Site: EXL India Overview: Senior Manager is responsible for leading strategic initiatives that ensure accurate and appropriate healthcare payments. This includes leveraging advanced medical coding analysis, enforcing policy adherence, and driving overpayment recovery programs. The role plays a critical part in identifying automation and digitalization opportunities to streamline coding processes and enhance operational efficiency. Qualifications: Bachelor’s Degree B.sc/M.Sc./Nursing/Pharmacy/Biotech Certifications: CPC/COC - Certified Professional / Outpatient coder CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience: Sr. Manager: 12 to 18 years’ experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 12 years of hands-on experience in multispecialty medical coding. Knowledge of automation tools is an added advantage. Payer experience is an added advantage. Expertise in Microsoft outlook/excel/word/Power BI. Analytical skills Team management Program management – TAT, escalations, Quality Strategic thinking / decision making Cost management – GM, GC, RPE Primary Roles and Responsibilities: Strategic leadership: Client Market share analysis & strategy to hold more shares by conducting opportunity analysis & planning. Prepare and present reports on new finding opportunities financial impacts and existing High and low finding opportunities to leadership. Digital: Design and lead initiatives to optimize claims processing and identify fraud, waste and abuse. To identify and implement automation and digital transformation to enhance organizational growth. Leverage advanced analytics to identify overpayments. Explore and implement AI/ML solutions for fraud detection and claim validation. Team management: Lead team of SMEs, AMs and Managers, providing mentorship, performance reviews and training. Cross-functional collaboration: collaboration with clinical operations, coding operations, quality, repricing, training, digital, IT and technology to align with organizational growth. Interface with onshore and clients to resolve disputes and explain audit findings. Data and Reporting: Analyze large data sets to detect aberrant payment patterns and coding patterns / trends. Prepare and maintain SOPs & Audit manuals wherever necessary. Additional Roles and Responsibilities: Handle Think team which has subject matter experts Oversee Think operations of payment integrity. Manage staffing, scheduling, and resource allocation Stay updated on changes in healthcare. Develop and implement quality improvement initiatives. Strategic planning process to align organizational goals. Engage in market analysis to understand the competitive landscape. Maintaining SOP and Audit manual. Track key performance indicators (KPIs). Workflow Workflow Type L&S-DA-Consulting

Join Our Leading Healthcare Revenue Cycle Management Team At Afiablee Healthcare and IT Solutions LLP , we are a premier provider of healthcare revenue cycle management (RCM) services, dedicated to delivering exceptional financial solutions to medical practices. Our goal is to streamline billing processes to ensure accuracy, compliance, and timely reimbursements. By joining our team, you will play a pivotal role in making a significant impact on the healthcare industry. Job Title: Accounts Receivable (AR) Executive Location: Satellite, Ahmedabad, Gujarat - 380015 Job Type: Full-Time Salary: Competitive, based on experience Job Summary: We are seeking a meticulous and proactive Accounts Receivable (AR) Executive and Billers to join our dynamic Medical Billing and Revenue Cycle Management (RCM) team. As an AR Executive, you will be responsible for managing claims, following up on outstanding payments, and ensuring efficient revenue collection while upholding healthcare regulatory compliance. Key Responsibilities: Claims Management: Review, submit, and follow up on medical claims to ensure timely and accurate reimbursements from insurance providers. Denial Resolution: Investigate and resolve claim denials, including appealing when necessary to maximize revenue recovery. Payment Posting: Accurately post payments, adjustments, and refunds to patient accounts. Payer Communication: Liaise with insurance companies, patients, and internal teams to resolve billing discrepancies. Aging Reports: Monitor and manage AR aging reports to reduce outstanding balances and enhance cash flow. Compliance: Ensure adherence to HIPAA, payer policies, and other healthcare regulations. Reporting: Generate and analyze AR reports to identify trends and opportunities for process optimization. Qualifications: Experience: Open to both freshers and experienced candidates. Education: High school diploma or equivalent; associate or bachelor’s degree preferred. Skills: In-depth knowledge of medical billing processes, including CPT/ICD-10 coding and payer policies. Proficiency in RCM software (e.g., Epic, Cerner, or similar) and MS Office (Excel, Word). Excellent analytical, problem-solving, and organizational skills. Strong communication and interpersonal abilities for effective interactions with payers and patients. Certifications: Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR) is a plus. Attributes: Detail-oriented, highly organized, and capable of working independently in a fast-paced environment. Why Join Us? At Afiablee Healthcare and IT Solutions LLP , we value our employees and believe in providing a supportive and rewarding environment where you can thrive. As part of our team, you'll receive: A competitive salary with performance-based incentives. Paid time off and holidays to ensure work-life balance. Professional development opportunities and certification support to advance your career. How to Apply: If you are passionate about healthcare finance and thrive in a dynamic environment, we would love to hear from you! Please submit your resume and a brief cover letter to shawn@afiableesolution.com with the subject line "AR Executive Application – (Your Name)" or apply through Indeed . Application Deadline: August 15, 2025 Equal Opportunity Employer: We are an equal opportunity employer committed to diversity in our workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or any other protected status. Job Types: Full-time, Permanent, Fresher Pay: From ₹15,000.00 per month Expected Start Date: 28/07/2025

We are seeking a Fractional AI Data Scientist with deep healthcare analytics experience to support the design of agentic AI workflows , build LLM-powered tools , and structure data pipelines from EHRs, payer systems, and clinical sources. Your work will power intelligent automations for Eligibility Verification , Pre-Authorization , Risk Stratification , and more. You’ll work closely with solution architects, automation engineers, and clinical SMEs to ensure healthcare data is structured, insightful, and responsibly applied in AI contexts. 📌 *Key Responsibilities* Build and fine-tune AI/ML/NLP models tailored to healthcare datasets (structured & unstructured). Design intelligent prompts and evaluation pipelines using LLMs (OpenAI, Azure OpenAI). Work with healthcare data from Epic, Cerner, Availity, and claims sources to build actionable insights. Partner with Azure engineers or Workato specialists to build data-driven agentic workflows. Cleanse and transform healthcare data (FHIR, HL7, CSV, SQL) for modeling and automation triggers. Ensure all solutions comply with HIPAA and ethical AI best practices. Visualize outcomes for business and clinical teams, and document models for reuse. 🧠 *Required Skills & Experience* 5+ years in data science with at least 2+ in healthcare-specific roles. Experience with clinical data (EHR, EMR, payer claims) and healthcare ontologies (ICD-10, CPT, FHIR). Hands-on with LLM tools (OpenAI, LangChain, RAG frameworks) for classification, summarization, or chatbot use cases. Strong proficiency in Python, SQL, Pandas, and ML/NLP frameworks. Familiarity with PHI/PII handling and compliance frameworks like HIPAA. ⭐ *Preferred Qualifications* Azure AI stack (OpenAI, Data Factory, Synapse) Experience in conversational AI, intake automation, or clinical note summarization Worked in or with a digital health, healthtech, or AI startup environment Understanding of automation platforms (Workato, Power Automate) 🛠️ *Tech Stack* Languages: Python, SQL, PySpark AI/ML: Scikit-learn, OpenAI, Hugging Face, LangChain, Transformers Data: Azure Data Factory, Snowflake, BigQuery, Postgres Integration: FHIR APIs, REST APIs, Postman Visualization: Power BI, Streamlit, Tableau Compliance: HIPAA, De-ID, RBAC

Job role Senior Business Analyst Description The Executive Office of Health and Human Services (EOHHS) is recruiting a seasoned Application Analyst to support its current Electronic Health Record system, Meditech, also known as MHIS. The Meditech solution is a legacy application that has been customized to support a variety of clinical and business needs. The ideal candidate has extensive experience with older versions of Meditech and possesses formal training in business analysis and project management. This is a contract position that reports to the Deputy ACIO of EHS IT. This role documents existing and new workflows to support the current integration of Meditech and the Department of Mental Health (DMH) Data Warehouse. This work supports the efforts to prepare DMH for the transition into a new electronic health record system. The Application Analyst plays a major role in researching and resolving data lineage issues as part of daily operational support. The application analyst will work with other MHIS application analysts as needed to support the overall design, implementation, training, documentation and operations of related applications, databases, interfaces, and reports. The incumbent must also be familiar with the server configuration, client installation, data transfer formats and application backup & recovery procedures for the MHIS applications. The Application Analyst maintains knowledge of relevant business functions, policies and procedures The candidate documents business processes, identifies existing data sources, and builds and maintains standard dictionaries. The incumbent assists in the implementation of new system enhancements by defining business rules and processes. The incumbent works with project management and end user supervisors to identify and document system access and security levels. The incumbent collaborates with a variety of teams to develop quality assurance processes. DETAILED LIST OF JOB DUTIES AND RESPONSIBILITIES: • Acts as a liaison for assigned departments within the health system to ensure that issues are uncovered and recognized before they become critical problems. • Is responsible for change control practices and documentation of existing and new workflows in the Meditech application. • As subject matter expert understands business processes, system processes which include interdependencies across the organization. • Research, resolve and implement effective solutions to business problems within the Meditech application. • Provides ongoing maintenance and advancement of assigned MHIS applications, databases, interfaces and reports through effective implementation of solutions, which support the user and application needs of the organization. • In this capacity, the Application Analyst is responsible for implementation, testing, training, documentation and ongoing operational efforts of the MHIS application software. • Works effectively as part of a team in resolving issues escalated through the Service Desk in a timely manner. Investigates, tests, solves problems with MHIS application software, databases, interfaces and reports. • Implements application updates on schedule while assisting other Analysts and the Team Lead with the promotion and acceptance of process workflow redesign. • Responsible for software evaluation, process change, dictionary build, application testing, integration testing, data conversion and production support. • The application analyst will also ensure the use of role-based menus and the creation of reports using Meditech's Non-procedural Representation Report Writer. • Assume responsibility for assigned projects by coordinating with other departments as necessary to ensure proper communication and execution. • Provides input to design and architecture definition as appropriate. Participates in project planning, change management coordination, vendor integration and coordination, user/department communication/notification, etc. • Actively participates in ensuring adequate security measures and procedures are followed to maintain the confidentiality of the gathered data. • Active participant of Information Service's PMO responsible for ensuring each project is managed following the standard IT methodologies. Education • Bachelor's degree, or equivalent technical training • At least 2-4 years' experience with appropriate clinical or financial Meditech application support is required. Experience & Skills Required • Experience with MEDITECH (Client Server) is required. • Experience with MEDITECH Customer Defined Screens required • Experience with Cerner/Oracle Health highly desired. • Expertise with healthcare business processes and associated Meditech application software necessary to support those processes within an integrated delivery system. • Expertise in Meditech application maintenance, support and implementation. • Proven ability to troubleshoot and resolve complex problems. • Expertise with a report writing tool such as NPR and Crystal Reports. • Knowledge in installation and maintenance of Meditech application software a plus. • Effective documentation skills are essential. Ability to: • Analyze and resolve MHIS application software, interface and report issues. • Interact professionally with client community and be committed, helpful, responsive and effective in supporting healthcare applications and activities. • Ensure the integrity of all hospital information and maintain confidentiality of all hospitals, employee, and patient information. • Provide administrative reports as required, both periodic updates on activities and project status, as well as special reports in response to user or management requests. • Ability to handle multiple tasks. Share me ur cv to kcharitha388@gmail.com

Job Description & Skills Requirements Job Name: Manager Position Title Senior Manager Band C2 Role: Managment Reporting To AVP / Sr. AVP Location/Site: EXL India Overview: Senior Manager is responsible for leading strategic initiatives that ensure accurate and appropriate healthcare payments. This includes leveraging advanced medical coding analysis, enforcing policy adherence, and driving overpayment recovery programs. The role plays a critical part in identifying automation and digitalization opportunities to streamline coding processes and enhance operational efficiency. Qualifications: Bachelor’s Degree B.sc/M.Sc./Nursing/Pharmacy/Biotech Certifications CPC/COC - Certified Professional / Outpatient coder CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Experience Sr. Manager: 12 to 18 years’ experience in medical coding, auditing and automation. Skills And Abilities Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 12 years of hands-on experience in multispecialty medical coding. Knowledge of automation tools is an added advantage. Payer experience is an added advantage. Expertise in Microsoft outlook/excel/word/Power BI. Analytical skills Team management Program management – TAT, escalations, Quality Strategic thinking / decision making Cost management – GM, GC, RPE Primary Roles and Responsibilities: Strategic leadership: Client Market share analysis & strategy to hold more shares by conducting opportunity analysis & planning. Prepare and present reports on new finding opportunities financial impacts and existing High and low finding opportunities to leadership. Digital: Design and lead initiatives to optimize claims processing and identify fraud, waste and abuse. To identify and implement automation and digital transformation to enhance organizational growth. Leverage advanced analytics to identify overpayments. Explore and implement AI/ML solutions for fraud detection and claim validation. Team management: Lead team of SMEs, AMs and Managers, providing mentorship, performance reviews and training. Cross-functional collaboration: collaboration with clinical operations, coding operations, quality, repricing, training, digital, IT and technology to align with organizational growth. Interface with onshore and clients to resolve disputes and explain audit findings. Data and Reporting: Analyze large data sets to detect aberrant payment patterns and coding patterns / trends. Prepare and maintain SOPs & Audit manuals wherever necessary. Additional Roles and Responsibilities: Handle Think team which has subject matter experts Oversee Think operations of payment integrity. Manage staffing, scheduling, and resource allocation Stay updated on changes in healthcare. Develop and implement quality improvement initiatives. Strategic planning process to align organizational goals. Engage in market analysis to understand the competitive landscape. Maintaining SOP and Audit manual. Track key performance indicators (KPIs).

About Akrostech Consulting Akrostech Consulting is a leading provider of outsourcing and recruitment solutions, connecting U.S.-based clients with top-tier Indian talent. We specialize in RPO, Virtual Assistance, Accounting, Legal, and Healthcare Services. As part of our expanding healthcare technology team, we are seeking a Healthcare Software Developer to help build and support innovative solutions that improve clinical workflows and patient outcomes. Position Summary As a Healthcare Software Developer at Akrostech Consulting, you will design, develop, and maintain healthcare applications that comply with industry standards and regulations. You’ll work with our global clients and internal teams to build secure, scalable solutions that address real-world healthcare challenges. Key Responsibilities Design and develop healthcare software and web applications tailored for clinical environments. Integrate with EMR/EHR systems using HL7, FHIR, and other interoperability standards. Ensure applications are compliant with HIPAA and other relevant healthcare regulations. Collaborate with client-side teams, business analysts, and QA for end-to-end development. Develop RESTful APIs and maintain data integrity and security across systems. Debug, test, and enhance existing codebases based on client feedback and project needs. Document technical processes and provide ongoing support for deployed solutions. Stay current on healthcare technology trends and evolving compliance standards. Required Qualifications Bachelor’s degree in Computer Science, Engineering, or a related field. Minimum 3 years of software development experience, with at least 1 year in healthcare. Strong coding skills in one or more languages: Python, Java, C#, or JavaScript. Knowledge of FHIR, HL7, DICOM, or other healthcare data exchange protocols. Experience with EMR/EHR platforms such as Epic, Cerner, or Athena health (preferred). Understanding of HIPAA, HITECH, and healthcare data privacy regulations. Proficient in database design and management (SQL/NoSQL). Strong problem-solving and debugging skills. Nice-to-Have Experience with Redox, Health Gorilla, or other interoperability middleware. Familiarity with medical imaging or IoT/wearable integrations. Background in DevOps, CI/CD, or cloud platforms like AWS, Azure, or GCP. Prior experience working in a BPO, RPO, or outsourced healthcare IT environment. Why Join Akrostech Consulting? Competitive compensation with global exposure Flexible remote opportunities Fast-growing company with a supportive leadership team Opportunity to work on impactful healthcare projects Access to professional growth and upskilling resources

Join Our Leading Healthcare Revenue Cycle Management Team At Afiablee Healthcare and IT Solutions LLP , we are a premier provider of healthcare revenue cycle management (RCM) services, dedicated to delivering exceptional financial solutions to medical practices. Our goal is to streamline billing processes to ensure accuracy, compliance, and timely reimbursements. By joining our team, you will play a pivotal role in making a significant impact on the healthcare industry. Job Title: Accounts Receivable (AR) Executive Location: Satellite, Ahmedabad, Gujarat - 380015 Job Type: Full-Time Salary: Competitive, based on experience Job Summary: We are seeking a meticulous and proactive Accounts Receivable (AR) Executive and Billers to join our dynamic Medical Billing and Revenue Cycle Management (RCM) team. As an AR Executive, you will be responsible for managing claims, following up on outstanding payments, and ensuring efficient revenue collection while upholding healthcare regulatory compliance. Key Responsibilities: Claims Management: Review, submit, and follow up on medical claims to ensure timely and accurate reimbursements from insurance providers. Denial Resolution: Investigate and resolve claim denials, including appealing when necessary to maximize revenue recovery. Payment Posting: Accurately post payments, adjustments, and refunds to patient accounts. Payer Communication: Liaise with insurance companies, patients, and internal teams to resolve billing discrepancies. Aging Reports: Monitor and manage AR aging reports to reduce outstanding balances and enhance cash flow. Compliance: Ensure adherence to HIPAA, payer policies, and other healthcare regulations. Reporting: Generate and analyze AR reports to identify trends and opportunities for process optimization. Qualifications: Experience: Open to both freshers and experienced candidates. Education: High school diploma or equivalent; associate or bachelor’s degree preferred. Skills: In-depth knowledge of medical billing processes, including CPT/ICD-10 coding and payer policies. Proficiency in RCM software (e.g., Epic, Cerner, or similar) and MS Office (Excel, Word). Excellent analytical, problem-solving, and organizational skills. Strong communication and interpersonal abilities for effective interactions with payers and patients. Certifications: Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR) is a plus. Attributes: Detail-oriented, highly organized, and capable of working independently in a fast-paced environment. Why Join Us? At Afiablee Healthcare and IT Solutions LLP , we value our employees and believe in providing a supportive and rewarding environment where you can thrive. As part of our team, you'll receive: A competitive salary with performance-based incentives. Paid time off and holidays to ensure work-life balance. Professional development opportunities and certification support to advance your career. How to Apply: If you are passionate about healthcare finance and thrive in a dynamic environment, we would love to hear from you! Please submit your resume and a brief cover letter to shawn@afiableesolution.com with the subject line "AR Executive Application – (Your Name)" or apply through Indeed . Application Deadline: August 15, 2025 Equal Opportunity Employer: We are an equal opportunity employer committed to diversity in our workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or any other protected status. Job Types: Full-time, Permanent, Fresher Pay: From ₹15,000.00 per month Expected Start Date: 28/07/2025

The Medical Receptionist is the first point of contact for patients in a healthcare setting. This role involves welcoming patients, scheduling appointments, managing patient records, handling phone calls, and performing various administrative tasks to ensure the smooth operation of the medical office or clinic. Key Responsibilities: Greet patients and visitors warmly in person or over the phone Schedule, reschedule, and cancel patient appointments using electronic medical records (EMR) systems Answer incoming calls, direct calls to the appropriate staff, and take accurate messages Verify patient information and insurance coverage prior to appointments Collect and process patient payments, co-pays, and billing information Maintain and update patient records with accuracy and confidentiality Prepare and manage paperwork, forms, and referrals for patient appointments Ensure the waiting area is clean, organized, and welcoming Communicate effectively with physicians, nurses, and other healthcare professionals Follow all HIPAA regulations and patient confidentiality protocols Assist with other administrative tasks as needed (e.g., faxing, filing, scanning) Qualifications: High school diploma or equivalent; post-secondary education or training in healthcare administration is a plus Previous experience as a receptionist or in a healthcare setting preferred Knowledge of medical terminology and HIPAA regulations Proficiency in Microsoft Office and medical office software/EMR systems (e.g., Epic, Cerner, eClinicalWorks) Excellent communication, interpersonal, and organizational skills Ability to multitask in a fast-paced environment with attention to detail Friendly, professional, and compassionate demeanor Working Conditions: Typically works in a medical office, clinic, or hospital setting May require long periods of sitting and using a computer May be required to work evenings or weekends depending on office hours Job Type: Full-time Pay: ₹10,000.00 - ₹13,000.00 per month Application Deadline: 31/07/2025

Who we are CitiusTech - Shaping Healthcare Possibilities. CitiusTech is a global IT services, consulting, and business solutions enterprise 100% focused on the healthcare and life sciences industry. We enable 140+ enterprises to build a human-first ecosystem that is efficient, effective, and equitable with deep domain expertise and next-gen technology. With over 8,500 healthcare technology professionals worldwide, CitiusTech powers healthcare digital innovation, business transformation, and industry-wide convergence through next-generation technologies, solutions, and products. Our Purpose We are shaping healthcare possibilities to make our clients’ businesses successful, which is not just a statement but our purpose, driving us to explore what’s next in healthcare. Our goal is clear: to make healthcare better for all – more efficient, effective, and equitable . We are investing in people, technology, innovation, and partnerships to create meaningful change. We see technology not just as a tool but as a catalyst that amplifies human ingenuity to solve complex healthcare challenges. 100% healthcare focus | Trusted by 140+ healthcare and life sciences enterprises | 40% of Fortune 500 healthcare enterprises are our clients | #1 Rated as a leader by top analyst firms Our vision To inspire new possibilities for the health ecosystem with technology and human ingenuity. What is in it for you? As a Senior Healthcare BA – FHIR , you will be a part of an Agile team to design and build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - Analyze healthcare data exchange requirements, and design HL7/FHIR-based integration solutions. Provide guidance on FHIR resource modeling, profiling, and implementation strategies. Collaborate with product, engineering, and clinical teams to ensure interoperability. Review and validate HL7 messages and FHIR APIs for conformance and performance. Lead the development of FHIR Implementation Guides (IGs) and terminology bindings. Monitor and interpret changes in HL7/FHIR standards and regulatory frameworks. Conduct training sessions and workshops on HL7/FHIR standards and best practices. Experience: - 7-8 Years Location: - Pune Chennai Educational Qualifications: - Engineering Degree – BE/ME/BTech/MTech/BSc/MSc. Skills: - Mandatory Technical Skills: - HL7 v2.x , FHIR standards, API, resources, profiles, extensions, and implementation guides Clinical data modeling and terminology (e.g.: SNOMED CT, LOINC, ICD-10) Healthcare integration engines (e.g.: Mirth Connect, Rhapsody, InterSystems Ensemble) FHIR or Firely Tools EHR/EMR systems (e.g.: Epic, Cerner, Allscripts) Good to Have Skills: - SMART on FHIR Cloud platform (AWS) Epic / Cerner / EHR Systems OAuth2 / OpenID Connect IHE profiles (e.g., XDS, PIX, PDQ) Our commitment To combine the best of IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding. Together, we’re humanizing healthcare to make a positive impact on human lives. What drives us At CitiusTech, we believe in making a tangible difference in healthcare. We constantly explore new ways to transform the industry, from AI-driven solutions to advanced data analytics and cloud computing. Our collaborative culture, combined with a relentless drive for excellence, positions us as innovators reshaping the healthcare landscape, one solution at a time. Life@CitiusTech We focus on building highly motivated engineering teams and thought leaders with an entrepreneurial mindset centered on our core values of Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge . Our success lies in creating a fun, transparent, non-hierarchical, diverse work culture that focuses on continuous learning and work-life balance. Rated by our employees as the ‘ Great Place to Work for’ according to the Great Place to Work survey. We offer you comprehensive benefits to ensure you have a long and rewarding career with us. Our EVP Be You Be Awesome is our EVP. It reflects our continuing efforts to create CitiusTech as a great workplace where our employees can thrive, personally and professionally. It encompasses the unique benefits and opportunities we offer to support your growth, well-being, and success throughout your journey with us and beyond. Together with our clients, we are solving some of the greatest healthcare challenges and positively impacting human lives. Welcome to the world of Faster Growth, Higher Learning, and Stronger Impact. Here is an opportunity for you to make a difference and collaborate with global leaders to shape the future of healthcare and positively impact human lives. ​To learn more about CitiusTech, visit https://www.citiustech.com/careers and follow us on Happy applying!

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Successful implementation and management of the training department Training fresher, existing and experienced colleagues for all scope of work in backend business of RCM Delivering training programs to employees using a variety of methods, including classroom instruction, e-learning and on-the-job training Review training needs and performance monthly basis and perform focus group, conduct feedback and monitor progress of the batches till they become productive as 100% Bottom quartile management Plan and implement an effective training curriculum, content and automation Collaborate with management to identify training needs (TNI/TNA) for all employees Regular connects with ops, quality and training to enhance the training and identify the area of improvement Maintaining up-to-date knowledge of best practices in training and development and making recommendations for changes to training programs as required Be able to raise/track new hire process credentials Be able to work on the accounts for the aligned process to have hands-on experience for better for experiential training Learn new / existing business as end to end and prepare / modifier the training curriculum Be able to align himself/herself with organization/ team / client culture and mission, vision and value Be well equipped in handling in-person and virtual training Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications 10+ years of experience in the US healthcare industry with acute and ambulatory billing 8+ years of experience in healthcare revenue cycle management services, with understanding on upstream and downstream Worked as AR representative and effectively implemented the experiential learning in the new hire batches Familiarity with insurance guidelines (Medicare, Medicaid, commercial payers) and their plans In-depth knowledge of denial management and appeal writing for both administrative and clinical denials Expertise in handling inpatient claims and understanding payment methodologies- DRG classifications, bundled payment models) Comprehensive knowledge of UB04 claim form component, including proper inpatient coding, revenue codes, procedure codes, and regulatory requirement In-depth knowledge of Acute and Ambulatory specialties with understanding of associated diagnosis, procedure and denials Proficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical record Demonstrated ability to analyze AR claim as end to end and identify the root cause and faster resolution Demonstrated ability to handle multiple geos- US/PR/PHL/IND Proven solid analytical and problem-solving skills Proven excellent communication and leadership abilities Preferred Qualification Any certification in the field of coding and AR Experiential knowledge of MS4/Cerner/Invision/EPIC/eFR will be added advantage At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Location: Bangalore, India Job Type: Full-Time Role Overview RhythmX AI is revolutionizing primary care through AI-powered precision medicine, helping physicians deliver personalized care for chronic conditions like diabetes, hypertension, and CKD. As our Technical Program Manager, you'll drive critical programs that directly impact patient outcomes and clinician efficiency across our growing network of healthcare providers. The Impact You'll Drive Lead programs serving 500K+ patients through our AI clinical assistant Coordinate complex EHR integrations processing millions of FHIR transactions daily Deliver AI model deployments that improve clinical decision-making for primary care physicians What You’ll Own Program Leadership Lead high-impact cross-functional programs from planning through execution and launch across PM, AI, data eng, cloud infra and clinical teams. Drive complex integration with Epic, Cerner and other major healthcare systems Coordinate AI model deployment from development through clinical validation and release Manage scope, technical dependencies, risk, and timelines across multiple initiatives Serve as a thought partner to engineering and product management teams to break down complex goals into actionable plans Agile & Execution Leadership Run scrum of scrums across 4-6 engineering pods Drive delivery velocity while maintaining clinical safety and regulatory compliance Run agile ceremonies across sprint teams Track program KPIs, timelines, velocity, tech debt and clinical impact metrics Facilitate cross-team alignment between AI/ML, data eng, clinical and product teams Risk & Change Management Own program-level risk tracking, mitigation plans, and change control Proactively escalate to leadership with clear context and resolution paths Ensure decisions are data-driven and aligned with clinical and business priorities Executive Communication and Stakeholder management Deliver structured updates to senior executives on program health, timelines, outcomes and clinical impact Align cross-functional stakeholders from product, engineering, data science, clinical, customer success Document and communicate scope trade-offs and execution plans clearly Core Experience (8-12 Years) 8-12 years in technical program management with experience in healthcare technology Proven track record leading complex programs in regulated industries (healthcare, fintech, or similar) Strong agile leadership experience managing 25+ person engineering teams Hands-on expertise with Jira, Confluence, and project tracking tools PMP, CSM, or equivalent certifications are a plus Healthcare & technology Familiarity with healthcare data systems (EMRs, HL7/FHIR, clinical coding) Comfort navigating architecture discussions, model deployment workflows, and data privacy/security requirements Why RhythmX AI? Direct Clinical Impact: Your work immediately improves patient care for chronic disease management Cutting-Edge AI: Lead programs deploying the latest in clinical AI, LLMs, and precision medicine Growth Stage: Join a fast-scaling company transforming a $4T healthcare industry Strong Technical Culture: Work with world-class engineering and clinical teams Meaningful Mission: Help address physician burnout while improving patient outcomes 30/60 Day Success Plan First 30 Days Ramp up on current programs, stakeholders, and product roadmap Audit agile practices and identify gaps across delivery teams Start running Scrum of Scrums and aligning cross-pod dependencies Learn EHR/EMR workflows, RhythmX AI assistant capabilities, and data architecture Review and refine milestone plans and risk tracking for existing initiatives Next 30 Days (30–60) Start owning high-impact programs working alongside with PMs; drive timelines, risk plans, and milestone reviews Streamline reporting and escalation paths for leadership Surface technical and product gaps that affect delivery and recommend changes Partner with engineering leads to define repeatable release workflows

AI-First. Future-Driven. Human-Centered. At OpenText, AI is at the heart of everything we do—powering innovation, transforming work, and empowering digital knowledge workers. We're hiring talent that AI can't replace to help us shape the future of information management. Join us. YOUR IMPACT: The OpenText Vertica provides a state-of-the-art Big Data Analytics platform that handles petabytes of data. It is a commercially successful, high performance, distributed database. Every industry is finding ways to benefit from data analytics. We continue to engineer our product to be flexible so that it supports all of them. Vertica is a recognized leader in analytics powering some of the world’s most data driven organizations like Uber, Wayfair, Intuit, Cerner, and more. Our columnar, MPP, distributed database delivers unprecedented speed, petabyte scale, with analytics and machine learning functions built into the core WHAT THE ROLE OFFERS: Produce high quality code according to design specifications. Detailed technical design of highly complex software components. Analyse, troubleshoot, and fix highly complex code defects. Propose creative solutions or alternatives balancing risk, complexity, and effort to meet requirements. Lead software design/code reviews to ensure quality and adherence to company standards. Mentor other team members. Work across teams and functional roles to ensure interoperability among other products, including training and consultation. Participate in the software development process from design to release in an Agile Development Framework. What you will need to succeed Bachelor’s degree in computer science or related field 5+ years of product development experience Strong proficiency in C++ Good knowledge of working with any database and SQL. Thorough knowledge of the standard library, STL containers, and algorithms. Good understanding of memory management. Good understanding of Linux based OS and application development for the same. Hands on experience on multithreading. Strong knowledge on building distributed applications. AWS and Kubernetes knowledge will be an advantage. OpenText's efforts to build an inclusive work environment go beyond simply complying with applicable laws. Our Employment Equity and Diversity Policy provides direction on maintaining a working environment that is inclusive of everyone, regardless of culture, national origin, race, color, gender, gender identification, sexual orientation, family status, age, veteran status, disability, religion, or other basis protected by applicable laws. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please submit a ticket atAsk HR. Our proactive approach fosters collaboration, innovation, and personal growth, enriching OpenText's vibrant workplace.

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties and Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place calls to various health plans to obtain appropriate precertification prior to the patient's appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host system to scan and input data as per established procedures Verify medical insurance information and documents in scheduling/registration modules Review claim denials and rejections Accurately enter and update patient data, and other general data, into the computer system Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports Demonstrate knowledge of varied managed care insurance and regulatory guidelines Meet and maintain daily productivity/quality standards established in departmental policies Use the MPower workflow system, client host system and other tools available to collect payments and resolve accounts Adhere to the policies and procedures established for the client/team Communicate effectively with physician offices and patients Place outbound call to patients with precertification notification Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High school diploma or equivalent required Medical terminology knowledge required Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations Proficiency with MS Office. Must have basic Excel skillset Experience with GE Centricity, EPIC PB, Allscripts, Cerner, preferred Extensive knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes Ability to work well individually and in a team environment Strong organizational and task prioritization skills Strong communication skills/oral and written Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Position : Engineering Manager Integrations. Opportunity Chart Request is looking to expand its organization by hiring a qualified, self-driven professional to focus on U. healthcare integrations. If you are eager for a role with realistic, attainable goals, creative freedoms, and growth opportunities, this may be the right fit for you. As the Engineering Manager Integrations, you will be responsible for driving the successful integration of healthcare systems through API, FHIR, and MIRTH, focusing on interoperability with EMRs. You will lead a team that ensures our products integrate seamlessly with U. healthcare systems, supporting interoperability and secure data exchange. In this role, you will collaborate cross-functionally to ensure all integration initiatives align with the company's broader goals. This position reports directly to the VP of Engineering. Primary Responsibilities Lead, manage, and support the Development, DevOps, and QA teams in healthcare integrations alongside the Executive Leadership Team (ELT), focusing on : Application Development Integration Architecture Interoperability Solutions, including FHIR, API, and MIRTH Application Performance Collaborate cross-functionally with Sales, Marketing, IT Operations, and Finance to drive product-led growth initiatives. Manage the integration of EMRs and other healthcare systems, ensuring compliance with U. healthcare standards and regulations. Create and maintain integration roadmaps, scorecards, and system dashboards to monitor progress, identify areas for improvement, and ensure development KPIs are met. Support data-driven decision-making for integration and product-led growth. Drive effective communication across the company to ensure that all stakeholders are aware of product release timelines and new integration features. Lead weekly LVL10 departmental meetings to set integration goals and ensure cross-team alignment. Demonstrate commitment to the ChartRequest PATH by being a polite and respectful problem solver, accountable for your actions, and a helpful team player across departments. Required Qualifications & Experience 5+ years of SaaS/B2B Engineering Management experience, preferably in healthcare or healthtech environments. 10+ years of development experience, with deep knowledge of FHIR, MIRTH, APIs, and U.healthcare integrations, specifically with EMRs such as Epic, Cerner, or Allscripts. Solid understanding of AWS, Node, ReactJS, Postgresql, and other relevant technologies. Experience mentoring engineers and managing sprint cycles, with a focus on improving velocity and integration practices. Exceptional communication skills, with the ability to convey complex ideas to diverse stakeholders. Strong organizational skills, with a logical approach to problem-solving and prioritization. Compensation This role is a management role with quarterly incentive compensation plan performance bonuses. Prior Ruby on Rail, React, and Engineering management experience is a requirement for this role. You will be responsible for application code quality and performance. ChartRequest is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Team Engagement And Information Security At MyHealth, LLC, DBA ChartRequest, we utilize Shoot Insights by Shoot Software Corporation (www.trustshoot.com), an innovative enterprise software solution designed to enhance team engagement and ensure corporate information security. Shoot Insights blends seamless remote and in-office experiences while focusing on secure handling of sensitive data, including Personal Health Information (PHI) and Personally Identifiable Information (PII). Participation in Shoot Insights is essential to our commitment to maintaining a productive and secure workplace. Employees are expected to adhere to data security protocols, safeguard access to company systems, and ensure home office environments comply with company security standards. We are Shoot Secure. Job Type : Full-time. Benefits Paid time off Work from home Location Type : Remote Schedule Evening shift Monday to Friday Weekend availability Experience Managing Engineering team: 5 years (Preferred) Work Location : Remote (ref:hirist.tech)

Helpdesk Analyst 2nd Shift, RTP, , US Helpdesk Analyst 2nd Shift The EHR Helpdesk Analyst provides advanced technical support for the Epic electronic health record (EHR) system and related clinical applications across 13 state-operated behavioral healthcare facilities. This role provides technical support to clinical and administrative staff, ensuring timely and accurate resolution of IT issues while promoting system reliability and end-user satisfaction. Working as part of the centralized IT Helpdesk, the Analyst ensures prompt and effective resolution of Epic and non-Epic related issues and contributes to the stability and usability of the system in support of high-quality patient care Key Responsibilities Provide support for Epic applications, workflows, access, printing, and integration issues. Serve as the initial point of contact for IT support issues related to Epic EHR and other healthcare IT systems. Troubleshoot complex application, account, and workflow issues related to Epic and other clinical systems. Provide basic remote desktop support for computers, printers, mobile devices, and peripherals across all facilities. Assist users with account provisioning, password resets, Epic access requests, and basic application troubleshooting. Monitor ServiceNow queues and manage incident resolution in accordance with service level agreements (SLAs). Assist with Epic user account provisioning, role changes, template assignments, and security access requests. Participate in go-live support and system upgrade events, including Technical Dress Rehearsals (TDRs). Collaborate with clinical informatics, application analysts, and technical teams to ensure coordinated support. Maintain documentation, knowledge base articles, and standard operating procedures. Deliver informal user training and guidance on proper Epic use and common troubleshooting techniques. Support change management and scheduled downtime communications as needed. Ensure adherence to HIPAA, security, and IT governance policies in all technical activities. Escalate critical issues and downtime events according to established protocols. Skill Matrix Minimum of 2 years providing Epic technical support in a healthcare or clinical environment. Required 2 Years Proficient with ServiceNow or other enterprise ticketing systems. Required 2 Years In-depth understanding of EHR platforms (e.g., Epic, Cerner, Allscripts). Required 2 Years Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Highly desired Experience supporting Epic applications (e.g., Ambulatory, Inpatient, ASAP, or HIM). Highly desired

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties And Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place calls to various health plans to obtain appropriate precertification prior to the patient`s appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host system to scan and input data as per established procedures Verify medical insurance information and documents in scheduling/registration modules Review claim denials and rejections Accurately enter and update patient data, and other general data, into the computer system Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports Demonstrate knowledge of varied managed care insurance and regulatory guidelines Meet and maintain daily productivity/quality standards established in departmental policies Use the MPower workflow system, client host system and other tools available to collect payments and resolve accounts Adhere to the policies and procedures established for the client/team Communicate effectively with physician offices and patients Place outbound call to patients with precertification notification Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High school diploma or equivalent required Medical terminology knowledge required Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations Proficiency with MS Office. Must have basic Excel skillset Experience with GE Centricity, EPIC PB, Allscripts, Cerner, preferred Extensive knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes Ability to work well individually and in a team environment Strong organizational and task prioritization skills Strong communication skills/oral and written Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

EHR Helpdesk Analyst, RTP, , US EHR Helpdesk Analyst The EHR Helpdesk Analyst provides advanced technical support for the Epic electronic health record (EHR) system and related clinical applications across 13 state-operated behavioral healthcare facilities. This role provides technical support to clinical and administrative staff, ensuring timely and accurate resolution of IT issues while promoting system reliability and end-user satisfaction. Working as part of the centralized IT Helpdesk, the Analyst ensures prompt and effective resolution of Epic and non-Epic related issues and contributes to the stability and usability of the system in support of high-quality patient care Key Responsibilities Provide support for Epic applications, workflows, access, printing, and integration issues. Serve as the initial point of contact for IT support issues related to Epic EHR and other healthcare IT systems. Troubleshoot complex application, account, and workflow issues related to Epic and other clinical systems. Provide basic remote desktop support for computers, printers, mobile devices, and peripherals across all facilities. Assist users with account provisioning, password resets, Epic access requests, and basic application troubleshooting. Monitor ServiceNow queues and manage incident resolution in accordance with service level agreements (SLAs). Assist with Epic user account provisioning, role changes, template assignments, and security access requests. Participate in go-live support and system upgrade events, including Technical Dress Rehearsals (TDRs). Collaborate with clinical informatics, application analysts, and technical teams to ensure coordinated support. Maintain documentation, knowledge base articles, and standard operating procedures. Deliver informal user training and guidance on proper Epic use and common troubleshooting techniques. Support change management and scheduled downtime communications as needed. Ensure adherence to HIPAA, security, and IT governance policies in all technical activities. Escalate critical issues and downtime events according to established protocols. Skill Matrix Minimum of 2 years providing Epic technical support in a healthcare or clinical environment. Required 2 Years Proficient with ServiceNow or other enterprise ticketing systems. Required 2 Years In-depth understanding of EHR platforms (e.g., Epic, Cerner, Allscripts). Required 2 Years Epic certification in one or more modules (e.g., EpicCare, Ambulatory, Security, or Service Desk). Highly desired Experience supporting Epic applications (e.g., Ambulatory, Inpatient, ASAP, or HIM). Highly desired

Job Description As a System Engineer II (IC2), you will work directly with Oracle Cerner customers, supporting a range of Mainframe Sysplex and LPARs that host hospital environments and regions. Your responsibilities will include managing Batch, Console, and Subsystem activities, monitoring systems, and executing critical tasks such as IPLs, clock changes, disaster recovery (DR) exercises, maintenance events. You will also respond to real-time system alerts (WTORs).This role demands strong troubleshooting skills, effective collaboration with cross-functional teams such as Systems Programmers and Application teams, and timely escalation of issues to meet customer SLAs. Additionally, you will handle ad-hoc production requests and help drive continuous process improvements and automation initiatives. Responsibilities As a System Engineer II(IC2), you will be responsible for: Day-to-day maintenance of Mainframe systems for Oracle Cerner Customers, supporting various LPARS/hospitals along with Working on job scheduling tools. Performing IPL, Console Monitoring, Clock Change, DR and fixing Batch Job abends, as per SLA. Timely response to WTOR’s/outstanding response and periodic system checks are critical, to ensure the availability of the system for our Customers. You will also support ad-hoc requests like Running, Canceling & Holding Production/Test jobs and bringing CICS/DB2 subsystems up/down based on requirements by closely working with Systems Programmer’s and/or Application Teams. Responsibility also includes timely engagement of On-calls for issue mitigation based on SLA’s set. This position also requires employees to be working in rotational shifts. Skills and Experience: Bachelor's degree in computer science or other relevant fields. 3-5 Years of Experience with Trouble shooting Skills. (JCL’s, Spool, CICS/DB2, Tape Issues, Console Message etc.). Mainframe batch and console operations along with Job scheduling tools such as CA7/Control-M/Zeke/OPC/ESP. Monitor Operating System thresholds (memory utilization, CPU utilization, Spool utilization). Problem Solving/troubleshooting with JCL abend(s) and related. Skills in identifying and implementing automation/process improvement opportunities. Document, brief, and escalate risks and issues; plan and execute mitigation strategies for risks and issues. Excellent Customer-facing, written and verbal communication skills. Solid organizational skills including attention to detail and multitasking skills. Qualifications Career Level - IC2 About Us As a world leader in cloud solutions, Oracle uses tomorrow’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling +1 888 404 2494 in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.