2820 Claims Jobs - Page 31

About Us: Chryselys Services Private Limited is a leading Pharma Consultancy company committed to delivering innovative and data-driven business solutions. Summary: The Analyst / Sr. Analyst will provide integral support to our ongoing client projects. Data Insights Analyst will leverage standard pharma industry datasets - Sales, claims, Payer datasets from IQVIA, Symphony and Veeva etc. to synthesize key insights to provide strategic recommendations and implications, as appropriate. A successful candidate should have experience in the biopharma and/or healthcare industry, a background in data analysis and managing data integration projects, a proactive mindset, and a demonstrated track record of generating impactful insights for clients. Successful candidate should be capable of building data pipelines and Business Intelligence reports on Data Lake architecture combining several data sets to enable performing univariate and multivariate analysis. This includes data integration, harmonization and transforming raw data into curated datasets for Data / BI Analytics. On the tools side, The successful candidate should possess a strong background in a complex data processing environment using SQL platforms (like Redshift, Athena, Snowflake etc), Python/Jupyter Notebooks ( SageMaker etc) and Business Intelligence tools such as Tableau, Qlik, Quicksight. Responsibilities: Analyze Pharma datasets like IQVIA, Symphony, Veeva and Open data using SQL and cloud based data analytics tools to provide insights that solve client problems Synthesize and form recommendations using data visualization tools (QuickSight, Tableau, ThoughtSpot, etc.) and PowerPoint slides Analyze new requests for data, identifying the appropriate datasets, and generating database queries and summary data outputs for stakeholders Provide findings and final recommendations to client via written communication and formal presentations Understand client business issues, operating business rules, data and standard operating procedures Qualifications: Bachelors or masters degree required in any discipline with strong record of academic success in quantitative and analytic coursework such as finance, applied mathematics, management science, data science, statistics, econometrics or engineering 2-4 years of previous experience working with key pharmaceutical/biotechnology data sets like Sales, Claims,Payer and other secondary data. Extensive experience in building data pipelines, Data Lake architecture using AWS services Redshift,Athena, S3 . Must be proficient in Python and SQL Demonstrated experience with data processing, data analysis, profiling, data cleansing and standardization process Build data stories and visualization using Business Intelligence tools such as Tableau, Qlik, Quicksight etc. Excellent advanced SQL and analytical skills to query databases to perform data analysis to further enhance business analysis. Ability to demonstrate strong Microsoft Excel skills, including Pivots and macros Ability to work independently and collaborate with colleagues to accomplish team goals and deadlines Advanced problem-solving skills and build / elevate internal capabilities; Ability to adapt quickly in a constantly changing environment. Equal Employment Opportunity: Chryselys is proud to be an Equal Employment Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Connect with Us: Follow us for updates and more opportunities: https: / / www.linkedin.com / company / chryselys / mycompany / Discover more about our team and culture: www.chryselys.com

About Us: At Plum Benefits , we re on a mission to revolutionize the employee healthcare and insurance experience in India. We re building a platform that helps companies care better for their teams smart, simple, and truly human. As a leading insure-tech startup , we re backed by world-class investors and trusted by over 5,000+ organizations across the country. Our work is fast-paced, meaningful, and deeply impactful. Why This Role Matters: As our Retention Associate , you ll be the operational backbone of the Account Management & Retention team. You ll work closely with our Account Managers who manage key corporate clients and be responsible for ensuring that daily operations, client needs, and backend processes run seamlessly. By owning operational and execution-heavy workflows, you ll unlock scale and strategic bandwidth for our AMs allowing them to focus on building deeper client relationships, driving growth, and expanding product adoption. This role is ideal for someone who is hungry to learn the ropes of account management at a fast-growing startup and is excited about building a career in client success, operations, or B2B growth. What You ll Own: As a Retention Associate, you will support the Account Managers by: Training & Onboarding: Organize and coordinate employee and admin training sessions for newly onboarded or renewed clients. Claim Support: Act as the first responder for employee claim escalations (especially cashless claims via WhatsApp or HR calls), ensuring timely internal escalation and resolution. TAT Monitoring: Proactively track endorsements to ensure they re within agreed Turnaround Times (TATs) and follow up with internal teams in case of delays. Data & Reporting: Prepare and share monthly financial reports for Gold & Platinum accounts, ensuring insights are presented in a clear, actionable format. Review Decks: Assist in building decks for monthly and quarterly business reviews turning raw data into storytelling material for AMs. Engagement Initiatives: Coordinate on-ground employee engagement activities (like dental/vision check-ups, blood donation drives, etc.), ensuring smooth execution. Renewal Operations: Help prepare renewal documentation including burn sheet calculations, RFQs, and internal coordination for pricing discussions. What Makes This Role Exciting: Fast-Track Learning: Youll work directly with senior Account Managers and understand the full lifecycle of B2B customer success at a top-tier insure-tech. Career Growth: This is a great launchpad for a future role in Account Management, Customer Success, Product Ops, or Business Strategy. High Ownership: This is not a support role. You ll own critical workflows and be entrusted with high-impact responsibilities from Day 1. Make Real Impact: Your work will directly affect customer satisfaction, retention, and operational excellence at scale. Culture of Care: We re a health-first company your well-being, learning, and growth matter deeply to us. What We re Looking For: 1-2 years of experience in client servicing, operations, or support roles (bonus if you ve worked in a startup, SaaS, or healthcare environment) Exceptionally organized and detail-oriented you never miss a follow-up or deadline Excellent verbal and written communication skills you re confident engaging with HR teams, customers, and internal stakeholders alike Comfortable with spreadsheets, decks, and tools (Excel, Google Slides, basic analytics, etc.) Self-starter attitude you proactively find and fix problems without waiting to be told A genuine love for making life easier for others and being the glue that holds teams together

The position will be responsible for the consumer testing program and substantiation/defense of big impact, consumer-relevant product claims by interacting in a multidisciplinary business environment, providing a critical link between the R&D, Legal and marketing teams. The candidate will preferably have product research, statistics, sensory, and claims substantiation experience. Understanding cosmetic products benefits, attributes, and key category drivers to make compelling and competitive claims across all personal care verticals. Good knowledge about various instrumental evaluation methodologies for claim substantiation purpose (CK for skin, Diastron for hair) Ability to garner insights and inference out of technical documents like clinical reports and in vitro reports to substantiate claims technically. Conducting gap analysis to identify new unmet consumer needs and key opportunity spaces for spotting new product trends. Support in coordinating consumer studies - qualitative and quantitative research according to best practice guidelines and helping to draw out clear and actionable insights and recommendations Knowledge of advance statistics is a must (eg: ANOVA, T Test), Hands on experience of working on SPSS, Mini Tabs, GraphPad Prism Review historical market, consumer, and sensory data to help identify opportunities for superior products and claims, providing the R&D and marketing teams with clear guidance on how to deliver these. Understanding of communication mix, reviewing of artwork, and technical content for other forms of communication (TVC, print advertisement, etc) Ability to defend queries rose on our product/advertisements by ASCI and international regulatory bodies. Develop the consumer testing, claims support strategy, and claims support dossiers for ASCI and future regulatory requirements. Have the ability to transform product attributes into meaningful visualizations, demos, and claims that make our technologies stand out vs. competit ors

Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility, the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required BDS, BHMS, BAMS, MD, Pharm D Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

Claims processing Doctor Job Description: Medical claims processor will have to look into claims where payment was denied. Commonly due to issues of insurance coverage eligibility, the claims handler may be tasked with reviewing documentation from the patient, their physicians, or the insurance. With the medical expertise ,need to master the various products and to apply the same during claim processing. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. List of Responsibilities: To validate the authenticity and the credibility of the claims. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing . To expertise ,the process of negotiation when necessitated. The claim handler owes a duty of care to the patient, ensuring that their needs are being met and that they re receiving the treatment or medicine they need. Job Qualifications and Requirements: Required BDS, BHMS, BAMS, MD, Pharm D Graduates. Adapt and inbuilt the process of communication and coordination across the zones and the supporting verticals accordingly.

About us We invite you to bring your ideas to ExxonMobil to help create sustainable solutions that improve quality of life and meet society s evolving needs. Learn more about our What and our Why and how we can work together . ExxonMobil s affiliates in India ExxonMobil s affiliates have offices in India in Bengaluru, Mumbai and the National Capital Region. ExxonMobil s affiliates in India supporting the Product Solutions business engage in the marketing, sales and distribution of performance as well as specialty products across chemicals and lubricants businesses. The India planning teams are also embedded with global business units for business planning and analytics. ExxonMobil s LNG affiliate in India supporting the upstream business provides consultant services for other ExxonMobil upstream affiliates and conducts LNG market-development activities. The Global Business Center - Technology Center provides a range of technical and business support services for ExxonMobil s operations around the globe. ExxonMobil strives to make a positive contribution to the communities where we operate and its affiliates support a range of education, health and community-building programs in India. Read more about our Corporate Responsibility Framework. To know more about ExxonMobil in India, visit ExxonMobil India and the Energy Factor India . What role you will play in our team Manage portfolio of retail customers i.e, retailers, independent & branded workshops and coordinate sales activities through authorized distributor, authorized reseller network in assigned territory. As part of a career in Sales, candidates would need to be mobile across various locations and cities, to be fully developed across different markets in India Job Location- Aurangabad What you will do Implement assigned marketing programs and promotions through distributors & authorized resellers Conduct periodic business reviews with distributors & authorized resellers for business improvement Track distribution, market share and take appropriate steps to meet growth objectives Collaborate with cross functional team, leverage ExxonMobil resources to meet business objectives Build positive business relationships with authorized distributors, authorized resellers and their key customers Monitor market conditions, emerging trends and provide feedback to enhance marketing offers Manage and answer enquiries, disputes, claims and complaints raised by customers with appropriate help from cross functional teams Train and coach distributors and their sales staff About You Skills and Qualifications: Bachelors degree in engineering OR Sales OR Marketing OR Commerce from a recognized university (with CGPA 7 and above) Minimum 3 and maximum of 10 yrs of total work experience in B2C/ Retail Sales in Automotive, FMCG, Paints or similar trade. Ability to analyze business performance and identify the areas of improvement Willing to travel Preferred Qualifications/ Experience Engineers and MBA in Marketing will be preferred A highly motivated team player with excellent oral and written communication skills Proficiency in MS Excel, Word & Power point Listens actively, summarizes information and asks appropriate questions to fully understand concepts, activities and priorities. Your benefits An ExxonMobil career is one designed to last. Our commitment to you runs deep: our employees grow personally and professionally, with benefits built on our core categories of health, security, finance and life. We offer you: Competitive compensation Medical plans, maternity leave and benefits, life, accidental death and dismemberment benefits Retirement benefits Global networking & cross-functional opportunities Annual vacations & holidays Day care assistance program Training and development program Tuition assistance program Workplace flexibility policy Relocation program Transportation facility Stay connected with us Learn more about ExxonMobil in India, visit ExxonMobil India and Energy Factor India . Follow us on LinkedIn and Instagram Like us on Facebook Subscribe our channel at YouTube EEO Statement ExxonMobil is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or disability status. Business solicitation and recruiting scams ExxonMobil does not use recruiting or placement agencies that charge candidates an advance fee of any kind (e.g., placement fees, immigration processing fees, etc.). Follow the LINK to understand more about recruitment scams in the name of ExxonMobil. Nothing herein is intended to override the corporate separateness of local entities. Working relationships discussed herein do not necessarily represent a reporting connection, but may reflect a functional guidance, stewardship, or service relationship. Exxon Mobil Corporation has numerous affiliates, many with names that include ExxonMobil, Exxon, Esso and Mobil. For convenience and simplicity, those terms and terms like corporation, company, our, we and its are sometimes used as abbreviated references to specific affiliates or affiliate groups. Abbreviated references describing global or regional operational organizations and global or regional business lines are also sometimes used for convenience and simplicity. Similarly, ExxonMobil has business relationships with thousands of customers, suppliers, governments, and others. For convenience and simplicity, words like venture, joint venture, partnership, co-venturer, and partner are used to indicate business relationships involving common activities and interests, and those words may not indicate precise legal relationships.

Eviden, part of the Atos Group, with an annual revenue of circa 5 billion is a global leader in data-driven, trusted and sustainable digital transformation. As a next generation digital business with worldwide leading positions in digital, cloud, data, advanced computing and security, it brings deep expertise for all industries in more than 47 countries. By uniting unique high-end technologies across the full digital continuum with 53,000 world-class talents, Eviden expands the possibilities of data and technology, now and for generations to come. Location: Pune Detailed JD: 5-10 yrs of total Experience Duck Creek Policy , Billing, Clarity, Claims Experience in Pages, Manuscript, Edits, and XML development Understanding of commercial Lines LOB in areas like UI, Edits, Forms Debugging skills to understand and able to resolve Rating issues also implement new rating requirements. Understanding of Example Author, Example Express, Example Server, Example TransAct, Example Util, Trace Monitor and SQL Server Understanding of forms including Quote, Rating Worksheets and Decs ,sub-forms and merge fields. Requirement Gathering with Client Our Offering: Global cutting-edge IT projects that shape the future of digital and have a positive impact on environment. Wellbeing programs & work-life balance - integration and passion sharing events. Attractive Salary and Company Initiative Benefits. Courses and conferences. Attractive Salary. Hybrid work culture. Lets Grow Together

Job Description Maintain Customer focus at all times and respond to customers enquiries /orders/complaints (through e-mails, phone and fax) using the best Practice guidelines. Answer all calls/mails/fax received at the Desk. Work within agreed service levels, striving to exceed customer expectations. Take ownership of queries and proactively follow through to resolution. Ensure all customers queries are investigated and resolved; escalate issues if appropriate, to the Team Leader. Is able to effectively use automated information systems. Maintain professional working relationship with internal and external customers, and colleagues. Adhere to agreed standards of quality and productivity and process all orders/ claims/ queries with a minimum 98% accuracy rate. Assist in gathering business requirements and analysis activities to facilitate Continuous Improvement. Assist in documenting any requirements information and process maps clearly and to the agreed standards. Update the client on the status of the order. Handle MIS, generate reports. Handling Complaints/escalations. Meeting client requirements on time and effectively thereby winning their goodwill. Sensitization of the client requirements and accordingly prioritizing the activities. Work effectively as part of a team to achieve individual, team and organizational objectives, sharing knowledge and skills as appropriate. Qualifications What we will be looking for in you : Customer Service Orientation Skills Excellent Telephone/written/verbal Communication skills Te

Abbott India Limited Job Purpose JOB DESCRIPTION As a Therapy Business Manager you will be responsible for developing and implementing all sales strategies in the assigned market. Further you will drive primary and secondary sales, ensure brand presence in the assigned market and manage the distributor network to achieve desired sales/business objectives. Roles and Responsibilities in detail Business generation & development: Achieve monthly, quarterly, half yearly and yearly sales target by promoting company s product ethically to customers as per the business plan Having science-based discussion with doctors and chemists for promotion of product in clinic and at chemist place Organizing Camps (CME) as per the division strategy and customer needs To plan and conduct merchandising and sampling activity as per Division strategy. Facilitate the process of successful new product / products launch in the territory by undertaking correct identification and targeting customers for the new product, meet them at pre-determined intervals, effective in clinic / trade promotion and share feedback with the company Execute the customer management plan to ensure that all the customers are covered as per the plan and meet minimum KPIs as follows: 100% coverage of Doctors. Customer Call average as per the customer management plan of the division / therapy. Market intelligence collection, retailer level inventory management calls as per the product profile and marketing strategy of the therapy / division. Prescription audit for Abbott brands and other competitors brands To create and update customer list having specified number of doctors / chemist (Trade) as per the therapy / product requirement and maintain the same in physical / electronic format. Identifying potential town and appointing distributor and customers (trade) in line with business philosophy Brand Management: Ensuring the visibility of Abbott brands on retailers outlet as a part of brand promotion strategy To carry out activities across trade and clinics for brand visibility To plan and attend Retail meets, Market Blitz etc. for sales growth Generate POBs for Abbott brands as per the business plan Recommend appointment of a party as a distributor after evaluating its commercial standing, credit worthiness and personal assets. Ensure that stock and sales statements have been sent by the distributors on due dates Ensure that the claims of the distributors are settled by company within specified time limits You are manager of the company in your territory and will be authorized to build company s reputation in your territory. You will be responsible for practicing and leading other junior team members of the company by setting personal example of excellence in: Lead and execute strict adherence to Abbott Code of Business conduct Set examples on implementation of the code of business conduct, FCPA , Pharmacovigilance to ensure compliance Conformation to all financial and administration systems, compliance to statutory and regulatory norms of the company and laws of the land Demonstrate and promote professional behavior in line with Abbott Values of Pioneering, Achieving, Caring and Enduring Ensure high level of customer service and manage any difficult customer situations. Ensure compliance with internal and external guidelines and ensure minimal comments in audits and other inspections Ensure transactions and orders are processed with a high level of accuracy and commitment in order to satisfy customer needs Manage attrition of customer and resource bases Division and business strategy will be shared with you on time to time base which you will have to execute to the fullest To attend and participate in Strategy meetings, briefing sessions, doctors meets, workshops, training programmes and any other programmes undertaken by the company to equip you or activities for performance of your job or promote the sales of product of the company or to improve company image. Ensure adherence to EHS policies, procedures, rules and regulations. Attend all required EHS trainings as applicable. Wear safety gears (e.g. Helmet) while riding on two-wheeler. Report any EHS incidents and/or near misses (unsafe acts and conditions) promptly to supervision. Forward any opportunities to improve the EHS program to supervision. Authorized Signatory LOCATION: India > Patna : Block B, Sai Corporate Park t

In the above context, the RMrole is responsible to supervise the business delivery under Banca team and Tie Ups& primarily grow the business with profits, Channel Management - Managing Banks, NBFCs and other Micro Finance companies.Also liaising with Operations & Product tower, Process Excellence group, Claims,Finance,legal, Business Intelligence, marketing & Human Resource teams for the process. Ensuring that we deliver best of our services to client as well as to banks. Key Accountabilities/ Responsibilities Responsible for Achieving overall Gross Written Premium Team Management. Channel Relationship. Visit Branches Conduct Meetings Regular training of Bank employees regarding TAGIC Products To maintain Renewal of Business Timely follow up with the clients. Tracking religiously in first week of every month. Driving Bank for retention first. To maintain the Hygiene Proper QC and issuance of premium collected. Proactive in handling claims. Stakeholder interfaces Internal: Operations (BOPs& COPs) - for the issuance ,endorsement, Banking operations etc. Under writing Team - for Quotations Human Resources - to know queries regarding the talent pool accordingly Claims Team - Regularly for the claim settlements External: Banks and NBFCs End customers Experience 2 years of experience in Insurance / Financial sector Education Graduate of any discipline

Principal Responsibilities: The jobholder is accountable for effectively handling transactions for the allocated portfolios/end to end processing and ensuring targets are met quality output within defined turnaround times through adequate understanding of reinsurance accounting principles. The client management part of this role would require you to correspond with internal and external clients to resolve issues with respect to information & next course of action. Improvising & upskilling while working within a set framework of policies and processes is key to the role. Desired Skills: Graduate/Postgraduate in Commerce, Accounting, Finance, Insurance & equivalent field. 1+ years of work experience in the banking /insurance or any other financial services industry. Strong written, communication & interpersonal skills. Good Data analytical skills. Expertise in advanced excel will be an added advantage. Sound Insurance Product Knowledge & understanding of Insurance/Reinsurance Value Chain Principal Responsibilities towards: Operations: Consistently deliver on operational commitments Delivering on the Technical Accounting mandates including Key Performance Indicators & Quality Parameters to efficiently handle/accelerate Cash in the books while demonstrating Swiss Re Values. Premium and Claims validation to be performed on the Client Seriatim data to make sure Client data is aligning with the contractual terms. One of the key activities is to ensure that payments received from clients (for example premiums) and payments made to clients (for example claims) reconcile with client ledger. People: Collaborate with team members and take accountability for team activities in specific markets. Deliver results in consultation and as part of multiple-matrixed teams besides directly assigned work. Cross Functional Team Coordination: Build and develop strong line of Communications with cross functional teams and contribute to strengthening client relationship. Handling efficient and effective relevant business processes, portfolios, and business coordination with Cross Functional Teams. About Swiss Re If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience. Keywords: Reference Code: 133165

ResMed has always applied the best of technology to improve peoples lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it. Revenue Cycle Representative We are a dynamic Revenue Cycle Management (RCM) and software company committed to delivering exceptional billing services and innovative solutions to our clients. We are seeking a high-caliber individual who is passionate about healthcare billing and eager to grow within a fast-paced, collaborative environment. Position Summary The Revenue Cycle Representative is responsible for providing accurate and timely billing services to both software and non-software clients. This role plays a key part in maintaining client satisfaction and ensuring the financial health of our customers through effective claims management and reimbursement follow-up. Key Responsibilities Submit claims promptly to Medicare, Medicaid, and private payers. Verify that claims are processed correctly and accepted by payers. Process adjustments and re-file claims as necessary. Collaborate with team members to manage accounts receivable (AR) for clients. Investigate and resolve reimbursement issues and perform claim follow-up. Meet or exceed established productivity benchmarks. Build and maintain strong client relationships, assisting with billing inquiries and claim resolutions. Address and resolve client concerns in a timely and professional manner. Escalate unresolved issues to appropriate departments or management. Maintain up-to-date knowledge of Medicare rules, regulations, and billing codes. Ensure compliance with HIPAA and confidentiality standards. Perform other duties as assigned. Qualifications Minimum of 1-4 years of progressive experience in Home Health and/or Hospice billing . Prior experience with Medicare billing rules and codes (preferred) . High school diploma or equivalent required; college degree preferred. Proficient in basic bookkeeping and statistical compilation. Strong organizational and multitasking skills. Excellent written and verbal communication abilities. Comfortable using computers, office equipment, and learning new systems. Professional, courteous, and adaptable demeanor. Ability to work independently and collaboratively in a dynamic environment. Willingness to engage with cross-functional teams to support client needs. Why Join Us? Opportunity to grow with a forward-thinking RCM and software company. Supportive team culture with a focus on continuous improvement. Competitive compensation and benefits package. Flexible work environment and career development opportunities. We commit to respond to every applicant.

ResMed has always applied the best of technology to improve peoples lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it. Revenue Cycle Representative - Auth & Eligibility We are a dynamic Revenue Cycle Management (RCM) and software company committed to delivering exceptional billing services and innovative solutions to our clients. We are seeking a high-caliber individual who is passionate about healthcare billing and eager to grow within a fast-paced, collaborative environment. Position Summary The Revenue Cycle Representative is responsible for providing accurate and timely billing services to both software and non-software clients. This role plays a key part in maintaining client satisfaction and ensuring the financial health of our customers through effective claims management and reimbursement follow-up. Responsibilities: Monitor and follow up on Eligibility & Authorization requirements for assigned agencies census. Submit claims timely to Medicare, Medicaid and Private Payers for software clients and non-software clients. Ensures that the claims processed correctly and were accepted by the payer. Process adjustments and re-file claims as needed. Member of a cohesive team that works to maintain the AR for HEALTHCAREfirst customers Troubleshoot reimbursement issues and claim follow-up Works at the established Productivity level Builds relationships with clients regarding their billing needs and assist with claim resolutions as needed. Addresses client concerns in a timely manner Escalates unresolved customer grievances to the proper department, or management for further assessment. Understanding of Medicare rules, regulations, billing codes Maintain confidentiality and knowledge of HIPAA regulations Performs other duties as assigned Qualifications: Minimum 1-3 years of progressive Home Health and/or Hospice billing experience preferred. Prior experience working with Medicare rules, regulations, billing codes (preferred) Education equivalent to a High school diploma, college degree preferred Ability to perform basic bookkeeping and compile statistics as needed Ability to work independently Must be organized and able to multitask Strong written and verbal communication skills Ability to type, operate computers and office equipment Aptitude for learning computer systems Ability to perform basic bookkeeping and compile statistics as needed Maintain a professional demeanor, courteous and flexible at all times Open to dynamic change and ability to thrive in such an environment Willingness and ability to work effectively with members of other departments We commit to respond to every applicant.

ey Responsibilities: Lead business analysis activities for LifeAsia platform implementations, enhancements, and integrations. Gather, document, and analyze complex business requirements across various life insurance functions (new business, policy servicing, claims, etc.). Act as the primary point of contact between business users, development teams, and testing teams. Design end-to-end business workflows, ensuring alignment with LifeAsia capabilities. Prepare and review BRDs, FRDs, and functional use cases. Lead test planning and contribute to test case design, execution, and UAT support. Drive defect triage meetings and ensure prompt resolution of issues. Support business stakeholders through the project lifecycle and ensure successful delivery. Provide subject matter expertise on life insurance products, regulatory compliance, and LifeAsia system behavior. Required Skills: 10+ years of experience as a Business Analyst in the life insurance industry. In-depth knowledge and hands-on experience with LifeAsia (policy admin, transactions, batch processing, etc). Strong experience in functional and system testing, including UAT coordination. Expertise in documenting and validating complex business rules, workflows, and requirements. Solid understanding of life insurance products, processes, and regulatory frameworks. Excellent analytical , communication, and stakeholder management skills. Experience in Agile and Waterfall project methodologies.

Primary Responsibilities: Lead a team of 25 – 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management – Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing company’s vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. 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: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine) 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. #njp #SSCorp External Candidate Application Internal Employee Application

Who we are: 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 to 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, amongst Top 50 Best Workplaces for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and 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 17,000+ 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. Designation Operations Manager Role Objective Manage AR, Denials and Appeal follow up operations team. Essential Duties and Responsibilities Should have the ability to manage an operations team of 100+ FTEs. Should have the ability to manage multiple provider/hospital sites. Should have the ability to coordinate and proactively communicate with domestic counterparts and leaders. Should have excellent analytical and decision-making skills. Should have strong communication, interpersonal, and presentation skills. Candidate should be self-driven, with leadership abilities and a results-oriented approach. Should be able to identify and implement strategies for process improvement. Should have experience in inter-departmental and intra-departmental coordination with multiple stakeholders. Should have a thorough understanding of AR follow-up, denials, and appeals processes. Should be able to drive KPIs to achieve business metrics. Should ensure the timely delivery of projects and reports. Should have the ability to prepare presentations for business meetings. Should ensure and drive adherence to company policies and compliance standards. Should manage the performance of supervisors and team members. Should lead initiatives for productivity and quality improvement. Should be able to control absenteeism and attrition within organization-defined goals. Certification N/A Skill Set Domain knowledge on both CM1500 and UB04 claims follow up. Operations Management. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Pre-requisite: Should have overall 7+ years of experience in RCM Operations Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills r1rcm.com Facebook

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to 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. Job Responsibilities: Identify, analyze, and manage all issues about claims edits and rejects Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze top edits and rejects with BSO global team every week. Identify the opportunities for edits and rejects that could be reduced Active participation in weekly calls; top edits and rejects review call with the onshore team Oversee monthly reporting, weekly DNFB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate claim processing business and make suggestions for improvement. Knowledgeable in end to end revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. What You Should Have to Qualify 8+ years of background in claims edits and clearing house rejects aspects of revenue cycle management. Preference will be given if have hospital billing experience. 4+ years of management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously. r1rcm.com Facebook

Role Objective:To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers.Essential Duties and ResponsibilitiesProcess Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualificationsGraduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill SetCandidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Specialist - Benefits Administration (FTC) About Phonepe is the leader in the UPI based payments in India with a market share of more than 47%. Our goal is to make payments so easy, safe and universally accepted that people never feel the need to carry cash or cards again. We believe India is at the cusp of a new mobile revolution, which will change the way we manage our money on the go. We see ourselves facilitating this change, through technology and dogged customer centricity. PhonePe went live in 2016 and till date has got over 600 mn registered users and 40 mn merchants. PhonePe has forayed into diverse areas with its offerings in almost all fintech segments including insurance, lending, mutual funds and stock broking. In 2024, PhonePe also launched Indus AppStore - its own native Android-based mobile app store built for Indian consumers providing app discovery and content in 12 Indian languages. Summary Seeking a proactive and detail-oriented professional to join our HR team in Bangalore as a Specialist Benefits Administration . This role will report into the Lead - Payroll and Benefits Administration and will be responsible for managing employee benefits programs for ensuring seamless employee experience and service delivery. Key Responsibilities: Benefits Administration Employee Insurance Administration ( GMC, GPA, and GTLI) Collaborate with insurance brokers, third-party administrators (TPAs) and insurance providers to ensure enrolment, removal, coverage, and efficient administration of insurance benefits and claims processes. Provide assistance to employees regarding insurance inquiries, offering guidance and facilitating the claims process as necessary. Driving enrollment by coordinating Insurance Benefit Sessions and follow-ups. Reviewing open claims with insurance brokers/ TPAs for closure. Mothers@PhonePe and Daycare: Oversee communication and processes for the Mothers@PhonePe program. Supporting the expectant/ new mothers with enrolment, query resolution and special requirements if applicable (special workspace-related requirements, transportation benefits, peer support group, parental well-being program,, etc) Ensuring timely buddy allocation, dispatch of gift hampers, mailers and gifts to new/expectant mothers) Monitor the utilization of daycare facilities and coordinating with vendors for services to ensure accurate billing. Car Lease Supporting the employees with the car lease process in coordination with the leasing partners. Coordinating with the leasing partners in cases of lease closures. Maintaining the car lease MIS for tracking and reconciliation with payroll data. US Employees Benefits Coordinating with the US Benefits Broker for enrolment of the new joiners. Ensuring the timely processing and transfer of all benefit amounts including those applicable for social security and insurances. Coordinating with Accounts Payable team for timely processing the payments for benefits amounts. Supporting the transfer of social security benefits (401(k)) for separated employees Other benefits: Long Service Awards (LSA)Ensure timely execution of LSA through proactive coordination with vendors and ensuring timely payments. Supporting Death Cases Handling death cases by coordinating with various internal and external teams for supporting the beneficiary's family with all claims. National Pension Scheme (NPS)Managing NPS enrollment, shifting of PRAN under PhonePe entities, validating the inputs and changes for Payroll. Learning Assistance Programme (LAP) Validating the LAP claims against approval and processing the reimbursements through payroll. Time Away from Work Validation of monthly accrual of Annual Leaves and Casual Leaves along with the Digitalization team. Handling queries and tickets in the above areas to address employees concerns or requests Invoice Processing Overseeing regular billing cycles for the premium amounts and service fee, validating invoices, raising POs and ensuring compliance with contractual terms for accurate billing. Coordinating with Accounts Payable and other PhonePe internal teams for timely payout (especially for the US partners). Process Documentation, Improvement and Reporting Create and update SOPs for benefits processes for efficient service delivery. Evaluate workflows for improvements, faster turnaround and accurate reporting. Maintain and analyze benefits data to track enrolment, utilization, and trends and generating reports required by stakeholders and other processes. Providing payroll inputs as required against the various benefits programmes. Support the People Experience team members with other benefits related activities. Capabilities & : Bachelors degree in Human Resources, Social Work, or a related field. 1-2 years of experience in benefits administration and coordination with partners. Proficiency MS Excel or Google Spreadsheets is a plus. Attention to detail, conscientiousness, and commitment to execution excellence. Experience in a dynamic, fast-paced environment is advantageous. PhonePe Full Time Employee Benefits (Not applicable for Intern or Contract Roles) Insurance Benefits - Medical Insurance, Critical Illness Insurance, Accidental Insurance, Life Insurance Wellness Program - Employee Assistance Program, Onsite Medical Center, Emergency Support System Parental Support - Maternity Benefit, Paternity Benefit Program, Adoption Assistance Program, Day-care Support Program Mobility Benefits - Relocation benefits, Transfer Support Policy, Travel Policy Retirement Benefits - Employee PF Contribution, Flexible PF Contribution, Gratuity, NPS, Leave Encashment Other Benefits - Higher Education Assistance, Car Lease, Salary Advance Policy Working at PhonePe is a rewarding experience! Great people, a work environment that thrives on creativity, the opportunity to take on roles beyond a defined job description are just some of the reasons you should work with us. Read more about PhonePe on our blog. Life at PhonePe PhonePe in the news

: Job Title Corporate bank PA Utility, AS LocationMumbai, India Role Description The role is an extension of the onshore Business Management & Control team CB DIPL Utility. It involves liaising with COOs and Business Managers across the CB products and Infrastructure partners.The role requires a hands-on individual, who will be involved in the day to day running of the business & responsible for business management activities across all CB products. Overview: Deutsche Banks Corporate Bank (CB) is a market leader in cash management, trade finance & lending, securities services and Trust & Agency Services. Focusing on the treasurers and finance departments of corporate and commercial clients and financial institutions across the globe, our universal expertise and global network allows us to offer truly integrated and effective solutions. Corporate Bank Central: The corporate Bank Central team comprises of the Business management, Divisional control office, KYC, Mercury & other central functions. The scope of the Business Management activities will typically be diverse and may include strategic business planning, financial control and reporting tasks, control function liaison, headcount management and compensation matters, IT and Ops service management and enhancement, co-ordination of business case approval and project sponsorship. What well offer you 100% reimbursement under child care assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and education Accident and Term life Insurance Your Key Responsibilities Acting as an owner and the first point of contact to coordinate tasks and admin activities for the Managing Director and/or Director including: Co-ordinate calendars / schedules to ensure effective time management and prioritization of engagements where necessary Own the setup of meetings across multiple time zones, booking rooms and coordinating catering so that events run without disruption. Working with the Site Lead Assistant to co-ordinate and oversee site-wide events. Prepare materials for internal and external mandates e.g. presentations, spreadsheets, management reports, agendas to a professional standard, maintaining attention to detail Provide administrative support for project work and ad hoc activities, including division specific tasks (eg on-boarding, space planning) Establish trust to be able to handle sensitive telephone and email correspondence. Cover for other assistants for holiday/sickness Screen telephone calls, pass on messages. Actively share knowledge with fellow Assistants and foster support culture across divisions and provide cover when other team assistants are out of office Works with other Assistants where necessary to ensure support needs are covered eg short-term absence Supporting and coordinating with Team Lead Assistant with onboarding and offboarding process for joiners and leavers to the team, including email communications, IT set up, drive access, advising on asset collection and return Managing team email distribution lists, update joiners and leavers and conduct periodic recertification in coordination with Team Lead Assistant Managing and coordinating Travel requests and submission of reimbursement claims thereof. Expense management coordinating for payments of the vendor invoices & submitting reimbursement claims Recertification & new access requests, approvals of various business drives, share point and business applications Managing the on-boarding process for new joiners, movers & off-boarding for all leavers. Required to undertake special project work as requested and on an ad hoc basis. Managing and coordinating Travel requests and submission of reimbursement claims thereof Managing approval matrix in the system Document Archiving Implement best practices Job Excellent verbal and written communication skills. Ability to converse clearly with regional and global employees Highly organized individual and an excellent planner with attention to detail Experience of working in multi-tasking, timeliness, and quality focused environments Good organizational skills and the ability to prioritize heavy workloads to ensure optimum service delivery, demonstrating flexibility when handling multiple tasks Ability to work well under pressure in a fast-paced environment. Excellent computer skills (MS Office) including email applications. Ability to work well in virtual teams in matrix organizations. Flexible, reliable and adaptable with a positive approach Able to proactively initiate, develop, and maintain effective working relationships with team members including stakeholders, demonstrating the ability to cooperate with a variety of people. The ability to anticipate needs and act independently Ability to handle confidential information and use discretion around sensitive management issues Your Skills & experience: Bachelors degree level (Business Administration) or equivalent qualification Experience in a business management/control discipline / project management Significant attention to detail and high degree of initiative Excellent skills in using MS Office in specific Power Point and Excel Driven and motivated to work under tight timelines. Excellent communication & Coordination skills B2 / C1 level German speaking is a good to have. How well support you

Roles & Responsibilities Oversee the end-to-end management of HR documentation and ensure the accuracy of employee records in the HRIS. Ensure coordination across departments to enable seamless HR service delivery. Lead the resolution of complex employee queries related to HR policies, benefits, and payroll, ensuring consistent, timely, and professional communication. Ensure organizational compliance with labor laws and internal policies; review and approve audit documentation and HR reports for internal and external stakeholders. Identify opportunities to enhance HR processes, drive automation or system improvements, and collaborate with leadership and cross-functional teams on strategic HR initiatives. Onboarding: Supervise the pre-boarding process, ensuring timely issuance of appointment letters and coordination with IT and Admin for Day 1 readiness. Lead onboarding and orientation programs to effectively communicate company values, policies, and expectations. Oversee the setup of new employee profiles in Oracle and ensure seamless execution of Day 1 activities. Monitor new hire engagement through structured check-ins and feedback mechanisms, addressing onboarding issues proactively. Employee Life Cycle (ELC): Review and approve updates to employee records in the HRIS, ensuring alignment with role changes, compensation adjustments, and compliance standards. Govern the application and enforcement of HR policies, ensuring proper handling of employee matters and consistent policy adherence. Oversee collaboration between HR, payroll, and finance teams to ensure accuracy in salary processing, deductions, and statutory compliance. Maintain oversight of employee relations records, ensuring issues are documented and resolved in line with company policies and regulatory standards. Exit (Offboarding): Manage the backend offboarding process, ensuring timely clearances, documentation completion, and asset recovery through inter-departmental coordination. Review final settlements, including earned leave and severance, ensuring accuracy before submission to finance. Collaborate with the finance team to validate FNF calculations and resolve discrepancies, ensuring compliance with policy. Ensure final settlements are processed by payroll in a timely manner, and that all exit-related financial obligations are fulfilled. Benefits Management: Oversee benefits administration, including enrollment, policy changes, and life event updates, ensuring accuracy in HRIS and vendor systems. Manage vendor relationships to ensure timely resolution of claims, clarifications, and policy updates for employees. Approve and oversee the processing of employee reimbursements, ensuring alignment with policy and audit readiness. Review benefits utilization reports, ensure data integrity across systems, and support internal and external audits with reconciled documentation.

Internal Title: Data Science Advisor External Title: Data Science Advisor Role Summary As a member of the Data Science Center of Expertise (DSCOE), the DS Advisor is responsible for leading and enabling Data Science within Cigna Group with demonstrable aptitude in Data Science (i) Technical Skills (ii) Leadership (iii) Scope & Impact (iv) Influence. Please see Qualifications section below for more details. The role will support the development and maintenance of proprietary advanced neural network ( AI ) foundation models in support of Cigna s business operations. Key Responsibilities: Write code using PyTorch and/or Tensorflow to implement, test, and operationalize deep learning models Collaborate with data scientists and engineers to improve deep learning models and implement business-facing solutions built on top of those models Take responsibility for improving code performance and quality Follow developments in deep learning technology to identify opportunities to improve models Qualifications: Data Science Technical Skills Bachelors or Masters (Preferred) in statistics, computer science or equivalent field with 11-13 years of relevant experience Strong proficiency in ML, statistics, python or R, SQL, version control (e. g. , Git), health care data (e. g. , claims, EHR), with emphasis on Tensorflow and Pytorch Ability to promote best coding practices, championing a culture of documentation/logging Thorough understanding of ML lifecycle, including necessary tradeoffs and associated risks Leadership in Data Science Can own a project end-to-end e. g. , scoping, business value estimation, ideation, dev, prod, timeline Collaborates and guides junior team members in completion of projects and career development Works cross functionally with technical (e. g. , Data Science, Data Engineering) and business (e. g. , clinical, marketing, pricing, business analysts) to implement solutions with measurable value Scope and Impact Independently delivers clear and well-developed presentations for both technical and business audiences Creates data science specific project goals associated with project deliverables Articulates timeline changes, rationale, and goals to meet deadlines moving forward Values diversity, growth mindset, and improving health outcomes of our customers Level of Influence Communicate with stakeholders to identify opportunities and possible solutions based on business need Draft project charter, timeline, and features/stories Influence matrix-partner leadership About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Internal Title: Data Science Advisor External Title: Data Science Advisor Role Summary As a member of the Data Science Center of Expertise (DSCOE), the DS Advisor is responsible for leading and enabling Data Science within Cigna Group with demonstrable aptitude in Data Science (i) Technical Skills (ii) Leadership (iii) Scope & Impact (iv) Influence. Please see Qualifications section below for more details. The role will support the development and maintenance of machine learning models, with a focus on ensuring that models meet Cigna s requirements for governance and legal compliance. The role will require collaboration with other data scientists and involve work across many lines of business. Key Responsibilities: Analyze model performance of new models with specific regards to requirements for legal compliance and governance standards around accuracy and bias; Perform periodic analyses of performance of existing models to ensure continued compliance with internal and external standards for accuracy and bias; Conduct research (i. e. literature review) to understand when bias may be biologically or medically justifiable, and to what degree, for example: finding evidence from literature that heart disease is more prevalent among older populations Using machine learning development tools to mitigate model bias when this is determined to be necessary Collaborating with data scientists, business stakeholders, and governance/compliance teams to ensure models meet compliance and governance standards Qualifications: Bachelors or Masters/PhD (preferred) in statistics or computer science or equivalent field with 11-13 years of relevant experience Strong proficiency in ML, statistics, python or R, SQL, version control (e. g. , Git), health care data (e. g. , claims, EHR) Ability to promote best coding practices, championing a culture of documentation/logging Thorough understanding of ML lifecycle, including necessary tradeoffs and associated risks Leadership in Data Science Can own a project end-to-end e. g. , scoping, business value estimation, ideation, dev, prod, timeline Collaborates and guides junior team members in completion of projects and career development Works cross functionally with technical (e. g. , Data Science, Data Engineering) and business (e. g. , clinical, marketing, pricing, business analysts) to implement solutions with measurable value Scope and Impact Independently delivers clear and well-developed presentations for both technical and business audiences Creates data science specific project goals associated with project deliverables Articulates timeline changes, rationale, and goals to meet deadlines moving forward Values diversity, growth mindset, and improving health outcomes of our customers Level of Influence Communicate with stakeholders to identify opportunities and possible solutions based on business need Draft project charter, timeline, and features/stories Influence matrix-partner leadership About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily activities of the Human Resource Office including oversight of recruitment, total compensation, and training and development. Additionally, he/she focuses on delivering HR services that meet or exceed the needs of employees and enable business success; as well as ensures compliance with all applicable laws, regulations and operating procedures. CANDIDATE PROFILE Education and Experience High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR 2-year degree from an accredited university in Human Resources, Business Administration, or related major; 1 year experience in the human resources, management operations, or related professional area. CORE WORK ACTIVITIES Managing Recruitment and Hiring Process Assists in the interviewing and hiring of Human Resource employee team members with the appropriate skills, as needed. Establishes and maintains contact with external recruitment sources. Attends job fairs and ensures documentation of outreach efforts in accordance with Human Resource Standard Operating Procedures. Networks with local organizations (eg, Hotel Association and peers) to source candidates for current or future openings. Oversees/monitors candidate identification and selection process. Provides subject matter expertise to property managers regarding selection procedures. Partners with vendor partners to ensure effective advertisement efforts are being utilized for open positions in appropriate venues to attract a diverse candidate pool. Performs quality control on candidate identification/selection. Administering and Educating Employee Benefits Works with the unemployment services provider to respond to unemployment claims; reviews provider reports for accuracy and corrects errors. Prepares, audits and distributes unemployment claim activity reports to property management. Attends unemployment hearings and ensures property is properly represented. Ensures that department has the available resources on hand to administer employee. Managing Employee Development Supports a departmental orientation program for employees to receive the appropriate new hire training to successfully perform their job. Ensures employees are cross-trained to support successful daily operations. Uses all available on the job training tools for employees; supervise on-going training initiatives and conducts training, when appropriate. Ensures coordination and facilitation of new hire orientation program to generate a positive first impression for employees and emphasize the importance of guest service in company culture. Ensures attendance by all new hires and participation of the leadership team in training programs Collaborates with management team to ensure departmental orientation processes are in place and employees receive the appropriate new hire training to successfully perform their job. Maintaining Employee Relations Assists in maintaining effective employee communication channels in the property (eg, develops daily communications and assists with regularly scheduled property-wide meetings). Reviews progressive discipline documentation for accuracy and consistency, and checks for supportive documentation and is accountable for determining appropriate action. Utilizes an open door policy to acknowledge employee problems or concerns in a timely manner Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of Human Resources/Multi-Property Director of Human Resources. Partners with Loss Prevention to conduct employee accident investigations, as necessary. Communicates performance expectations in accordance with job descriptions for each position. Managing Legal and Compliance Practices Ensures employee files contain required employment paperwork, proper performance management and compensation documentation, are properly maintained and secured for the required length of time. Ensures compliance with procedure for accessing, reviewing, and auditing employee files and ensure compliance with the Privacy Act. Ensures medical records are maintained in a separate, secure and confidential medical file. Facilitates random, reasonable belief and post accident drug testing process (in properties where applicable). Communicates property rules and regulations via the employee handbook. Ensures all safety and security policies (eg, property removal, lost and found items, blood borne pathogens, accident reporting, and hygiene) are communicated to employees on a regular basis through orientation, property meetings, bulletin boards, etc Conducts periodic claims reviews with Regional Claims office to ensure claims are closed in a timely manner and reserve levels are appropriate for open claims. Represents Human Resources at the property Safety Committee; helps to identify ways to create awareness of the importance of safety in the workplace and decrease accident frequency and severity. Manages Workers Compensation claims to ensure appropriate employee care and manage costs. Oversees the selection/non-selection and offers processes to ensure proper procedures are followed (eg, valid reasons for selection/non-selection and applicants receive status notifications). At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law.

Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines. Execution Analyze the customer segmentation, sales trends in terms of demographics, geography, characteristics etc. to assess the potential for business Conduct trainings at the branch for all banking partners around regulatory guidelines and products. Plan for activation of branches through R&R activities to increase the penetration in active branches to realize full potential of the bank partner in the given geography Relationship Management Drive the campaign/contest for the Partner Bank to drive sales in profitable segments. Assist banking partners in pitching product to crucial customers & driving sales closure for the same. Identify cross sell opportunities for existing customers New Acquisition Banking Partners Gather market information of potential partner, analyze partners profile and customer mix to identify best product fitment from BAGIC portfolio, assess profitability & viability assessment of partnership Schedule meetings with prospective banking clients and brief them about BAGIC products/ offer them lucrative products in coordination with the Vertical Head Service Orientation Engage with cross functional teams to ensure seamless execution of work across channels and deliver desired productivity including everyday servicing and policy issuance etc. Gather relevant documents from customer post sales and submit the same to operations team; gather additional data/documents as required Resolve operational issues faced by the partners to ensure smooth experience while working with BAGIC Provide support for cancellation requests, policy endorsements; process & track such requests in coordination with internal ops team ; Ensure ease of process & approvals for partners by coordinating with internal Ops team Support partners to register claims on behalf of customers, coordinate to ensure approvals within agreed timelines.