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7.0 years
0 Lacs
Mumbai Metropolitan Region
On-site
Job Description The Position We are looking for an experienced and proactive Senior Workday Developer to drive the design, development, and evolution of our Workday platform and its integrations. This role combines strong technical expertise, a solid understanding of HR business processes, and the ability to lead cross-functional initiatives. The ideal candidate will have end-to-end Workday integration experience, Workday security expertise, and a passion for leveraging emerging technologies—including AI and Robotic Process Automation (RPA) —to improve efficiency and user experience. Responsibilities Serve as the Sr Workday Developer, responsible for end-to-end ownership of Workday architecture, integrations, and enhancements. Design, develop, and maintain integrations using Workday EIB, Core Connectors, Studio, and REST/SOAP APIs. Operate under SDLC standards, change management protocols, and documentation best practices. Ensure systems meet data privacy and protection requirements (e.g., HIPAA, GDPR), and uphold enterprise governance standards. Configure and support Workday business processes, condition rules, and calculated fields where needed. Stay current with Workday releases and recommend adoption of relevant new features. Maintain awareness of other technology platforms and tools, especially those with AI and RPA capabilities, and explore opportunities to integrate or automate processes. Act as a mentor and thought leader for junior HRIS or Workday staff. Required Education, Experience And Skills Bachelor’s degree in Information Systems, Business, Computer Science, or a related field. 7+ years of Workday experience, including 2+ years in a lead or senior-level technical role. Proven expertise in Workday integration design and development using EIB, Core Connectors, APIs, and Workday Studio. Experience working as a liaison with cross-functional business and technical teams. Strong understanding of Workday Security frameworks and best practices. Familiarity with SDLC principles, testing protocols, and release management. Strong understanding of HR data structures and business processes. Commitment to data integrity, privacy, and compliance regulations. Preferred Education, Experience And Skills Hands-on Workday configuration experience, including business processes, condition rules, and tenant setup. Functional knowledge of HR, Payroll, and Talent processes. Exposure to or experience integrating with AI, RPA, or low-code automation platforms (e.g., UiPath, Power Automate, ServiceNow, etc.). Workday Pro certification or experience with a certified Workday Partner. Familiarity with Workday Prism, BIRT, Adaptive Planning, or enterprise reporting tools. Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women’s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status Regular Relocation: No relocation VISA Sponsorship Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites Shift Flexible Work Arrangements: Valid Driving License Hazardous Material(s): Number Of Openings 1 Requisition ID: R535196
Posted 2 months ago
3.0 - 8.0 years
1 - 6 Lacs
Hyderabad
Work from Office
Job Summary The Provider Credentialing Specialist is responsible for end-to-end management of credentialing and re-credentialing of healthcare professionals and facilities. This includes verifying education, training, licensure, board certification, work history, malpractice history, and other professional qualifications in alignment with NCQA, URAC, and CMS standards. Key Responsibilities Collect, verify, and update provider data from various sources (CAQH, state boards, DEA, NPDB, OIG, etc.). Initiate credentialing and re-credentialing processes according to regulatory and client timelines. Evaluate credentialing applications for accuracy, completeness, and compliance with credentialing criteria. Liaise with providers, internal teams, and third-party verifiers for timely document submission and clarifications. Maintain and audit provider records in credentialing platforms (e.g., Cactus, Echo, HealthLine, Medversant). Generate and review primary source verifications (PSVs), sanction checks, and background verifications. Prepare credentialing files for committee review and credentialing decisions. Track and manage expirables (licenses, certifications, malpractice insurance) and send timely notifications. Ensure compliance with HIPAA , CMS , NCQA , URAC , and other accreditation standards. Support reporting, audit requests, and data submissions to clients and regulatory bodies. Collaborate with cross-functional teams (payer enrollment, provider data management, contracting). Required Qualifications Bachelor's degree or equivalent experience in healthcare administration, life sciences, or related field. 24 years of hands-on experience in healthcare provider credentialing (preferably BPO/KPO setup). Working knowledge of NCQA, URAC, and CMS credentialing standards. Familiarity with credentialing software tools (Cactus, Echo, CACTUS/Symplr, Medversant). Excellent attention to detail, time management, and organizational skills. Strong written and verbal communication skills for provider and client interactions. Proficiency in MS Excel, Outlook, and document management systems. Role & responsibilities
Posted 2 months ago
3.0 years
0 Lacs
Bengaluru East, Karnataka, India
On-site
Position: Medical Summarization/Abstraction/Records Reviewer Immediate Joiners Preferred Roles and responsibilities: Review medical records to ensure they are complete, accurate, and in compliance with all guidelines and regulations. This includes verifying the identity of the patient, the dates of service, the diagnoses, the treatments, and the outcomes. Identify any potential areas of improvement in the documentation. This may involve recommending changes to the format of the records, the use of medical terminology, or the level of detail provided. Summarize medical records for various purposes, such as law enforcement investigations, insurance claims, or research studies. This requires the reviewer to identify the key information in the records and present it in a clear and concise manner. Conduct research on medical topics. This may be necessary to understand the terminology used in the records or to identify potential areas of improvement in the documentation. Stay up-to-date on changes to medical regulations and standards. This ensures that reviewers are able to accurately review medical records in accordance with the latest requirements. In addition to these specific roles and responsibilities, a medical records reviewer should also have the following skills and qualities: At least 3 years of experience in Medical Records review Strong understanding of medical terminology and regulations Ability to identify important information in medical records Excellent communication and writing skills Ability to work independently and as part of a team Attention to detail and accuracy Commitment to quality Please share your profiles to recruiter@medvoiceinc.com /shilpav@medvoiceinc.com or apply to this Job Post. Reach us on the below Nos : 6364915511 / 9686725753 Website: www.medvoiceinc.com Job Category: Medical Records Review Work Experience: 3 years of experience in Medical Records Review Job Type: Full Time Author Recent Posts MedVoice Services Transform your healthcare practice with MedVoice’s full range of services. We simplify clinical documentation, billing, and coding so that doctors and clinics can collect revenue faster, reduce claim denials, and get timely patient statements. With competitive pricing and integration with major EMR/EHR systems, we help physician clinics and small hospitals run more smoothly and save money. Our 20-year track record shows that we know how to boost collections and improve communications—all in a friendly, easy-to-understand way. Latest posts by MedVoice Services (see all) Medical Credentialing 101: The 3 Types Every Healthcare Provider Must Know - June 14, 2025 What Are the 3 Types of Medical Billing Systems? - May 29, 2025 The Evolution of Revenue Cycle Management: Adapting to Modern Healthcare Needs - October 26, 2024 Job Category: Medical Records Review Work Experience: 3 years of experience in Medical Records Review Job Type: Full Time Job Location: Bangalore India Kammanahalli This job is no longer accepting applications.
Posted 2 months ago
1.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Exciting Opportunity – Credentialing Associate at InteliX Systems We are looking for a proactive Credentialing Associate to manage all aspects of healthcare credentialing and support the smooth onboarding of healthcare professionals. This role is vital to ensuring efficient service delivery through accurate documentation and administrative coordination. The ideal candidate is detail-oriented, organized, and thrives in a fast-paced environment. Location: Hyderabad Shift: 6.30 PM – 3.30 AM (IST) Role & Responsibilities Coordinate the credentialing process for healthcare professionals, including physicians, nurses, therapists, and other allied health professionals. Review credentialing and associated documentation to ensure completeness, accuracy and validity. Verify the authenticity of licenses, certifications, education, training, and other credentials through primary source verification methods. Communicate with healthcare professionals and external organizations to obtain missing or additional information as needed. Maintain detailed records of credentialing activities, including application status, expiration dates, and renewal requirements. Monitor and track credentialing deadlines to ensure timely renewals and compliance with regulatory requirements. Collaborate with internal departments, such as Service and Operations, to ensure alignment with organizational policies and procedures. Stay informed about changes in regulatory requirements, accreditation standards, and industry best practices related to credentialing. Provide support during audits, inspections, and accreditation surveys related to credentialing processes. Preferred Skills Excellent organizational skills with a strong attention to detail and accuracy Effective communication skills, both written and verbal, with the ability to interact professionally with internal and external stakeholders Ability to prioritize tasks, manage multiple deadlines, and work independently or collaboratively as part of a team. Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, and related tools. Qualifications Any Graduation. Behavioral health experience is a plus Minimum 1 year of experience in healthcare credentialing is required Experience with public speaking and presentations. Perks and benefits Competitive salary + performance-based incentives Fast-track career growth in US Healthcare Credentialing Supportive team and professional development 📍Location: InteliX Systems, Hyderabad 📩Apply Now: Send your resume to swathi.kolisetty@intelixsys.com 📞Contact: 6301535020
Posted 2 months ago
5.0 - 10.0 years
7 - 12 Lacs
Hyderabad
Work from Office
Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: . Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days workweek (Monday Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at [email protected] Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI
Posted 2 months ago
0.0 - 5.0 years
4 - 7 Lacs
Hyderabad, Telangana
On-site
Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies’ requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor’s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days’ workweek (Monday – Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. Job Type: Full-time Pay: ₹450,000.00 - ₹750,000.00 per year Benefits: Food provided Health insurance Paid time off Provident Fund Work Location: In person
Posted 2 months ago
1.0 - 2.0 years
0 Lacs
Ahmedabad, Gujarat, India
On-site
Confiance Bizsol Solutions is looking to hire AR Follow-up Caller for our US Healthcare that will be an integral part of our organization working with a distributed team to drive efficiency! At Confiance Bizsol Solutions , you’ll make a difference. In a collaborative, fast-growing environment, we’re redefining development, solving hard problems, and enabling the success of our community. Inclusion at Confiance Bizsol Solutions is driven by one overarching framework: Empathy, Respect, and Opportunity. This opportunity is a Work from Office based in our Ahmedabad office. Confiance House : Near Shree Punjabi Seva Samaj, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 What You'll Be Doing · Communication: Effectively communicate with healthcare providers, insurance companies, and internal teams to obtain necessary information and resolve credentialing issues. · Fundamental understanding of key payers including Medicaid, Medicare and private payers. · Enter data, create reports and validate individual and cross-patient information. · Collaboration: Collaborate with internal departments, including billing and compliance, to ensure seamless integration of credentialing activities with overall business operations. · Familiarity with verification of insurance benefits a plus. · Phone / web communication with clients. · Strong customer service experience. What we're looking for · Minimum 1 to 2 years of experience in healthcare Medical AR Follow-up and Medical Denial. · Strong attention to detail and organizational skills. · Excellent communication and interpersonal skills. · Ability to work independently and as part of a team. · Proficiency in using credentialing software and Microsoft Office applications. Certification in US Healthcare, such as Certified Professional Coder (CPC) is a plus. If you have any queries or have any kind of references you connect with me on 9624590011 or mail me on freshers@confiancebizsol.com
Posted 2 months ago
1.5 - 6.0 years
0 Lacs
Mohali district, India
On-site
JOB DESCRIPTION- CREDENTIALING PROFILE Med Karma is a global revenue cycle management company based in Mohali district. We specialize in providing medical billing companies and healthcare providers with tailored solutions to improve financial viability. Our services include streamlining administrative processes, reviewing claims, ensuring policy compliance, and recommending error correction methods. Website: www.medkarmarcm.com Role Description: This is a full-time on-site role for a Senior Process Associate at Med Karma. In this role, the Credentialing Specialist will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities and maintain up-to-date data for each provider in credentialing databases and online systems, ensuring timely renewal of licenses and certifications. Understands CMS Medicare, Medicaid, and managed care billing, credentialing and enrollment requirements and reimbursements methodologies and applies knowledge to identify, quantify, and address missing/incorrect charges. Assist in the development of resources for researching issues. Roles and Responsibilities: · Screening practitioners’ applications and supporting documentation to ascertain their eligibility. · Identifying discrepancies in information and conducting follow-ups. · Medicare & Medicaid enrollment and revalidation. · Processing initial credentialing and re-credentialing applications with follow up to ensure that credentialing is completed, and providers enrolled in health plan products. · CAQH profile creation. · Maintenance of internal and external databases (CAQH, PECOS, NPPES). · Initial and reappointment of hospital privileges. · Assisting internal customers with credentialing inquiries. · Actively participates in group leadership meetings and is accountable for credentialing status for all groups. · Coordinates and facilitates troubleshooting with payer networks to resolve any issues related to enrollments. · Experience in contract negotiations is beneficial. SKILLS REQUIRED: · Minimum 1.5 to 6 years of experience in DME Credentialing is Mandatory. · Should have basic knowledge of the entire Revenue Cycle Management (RCM). · Excellent analytical and problem-solving skills. · Experience with Denials and Insurance processing. · Excellent English written and oral communication skills. Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com
Posted 2 months ago
2.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview The Clinical Policy Review Analyst is a subject matter expert that clinically reviews claims within the Clinical Policy Review queues and is responsible for maintaining up-to-date clinical guidelines for review of these claims. The Clinical Coding Policy Analyst is also responsible for reviewing the disputes from providers for the edits that were accepted in this queue. This will include analysis and research of specific coding scenarios as well as assisting in edit ideation and maintaining review guidelines. Essential Functions Provide in-depth clinical coding analysis of professional and facility claims routed to the Clinical Policy Review queue based on new or updated edit logic. Works well with a team. Provide in-depth research on Coding Scenarios. Communication and a team-work approach. Identify and provide root-cause analysis of edit performance issues. Advise leadership if edits are working as intended and support decision with validation data. Assist in creating and maintaining job aides aimed at promoting consistency in clinical validations and claims workflow process improvements. Assist in the submission of IT requests associated with validations and the enhancement of reports/tools needed to maximize results. Maintain current industry knowledge of claim edit references including, but not limited to: AMA, CMS, NCCI. Assists in the documentation of updated process, guidelines for review, enhancements, and automation. Work closely with leadership in departmental functions and special projects. Work closely with the resolution analysts. Job Requirements 2+ years of relevant experience or equivalent combination of education & work within healthcare payers/claims payment processing Certified Coder (CCS, CCS-P or CPC) RN, LPN or LVN preferred Ability to interpret claim edit rules and references Solid understanding of claims workflow and the ability to interpret professional and facility claim forms Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards Ability to apply industry coding guidelines to claim processes Strong understanding of Clinical Policy interpretation required Ability to perform audits of claims processes and apply root-cause Ability to manipulate data in Excel Experience managing business relationships Excellent verbal & written communication skills 1+ years of experience in review of Medical Records and application of NCCI editing Education RN or LPN, Bachelor’s Degree preferred Current, active CPC or equivalent credentialing required Work Environment Travel requirements to (primarily) domestic destinations should not exceed 10%. A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the Clinical Policy Review team. Ability to sit for extended periods of time.
Posted 2 months ago
5.0 years
0 Lacs
India
On-site
Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies’ requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor’s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days’ workweek (Monday – Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI yAp4I5oKjV
Posted 2 months ago
2.0 years
3 - 5 Lacs
Mohali
On-site
We are seeking an experienced and passionate Senior US Healthcare Recruiter to join our Mohali office. The ideal candidate must have at least 2 years of hands-on experience recruiting core medical professionals such as Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA), Medical Assistants , and similar roles. You will be responsible for the full-cycle recruitment process and play a key role in fulfilling critical client requirements in the US healthcare domain. Key Responsibilities: Source and recruit healthcare professionals including: Understand client requirements in detail. Screen candidates for qualifications, availability, licensing, and background. Coordinate interviews, credentialing, onboarding, and compliance. Build strong talent pipelines and maintain a consistent flow of qualified candidates. Use platforms like Dice, Ceipal, Indeed, Monster, LinkedIn, CareerBuilder , etc. Work closely with US account managers and maintain regular candidate communication. Required Skills & Qualifications: Minimum 2 years of experience in US healthcare staffing . Solid knowledge of healthcare terminology and licensing requirements Excellent English communication skills – written and verbal. Strong organizational, multitasking, and follow-up skills. Must be comfortable working night shift (US time zone) . Shift Timing: Night Shift – 6:30 PM to 3:30 AM IST (CST) Location: Phase 11. sector 66 Why Join Us? Work with premium US healthcare clients and facilities. Growth-oriented, performance-driven culture. Incentives, learning opportunities, and supportive leadership. Also, email me your resume at milky@amersolutions.com Job Type: Full-time Pay: ₹25,000.00 - ₹45,000.00 per month Work Location: In person
Posted 2 months ago
7.0 years
0 Lacs
Delhi, India
On-site
Job Title: Product Manager – Project-Based Learning (Higher Education) Job Summary: We are seeking a Product Manager to lead the end-to-end design and development of project-based learning (PBL) courses for higher education students across domains like computer science, finance, biotech, management etc. The ideal candidate will combine strong instructional design capabilities with a practical understanding of industry needs and the academic KSA (Knowledge, Skills, Attitudes) framework. Advanced proficiency in AI-based tools like ChatGPT for rapid prototyping and content creation is essential. This is a pivotal role that blends educational vision, curriculum design expertise, and technology-driven efficiency to deliver scalable, engaging, and industry-aligned learning experiences for students. Key Responsibilities: Design and manage project-based learning courses aligned with the KSA framework used in universities and skills-based credentialing systems. Collaborate with academic, product, and delivery teams to define course objectives, sprint structures, learning outcomes, and assessment criteria. Leverage GPT-based AI tools and prompt engineering techniques to accelerate and enhance course content creation. Curate real-world project scenarios that simulate workplace settings and facilitate student engagement through hands-on problem-solving. Conduct instructional design reviews to ensure that the learning journeys are cohesive, outcome-driven, and engaging for learners. Ensure that all digital assets (project briefs, templates, instructional videos, presentations, rubrics) adhere to branding and pedagogical standards. Work with Product Owners from the industry to ensure that courses are implementable and learner-centric. Stay current with global education and employability trends and integrate best practices into course designs. Contribute to platform testing, learner feedback loops, and continuous improvement cycles. Required Skills & Competencies: Strong understanding of instructional design methodologies, including ADDIE, SAM, or backward design. Knowledge of curriculum frameworks aligned with the KSA model and learning taxonomies (Bloom’s, SOLO, etc.). Advanced proficiency with generative AI tools like ChatGPT (including use of GPTs, plugins, custom instructions, prompt chaining). Familiarity with Agile or sprint-based project structures in an educational context. Ability to translate domain-specific knowledge into structured learning experiences. Strong analytical, planning, and visual communication skills. Ability to manage multiple courses/projects simultaneously with precision and speed. Knowledge of EdTech platforms, LMS systems (like Moodle), or project management tools (e.g., Taiga, Jira, Trello) is a plus. Educational Qualifications: Bachelor's or Master’s degree in Education, Instructional Design, Learning Sciences, or related field. Alternatively, a degree in Management, Engineering, or Technology with a certification or significant experience in course design or curriculum development. Professional Experience: 4–7 years of experience in instructional or learning design, education product management, or curriculum development. Demonstrated experience in designing project-based or experiential learning programs for higher education. Prior experience working with or in partnership with universities, skill-building platforms, or EdTech organizations. Experience with AI tools for content generation and productivity is highly desirable. Performance Expectations & KPIs: Timely rollout of high-quality project-based learning courses. Learner engagement and feedback on instructional design quality. Integration of industry relevance into learning artifacts. Efficient use of AI tools for content development and turnaround. Stakeholder satisfaction (internal teams, academic partners, POs/PMs).
Posted 2 months ago
20.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Company Profile: Digital Harbor, Inc., a Virginia, US- product based company , is a pioneer in enterprise innovation, with several firsts including the global norm ‘Know Your Customer’ (KYC) in its credit. Its oeuvre, for last 20 years, is marked with disruptive platforms and products that have transformed the way enterprises operate. Its ‘Know Your Provider’ (KYP) has revolutionized how healthcare provider credentialing functions, thus bringing unprecedented risk-control and compliance in the US public healthcare system. Its current focus is on a future-incubating platform ‘Social Enterprise Technology’ (S.E.T.), built to catapult enterprises into transformational trajectories through Conversational Applications, a first-of-its-kind human-literate applications. We were ranked among the top 500 fastest growing technology companies in North America by ‘Deloitte Fast 500’ – 2018. Our products won ‘Most Innovative Product of the Year – 2018’ and ‘BIG Innovation Award – 2019’. Digital Harbor was voted by employees as “Best Place to Work” in 2018 & 2019. Job Title: Product Support Executive Location: Bangalore (On-site) Experience Required: 2 to 3 years Employment Type: Full-time About the Role We’re hiring a Product Support Executive to join our team during the beta rollout of our product. You’ll be the primary point of contact for logging bugs and tracking issues reported by internal users. This role is critical in helping our product team stay organized and responsive as we build toward a stable release. What You’ll Do Log all product issues and bugs reported by internal users during the beta phase Add clear, detailed and reproducible bug reports in JIRA Follow up with users when needed to gather more information or confirm fixes Organize and prioritize reported issues based on urgency and impact Work closely with product manager, project manager, developers and QAs to ensure clarity and timely resolution Maintain accurate status updates on all logged tickets Share periodic summaries of issue trends to support continuous improvement What We’re Looking For 2 to 3 years of experience in product support, QA, or tech support roles Proficient with JIRA or similar bug-tracking tools Strong communication and documentation skills Detail-oriented and process-driven mindset Comfortable working in a fast-paced product development environment Based in Bangalore and open to working from our office Nice to Have Experience with internal beta programs or early-stage product testing Familiarity with tools like Slack, Confluence, or Notion
Posted 2 months ago
1.0 - 4.0 years
2 - 3 Lacs
Bengaluru
Work from Office
Responsibilities: * Manage accounts receivable calls: denial management, appeals, eligibility verification. * Handle RCM processes: authorization, payment posting, revenue cycle management. Health insurance Provident fund
Posted 2 months ago
0.0 years
0 Lacs
Mysuru, Karnataka
On-site
AR Specialist - Physician Revenue Cycle Management Services Location: All positions work onsite in our Mysore, India office located at: 1st Floor, 5669, Wekreate Space Doddamane, General Thimmaiah Road, Mysuru, Karnataka, 570017. **We are offering walk-in interviews at our Mysore office on any weekday between 10 am - 4 pm. Also for the weekend dates of Saturday, July 19, and Sunday, July 20, from 10 am - 4 pm.** Hours: Monday - Friday: 10:00 am - 7:00 pm, IST with a one-hour lunch Status: Full-time Find out more about our culture at : https://strivanthealth.com/careers/ Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business. HR Generalist - Position Summary Are you passionate about people and driven to make a difference? Strivant Health is looking for a dynamic HR Generalist to join our Mysore team! In this role, you’ll be at the heart of our people operations—recruiting top talent, supporting employee engagement, and driving a high-performance, employee-centric culture. This includes recruiting, hiring, and onboarding team members and being a resource for employees and management on HR related topics. The HR Generalist is responsible for coordinating HR compliance, people-related services, policies, and programs, resulting in employee retention and professional growth. The HR Generalist will provide effective Human Resources consultation and guidance to assigned business units in the resolution of identified problems, with a key focus on maintaining a positive employee relations climate. They interpret and communicates policies, collaborates, and supports implementation of various HR projects, coordinates with management on performance improvement plans and conflict management processes, provides guidance to maintain labor law compliance, facilitates employee relations, HR training programs, & conducts fact finding and drafts initial responses to investigations. The HR Generalist develops sources of recruitment for staffing needs through on-going external and internal recruitment efforts for assigned business units. What You’ll Do – Your Impact Matters Lead recruitment, onboarding, and is the onsite employee relations contact Support performance management and HR compliance Champion company culture and employee engagement Collaborate with leadership to implement HR best practices What You Bring to the Table 3+ years of HR Generalist experience Strong knowledge of Indian labor laws and HR operations Excellent communication, problem-solving, and interpersonal skills Bachelor’s degree in HR or related field (SHRM certification a plus) Excellent English communication skills, both written and verbal. Proficiency in Microsoft Office (Excel, Word, Outlook, Teams). Strong analytical skills with the ability to recognize trends and provide data-driven solutions. Experience working with US teams is a plus! Why Join Us? Join a mission-driven healthcare organization where your work truly matters. A Culture of Excellence – We value accuracy, innovation, and teamwork. Your work shapes a positive workplace culture. A Supportive Team – Work with like-minded professionals Opportunities to drive change and improve processes for greater efficiency. Find out more about our culture at : https://strivanthealth.com/careers/ We are looking forward to reviewing your resume!
Posted 2 months ago
0.0 - 5.0 years
0 Lacs
Tolichowki, Hyderabad, Telangana
On-site
Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what's possible. As we continue to grow, we seek a talented candidate to join our team and contribute to our exciting projects. Position Overview: The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network. The role will also focus on maintaining up-to-date provider documentation, ensuring compliance with insurance companies, and monitoring provider licensing. This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance. Responsibilities: Assist in the enrollment of providers with insurance companies, ensuring all required documentation is submitted timely and accurately. Collect, verify, and maintain the necessary documentation for all providers, ensuring compliance with regulatory standards and insurance requirements. Proactively follow up with insurance companies to track the status of credentialing applications, resolve issues, and ensure providers are credentialed in a timely manner. Coordinate and manage the re-credentialing process for existing providers, ensuring timely submissions and compliance with insurance companies’ requirements. Monitor and maintain CAQH (Council for Affordable Quality Healthcare) profiles for all providers, ensuring accuracy and compliance with industry standards. Oversee the process of enrolling providers with Medicare, ensuring compliance with all relevant regulations and ensuring successful enrollment. Requirements: Minimum of 5 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector. Candidate must have a bachelor’s degree in any field. Experience with insurance portals, CAQH, and Medicare enrollment systems Excellent communication and interpersonal skills, with the ability to build rapport and trust at all levels of the organization. In-depth knowledge of credentialing processes, insurance company contracting, and regulatory requirements in the healthcare sector. Strong organizational and time management skills, with the ability to handle multiple tasks and deadlines. Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner. Diversity, equality, and inclusion Diversity, equality, and inclusion are fundamental to our success at HUMS. We actively promote diversity across all aspects of our organization, including but not limited to gender, race, ethnicity, sexual orientation, religion, disability, and age. We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow, contribute, and succeed. Benefits: Competitive salary (including EPF and PS) Health insurance Four days’ workweek (Monday – Thursday) Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly. We look forward to hearing from you! In case of any queries, please feel to reach out us at recruitment@hupcfl.com Note: Available to take calls between 4:45 PM to 3:45 AM IST only from Monday to Thursday. #LI-DNI yAp4I5oKjV
Posted 2 months ago
0 years
0 Lacs
India
Remote
Senior software engineer at Certify (Fully remote) Company Details: CertifyOS revolutionizes U.S. healthcare by providing API-first, UI-agnostic platforms for seamless provider network management. Automating verification and credentialing with extensive primary source integrations, CertifyOS ensures efficient, real-time data access and supports all provider networking needs. Located in New York City, Series A funded. Job Roles & Responsibilities: - Lead the development team in designing and implementing high-performance software solutions in Node and Python. - Collaborate with cross-functional teams to enhance the Certify provider intelligence platform. - Mentor junior engineers, fostering an innovative and supportive development environment. - Ensure seamless API integrations and manage real-time network monitoring. - Drive the implementation of frictionless licensing, enrollment, and credentialing processes. - Maintain code quality, security, and performance standards. - Analyze and unlock insights from provider data to improve team and organizational performance. - Lead the project management life cycle from planning to delivery. Cultural Expectations: - Collaborate openly with cross-functional teams for seamless product integration - Innovate and adapt quickly in a fast-paced HealthTech environment - Prioritize quality and efficiency in every project - Foster a culture of continuous learning and improvement - Communicate effectively to drive team success and understanding Hiring Process: Phone screening - Talent team 60-90 mins technical screening - Hiring Manager (Involves live coding in Codility) Values Interview
Posted 2 months ago
10.0 years
0 Lacs
Gurugram, Haryana, India
On-site
Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Administrative Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication within the organisation. *Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Job Description & Summary: At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us. At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Responsibilities : · Act as the point of contact among executives, employees, clients and other external partners · Manage information flow in a timely and accurate manner · Manage executives’ calendars and set up meetings · Make travel and accommodation arrangements · Rack daily expenses and prepare weekly, monthly or quarterly reports · Oversee the performance of other clerical staff · Act as an office manager by keeping up with office supply inventory · Format information for internal and external communication – memos, emails, presentations, reports · Take minutes during meetings · Screen and direct phone calls and distribute correspondence · Organize and maintain the office filing system Mandatory skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Preferred skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Years of experience required: Experience: 4 – 10 years Education qualification: B.Sc, MSc, MBA, B.Com Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Master of Science, Master of Business Administration, Bachelor of Science, Bachelor of Commerce Degrees/Field of Study preferred: Certifications (if blank, certifications not specified) Required Skills MS Office Optional Skills Accepting Feedback, Accepting Feedback, Active Listening, Administrative Support, Agile Database Administration, Business Process Improvement, Calendar Management, Clerical Support, Collaborative Forecasting, Communication, Communications Management, Concur Travel, Conducting Research, Confidential Information Handling, Corporate Records Management, Correspondence Management, Credentialing Database, Customer Relationship Management, Customer Service Excellence, Customer Service Management, Data Entry, Deployment Coordination, Electronic Billing, Electronic Filing, Electronic Records Management {+ 31 more} Desired Languages (If blank, desired languages not specified) Travel Requirements Available for Work Visa Sponsorship? Government Clearance Required? Job Posting End Date
Posted 2 months ago
10.0 years
0 Lacs
Gurugram, Haryana, India
On-site
Line of Service Advisory Industry/Sector Not Applicable Specialism Operations Management Level Administrative Job Description & Summary At PwC, our people in business services and support focus on providing efficient and effective administrative support to enable smooth operations within the organisation. This includes managing schedules, coordinating meetings, and handling confidential information. Those working as assistants and office support at PwC will provide high-level administrative support to senior executives, including managing their schedules, coordinating meetings, and handling confidential information. You will play a crucial role in maintaining smooth operations and effective communication within the organisation. *Why PWC At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us . At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Job Description & Summary: At PwC, you will be part of a vibrant community of solvers that leads with trust and creates distinctive outcomes for our clients and communities. This purpose-led and values-driven work, powered by technology in an environment that drives innovation, will enable you to make a tangible impact in the real world. We reward your contributions, support your wellbeing, and offer inclusive benefits, flexibility programmes and mentorship that will help you thrive in work and life. Together, we grow, learn, care, collaborate, and create a future of infinite experiences for each other. Learn more about us. At PwC, we believe in providing equal employment opportunities, without any discrimination on the grounds of gender, ethnic background, age, disability, marital status, sexual orientation, pregnancy, gender identity or expression, religion or other beliefs, perceived differences and status protected by law. We strive to create an environment where each one of our people can bring their true selves and contribute to their personal growth and the firm’s growth. To enable this, we have zero tolerance for any discrimination and harassment based on the above considerations. " Responsibilities : · Act as the point of contact among executives, employees, clients and other external partners · Manage information flow in a timely and accurate manner · Manage executives’ calendars and set up meetings · Make travel and accommodation arrangements · Rack daily expenses and prepare weekly, monthly or quarterly reports · Oversee the performance of other clerical staff · Act as an office manager by keeping up with office supply inventory · Format information for internal and external communication – memos, emails, presentations, reports · Take minutes during meetings · Screen and direct phone calls and distribute correspondence · Organize and maintain the office filing system Mandatory skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Preferred skill sets: Work experience as an Executive Assistant, Personal Assistant or similar role · Excellent MS Office knowledge. · Outstanding organizational and time management skills · Familiarity with office gadgets and applications (e.g. e-calendars and copy machines) · Excellent verbal and written communications skills · Discretion and confidentiality Years of experience required: Experience: 4 – 10 years Education qualification: B.Sc, MSc, MBA, B.Com Education (if blank, degree and/or field of study not specified) Degrees/Field of Study required: Bachelor of Science, Master of Business Administration, Master of Science, Bachelor of Commerce Degrees/Field of Study preferred: Certifications (if blank, certifications not specified) Required Skills MS Office Optional Skills Accepting Feedback, Accepting Feedback, Active Listening, Administrative Support, Agile Database Administration, Business Process Improvement, Calendar Management, Clerical Support, Collaborative Forecasting, Communication, Communications Management, Concur Travel, Conducting Research, Confidential Information Handling, Corporate Records Management, Correspondence Management, Credentialing Database, Customer Relationship Management, Customer Service Excellence, Customer Service Management, Data Entry, Deployment Coordination, Electronic Billing, Electronic Filing, Electronic Records Management {+ 31 more} Desired Languages (If blank, desired languages not specified) Travel Requirements Available for Work Visa Sponsorship? Government Clearance Required? Job Posting End Date
Posted 2 months ago
3.0 - 8.0 years
6 - 10 Lacs
Mumbai
Work from Office
Job Description The Position The Learning & Development Manager will lead the development of commercial capabilities to support business excellence. The L&D Manager will work in close partnership with the Cluster L&D Lead to support and implement learning and development initiatives across all AP markets. Responsibilities Design, deliver, and evaluate learning programs that build functional competencies and address performance gaps, aligned with commercial strategies. Plan, develop, and implement L&D initiatives to enhance sales and marketing effectiveness. Coordinate and manage training activities and services for commercial teams. Support and coach individuals in identifying strengths, development needs, and career growth opportunities. Serve as a performance consultant and strategic partner to Business Units. Lead and facilitate behavioral and cultural change initiatives to drive commercial excellence. Collaborate on change management efforts and cross-functional projects as required. Work flexibly across multiple markets, adapting to diverse business needs and cultural contexts. Required Education, Experience and Skills Managerial experience is preferred. Strong facilitation, communication, presentation, and project management skills. Demonstrated ability to build talent, focus on customer needs, drive results, and foster collaboration. Strong interpersonal and analytical thinking skills. Proficiency in English, both written and spoken, is required; additional language skills are an advantage. Familiarity with a variety of training methods, including mentoring, coaching, classroom and on-the-job training, e-learning, workshops, and simulations. Secondary Job Description Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women s Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. As an equal opportunity employer, we welcome applications from candidates with a diverse background. We are committed to creating an inclusive environment for all our applicants. Search Firm Representatives Please Read Carefully Organon LLC , does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Annualized Salary Range Annualized Salary Range (Global) Annualized Salary Range (Canada) Please Note: Pay ranges are specific to local market and therefore vary from country to country. Employee Status: Regular Relocation: No relocation VISA Sponsorship: Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites Flexible Work Arrangements: Shift: Valid Driving License: Hazardous Material(s): Number of Openings: 1
Posted 2 months ago
2.0 - 6.0 years
2 - 7 Lacs
Chennai
Work from Office
Role & responsibilities Preferred candidate profile 2-6 years experience in SPE Credentialing voice Credentialing- US Healthcare Good communication skills Must be flexible to work night shifts (US shifts) Mode of work: WFH (currently) Work location: Chennai
Posted 2 months ago
0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
The Senior Medical affairs manager (MAM) is an experienced field-based member of the Medical Affairs team who serves as a strategic link between Alcon and Medical Experts (ME)/Key Opinion Leaders (KOLs) in the field of Ophthalmology and Optometry. The Senior MAM strategically supports the development and appropriate use/adoption of Alcon products and therapies through supporting evidence generation and evidence-based scientific exchange and by gathering actionable insights to further inform and shape the company’s understanding of the products, therapeutic area, market access, and clinical practice. The Senior MAM responds to unsolicited requests for scientific exchange/insights, detailed working knowledge of FDA-approved Alcon products, current medical/scientific research, and publications and proposals for scientific research. The Senior MAM provides support for ECPs interested in participating in ALCON’s Investigator Initiated Trials (IITs) by guiding them through the concept endorsement, synopsis review, and grant approval process, and acts as an end to end study liaison. The Senior MAM serves as a mentor to onboard new MAM and experienced team members in scientific subject matter and KOL/IIT management skills. The Senior MAM provides general medical/healthcare information by delivering unbiased scientific information (data dissemination) presentations to practitioners, third-party payors, and internal Alcon associates. The Senior MAM also responds to queries and unsolicited requests for medical information from doctors submitted to Medical Product Information and Complaint Handling and escalates to the MAM’s team. The Senior MAM provides important information for making healthcare coverage and access decisions for Health Economics and Outcomes Research. Foster KOL/HCP interest in Investigator Initiated Trials (IITs) within Alcon’s product strategy and liaise between potential researchers and Alcon on Investigator Initiated Trials (IITs) from inception to publication. Act as an interface between Medical Expert/ HCP and Alcon to provide up-to-date medical support on device-related issues to educate, diagnose, resolve, and where applicable, escalate to local or regional Medical Affairs. Develop and maintain peer-to-peer scientific relationships with KOLs and decision-makers to expand evidence generation through scientific partnership opportunities; and gain their advocacy. Develop a strong understanding of the future needs of ophthalmic surgeons and support medical education in alignment with Alcon's strategy. Identify national, regional, and local KOL eye Care Provider experts according to their medical expertise and academic reputation. Liaise and provide up-to-date medical support to healthcare associations to ensure an evidence-based understanding of Alcon products relative to medical guidelines and medical evidence/health economic information. Assure thoughtful and informed exchange of current medical information and data related to Alcon products and selected areas of therapeutic interest with KOLs. Provides important information (HEOR/data) for payers making healthcare coverage and access decisions Regularly collect, analyze, and report insights from the scientific exchange with ECPs that may impact company development plans/trial designs, launch, and brand strategies/tactics. Deliver effective presentations to ECPs and collect and report insights. Function as the Alcon medical speaker to present, as needed, at customer sites, ad board congresses, symposia, and training events for up-to-date data-based, scientific, and clinical information on Alcon product(s). Provide non-promotional speaker training to HCPs to support education/medical events to the healthcare community about therapies/devices developed and commercialized. Medical Support & Key Opinion Leader (KOL) Relationship Development Attend and provide scientific support for Medical Affairs activities and scientific sessions at regional and national congress meetings. Liaise and provide up-to-date medical support to healthcare associations to ensure an evidence-based understanding of Alcon products relative to medical guidelines and medical evidence/health economic information. Timely completion of all required training activities, documentation, and other administrative responsibilities. Deep scientific and KOL/IIT management skills that are used to coach and onboard new MAMs and team members Acts in lieu of a MAM Regional Director as a peer mentor, as a subject matter expert and possesses excellent operational excellence (time, budget/finance, data standards, reports etc) Internal Alcon Support − Provide medical support and training, as appropriate, (i.e., disease state and product) to colleagues (e.g., sales reps, Regulatory Affairs colleagues, etc.), but not as a substitute for those functional training groups. Support educational efforts, such as wet lab activities, by proctoring such events and being onsite as necessary. Ensure cross-functional collaboration, and interface effectively with all other Medical Affairs functions, as well as other departments, including but not limited to Commercial, QA, Research and Development, Regulatory Affairs, and Market Access. Work with Med Info and Med Safety to help resolve escalated product complaints as well as Medical Safety issues. Comply with all credentialing requirements for any healthcare institution (e.g., hospital) that is part of the MAM’s call plan, including, among other things, routine background checks, medical testing (i.e., Tuberculosis test) or proof of immunizations, training on facility policies, adherence to confidentiality, etc. Work with Integrity and Compliance observing all laws, industry standards, and company policies. Key Performance Indicators Number and quality of support for Investigator Initiated Trials, with documentation Key Performance Indicators (KPIs) for an associate in this role measuring progress and performance are aligned and set in accordance with: Organizational Objectives and Goals Departmental / Team Objectives and Goals Individual Objectives identified during the Performance Management Process Integrity and Compliance KOL Engagement and Relationship Management Quantity and quality of Investigator-Initiated Trials (IITs) submitted proposals in alignment with ALCON’s Global Medical strategy. Quantity and quality in the execution of Investigator-Initiated Trials (IITs) and other research project proposals received and successfully implemented. Impact of the Research Proposals Quantity, quality, and content of monthly KOL interactions and presentations with scientific purpose Quantity and quality of support to KOLs presenting on Alcon products (e.g., Advisory Boards and other non-promotional meetings) Quantity and quality of new KOL relationships Ability to effectively address clinical questions and product complaints. Quantity and quality of insights collected and reported from the scientific exchange with ECPs. Quantity and quality of Identified KOLs who are qualified for Medical Affairs and R&D activities. Quantity and quality of insights collected by the MAM at attended congresses, symposia, and training events. Quantity and quality of podium presentations delivered at congresses, symposia, and training events. Quantity and quality of SoV opportunities generated in the assigned territory. Quantity and quality of events supported (such as presentations, webinars, focus groups, user meetings, advisory boards, symposia, customer training events) Training compliance report for the MAM MAM’s Evaluation from internal stakeholders Contributions to educational materials, and impactful internal training presentations MAM’s feedback from KOL and other HCP Level of collaboration and successful execution of integrated initiatives Quantity and Quality of Healthcare Economics presentations delivered internally and to payors. Effectiveness and frequency of mentoring and training new MAMs, KOLs, and team members. ATTENTION: Current Alcon Employee/Contingent Worker If you are currently an active employee/contingent worker at Alcon, please click the appropriate link below to apply on the Internal Career site. Find Jobs for Employees Find Jobs for Contingent Worker Alcon is an Equal Opportunity Employer and takes pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity, marital status, disability, or any other reason.
Posted 2 months ago
25.0 years
0 Lacs
Delhi
On-site
About Certify : At CertifyOS, we're building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative. Our platform is the ultimate source of truth for provider data, offering unparalleled ease and trust while making data easily accessible and actionable for the entire healthcare ecosystem. What sets us apart? Our cutting-edge, API-first, UI-agnostic, end-to-end provider network management platform automates licensing, enrollment, credentialing, and network monitoring like never before. With direct integrations into hundreds of primary sources, we have an unbeatable advantage in enhancing visibility into the entire provider network management process. Plus, our team brings over 25+ years of combined experience building provider data systems at Oscar Health, and we're backed by top-tier VC firms who share our bold vision of creating a one-of-a-kind healthcare cloud that eliminates friction surrounding provider data. But it's not just about the technology; it's about the people behind it. At Certify, we foster a meritocratic environment where every voice is heard, valued, and celebrated. We're founded on the principles of trust, transparency, and accountability, and we're not afraid to challenge the status quo at every turn. We're looking for purpose-driven individuals like you to join us on this exhilarating ride as we redefine healthcare data infrastructure. About the role : As a Senior Platform Engineer, you’ll play a key role in helping design and build the infrastructure of the systems that run our products and business. If you want to have a hand in influencing the overall architecture, tools, and services of our platform with a collaborative team then this role is for you. What You'll Do Provide technical leadership through code reviews and mentorship for junior team members Contribute to agile team rituals and processes (stand-ups, groomings, planning meetings) Build the industry’s leading provider data management platform. Help identify high value opportunity areas for the team and guide their implementation Design, develop, and deploy high quality code that exceeds the expectations of our clients. What You'll need 7+ years developing server-side applications using a major coding language (Go/Java/C#/C++) 3+ years Java experience in a production setting - Java 11/17 preferred - Java 8 acceptable 3+ years building infrastructure with cloud platform services for enterprise software (AWS, GCP, Azure - GCP Preferred) 1+ year experience working with a Master Data Management platform with development experience on at least some core parts of the platform (ex. APIs, entity resolution, data loading, data quality, or data export) Spring or quarkus frameworks such as Rest APIs, Dependency Injection annotations, JUnit, and other java testing/mocking frameworks Docker image build/deployment experience in a cloud setting Embrace a culture of alerting and monitoring Strong written and verbal communication skills Willingness to participate in an on-call rotation Willingness to mentor and train other engineers, esp in area of Java and Java coding standards Bonus Points if you Have experience with a microservices architecture Developed in environments with scalable data architectures Experience in healthcare and/or working with PII Have experience with Drools or KIE Technologies Google Cloud Platform Google Cloud Storage Spanner BigQuery GKE / App Engine / Cloud Run Pub/Sub Git and Github GitHub Actions Maven or Gradle Jira Java 17 Drools and/or KIE What You'll Get Impactful Work: Shape the development strategy at a growing SaaS company in the healthcare sector. Collaborative Culture: Work in a supportive environment where innovation and efficiency are key drivers. Equity: A share in a rapidly growing company that is revolutionizing the healthcare data space. Benefits of working at Certify 100% of health, dental, and vision insurance premiums covered for employees and families Unlimited PTO policy with a mandatory minimum of two weeks off No meeting Thursdays so you can stay heads down to get work done At Certify, we're committed to creating an inclusive workplace where everyone feels valued and supported. As an equal opportunity employer, we celebrate diversity and warmly invite applicants from all backgrounds to join our vibrant community.
Posted 2 months ago
5.0 years
0 Lacs
Delhi
On-site
About Cisive Cisive is a trusted partner for comprehensive, high-risk compliance-driven background screening and workforce monitoring solutions, specializing in highly regulated industries—such as healthcare, financial services, and transportation. We catch what others miss, and we are dedicated to helping our clients effortlessly secure the right talent. As a global leader, Cisive empowers organizations to hire with confidence. Through our PreCheck division, Cisive provides specialized background screening and credentialing solutions tailored for healthcare organizations, ensuring patient and workforce safety. Driver iQ, our transportation-focused division, delivers FMCSA-compliant screening and monitoring solutions that help carriers hire and retain the safest drivers on the road. Unlike traditional background screening providers, Cisive takes a technology-first approach powered by advanced automation, human expertise, and compliance intelligence—all delivered through a scalable platform. Our solutions include continuous workforce monitoring, identity verification, criminal record screening, license monitoring, drug & health screening, and global background checks. Scope of Position Senior Business Analyst oversees the submission, planning, scheduling, building, testing and deployment of assigned accounts and projects level. This position is accountable for identifying business needs, analyzing processes, and delivering data-driven recommendations to improve business performance and designing system features. As a part of PMO they will also ensure continuity of projects throughout the organization through effective planning, technical leadership, and strategic project coordination. Essential Job Duties Lead the collection, documentation, and validation of business and functional requirements for complex software development projects. Collaborate with product owners, UX/UI designers, developers, and QA engineers to deliver high-quality software solutions. Facilitate demo, user interviews, and stakeholder meetings to gather deep insights into business needs. Translate business requirements into clear, detailed user stories, acceptance criteria, and wireframes when needed. Act as a subject matter expert throughout the software development lifecycle (SDLC), including Agile/Scrum ceremonies. Analyze current systems and processes to identify areas for improvement and optimization. Manage and prioritize product backlogs in collaboration with Product Managers and technical leads. Assist in the creation of test plans and participate in user acceptance testing (UAT). Provide mentorship and guidance to QA and Test Engineers. Translate business needs into functional specifications for technical teams. Identify opportunities for process improvements and recommend solutions. Ensure timely and effective delivery of the solution into production. Use technical and functional knowhow and experience to provide guidance for project efficiencies during execution. Accountable for project timelines and communication. Create detailed reports, dashboards, and presentations to communicate findings and recommendations. Monitor and evaluate the effectiveness of business solutions post-implementation. Conduct data analysis to support strategic planning and forecasting. Manage all aspects of the project including schedule, people resources, budget, and scope. Capable of managing waterfall projects as well as software development projects, and how they may intersect. (executing a scrum master role.) Use your business analyst skills to Interact with the business and our clients at the functional level as required. Document technical requirements, develop and oversee project plans and implement change control procedures. Driving to requirement capture of analysis of client’s new project from product management stand points; Participate in product advisory role per client related requirements with operations team/customers as required, partnering with the IT technical, assigned by Manager; Analyze technical requirement from Clients’ in-take directly partnering with CS/AM/sales; Track and maintain project report cards for development by projects; Track and Maintain Developer Timesheets for Finance on a Monthly basis; Dotted-line reporting to VP, Project Management for non-client related projects. Provide leadership for projects, group and company. Education & Qualification Requirements UG : B.Tech/B.E. – Computers / IT/MCA OR Equivalent Experience: 5 years+, Office working hours: 9:00 AM to 6:00 PM(may vary as per project needs) Measurements of Success Excellent analytical, problem-solving, and communication skills. Strong understanding of business processes, systems, and operations. Proficient in tools such as Excel, SQL, Power BI, Tableau, or similar. Experience with business analysis frameworks (BABOK, Agile, Scrum, etc.) Experience with project management tools like JIRA.
Posted 2 months ago
20.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Who are We? Company Profile: Digital Harbor, Inc., a Virginia, US-based company , is a pioneer in enterprise innovation, with several firsts including the global norm ‘Know Your Customer’ (KYC) in its credit. Its oeuvre, for last 20 years, is marked with disruptive platforms and products that have transformed the way enterprises operate. Its ‘Know Your Provider’ (KYP) has revolutionized how healthcare provider credentialing functions, thus bringing unprecedented risk-control and compliance in the US public healthcare system. Its current focus is on a future-incubating platform ‘Social Enterprise Technology’ (S.E.T.), built to catapult enterprises into transformational trajectories through Conversational Applications, a first-of-its-kind human-literate applications. We were ranked among the top 500 fastest growing technology companies in North America by ‘Deloitte Fast 500’ – 2018. Our products won ‘Most Innovative Product of the Year – 2018’ and ‘BIG Innovation Award – 2019’. Digital Harbor was voted by employees as “Best Place to Work” in 2018 & 2019. Yes, everything! Role: Data Analyst Job Location: Bangalore Interview Mode: F2F interview (3 Rounds) Experience: 0 to 5 Years Can you identify patterns in random data? Can you construct useful information from those data arrangements and give industry insights? Are you a born investigator, who would never give up without finding logical connections? Data Analytics team plays a critical role as we are the essential suppliers of information constructs to detect and prevent fraud and save millions of dollars to our customers. We always look for smarter ways to churn out data and always deliver above par. And now we are looking to add ammunition to our team. Functional Expertise Passionate about exploring and analyzing various data sources to identify and feed the right set of information input required for your product. Excellent analytical skills to infer, correlate and unearth intelligent information traits from a complex set of data. In short, convert data to information, information to knowledge, knowledge to wisdom! Good knowledge of data exchange mechanisms and systems integration. Hands on working experience on data integration project will be added advantage. Participate in techno-functional discussions with customers, other teams, data vendors and clearly communicate the requirements. Follow SDLC and Agile methodologies in a multi-site development environment. Present and explain analysis outcomes with interpretative reports or PowerPoint decks and be the “supplier of intelligent information” Good Communication Skill. Proactively come up with value-added ideas and data enrichment suggestions. Technical Expertise: Good knowledge of Database concepts and Query writing . Experience in Data mining, Data mapping, Data Clustering . Hands on in BI/ETL tools viz Tableau, SSIS. Good knowledge of Python and its Libraries. Hands on experience in advance Excel / excel macros / pivot tables will help.
Posted 2 months ago
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