595 Claims Adjudication Jobs - Page 8

Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skillsWritten and verbal communicationCollaboration and interpersonal skillsAbility to meet deadlinesProcess-orientation Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Claim processing team collects end-end data dataDevelop and deliver business solutions that support the claims process across its lifecycle, including first notice of loss, claims investigation, payment administration or adjudication, provider reimbursement (health care), subrogation and recovery. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure- Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Operations role Pune/Hybrid Permanent Job Description. The Role Must have experience in the insurance domain, specifically in Property & Casualty, claims processing, and operations. Create, update, and maintain operational and SOP documents; manage system access for the Claims leadership team and provide accurate data. Able to work effectively at all levels from managing frontline employees to engaging with executives. Demonstrated ability to identify and implement process improvements within an operations environment. Skilled in managing operational inventory to meet defined Service Level Agreements (SLAs). Ensure all activities are accurately documented in the appropriate client systems. Communicate with Global Claims Relationship Managers to support the execution of global claims strategies and ensure ongoing engagement with assigned carriers. Handle and process claims related to Auto Liability, property damage, personal injury, and liability. Investigate claims, verify coverage, and claim details, and ensure accurate and fair claim submission. Collaborate with adjusters, legal teams, and clients to resolve claims efficiently. Review policy details with clients to ensure clarity and compliance. Maintain detailed and accurate records of policies, claims, communications, and related documentation. Requirements Strong verbal and written communication skills. Familiar with claims processing tools, such as FileHandler. Able to communicate effectively with onsite teams and stakeholders. Capable of operating at all organizational levels from managing frontline staff to interacting with executives. Proven ability to identify and implement process improvements in an operations environment. Skilled in managing operational inventory to meet established Service Level Agreements (SLAs). Ensure all activities are accurately documented in the appropriate client systems. Collaborate with Global Claims Relationship Managers to support the execution of global claims strategies and maintain carrier engagement.

Process health insurance claims. Should have knowledge of cashless and reimbursement. Location - Chembur. Should have knowledge of excel. Graduation mandatory. Call or send your resumes on 8097516521. TPA experience Mandatory

Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

Responsibilities: * Manage patient care in emergencies * Conduct claim investigations * Process health claims * Adjudicate claims fairly * Collaborate with TPAs on case resolution

Verify documents received from internal teams and Ensure timely updation of account details Share account details with insurance companies as per the agreed TAT Proactively address issues arising from account detail errors Coordinate with Medi Assist branches to get necessary documents required for account updation Follow up with internal teams to ensure data collection and issue resolution. Manage grievances and follow-up with internal stakeholders. Report daily on updated and pending account details updation Identify and implement process improvements for efficient account detail updation. Knowledge and Skill Requirement: Knowledge of Excel formulas Soft-spoken yet firm in interactions Keen eye for detecting errors and inconsistencies in data Meticulous in verifying and validating documents and information Strong follow-up skills to ensure timely completion of tasks and collection of data.

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

As a Process Analyst – Insurance (Claims), you will be involved in the Processing of Life and Annuity Insurance, Claims processing. You should be flexible to work in shifts. Your primary responsibilities include: Handling claims investigation, processing, and payments Claims document validation, calculating benefit amount, and releasing same to the beneficiary Meet productivity and quality targets on a daily, weekly, and monthly basis Required education Bachelor's Degree Preferred education Master's Degree Required technical and professional expertise Graduate (except B.Tech/Technical Graduation/Law) with a minimum of 1.5 years of experience in Life/Annuities products in Claims Good Communication skills – English (both written & verbal) Proactive and high analytical skills; should foresee issues and suggest solutions, with impactful data Basic Computer knowledge along with typing speed of 35 words/minute Preferred technical and professional experience Proficient in MS Office applications Self-directed and ambitious achiever Meeting targets effectively Demonstrated ability to analyze complex data, complemented by strong interpersonal and organizational skills

Scrutinizing dental claim documents & settlements Process claims as per the set healthcare guidelines Follow HIPAA guidelines Accurate processing of Dental claims and meeting productivity targets Good understanding of Claims adjudication fundamentals Good understanding of ICT & CPT Codes Knowledge of policy concepts like Deductible, coinsurance, copay, out of pocket Able to learn, adapt, implement process guideline into practice, work as a natural team-player in the process Handle escalations Need to ensure quality and productivity targets are met Ensure compliance with internal policies and procedures, external regulations and information security standards

Job Summary Join our team as a Subject Matter Expert in Claims HC where you will leverage your expertise in Facets Claims and Claims Adjudication to optimize our claims processing systems. With a focus on Dental and Commercial Claims you will play a pivotal role in enhancing operational efficiency and ensuring compliance with industry standards. This office-based role offers the opportunity to work in a dynamic environment contributing to impactful projects that benefit both the company and society. Responsibilities Lead the analysis and optimization of claims processing workflows to enhance efficiency and accuracy. Oversee the implementation of Facets Claims and Claims Adjudication systems to ensure seamless integration and functionality. Provide expert guidance on Dental and Commercial Claims processes to ensure compliance with industry standards. Collaborate with cross-functional teams to identify and resolve system issues improving overall operational performance. Develop and maintain documentation for claims processing procedures to support training and knowledge sharing. Monitor and evaluate system performance recommending improvements to enhance service delivery. Conduct regular audits of claims processes to ensure adherence to regulatory requirements and company policies. Facilitate training sessions for team members to enhance their understanding of claims systems and processes. Analyze data trends to identify opportunities for process improvements and cost savings. Support the development of new claims processing initiatives to drive innovation and efficiency. Communicate effectively with stakeholders to provide updates on project progress and system enhancements. Ensure that all claims processing activities align with the companys strategic goals and objectives. Contribute to the development of best practices for claims management to support continuous improvement. Qualifications Demonstrate proficiency in Facets Claims and Claims Adjudication with a strong understanding of system functionalities. Possess in-depth knowledge of Dental and Commercial Claims processes and industry standards. Exhibit excellent analytical skills to identify and resolve complex system issues. Show strong communication skills in English both written and verbal to effectively collaborate with team members. Display a proactive approach to problem-solving and process improvement. Have a minimum of 5 years of experience in claims processing with a focus on Dental and Commercial Claims. Be able to work independently and manage multiple tasks in a fast-paced environment. Certifications Required Certified Professional Coder (CPC) or equivalent certification in claims processing.

Job description Trainer - Claims Adjudication Location : Chennai - Navalur Roles & Responsibilities: In-depth Knowledge and experience in the US Healthcare. 4-9 years of experience in Claims Adjudication/Payment Integrity/Adjustments/Prepay, Post Pay audit . With over 1 year of experience as a Trainer. Conducting multiple trainings for new hires and managed nesting along with certification process Maintain the training effectiveness above the required threshold by holding strong governance process in training Ability to read through various standard operating procedures and communicate the extracts to the trainees clearly Identify gaps between internal process and customers expectations to help business produce the desired outcome Create content / training material for effective training Revamp the training materials to suit the need of current business and easy understanding / knowledge transfer to trainees Liaison with QA to calibrate process knowledge Conduct workshops for project team members on recent update and US healthcare industry trends Perform user acceptance testing for any new process rollouts / automation in the program Provides refresher training for bottom quartile Support the team by performing floor trouble shooting to ensure all relevant queries are tracked and answered appropriately Periodic knowledge calibration with client. Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071 Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or deepalakshmi@firstsource.com email addresses.

Gainwell Technologies LLC Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services. We generate over $2 billion in annual revenue, and we’ve been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries nationwide and manage 1 billion encounters annually. Additionally, about 1.5 billion immunization records are maintained, and we serve more than 3 million providers annually. We do this while saving our state and commercial clients ~5.5 billion dollars annually in cost avoidance. Our commitment to clients drives continuous improvement in the quality of healthcare for beneficiaries nationwide through vital healthcare technology. In summary, there’s no company better positioned in the Medicaid and HHS (Health and Human Services) market than Gainwell. For more information on Gainwell, visit www.gainwelltechnologies.com Summary Essential Job Functions Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates. Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Executes systems tests from existing test plans. Assists in analyzing test results in various phases. Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project. What we're looking for Business Analyst Summary Assists in the research and assessment of business goals, objectives and needs to align information technology solutions with business initiatives for multiple, less complex accounts. Serves as the liaison between technical personnel and business area for multiple accounts. Basic Qualifications 3+ years of experience in Business Analyst, Claims adjudication, Medicaid or Medicare, SQL. 3+ years of business functional experience in one or more areas such as Eligibility, Claims. Strong SQL knowledge. Ability to write complex queries. Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements. Experience using Microsoft Office Tools, specifically Excel. Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives. Being able to research, analyze, validate and document business requirements. What you should expect in this role Fast-paced,challenging and rewarding work environment. Work life balance. Hybrid Office environment. Will require late evening work to overlap US work hours. Req-30055 Business Analyst (Medicaid) - Claims

About Us Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only Address: 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their CV to dona.antony@mediassist.in or WhatsApp to 9632777628

Role & responsibilities Process cashless and reimbursment claims (Should have knowledge of processing retail policies of National/United/New India/Oriental insurance companies. Preferred candidate profile BAMS/BUMS/BHMS Fresher or max 2 years experience in the similar field. Ready to work in shifts

HIRING US Healthcare Medical Records Openings for experienced in any US Healthcare Process at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in any US Healthcare Voice process. Salary upto 50k Per Month based on experience. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Job Description Assigned Facilities : The Medical Records Specialist has a set of facilities to manage. Bi-Weekly Work Schedule : The Medical Records Specialist needs to work on these facilities every two weeks. Facility Touchpoints : Each facility needs to be visited or worked on every 10 days to ensure the necessary documents (therapy evaluations and re-certifications) are signed by the physician. Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) WALK -IN with your resume from 6pm to 10pm on any day from Monday to Friday. Interviews would be completed on same day. Ph: 9100337774, 7382307530, 8247410763, 9059683624 Address for WALK-IN: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/17%C2%B026'50.0%22N+78%C2%B022'30.9%22E/@17.44721,78.3726691,636m/data=!3m2!1e3!4b1!4m4!3m3!8m2!3d17.44721!4d78.375244?entry=ttu&g_ep=EgoyMDI1MDEwOC4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS- 7631162388 Whatsapp CV mail id -varsha.kumari@mediassist.in

Job Description: Processing of Claims Health files. Claim Registration and Claim Adjudication. Identifying the Fraud. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, provider, sales and grievance teams. Eligibility Criteria: Pharm-D, BSc Nursing, B .Pharmacy freshers only(Qualified Graduates with all certificates in hand). Any Graduate with minimum 2+ years of Claims Health processing experience. Salary Budget - up to 4 lakhs. Job location Ameerpet, Hyderabad. Evaluation would be based on competency, age, experience, stability

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * Check the medical admissibility of claim by confirming diagnosis and treatment details * Verify the required documents for processing claims and raise an information request in case of an insufficiency * Approve or deny claims as per T&C within TAT Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Manager Membership --> --> Location, Designation --> LocationNoida DesignationMembership Manager Experience6- 12 Years Job Details/ Criteria Basic Functions/ Job Responsibility: Will be responsible for a portfolio of key members, building strong relationships and acting as a single point of contact for their requirements. Proactively manage and nurture member relationships, understanding their specific requirements and challenges to deliver exceptional service and engagement. Develop trusted relationship with senior leaders and CXOs of the organizations. Develop and implement strategies to drive member engagement with nasscom initiatives, events, and programs. And execute planned initiatives. Track and analyse key member engagement metrics, generating reports and insights to inform strategic decision-making. Help new companies to set up work in India by providing them details about the industry, talent, landscape etc. and connect them to relevant key stakeholders. Actively participate in and support various initiatives, ensuring seamless execution and member satisfaction. Work on acquiring new members in the region, who align with nasscom and members ecosystem. Continuously learn to build an understanding of the technology and services industry, digital transformation, emerging technologies and growth path going ahead. Knowledge, Skills, Qualifications, Experience: Minimum 7 years of experience in sales or consulting or technology. Good understanding of account management and relationship management. Excellent communication, interpersonal, and presentation skills. Ability to research, identify new prospects, market intelligence capabilities. Preferably an MBA/Masters degree in technology and/or business management. Good understanding of Tech Ecosystem preferred. Ability to work independently and as part of a team. Feel Free To Contact Us...!!! Submit

Dear Aspirants, Greeting from Sagility!! Immediate hiring for AM-Process Training in Bangalore-Work from office Job description: Role and Responsibilities The resource would be part of a dynamic team. Would be working with the other members of the training, operations and the quality teams to manage conduct of new hire training, while also being responsible for the quality performance of the newly trained resources by planning and executing various interventions during the on the job training phase. An approximate list of responsibilities is appended below (but not limited to): Should have experience working in Claims, PB, PDM & Credentialing Managing attrition and ensuring the batch throughput is as per the business targets and maintain healthy first pass yield (as per defined targets) Managing batch productivity & batch quality till the 90 days post classroom training Establishing and leading a review cadence, create performance benchmarks to measure and report to management Managing & working with clients, internal teams to drive content updation, effectiveness and availability Identifying and managing stakeholders by establishing requirements, performance reviews, collating feedback and drafting improvement plans where necessary Investing a substantial amount of time into self & team/ people development, by way of upskilling, cross skilling and formalized individual development plans Initiating or being a part of major improvement initiatives towards betterment of training practices, measurement and overall process improvement Leading a team of trainers & master trainers towards achieving laid down team goals & objectives Responsible for driving constant content review, analysis and improvements where necessary Implementing cost control through optimization of resources such as trainer availability, batch handover timelines, return on investment etc. Qualifications and Education Requirements Any graduate can apply for this position, however, should have a minimum of 5 years of U.S. Healthcare experience either in the Payor or Provider line of business, in a similar position (with people management being a key KRA). Two Way Cab will be provided. Interested candidates can share their profile to below mentioned mail ID. anitha.c@sagilityhealth.com Thanks & Regards, TA Team Sagility

We are looking for a skilled professional with 8 to 14 years of experience to join our team as an Assistant Manager - Delivery in Chennai. Roles and Responsibility Manage and oversee the delivery of healthcare services to ensure high-quality patient care. Coordinate with healthcare professionals to develop and implement effective treatment plans. Monitor and analyze patient outcomes to identify areas for improvement. Collaborate with cross-functional teams to resolve issues and improve service quality. Develop and maintain relationships with key stakeholders, including patients, families, and healthcare providers. Identify and mitigate risks associated with healthcare service delivery. Job Minimum 8 years of experience in healthcare management or a related field. Strong knowledge of healthcare operations, including patient care, billing, and claims processing. Excellent communication and interpersonal skills are required to work effectively with diverse stakeholders. Ability to analyze data and make informed decisions to drive business outcomes. Strong problem-solving skills to resolve complex issues. Experience working in a fast-paced environment with multiple priorities and deadlines.

Looking to onboard a skilled Quality Control Analyst with 3-5 years of experience to join our team in Trichy. The ideal candidate will have a strong background in quality control and assurance, with excellent analytical and problem-solving skills. Roles and Responsibility Develop and implement quality control processes to ensure high standards of service delivery. Conduct regular audits and reviews to identify areas for improvement and provide recommendations for enhancement. Collaborate with cross-functional teams to resolve issues and improve overall process efficiency. Analyze data and trends to identify opportunities for quality improvement and develop reports to track key performance indicators. Provide training and coaching to team members on quality control procedures and best practices. Job Minimum 3 years of experience in quality control or a related field. Strong knowledge of quality management principles and practices. Excellent analytical, problem-solving, and communication skills. Ability to work effectively in a fast-paced environment and prioritize tasks. Strong attention to detail and ability to maintain accurate records. Experience with CRM/IT enabled services/BPO industry is an added advantage.