16 Cobra Jobs

Experience in BPO Industry- International Voice only Manager - US Health and welfare process voice (MUST) Health and welfare - Medicare Hippa, Cobra Excellent Comms- US Healthcare process

We are seeking a highly experienced and strategic .NET Architect to lead the design and development of enterprise-grade solutions in the US Benefits Administration domain , with a strong focus on health benefits (medical, dental, vision, HSA/FSA, COBRA, ACA, etc.). The ideal candidate will bring a combination of deep technical expertise and domain knowledge to architect scalable, secure, and compliant solutions that support enrollment, eligibility, and data integrations with carriers and payroll vendors. Key Responsibilities: • Lead end-to-end architecture of .NET-based applications serving the US Ben Admin domain. • Design and guide development teams on scalable microservices, APIs, and event-driven architectures. • Define best practices for integrating with carriers (834, 820 EDI), payroll systems, and ACA reporting engines. • Provide architectural oversight for data transformation pipelines involving eligibility and enrollment data. • Ensure adherence to HIPAA, SOC2, and other compliance/regulatory standards. • Collaborate with product owners and business analysts to align technical designs with business requirements. • Optimize legacy .NET monoliths and guide migration to modern .NET Core or cloud-native platforms. • Evaluate and implement observability tools, APMs, and performance monitoring practices. • Drive architectural decisions on database design, caching, job schedulers, and third-party system integration. Required Qualifications: • 8+ years of hands-on development and architecture experience in Microsoft .NET stack (.NET Core, ASP.NET, C#). • Proven experience in the US Ben Admin domain , especially with health benefits . • Deep understanding of benefits lifecycle: open enrollment, life events, COBRA, ACA compliance. • Strong knowledge of EDI standards (834, 820), flat-file and XML-based integrations. • Experience working with eligibility engines, rules-based systems, and configuration-driven platforms. • Experience with SQL Server, Entity Framework, Redis, RabbitMQ/Kafka (preferred). • Hands-on experience with DevOps practices, CI/CD pipelines, and cloud platforms (Azure/AWS). • Strong communication skills and ability to mentor technical teams. Preferred Qualifications: • Experience working with platforms like Benefitfocus, Workday, ADP, Alight, Businessolver, or similar. • Prior involvement in ACA reporting and compliance automation tools. • Exposure to frontend technologies (React, Vue) is a plus. • Certifications in Azure/AWS architecture or .NET development.

Operations Team Leader (Assistant Manager) Member Support Gurgaon, India Full Time Telus Digital India has partnered with a Global Healthcare client to provide comprehensive Member Support services. This role focuses on enhancing the experience of individuals enrolled in health insurance plans by offering assistance and resources. This contrasts with "provider support," which caters to healthcare professionals and facilities that deliver care: Few Examples: Answering questions about benefits, coverage, and claims. Helping members navigate the healthcare system and find appropriate providers. Providing information about preventive care and wellness programs. Offering resources for managing chronic conditions. Ensuring access to affordable and quality care. Member Support - Service Center (Role Summary) This role involves managing the Member Support Service Center, overseeing a team of 15-20 Team Leaders or 50-75 Operations Managers. Key responsibilities include setting up the contact center in Gurgaon, managing SLAs, processes, and people. This position reports to an Operations Manager (OM) or Senior Operations Manager (SOM). Contact Center Operations Manage ongoing transitions, SLAs, processes, and people Setup and Procedures Handle the transition and setup of the Contact Center. Create Standard Operating Procedures (SOPs) and track go-live progress. Training and Support Get trained and certified to assist Customer Service Representatives (CSRs) with live work. Complete assigned tasks within the agreed Turnaround Time (TAT) with 100% accuracy Team Leadership Lead a team to ensure client delivery. Strive for zero escalations and errors (E&O). Facilitate career pathing and development of employees for advancement. Performance Management Manage SLAs, including queue monitoring, work allocation, and driving problem analysis and resolution. Communicate effectively with clients, conduct reviews, and provide timely responses. Generate effective and accurate reports of key metrics Employee Engagement and Improvement Conduct employee engagement activities as directed by the business. Provide timely updates to internal stakeholders and onshore counterparts. Drive process improvements and efficiencies. Qualifications and Skills: 3-7+ years of relevant and overall work experience. Knowledge of the Health & Benefits (HB) domain. Excellent communication and analytical skills. Proficiency in MS Office applications (MS-Excel, MS-Word) and SQL. Ability to handle difficult client situations and develop strategic solutions. Ability to multitask and demonstrate self-starter qualities. Basic knowledge of Quality tools such as Six Sigma, Kaizen, and LEAN is preferred. Strong analytical, planning, and organizational skills. This is a Work From Office (WFO) role supporting clients for 15x5 hours.

Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working

Experience in BPO Industry- International Voice only Team Leader - Health and welfare process voice (MUST) Health and welfare - Medicare Hippa Cobra Excellent Comms

Role & responsibilities: 1. Benefits Administration: a. Manage day-to-day administration of US employee benefits programs (medical, dental, vision, FSA/HSA, life insurance, disability, 401(k), etc.). b. Coordinate benefits enrollments, changes, and terminations in HRIS and benefits platforms. c. Support the annual Open Enrollment process including system testing, employee communication, and vendor coordination. 2. Employee Support: a. Respond to employee queries related to benefits via email, ticketing systems, or virtual calls. b. Educate employees on plan provisions and ensure understanding of benefit options and policies. c. Partner with US HR Business Partners on any escalation that requires vendor relationships or employee interventions. Additionally, has foresight to coordinate handoff to US team on any urgent ongoing issue that is not resolved during normal business hours or will span into weekend hours. 3. Vendor & Data Management: a. Liaise with US-based vendors and third-party administrators for eligibility, claims, and escalations. b. Maintain accurate employee records in HRIS and benefits systems and ensure timely updates. 4. Compliance & Reporting: a. Ensure compliance with US federal and state regulations (HIPAA, COBRA, ERISA, ACA, etc.). b. Assist US HR Team with audits, government filings (e.g., Form 5500), and reporting requirements. 5. Process Improvement: a. Recommend and help implement process improvements to streamline benefits operations. b. Document standard operating procedures and maintain process documentation. Preferred candidate profile: 1. Bachelors degree in Human Resources, Business Administration, or related field. 2. 4+ years of experience in US Benefits administration, preferably in a shared services or global delivery model. 3. Strong understanding of US benefits laws and compliance requirements. 4. Experience with HRIS platforms (UKG, Workday, ADP, SAP, etc.) and benefits administration systems. 5. Excellent communication and interpersonal skills; ability to work cross-functionally and across time zones. 6. 2+ Years’ experience working with US stakeholders and employees 7. Proven ability to de-escalate time-sensitive issues 8. Detail-oriented with strong analytical and problem-solving skills. 9. Experience in Billing reconciliation preferred. 10. CEBS or other HR/benefits certifications (Good to have). 11. 2+ Years’ familiarity with leave of absence administration (FMLA, ADA, PWFA, STD state leaves).

US Health and welfare Voice Exp Medical billing AR Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working

About the work - Member Services for Seniors: Medicare and Retiree programs serve a vulnerable demographic, seniors who often have complex health conditions, limited digital literacy, and require extra care and patience over the phone. Segments we will support (Phase 1) : Medicare Advantage (Part C) : End-to-end plans covering hospitalization, medical services, and prescriptions. Group Retiree Plans : Tailored benefits for retired employees of corporations, government, or unions, often with layered entitlements and detailed queries. D-SNP (Dual-Eligible) : For members eligible for both Medicare and Medicaid. These are low-income or disabled seniors, requiring high sensitivity and multi-agency coordination. Call types expected : Plan eligibility, enrollment, and disenrollment Co-pay and deductible clarifications Benefit explanations (vision, dental, OTC) Provider and PCP changes Claims, EOBs, and billing support Pharmacy exceptions and drug tier clarifications Appeals, grievances, and service denials Hospice and long-term care coordination Medicaid coordination Skill requirements : Deep understanding of CMS (Centers for Medicare & Medicaid Services) guidelines Familiarity with Medicaid programs by state Strong listening and verbal communication Patience and empathy for cognitive or hearing impairments Proficiency in navigating multiple systems and tools Why this matters : Customer satisfaction directly impacts Medicare Star Ratings, which drive UHGs CMS reimbursements First 90-day retention is critical to reduce member churn Supporting D-SNP and retiree populations reinforces UHG’s mission of healthcare equity and access This is a defining opportunity, let’s come together to exceed expectations, build client trust, and establish ourselves as a long-term strategic partner for UHG. Looking forward to your thoughts and functional readiness in our upcoming working session. Regards Trapti Singh 9911397154

Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10, HCPCS, and insurance guidelines Good communication and leadership skills Graduation or diploma preferred Apply now and grow your career in RCM with us. CONTACT: Sanjana- 9251688426

Requirements: • 3+ Years of experience in Health and Welfare benefit administration. • Experience in delivering results across Medicare, COBRA, Workday, FSA, HSA, DVS, DBP Medicare, should be specialize in resolving complex insurance and payroll issues, managing client escalations and improving operational accuracy. • Should have experience in Annual enrollment, Life Events, Vendors Files, Payroll and Premium, Life Insurance, Medicare Benefits, Claim, Billing, etc., • Must be proficient in using Microsoft Office applications (Microsoft Word, Excel, and PowerPoint). • Ability to work towards deadlines. • Positive attitude and solution-oriented thinking. Requirement Excellent communication skills and Interpersonal skill. Candidates willing to work in US Shift (night shift) may apply. . Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Analyst and your name in subject line

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose - the relentless pursuit of a world that works better for people - we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. We are inviting applications for the role of Domain Trainee / Management Trainee, HRO Responsibilities . Expert in the entire domain of HRO like Travel, Insurance, Health & Welfare, COBRA, Medicare, HIPPA, 401K, Payroll, Visa & Immigrations, Onboarding & assimilation, Employees onboarding, Recruitment, different types of visa & process, concierge service, US HR Policies, Severance pay, mass termination, US taxes, W2, W4, F&F settlements to provide first level support to the employees . Performing day-to-day work in HR operations & manage helpdesk calls for the same . Managing international transfers, temp conversions and internal transfer . Employees personal information change citizenship, marital status, preferred name, legal name, educational qualification etc. . Manage/ process organizational changes for employees like Manager change, position change, job title, shift change, cost code/ center etc . Assisting the Managers to initiate the transactions for the employee life cycle . Coordinating with the staffing team for any new hire discrepancies . Termination processing for RFT, interns, temp, consultants and contractors Qualifications we seek in you Minimum qualification . Any Graduate . Excellent soft skills to deal with the sensitive employee grievances or relations . Excellent verbal, written, presentation and interpersonal skills in English Preferred qualifications . PGDBM HR will be preferred . Relevant experience in US HRO domain Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. Get to know us at www.genpact.com and on X, Facebook, LinkedIn, and YouTube. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a %27starter kit,%27 paying to apply, or purchasing equipment or training.

Designation: HR Operations Manager Department: Human Resources - US Location: Ahmedabad / Remote Shift: 8 PM to 5:30 AM IST Job Summary: The HR Operations Manager is responsible for overseeing core HR functions, including employee onboarding and offboarding, payroll administration, benefits management, HRIS maintenance, compliance, policy updates, and equipment recovery. This role ensures accuracy, legal compliance, and efficiency across the employee lifecycle while serving as a strategic partner to HR, Finance, and IT teams. Qualifications: 8+ years of experience in HR operations with oversight in payroll, benefits, and compliance. Strong knowledge of federal and state labor laws, multistate payroll processing, and ACA/FMLA regulations. Proficiency in HRIS platforms and Microsoft Office; experience with SAP SuccessFactors and ADP is a plus. Excellent organizational, analytical, and communication skills. Key Responsibilities: Payroll Oversight Supervise end-to-end payroll processing for accuracy and timeliness, including for LLC, APN, and final pay batches. Ensure correct tax withholding, garnishments, and deductions. Partner with Finance to manage payroll funding and monthly reconciliations. Review payroll registers and reports prior to submission for approval. Oversee year-end tax and compliance filings (W-2, ACA, and bonus processing). Stay updated on and ensure compliance with multistate wage laws, including overtime, final pay, and minimum wage requirements. Onboarding & Offboarding Manage onboarding workflows including offer letters, background checks, I-9/E-Verify, system provisioning, and Day 1 readiness. Coordinate orientation activities and ensure smooth new hire experiences. Lead offboarding procedures including exit interviews, asset retrieval, final pay processing, and separation documentation. Benefits Administration Plan and execute open enrollment in collaboration with brokers and carriers. Ensure timely and accurate benefit enrollments, changes, and terminations. Address escalated employee benefit inquiries and issues. Collect and provide data for Section 125 nondiscrimination testing. Manage broker and vendor relationships to ensure service quality and compliance. 401(k) Retirement Plan Management Oversee 401(k) plan enrollments, eligibility tracking, and changes. Coordinate responses to plan-related inquiries and audits. Submit annual 401(k) audit data and Form 5500 support. Track Highly Compensated Employee (HCE) limits and perform nondiscrimination testing. Respond to audit or DOL information requests. Leave of Absence & Compliance Ensure FMLA, state leave, and internal leave policies are consistently applied. Collaborate with legal, HR leadership, and insurance carriers for leave approvals, extensions, and accommodations. Maintain accurate leave tracking and ensure timely notices. Oversee return-to-work documentation and compliance. HRIS & Documentation Ensure digital employee files (I-9s, offer letters, and change forms) are complete and audit-ready. Monitor retention compliance and documentation accuracy. Oversee HRIS system accuracy and partner with IT on updates and upgrades. Align system workflows with onboarding, payroll, benefits, and compliance processes. Generate and analyze adhoc reports requested by HR or Executive Leadership. Other Responsibilities Ensure policy documents and SOPs are regularly updated and compliant. Manage asset/equipment recovery and tracking during offboarding. Partner cross-functionally to improve operational efficiency and employee experience. How to Apply? If you would like to pursue this position, please mail your updated resume at sagar.raisinghani@advantmed.com , along with the following details Total Experience: - Relevant Experience: - Current Designation: - Current CTC: - Expected CTC: - Notice Period: - Current Location: -

Hiring for US Healthcare (RCM- AR Calling) Require Exp: Min. 1 Year into AR Calling (RCM)- Providers Side Skills: Revenue cycle management, Denial management, HIPPA, AR Follow up, Physician Billing CTC: Up to 5.5 LPA Location: Pune Qualification: Any Graduate Work from office Shifts: US 5 Days Working; 2 days rotational off Notice: Immediate to 30 Days CONTACT: Sanjana- 9251688426

Role & responsibilities - 3.5 + years of experience in Health and Welfare benefit administration. - Experience in delivering results across Medicare, COBRA, Workday, should be specialize in resolving complex insurance and payroll issues, managing client escalations and improving operational accuracy. - Should have experience in HRIS, Annual enrollment, Life Events, Vendors Files, Payroll and Premium, Life Insurance, Medicare Benefits, Claim, Billing, etc., - End to End process management on daily basis to ensure meeting client SLA's - End to End business transitions experience Preferred candidate profile • Good level of English written and verbal is a must. • Must demonstrate strong interpersonal, speaking, and writing skills. Must be proficient in using Microsoft Office applications (Microsoft Word, Excel, and PowerPoint). • Must demonstrate excellent analytical skills. • Ability to work towards deadlines. • Positive attitude and solution-oriented thinking. • Flexible and eager to learn. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Notice Period- Current Location- Current CTC- Expected CTC- Kindly specify the role (H&W) and your name in subject line

Job Description: The System support Associate will be responsible for implementing and modifying EDI file feeds, utilizing programming languages like C#, Java, Python, and SQL. The candidate should have hands-on experience working within the US healthcare industry, understanding HIPAA compliance standards, and creating secure connections using SFTP (Secure File Transfer Protocol). As a member of our technical team, you will be responsible for integrating data feed into our systems and ensuring compliance with industry standards and regulations. Key Responsibilities • Implement and modify EDI (Electronic Data Interchange) file feeds for healthcare/benefits data integration. • Develop and maintain solutions using programming languages such as C#, Java, Python, and SQL. • Create, configure, troubleshoot and maintain secure SFTP connections for transferring EDI files. • Gathers specifications from the clients, carriers & vendors and deliver the solution that meets the needs presented • Ensure compliance with HIPAA regulations and US healthcare industry standards while managing sensitive patient data. • Effective communication and coordination with clients and carriers. Qualifications & Core Competencies • Bachelor's degree in computer science or a related field (B. Tech preferred). • • Proficiency in C#, Java, Python, and SQL for developing and managing EDI integrations. • Experience in configuring and managing SFTP connections for secure file transfers. • Good understanding of US healthcare benefits like FSA, HSA, COBRA, 401k, 403b, Roth, HIPAA compliance etc. If interested, kindly share the answers to the following questions: 1. Years of experience 2. Current CTC (fixed + variable) 3. Expected CTC 4. Notice period 5. Who do you report to 6. Do you handle a team 7. Summary of the profile 8. Reason for job change 9. Are you comfortable commuting to this job location - Noida sec 142 10. Are you comfortable working US Shift

Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund