Get alerts for new jobs matching your selected skills, preferred locations, and experience range. Manage Job Alerts
2.0 years
0 Lacs
Chennai
On-site
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. We are looking for a Member of Technical Staff to join our Payer Integration team within our Chennai R&D, Platform & Data services subdivision, Integration Platform zone. Our zone vision is to maximize our network effect through efficient, effective, experience driven interoperability and navigate towards value-based care. Our team’s vision is to improve the payer/partner-provider collaboration in healthcare ecosystem for value-based care and better patient experience. We are building a robust and scalable integration platform to enable bidirectional workflow between Payer/Partner and Provider groups to surface Payer/Partner’s insights on patient's health condition. But enough about us, let’s talk about you. Your job will be to build enterprise quality applications/services hosted on cloud, with a focus on complex integration and stability at scale for Payer integration and payer platform solutions. You are a technologist with zeal to solve complex problems, have a growth mindset, are a fast learner, who is willing to work in fast paced environment, help us reach our goal of becoming the healthcare backbone by enhancing our cloud based EHR solution and leveraging the network effect of 100k+ providers. Apply your technical skills towards allowing doctors to be doctors so that they can spend more time doing what they do best: provide patient care. Job responsibilities: Design and develop quality code in an agile approach adhering to the business requirements. Deploy the code to production and deliver timely fixes. Write unit tests, continuously monitor and maintain code quality by checking potential code bugs and vulnerabilities. Build services that run on cloud and cater to billions of transaction volumes, per day. Ensuring high quality and optimum performance of integration systems by proactively identifying and proposing new, alternative solutions as appropriate. Understand and follow coding conventions, architectural approaches, and best practices. Adhere to the team’s Definition of Done; perform peer code reviews to ensure quality standards Develop domain knowledge. Take ownership of what you build and coordinate your efforts across the teams to ensure proper completion Participate and contribute to Agile ceremonies including daily stand-up, sprint planning, readouts, and retrospectives Education, Experience, & Skills Required: 2 to 4 years of experience in software development role Experience in an Agile environment preferred. Bachelor’s Degree or equivalent Significant software engineering skills (SDLC) with high quality and DevSecOps driven delivery. Knowledge and expertise in programming languages such as: Java, spring boot Knowledge of working with AWS, IaC (Terraform). Strong knowledge in RESTAPI and SQL development. Behaviors & Abilities Required: Ability to learn and adapt in a fast-paced environment, while producing quality code Ability to work collaboratively on a cross-functional team with a wide range of experience levels. Ability to write code that is technically sound, performant, scalable, and readable. Ability to collaborate with business owners to understand and refine business requirements. Ability and willingness to demonstrate ownership of an area of Athena's technology. About athenahealth Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support. Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs. We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation. In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued. Learn more about our culture and benefits here: athenahealth.com/careers https://www.athenahealth.com/careers/equal-opportunity
Posted 1 month ago
0 years
2 - 7 Lacs
Surat
On-site
Key Responsibilities: Accurately document patient history, physical exams, diagnoses, treatment plans, and other relevant information as dictated by the healthcare provider during patient visits. Enter data into Electronic Health Records (EHR) promptly and accurately. Ensure all documentation complies with medical, legal, and regulatory standards. Maintain patient confidentiality and follow HIPAA guidelines. Assist providers with administrative tasks related to medical documentation as needed. Review and update patient charts for accuracy and completeness. Collaborate with healthcare team members to facilitate efficient patient flow. Qualifications: degree in a health-related field preferred. Prior experience as a medical scribe or in healthcare documentation is a plus. Strong knowledge of medical terminology, anatomy, and healthcare procedures. Proficient computer skills, especially with EHR systems. Excellent attention to detail and strong organizational skills. Ability to multitask and work efficiently in a fast-paced clinical environment. Strong communication skills and ability to work well with healthcare professionals. Working Conditions: Typically works in a clinical or hospital setting alongside healthcare providers. May require standing or sitting for extended periods. Work hours may vary depending on clinic or hospital schedules. Job Type: Permanent Pay: ₹21,372.85 - ₹58,941.73 per month Benefits: Health insurance Paid sick time Provident Fund Schedule: Day shift Morning shift Work Location: In person
Posted 1 month ago
5.0 - 8.0 years
0 Lacs
Andhra Pradesh
On-site
Data Science Lead Analyst Role Summary As a member of the Data Science Center of Expertise (DSCOE), the DS Lead Analyst is responsible for leading and enabling Data Science within Cigna Group with demonstrable aptitude in Data Science (i) Technical Skills (ii) Leadership (iii) Scope & Impact (iv) Influence. Please see Qualifications section below for more details. The role will support the development and maintenance of proprietary advanced neural network (“AI”) foundation models in support of Cigna’s business operations. Key Responsibilities: Write code using PyTorch and/or Tensorflow to implement, test, and operationalize deep learning models Collaborate with data scientists and engineers to improve deep learning models and implement business-facing solutions built on top of those models Take responsibility for improving code performance and quality Follow developments in deep learning technology to identify opportunities to improve models Qualifications: Bachelors or Masters(preferred) in computer science or statistics or any other equivalent discipline with 5-8 years of relevant experience Strong proficiency in ML, statistics, python or R, SQL, version control (e.g., Git), health care data (e.g., claims, EHR), with emphasis on Tensorflow and Pytorch Knows and follows best coding and software engineering practices Successfully completes technical project components with limited guidance Familiarity with deploying machine learning and predictive models to production and cloud environments Leadership in Data Science Understands how assigned work is related to purpose of the overall project Independently identifies project roadblocks, and solutions Seeks to understand the health insurance domain Scope and Impact Documents the business considerations, methodology, process, code, and results associated with their work Collaborates to deliver clear and well developed presentations for both technical and business audiences Consistently communicates decisions, considerations, and needs for support Receives and responds to feedback in a professional and appropriate manner Level of Influence Present technical topics and results to non-technical stakeholders Communicate and gather domain knowledge from non-technical stakeholders About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Posted 1 month ago
1.0 - 4.0 years
1 - 5 Lacs
Thiruvananthapuram
Work from Office
Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG Hands-on experience in any of the Encoder tools specific to Hospital coding such as 3M, Trucode, etc. is preferred The coders assigned on the project would be reviewing Inpatient and observation medical records, determine and assign accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and/or CPT) codes with appropriate modifiers in addition to reporting any deviations in a timely manner Maintains high level of productivity and quality Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time keeping an elevated level of accuracy The coders would as well be screened for reasonable comprehension and analytical skills that are considered a prerequisite for reviewing the medical documentation and deliver accurate coding The coders are expected to deliver an internal accuracy of 95%, meet turnaround time requirements in addition to meeting productivity standards set internally per the specialty Maintains high degree of professional and ethical standards Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards. Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences. This includes refresher and ongoing training programs conducted periodically within the organization Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: Graduates in life sciences with 1 - 4 years experience in Medical Coding Candidates holding CCS/CIC with hospital coding experience are preferable The coders will focus on undergo certifications sponsored by AAPC and AHIMA as they mature with the process. Access health care has now partnered with AAPC to hand hold in-house certification training for its coders and sponsor for the examinations. Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles
Posted 1 month ago
5.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Description: Responsibilities: Lead and manage healthcare projects from initiation to closure, ensuring timely delivery and adherence to budget and scope. Collaborate with cross-functional teams, including clinical, IT, and administrative staff, to define project requirements and objectives. Develop detailed project plans using Agile and Waterfall methodologies, and monitor progress against milestones. Facilitate regular project meetings, providing updates to stakeholders and addressing any issues or risks. Ensure compliance with healthcare regulations and standards, including HIPAA. Implement and maintain PMO best practices, ensuring consistency and quality across all projects. Conduct post-project evaluations to identify areas for improvement and share lessons learned. Qualifications: Bachelor's degree in Healthcare Management, Business Administration, or related field. PMO certification (e.g., PMP, PMP, or similar). Minimum of 5 years of project management experience in the US healthcare sector. Proven expertise in Agile and Waterfall methodologies. Strong understanding of healthcare regulations and standards. Excellent communication, leadership, and problem-solving skills. Ability to work effectively in a fast-paced, dynamic environment. Preferred Skills: Master's degree in Healthcare Management or related field. Experience with electronic health records (EHR) systems. Knowledge of healthcare data analytics and reporting. Benefits: Competitive salary and benefits package. Opportunities for professional development and growth. Collaborative and supportive work environment. ⚠️ Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.
Posted 1 month ago
7.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Opportunity: As the Director of Software Engineering at Get Well, you will lead the software engineering team in developing and scaling innovative healthcare solutions that improve patient care, optimize healthcare operations, and support cutting-edge technologies in a rapidly evolving industry. This leadership role requires a strategic thinker, hands-on technical expertise, and a passion for driving software innovation in the healthcare space. You will work closely with cross-functional teams to ensure software systems are secure, scalable, and comply with healthcare regulations. The Director of Ambulatory Software Engineering reports to the VP, Product Development, overseen by the SVP of Product Development Responsibilities : Software Development Strategy: Execute on the strategic direction for software architecture and development practices, ensuring that they meet business requirements and customer needs in the healthcare space. Drive the development and implementation of scalable and secure software systems. Manage software development life cycle (SDLC) from planning through deployment and ongoing maintenance. Collaboration & Stakeholder Management: Work closely with product management, operations, sales and customer success teams to define project requirements and deliver on timelines and performance expectations. Ensure alignment between engineering efforts and business priorities, ensuring that the team is focused on building impactful and high-value products. Interface with senior leadership to provide updates on engineering performance, project progress, and resource needs. Leadership & Team Management: Build and maintain a team of high-performing software engineers Lead, mentor, and manage software engineers, ensuring alignment with company goals and engineering best practices. Provide guidance in career development, performance reviews, and professional growth for direct reports. Foster a collaborative, innovative, and inclusive engineering culture that drives continuous improvement and technical excellence. Innovation & Continuous Improvement: Stay up to date with the latest technology trends, healthcare regulations, and software development methodologies to ensure the organization remains at the forefront of healthcare Technology. Encourage a culture of experimentation and innovation, exploring new technologies that can drive value in healthcare applications. Identify and lead initiatives to improve development processes, software quality, and operational efficiency. Regulatory Compliance & Security: Ensure all software products adhere to relevant regulatory standards such as HIPAA, Hitrust, SOC2, FedRAMP, FDA guidelines, and other healthcare compliance requirements. Lead security initiatives to ensure the protection of sensitive healthcare data and privacy for users, following best practices in data encryption and cybersecurity. Requirements: Bachelor's or Master's degree in Computer Science, Engineering, or a related field. 7+ years of experience in software engineering with at least 4 years in a leadership or managerial role, preferably within the healthcare technology sector. Proven track record of leading software engineering teams to deliver complex, large-scale healthcare software solutions. Experience working with healthcare data systems, EHR/EMR software, telemedicine, or health analytics platforms is highly desirable. Strong technical expertise in software engineering, including expertise with cloud technologies (AWS, Azure), backend systems, databases, and frontend development. Deep understanding of healthcare regulations, data privacy laws (HIPAA, HITECH), and industry standards. Experience in developing within a SOA or microservice architecture. Understanding of serverless and containerized services. Proficient in Agile development methodologies (Scrum, Kanban), with experience managing teams using Agile frameworks. Exceptional problem-solving skills with the ability to communicate complex technical concepts to non-technical stakeholders. Strong leadership and mentoring skills with a focus on building a high-performing engineering team. Excellent communication and interpersonal skills, with the ability to work collaboratively across departments. Strategic mindset with a passion for solving problems in the healthcare technology space. A proactive and results-oriented leader, able to thrive in a fast-paced, rapidly evolving environment. Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy and Federal, State, and local regulations About Get Well Technology: Excellent candidates have familiarity with the following technologies: Languages: Enterprise Java, Python, NodeJS, Javascript, SQL Modern Javascript frameworks, e.g. React, VueJS, Angular Single page applications AWS Core Technologies: ECS, EC2, Lambda, SQS, MSK, Bedrock, SES/Pinpoint, RDS/Aurora, API Gateway, Step Functions Relational and document DBMS US Healthcare interoperability technologies: HL7, FHIR, SMART EHR technology: Epic, Oracle Health Cerner US Healthcare coding systems: ICD-10, HCPCS, SNOMED, CPT, etc. About Get Well: Now part of the SAI Group family, Get Well is redefining digital patient engagement by putting patients in control of their personalized healthcare journeys, both inside and outside the hospital. Get Well is combining high-tech AI navigation with high-touch care experiences driving patient activation, loyalty, and outcomes while reducing the cost of care. For almost 25 years, Get Well has served more than 10 million patients per year across over 1,000 hospitals and clinical partner sites, working to use longitudinal data analytics to better serve patients and clinicians. AI innovator SAI Group led by Chairman Romesh Wadhwani is the lead growth investor in Get Well. Get Well's award-winning solutions were recognized again in 2024 by KLAS Research and AVIA Marketplace. Learn more at Get Well and follow-us on LinkedIn and Twitter. Get Well is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age or veteran status. About SAI Group: SAIGroup commits to $1 Billion capital, an advanced AI platform that currently processes 300M+ patients, and 4000+ global employee base to solve enterprise AI and high priority healthcare problems. SAIGroup - Growing companies with advanced AI; https://www.cnbc.com/2023/12/08/75-year-old-tech-mogul-betting-1-billion-of-his-fortune-on-ai-future.html Bio of our Chairman Dr. Romesh Wadhwani: Team - SAIGroup (Informal at Romesh Wadhwani - Wikipedia) TIME Magazine recently recognized Chairman Romesh Wadhwani as one of the Top 100 AI leaders in the world - Romesh and Sunil Wadhwani: The 100 Most Influential People in AI 2023 | TIME
Posted 1 month ago
0 years
0 Lacs
Rajasthan, India
Remote
The ideal candidate will have experience in all stages of the sales cycle. They should be confident with building new client relationship and maintaining existing ones. They should have evidence of strong skills and possess good negotiation skills. It's a complete remote and flexible role. MSCRIBED is looking for independent responsible candidates who are self motivated and can handle the job independently. It is a contractual role that has a full potential to turn to be full time job role. Do not apply if applied within 3 months. Role Description This is a contract remote role for a Business Development Executive (Rajasthan) at MSCRIBED LLC. The Executive will be responsible for new business development, lead generation, business communication, and revenue generation tasks on a day-to-day basis. Although its a remote job but we are looking for candidates only from Rajasthan. As our clientele are USA, UK healthcare professionals so good command in English speaking and writing is a must. Qualifications New Business Development and Lead Generation skills Strong Business Communication abilities Experience in Account Management Excellent interpersonal and negotiation skills Ability to work independently and remotely Knowledge of the healthcare industry is a plus Minimum 10+2 passed Experience in sales for USA market is preferred Company Description MSCRIBED LLC, a USA (Delaware) based service providing company with an operational unit in Mumbai, India, is dedicated to improving healthcare by alleviating the administrative burden for physicians. Specializing in clinical documentation, we provide HIPAA-compliant "medical scribe service" , we deliver accurate "medical chart notes" to enhance practice efficiency. Our services aim to reduce EHR fatigue, improve revenue, and enhance patient satisfaction.
Posted 1 month ago
5.0 years
25 - 30 Lacs
Bengaluru, Karnataka, India
On-site
About us: Leading US Healthcare Network: Powering a Healthier Future Join a leading health information network in the United States, processing over 13 billion transactions annually and connecting more than two million healthcare providers and over two thousand technology partners to health plans nationwide. From our innovation hub in Bengaluru, you will directly contribute to cutting-edge revenue cycle solutions that help hospitals, health systems, and physicians maximize payments and optimize their workflows, impacting the lives of millions of US citizens. We value your growth, foster collaboration across global teams, and champion a work-life balance within the vibrant tech landscape of Bengaluru. Be part of a team that's not just changing healthcare, but changing lives. Role: Product Owner II Location: Bengaluru, India Shift: General Shift/Mid Shift (overlapping with US counterparts for a few hours) Reporting To: Sr. Manager of Product 5+ Years experience required for PO II Inportant Notes Key Skillsets: Healthcare Domain Expertise RCM: Deep knowledge of healthcare revenue cycle processes, including claims processing, billing, and payment workflows. EDI: Expertise in EDI standards (e.g., X12, HL7) used for healthcare data exchange between providers, payers, and other entities. Clearinghouse Operations: Practical experience with clearinghouse functions, such as claims validation, routing, and format translation across systems. Healthcare Data Exchange: Proficiency in managing complex healthcare data exchange, ensuring accuracy and handling high transaction volumes. Product Management Mastery Product Vision and Strategy: Ability to define a clear product vision and strategy aligned with business goals and customer needs. Roadmap Planning and Prioritization: Skill in developing and managing product roadmaps, prioritizing features to balance short-term and long-term goals. Product Lifecycle Management: Experience overseeing the full product lifecycle, from ideation and development to launch and ongoing improvement. Backlog Ownership: Competence in defining, prioritizing, and refining the product backlog to maximize value delivery. Agile Methodologies Scrum Mastery: Strong understanding of Scrum principles, with the ability to lead agile ceremonies (e.g., sprint planning, reviews, retrospectives). Cross-Functional Collaboration: Ability to work effectively with developers, designers, QA, and other team members in an agile environment. Why Join Our Team Global Impact: Directly support and impact the US healthcare system from Bengaluru. Innovation Hub: Contribute to cutting-edge healthcare technology solutions in India's tech capital. Collaboration: Engage with a diverse and global team, fostering a collaborative environment. Career Growth: Opportunities to expand your skill set and advance your career within our organization. Work-Life Balance: A work culture that values flexibility and supports your well-being. Industry Leadership: Be part of a leading health information network transforming healthcare delivery. Meaningful Work: Develop solutions that directly improve revenue cycle management for healthcare providers. Continuous Learning: Access to resources and experts to enhance your technical and industry knowledge. Comprehensive Benefits: Competitive salary, bonus structure, healthcare, accident and life insurance. Generous Time Off: 12 Paid Holidays and 24 days of Paid Time Off annually. Paid Parental Leave: Supportive paid parental leave for both mothers and fathers. Community Engagement: Opportunities to participate in our partnerships with local and national community organizations. Role & Responsibilities As a Product Owner II, you will be a crucial bridge between the Product Manager and the delivery team, ensuring alignment on common goals and the overarching vision of the enterprise and business. You will work closely with Product Managers, coordinating on scoping and priority issues regularly. Your Responsibilities Will Include Leading Storyboarding: Developing and prioritizing user stories based on a thorough understanding of the overall business benefit and the relative cost of each piece of work, while clearly defining the acceptance criteria for each story. Voice of the Customer: Acting as the primary voice of the customer while maintaining a holistic understanding of the product vision, preventing unnecessary short-term trade-offs. Backlog Management: Managing and grooming the product backlog regularly to add, delete, or modify user stories, ensuring the development team is well-prepared for sprint kick-off. Release Planning Participation: Actively participating in release planning activities, ensuring that the scope of monthly release demos remains realistic and aligned with the team's capacity. Scope Management: Monitoring progress and proactively working to minimize scope changes during development cycles. Usability Testing Oversight: Ensuring usability testing is conducted regularly and incorporating feedback in alignment with the product charter. Defect Prioritization: Prioritizing logged defects, defining acceptance criteria, and contributing to the development of test cases. Acceptance Testing Participation: Participating in acceptance testing for each release and confirming that the developed product meets the end-user requirements. Product Charter Maintenance: Keeping the product charter updated, ensuring agreement on priorities and acceptance criteria with relevant stakeholders, and communicating the impact of changes to align the entire team. Deliverable Verification: Verifying that customer deliverables such as wireframes, designs, and acceptance tests are consistent and have been agreed upon. Requirements Total Experience: 8+ years of professional experience. US Healthcare Experience: Minimum 5 years of experience within the US Healthcare industry, with a strong understanding of one or more of the following areas: Revenue Cycle Management (RCM), Clearinghouse operations, Electronic Medical Records/Electronic Health Records (EMR/EHR) systems, Claims processing, or Patient Access workflows. Product Owner Experience: Minimum 3 years of recent (within the last 3 years) or cumulative experience working specifically as a Product Owner. Candidates with Product Owner experience within the past 3 years will be highly preferred. Process Design Experience: 2-3 years of progressive work experience in a product-related role involving designing business processes, process mapping, and working on process improvement initiatives and business system design. Flowcharting Proficiency: Demonstrated mastery of using flowcharting tools for process visualization and documentation. Analytical Skills: Strong analytical skills, including the ability to thoroughly interpret business needs and translate them into clear application and operational requirements. Communication Skills: Excellent verbal and written communication skills, with the ability to effectively interact with both technical and business stakeholders. Agile Experience: Proven experience building products within an Agile development environment. Next Steps After applying, you will receive automated email updates regarding your application status throughout the recruitment process. Interview Process Manager Resume Review Technical Interview I - India Team Technical Interview II - US Stakeholders HR Round Join a leading US healthcare network and make a meaningful impact on the future of healthcare from the heart of Bengaluru! Skills: edi standards (e.g., x12, hl7),product ownership,clearinghouse operations,agile methodologies,backlog ownership,product owner,claims processing,analytical skills,rcm (revenue cycle management),flowcharting,roadmap planning and prioritization,agile experience,communication skills,us healthcare experience,product owner experience,process design,healthcare domain expertise,product management mastery,revenue cycle management (rcm), clearinghouse operations, electronic medical records/electronic health records (emr/ehr) systems, claims processing, or patient access workflows.,revenue cycle management (rcm),patient access workflows,electronic medical records/electronic health records (emr/ehr) systems,healthcare data exchange,product vision and strategy,product lifecycle management,scrum mastery,agile methodology,cross-functional collaboration,flowcharting proficiency
Posted 1 month ago
2.0 years
2 - 6 Lacs
Cochin
On-site
We are looking for a certified and detail-oriented Medical Coder to join our growing healthcare team. The ideal candidate will accurately assign ICD-10, CPT, and HCPCS codes to diagnoses and procedures for proper billing and compliance. You will work closely with healthcare providers, billing teams, and auditors to ensure accuracy and regulatory adherence. Key Responsibilities: Review clinical documents and assign appropriate ICD-10-CM, CPT, and HCPCS codes Ensure coding accuracy and compliance with HIPAA and federal guidelines Collaborate with physicians to clarify documentation and coding Address coding-related denials and participate in audit resolution Stay up-to-date with coding standards and payer requirements Support revenue cycle operations to maximize reimbursement and minimize rejections Required Skills: Strong knowledge of anatomy, physiology, and medical terminology Proficiency with EHR systems like Epic, Cerner, or Meditech Excellent attention to detail and analytical skills Ability to work independently and manage deadlines Effective communication and documentation skills Qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent Minimum of 2 years’ experience in medical coding (inpatient, outpatient, or specialty-specific) Experience in HCC Coding preferred Degree in Life Sciences or a related field Benefits: Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) plan with employer match Paid time off and public holidays Opportunities for continued education and certification support How to Apply: Send your resume to recruitment@medcodeservices.com Please include your certification details and relevant work experience in your application. Job Type: Full-time Pay: ₹20,000.00 - ₹50,000.00 per month Benefits: Health insurance Life insurance Provident Fund Schedule: Day shift Morning shift Night shift Rotational shift Application Question(s): Do you have medical coding experience? Are you Certified Medical Coder? Work Location: In person
Posted 1 month ago
0 years
0 Lacs
Hyderābād
Remote
We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, "Web-based Digital Health" category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven ML Ops Engineer 2 to join our positive, passionate, and high-performing team focused on scalable ML Systems. This is an exciting opportunity to You as you will collaborate with data scientists, engineers, and other cross-functional teams to ensure seamless model deployment, monitoring, and automation. If you're passionate about cloud infrastructure, automation, and optimizing ML pipelines, this is the role for you within a fast-paced Healthcare IT company that is truly Modernizing Medicine! Key Responsibilities: Model Deployment & Automation: Develop, deploy, and manage ML models on Databricks using MLflow for tracking experiments, managing models, and registering them in a centralized repository. Infrastructure & Environment Management: Set up scalable and fault-tolerant infrastructure to support model training and inference in cloud environments such as AWS, GCP, or Azure. Monitoring & Performance Optimization: Implement monitoring systems to track model performance, accuracy, and drift over time. Create automated systems for re-training and continuous learning to maintain optimal performance. Data Pipeline Integration: Collaborate with the data engineering team to integrate model pipelines with real-time and batch data processing frameworks, ensuring seamless data flow for training and inference. Skillset & Qualification Model Deployment: Experience with deploying models in production using cloud platforms like AWS Sagemaker, GCP AI Platform, or Azure ML Studio. Version Control & Automation: Experience with MLOps tools such as MLflow, Kubeflow, or Airflow to automate and monitor the lifecycle of machine learning models. Cloud Expertise: Experience with cloud-based machine learning services on AWS, Google Cloud, or Azure, ensuring that models are scalable and efficient. Engineers must be skilled in measuring and optimizing model performance through metrics like AUC, precision, recall, and F1-score, ensuring that models are robust and reliable in production settings. Education: Bachelor's or Master's degree in Data Science, Statistics, Mathematics, or a related technical field. ModMed in India Benefit Highlights: High growth, collaborative, transparent, fun, and award-winning culture Comprehensive benefits package including medical for you, your family, and your dependent parents The company supported community engagement opportunities along with a paid Voluntary Time Off day to use for volunteering in your community of interest Global presence, and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability Company-sponsored Employee Resource Groups that provide engaged and supportive communities within ModMed ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
Posted 1 month ago
0 years
10 - 16 Lacs
Gurgaon
On-site
Role Overview Lead and oversee a team of business analysts specializing in healthcare. You'll turn complex healthcare data into actionable strategies, streamline operations, and optimize healthcare delivery—while ensuring regulatory compliance and aligning with organizational goals. Key Responsibilities Team Leadership & Mentorship Manage, guide, and develop a team of analysts. Set goals, review performance, and foster a culture of innovation and continuous improvement . Data Strategy & Insights Define analytical frameworks to uncover trends in clinical, patient, financial, and system-use data. Deliver dashboards and reports that drive strategic decisions novartis.com. Interpret complex datasets — such as EHRs, claims, utilization, quality metrics — to identify inefficiencies and improvement opportunities adzuna.in. Process & System Optimization Lead process reengineering efforts: map current workflows, perform gap analyses, and implement improvements across clinical and administrative functions Supervise integration of new healthcare systems (e.g., EHR, clinical, or insurance platforms), collaborating with IT for requirements, testing (UAT), and user adoption . Regulatory & Compliance Oversight Ensure solutions adhere to healthcare laws/regulations (e.g., HIPAA, CMS, HEDIS, ICD/CPT codes), conducting audits and implementing compliance frameworks adzuna.in. Stakeholder Engagement & Governance Serve as liaison among clinical teams, IT, vendors, and senior leadership. Elicit requirements, align objectives, present findings, and secure buy-in Performance Metrics & Reporting Develop and track KPIs and scorecards tied to clinical outcomes, patient satisfaction, cost efficiency, compliance, and revenue . Project & Change Management Lead analytical projects from conception to implementation. Run workshops, manage sprints, document business requirements, support UAT, and supervise vendor/system rollouts using Agile or Waterfall methodologies . QualificationsRequired Bachelor’s in Business, Healthcare Management, Health Informatics, Data Analytics, or related field 5–10 years in business analysis within healthcare (hospital, payer, health tech), including 2–3 years in leadership roles Advanced proficiency in SQL, Excel, Tableau/Power BI, ERDs, and possibly Python/R or ML fundamentals adzuna.in In-depth knowledge of EHR systems, healthcare data standards, coding (ICD, CPT), and regulatory frameworks Strong analytical, communication, problem-solving, and stakeholder management skills Preferred Master’s degree in Health Informatics, Business Analytics, or Healthcare Admin Healthcare IT implementation or informatics project experience Why Join Us Impact: Improve patient experience, operational efficiency, and care quality through data-driven innovation Leadership: Help define the analytics vision and mentor a team of growing professionals Growth: Opportunities to specialize in clinical analytics, population health, informatics, or even executive-level roles Job Type: Full-time Pay: ₹1,000,000.00 - ₹1,600,000.00 per year Benefits: Health insurance Schedule: Day shift Work Location: In person
Posted 1 month ago
8.0 - 12.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
TCS is hiring for Pharmacovigilance!!! Job Location – Mumbai Experience Range – 8 to 12 Years Educational Qualification(s) Required – Any Life Science Graduate Interested can please share CV on Mail babeeta.shahi@tcs.com Roles & Responsibilities Design and execute statistical analysis plans for RWE studies using data from electronic health records (EHR), claims databases, registries, and patient-reported outcomes. Collaborate with cross-functional teams including epidemiologists, data scientists, medical writers, and regulatory experts. Develop and validate statistical models (e.g., propensity score matching, survival analysis, regression models). Ensure compliance with regulatory standards and guidelines (e.g., ICH, GPP, GDPR). Interpret and communicate results to internal stakeholders and external partners. Contribute to publications, conference presentations, and regulatory submissions. Support the development of protocols, SAPs, and technical documentation.
Posted 1 month ago
3.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Analytical Wizards is part of the Definitive Healthcare family. We balance innovation with an open, friendly culture and the backing of a long-established parent company, known for its ethical reputation. We guide customers from what’s now to what’s next by unlocking the value of their data and applications to solve their challenges, achieving outcomes that benefit both business and society. Our people are our biggest asset, they drive our innovation advantage and we strive to offer a flexible and collaborative workplace where they can thrive. We offer industry-leading benefits packages to promote a creative and inclusive culture. If driving real change gives you a sense of pride and you are passionate about powering social good, we’d love to hear from you. Role : Senior Data Analyst – Professional Services Office Location : Bangalore Job Description We are seeking a Senior Data Analyst to join our Professional Services team in Bangalore. This role involves developing custom reports, performing complex data analysis, and supporting client-specific data needs. The ideal candidate will have expertise in SQL, data manipulation, and healthcare analytics with strong problem-solving skills and the ability to work cross-functionally with internal teams and clients. Key Responsibilities Data Analysis & Reporting Develop and deliver custom data extracts and reports using SQL, Excel, and Python. Analyze large-scale healthcare datasets to provide actionable insights. Ensure data integrity, accuracy, and quality assurance in all deliverables. Client & Cross-functional Collaboration Work closely with Product, Customer Success, and Engineering teams to deliver client-specific solutions. Engage directly with clients via web conferences to discuss data requirements, methodologies, and insights. Support data integration projects, ensuring smooth implementation and validation. Technical Expertise & Innovation Optimize SQL queries and stored procedures for efficiency and scalability. Serve as a technical point of contact for client data-related questions and integrations. Train internal team members on SQL best practices and healthcare analytics methodologies. Thought Leadership & Training Present market trends and analytical use cases to internal teams and clients. Conduct knowledge-sharing sessions to enhance the team's expertise in data analysis and reporting. Contributes to the development of standardized reporting templates and methodologies. Required Qualifications & Experience Education: Bachelor’s degree in a quantitative or healthcare-related field (e.g., Computer Science, Healthcare Informatics, Data Analytics). Experience: 3+ years in data analysis, report building, or research in a professional setting. 3+ years of hands-on SQL experience, including developing queries, views, and stored procedures. Strong understanding of relational database principles and healthcare data structures. Experience working with Real World Evidence (RWE), medical claims, and EHR data. Skills: Strong analytical and problem-solving abilities. High attention to detail and a quality assurance mindset. Ability to communicate complex data findings to both technical and non-technical audiences. Self-starter with the ability to manage multiple priorities effectively. Preferred Skills (Good To Have) Experience with Databricks, Snowflake, or other cloud-based analytics platforms. Knowledge of Python or R for data manipulation and automation. Exposure to data visualization tools like Tableau or Power BI. Prior experience in professional services, client-facing analytics, or data consulting roles. This is a hybrid role, requiring at least three days in the office per week to collaborate effectively with teams and clients.
Posted 1 month ago
1.0 years
3 - 4 Lacs
India
On-site
Job Summary : We are seeking a detail-oriented and proactive Eligibility Verification & Authorization Specialist to join our healthcare operations team. The role is responsible for verifying insurance coverage, determining patient eligibility, obtaining prior authorizations, and working closely with insurance carriers to ensure timely and accurate reimbursement for services provided. Key Responsibilities : Verify patient insurance eligibility and coverage through payer portals or direct communication with insurance companies. Secure prior authorizations for diagnostic procedures, surgeries, and specialist consultations as per payer requirements. Monitor and follow up on pending authorizations, resubmissions, and denials. Maintain up-to-date knowledge of insurance carrier policies, authorization workflows, and documentation requirements. Collaborate with the billing and coding team to ensure claims are submitted accurately and within deadlines. Communicate professionally and in compliance with HIPAA regulations. Accurately document all authorization-related activities in the system or EHR. Assist in identifying trends in denials and recommending process improvements. Required Skills & Qualifications : Prior experience in medical billing, insurance verification, or healthcare revenue cycle management is preferred. Familiarity with payer portals, EMR/EHR systems, and insurance guidelines. Strong communication and interpersonal skills (written and verbal). Detail-oriented with good organizational and time management skills. Basic understanding of HIPAA and healthcare compliance standards. Ability to work independently as well as in a team environment. Job Type: Full-time Pay: ₹30,000.00 - ₹35,000.00 per month Benefits: Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Experience: Insurance verification: 1 year (Required) Work Location: In person
Posted 1 month ago
10.0 years
0 Lacs
India
On-site
Job Description Report this job For More Information Call Or WhatsApp Us On Nine Eight Seven Zero One Seven Zero Six Two Nine Please share your updated CV along with your convenient time for a call, so our team can coordinate with you accordingly Responsibilities Greeting Patients and Visitors: Welcome patients and visitors to the medical facility in a friendly and professional manner, providing assistance and direction as needed, and ensuring a positive first impression. Scheduling Appointments Schedule patient appointments, consultations, and follow-up visits using electronic scheduling systems, coordinating with healthcare providers and patients to optimize appointment availability and minimize wait times. Managing Patient Records Maintain accurate and up-to-date patient records, including demographic information, medical history, insurance details, and appointment schedules, ensuring confidentiality and compliance with HIPAA regulations. Answering Phone Calls Answer incoming phone calls, screen and route calls to the appropriate department or staff member, take messages, and provide information to callers regarding appointment scheduling, clinic hours, and other inquiries. Checking In Patients Check in patients for appointments, verify insurance coverage, collect co-payments or payments for services rendered, and update patient information in electronic health records (EHR) systems accurately and efficiently. Assisting With Administrative Tasks Perform various administrative tasks, such as filing paperwork, scanning documents, processing medical records requests, and coordinating referrals to specialists, to support office operations and ensure smooth workflow. Managing Medical Forms And Documents Distribute and collect medical forms, consent forms, and patient information packets, ensuring completion and accuracy, and assisting patients with filling out forms as needed. Coordinating With Healthcare Providers Communicate effectively with healthcare providers, nurses, and other clinical staff to relay patient information, schedule appointments, coordinate referrals, and address patient concerns or requests. Handling Patient Inquiries And Concerns Respond to patient inquiries, concerns, and requests for assistance, providing information, guidance, and assistance in a courteous and professional manner to ensure patient satisfaction and resolve issues promptly. Maintaining Cleanliness And Orderliness Ensure the reception area, waiting room, and front desk area are clean, organized, and well-maintained at all times, removing clutter, replenishing supplies, and adhering to infection control protocols. NOTE: THIS JOB IS ONLY FOR ABROAD , NOT FOR INDIA BUT CANDIDATES CAN APPLY FOR THIS JOB FROM ALL OVER INDIA Key Details Job Function: Doctors/Nurses/Medical Professional Industry: Healthcare Specialization:Medical Rep. Role: General Practitioner/ Physician, Other Doctor/ Physician Qualification: Any Graduate Employment Type: Full Time Key Skills medical receptionist receptionist work front dask work patient attender Job Posted by Company World wide Immigration Service Llp We are in this industry from a long time and our team has more than 10 years of experience in provid... Moreing immigration services. Less Job Id: 71532890
Posted 1 month ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Experienced Healthcare Recruiter (5+ years) – US Healthcare Industry Location: Madhapur, Hyderabad Job Type: Full-time / Contract Industry: Healthcare Job Description: We are seeking a highly skilled and experienced Healthcare Recruiter with at least 5 years of proven expertise in recruiting for various roles within the U.S. healthcare industry. The ideal candidate will have in-depth knowledge of healthcare staffing and recruitment needs, as well as expertise in sourcing, screening, and placing qualified professionals across a wide range of healthcare functions. As a Healthcare Recruiter, you will work with hiring managers to ensure that our organization is able to attract and retain top talent for various healthcare positions, ensuring compliance with industry standards and regulations. You will leverage your understanding of healthcare roles, including but not limited to Medical Billing Specialists, AR Follow-up Specialists, Coding and Compliance Officers, Healthcare Business Analysts, Project Managers, and more, to provide exceptional recruitment services. Key Responsibilities: Recruitment & Sourcing: Source, screen, and recruit qualified candidates for healthcare roles, including but not limited to: Medical Billing Specialists Accounts Receivable (AR) Follow-up Specialists Coding and Compliance Officers Healthcare Business Analysts Project Managers EMR/EHR Consultants Claims Processors Medical Coders Provider Network Managers Data Analysts HR, Finance, Compliance, IT Support, Supply Chain, Talent Acquisition Claims Specialists Pricing Analysts Formulary Managers Back-office Support Regulatory Affairs Specialists Logistics Coordinators Policy Analysts Program Managers Data Scientists Collaborate with hiring managers and department heads to fully understand recruitment needs for various roles. Screening & Interviewing: Conduct in-depth interviews, evaluate resumes, and ensure candidates meet the qualifications and requirements for each role. Assess candidate skillsets, industry experience, and cultural fit to ensure alignment with organizational goals. Candidate Engagement & Negotiation: Engage with candidates throughout the recruitment process, providing timely updates and feedback. Assist in salary negotiations, onboarding processes, and overall candidate experience. Talent Pipeline & Employer Branding: Build and maintain a network of top talent for future hiring needs. Assist in improving employer branding and outreach efforts to attract top-tier healthcare professionals. Continuous Improvement: Stay up-to-date on healthcare industry trends, recruitment technologies, and best practices. Provide insights and recommendations for improving recruitment processes. Required Skills & Qualifications: Minimum 5 years of experience as a Healthcare Recruiter or in a similar recruiting role within the healthcare industry. Expertise in recruiting for various healthcare positions, including roles in medical billing, coding, compliance, project management, IT support, and more. Familiarity with U.S. healthcare laws, regulations, and compliance standards, including HIPAA and other regulatory frameworks. Strong sourcing and interviewing skills, with the ability to assess technical and cultural fit for diverse healthcare roles. Proven experience with recruitment tools, job boards, applicant tracking systems (ATS), and other recruitment technologies. Excellent communication and interpersonal skills, with the ability to build relationships with hiring managers, candidates, and external stakeholders. Strong organizational skills, with the ability to manage multiple requisitions and candidates simultaneously. Bachelor’s degree in Human Resources, Business Administration, or a related field preferred. Preferred Qualifications: Experience recruiting for specialized healthcare roles such as Medical Coders, Claims Processors, AR Follow-up, and Healthcare IT professionals. Understanding of healthcare IT systems, including EHR/EMR platforms. Knowledge of healthcare industry trends, staffing challenges, and talent acquisition strategies specific to the U.S. market.
Posted 1 month ago
0 years
0 Lacs
India
Remote
About Us: At Doral Health & Wellness, we’re redefining in-home and community-based healthcare by connecting patients with nurse practitioners and providers through smart, tech-enabled care. Based in Brooklyn, our mission is to make high-quality, coordinated healthcare accessible—right from where patients live. Position Overview: We are seeking an experienced eClinicalWorks (eCW) Superuser or Support Specialist to lead and support the implementation, optimization, and training of our EHR system. This key role supports our care teams by ensuring eCW functions smoothly and efficiently across departments. You’ll serve as a bridge between clinical users and technical systems, enhancing workflows, troubleshooting issues, and empowering users to make the most of eCW in their day-to-day operations. Key Responsibilities: Serve as the primary eCW expert for system functionality, configuration, and support Provide end-user support to clinical and administrative staff, resolving issues efficiently Customize templates, forms, and workflows to meet organizational and user needs Train providers and staff on eCW usage, updates, and best practices Work with clinical, billing, and IT teams to streamline and optimize workflows Monitor system performance and recommend enhancements Generate reports and assist with analytics using eCW and related tools Ensure compliance with HIPAA and other healthcare data security standards Qualifications: Hands-on experience as an eClinicalWorks Superuser, Administrator, or Support Specialist Strong understanding of EHR workflows in outpatient, home care, or multispecialty practices Technical troubleshooting and problem-solving skills Effective communication skills for training and end-user support Familiarity with clinical documentation, billing workflows, and patient portals Understanding of HIPAA regulations and secure health data practices Ability to work independently and collaboratively across teams Preferred Qualifications: eCW certification or formal training Experience supporting home care, mobile medical units, or community-based care settings Prior role in healthcare IT or technical support What We Offer: Competitive salary Remote work flexibility Health, dental, and vision insurance Paid time off and holiday pay 401(k) retirement plan Professional development and training opportunities A collaborative, mission-driven work culture Apply Today: If you're a proactive problem-solver passionate about healthcare technology and ready to make a meaningful impact, we’d love to hear from you. Please submit your resume highlighting your experience with eClinicalWorks.
Posted 1 month ago
2.0 years
0 Lacs
India
Remote
Wellnite is a U.S.-based mental health platform committed to providing affordable and accessible mental health care. We offer virtual therapy, psychiatry, and medication management services—improving the lives of thousands of patients across the U.S. As we expand our operations, we are seeking a Billing & Insurance Verification Specialist based in Vietnam who can align with U.S. time zones to support our billing operations and insurance coordination. 📌 Role Summary As a Billing & Insurance Verification Specialist , you will be the key point of contact between Wellnite and U.S. insurance providers. Your job is to verify insurance benefits, resolve billing issues, and ensure patients receive accurate coverage information. This is a phone-heavy role that requires fluency in English and comfort speaking with U.S.-based insurance companies. 🔍 Key Responsibilities Insurance Verification Call U.S. insurance companies to verify member eligibility and mental health benefits. Confirm coverage details, including copays, deductibles, coinsurance, and telehealth coverage. Document and update insurance information in our internal systems accurately. Claims Support Support the billing team with claim follow-ups, including rejections, denials, and underpayments. Assist with prior authorization processes when needed. Investigate discrepancies between insurance responses and patient-reported information. Internal Collaboration Communicate with U.S.-based clinical and operational teams about insurance statuses. Share real-time updates on billing issues and solutions. ✔ Requirements Located in Vietnam and able to work full-time during U.S. business hours (either PST or EST preferred). Excellent English communication skills , especially over the phone. At least 2 years of experience in U.S. medical billing or insurance verification. Experience calling and interacting with U.S. health insurance providers . Strong attention to detail and ability to document information thoroughly. Familiarity with HIPAA guidelines and patient privacy standards. 💡 Nice to Have Previous experience in U.S.-based telehealth or mental health services. Knowledge of EHR or billing systems like Kareo, SimplePractice, or similar. Experience with Slack, Google Workspace, and other remote tools. Willingness to grow into a leadership or training role over time.
Posted 1 month ago
5.0 - 10.0 years
12 - 16 Lacs
Noida
Work from Office
Increasing digitalization and flexibility of production processes presents outstanding potential. In Digital Industries, we enable our customers to unlock their full potential and drive digital transformation with a unique portfolio of automation and digitalization technologies. From hardware to software to services, weve got quite a lot to offer. How about you We blur the boundaries between industry domains by integrating the virtual and physical, hardware and software, design and manufacturing worlds. With the rapid pace of innovation, digitalization is no longer tomorrows idea. We take what the future promises tomorrow and make it real for our customers today. Join us - where your career meets tomorrow. Siemens EDA is a global technology leader in Electronic Design Automation software. Our software tools enable companies around the world to develop highly innovative electronic products faster and more efficiently. Our customers use our tools to push the boundaries of technology and physics to deliver better products in the increasingly complex world of chip, board, and system design. Questa Simulation Product It is a core R&D team working on multiple verticals of Simulation. A very energetic and enthusiastic team of motivated individuals. This role is based in Noida. But youll also get to visit other locations in India and globe, so youll need to go where this job takes you. In return, youll get the chance to work with teams impacting entire cities, countries, and the shape of things to come. Responsibilities: We are looking for a highly motivated software engineer to work in the QuestaSim R&D team of the Siemens EDA Development responsibilities will include core algorithmic advances and software design/architecture. You will collaborate with a senior group of software engineers contributing to final production level quality of new components and algorithms and to create new engines and support existent code. Self-motivation, self-discipline and the ability to set personal goals and work consistently towards them in a dynamic environment will go far towards chipping in to your success. We Are Not Looking for Superheroes, Just Super Minds! Weve got quite a lot to offer. How about you Required Experience: We seek a graduate with at least 5+ years of relevant working experience with B.Tech or M.Tech in CSE/EE/ECE from a reputed engineering college. Proficiency of C/C++, algorithm and data structures. Compiler Concepts and Optimizations. Experience with UNIX and / or LINUX platforms is vital. Basic Digital Electronics Concepts We value your knowledge of Verilog, System Verilog, VHDL Experience in parallel algorithms, job distribution. Understanding of ML/AI algorithms and their implementation in data-driven tasks Exposure to Simulation or Formal based verification methodologies would be a plus! The person should be self-motivated and can work independently. Should be able to guide others, towards project completion. Good problem solving and analytical skills A collection of over 377,000 minds building the future, one day at a time in over 200 countries. All employment decisions at Siemens are based on qualifications, merit and business need. Bring your curiosity and creativity and help us shape tomorrow! #LI-EDA #LI-HYBRID #DVT
Posted 1 month ago
5.0 - 10.0 years
4 - 8 Lacs
Bengaluru
Work from Office
Educational Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : At least 1 year of experience in HL7 FHIR implementation. Deep knowledge of HL7 FHIR 4.0.1 standard Knowledge of FHIR implementation guides like DaVinci, CARIN, US Core etc. Experience performing data mapping of Source data sets to FHIR resources Analyzes the business needs, defines detailed requirements, and provides potential solutions/approaches with the business stakeholders Strong experience and understanding of Agile Methodologies Strong written and oral communication and interpersonal skills Strong analytical, planning, organizational, time management and facilitation Skills Strong understanding and experience of SDLC and documentation skills Proficiency in Microsoft Suite (Word, Excel, Access, PowerPoint, Project, Visio, Outlook), Microsoft SQL Studio, JIRA Preferred Skills: Domain-Healthcare-Healthcare - ALL
Posted 1 month ago
5.0 - 10.0 years
9 - 13 Lacs
Pune
Work from Office
BA JD: Primary Responsibilities are as follows: 1. Creation of epics and writing of user stories in conjunction with the Product Owner/Business Teams, including non-functional requirements 2. Supports the Product Owner/Business Teams to manage the product backlog 3. Works with the Product Owner/Business Teams for documenting business requirements 4. Analysis of customer journeys, product features and impact on systems 5. Process analysis and improvement activities 6. Assesses operational considerations to support effective solution design 7. Collaborative interactions with teams from different locations and regions. 8. Functional Support to IT teams during Project Execution phase. Profile Expectations: 1. Post Graduate with background in Finance, MBA, CA 2. 7+ years of experience in Banks and/or as an IT BA on Banking Projects (preferably for Global Banks like HSBC) 3. Knowledge of Banking products (Deposits, Overdraft, Loans, Payments, Basics of Finance) and processes (On boarding, Fulfilment, Operations, Reporting 4. Effective communication skills, both written and verbal for technical and non-technical audience. 5. Experience with Agile Delivery Model
Posted 1 month ago
2.0 - 7.0 years
5 - 8 Lacs
Bengaluru
Work from Office
Educational Bachelor of Engineering,BCA,BTech,MTech,MBA,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your teams towards developing optimized high quality code deliverables, continual knowledge management and adherence to the organizational guidelines and processes. You would be a key contributor to building efficient programs/ systems and if you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you!If you think you fit right in to help our clients navigate their next in their digital transformation journey, this is the place for you! Technical and Professional : Domain experiencePayer core – claims/Membership/provider mgmt. Domain experienceProvider clinical/RCM, Pharmacy benefit management Healthcare Business Analysts - with Agile/Safe-Agile Business analysis experience Medicaid, Medicaid experienced Business Analysts FHIR, HL7 data analyst and interoperability consulting Healthcare digital transformation consultants with skills/experience of cloud data solutions design, Data analysis/analytics, RPA solution design KeywordsClaims, Provider, utilization management experience, Pricing,Agile, BA Preferred Skills: Domain-Healthcare-Healthcare - ALL Technology-Analytics - Functional-Business Analyst
Posted 1 month ago
9.0 - 14.0 years
10 - 14 Lacs
Bengaluru
Work from Office
Educational Bachelor of Engineering,BTech,BCA,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities As a ‘Senior Product Manager’ you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care. Additional Responsibilities: Experience in market leading healthcare products (key emphasis). Proven track record of at least 8 years in software product management roles. Capability/Feature planning and design, manage the specifications of their development, and monitor their on-going operation to better understand customer experiences. Clearly communicating progress towards delivery, technical challenges that may occur. Act as a thought leader and subject matter expert in the assigned product area, develop essential product documentation including business case, business requirements and use cases. Own product backlog and collaborate closely with the platform engineering team. Create Journey Maps that re-imagine/re-define the healthcare problematic process areas. Understanding of trends affecting customer adoption. Experience of working with enterprise customers, both technical and business, and at all levels. Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing, market research. Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes. Strong analytical ability with exposure to data science and automation Teaming/Collaboration - Demonstrates exceptional leadership and team management skills, with a collaborative and empowering approach to achieve results through influence. Excellent communication, presentation, and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise. Technical and Professional : Payer/ Provider/ PBM organizations Product Management/Product Engineering /Healthcare Operations Experience working with industry leading Enrollment, Claims, Billing or EHR systems. Managing product lifecycle in whole – from ideation, exploration, approval, development, implementation, measurement, and ongoing development. Expertise in US Government Program Line of Business - Medicare, Medicaid, Duals, Marketplace Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare, and Marketplace Risk Adjustment. Developing results-oriented strategies to solve complex and open-ended business problems. Market Analysis and Product fitment Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders. Customer success on managing customer engagements and requirements. Leading business pursuits and product demonstrations. Agile Product Development Methodology Preferred Skills: Domain-Healthcare-Healthcare - ALL
Posted 1 month ago
90.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
About the Company Dr. Mehta’s Hospitals is widely recognized as one of the leading healthcare providers in India. Our General Hospital is the oldest and most experienced private hospital in the country and ranks among the top 30 hospitals globally. Join an institution with over 90 years of legacy , over 1 million births , and 250,000 advanced complex surgeries performed. From being a pioneer in private healthcare to receiving awards for top clinical outcomes and patient experience , we are proud to lead India’s healthcare evolution. Be part of India’s oldest surviving hospital that saves over 100,000 lives every year . Join a performance-oriented, inclusive, and learning-driven culture. At Dr. Mehta’s, you’ll work alongside an inspiring community of professionals — from top surgeons and researchers to individuals from diverse educational and life backgrounds — united by a mission to improve people’s lives every single day. Key Responsibilities: Provide visionary architectural leadership (system, application, cloud, and data), harden security & compliance. Proven experience in implementing HIS/EHR systems, digital health platforms, and cybersecurity frameworks. Strong understanding of healthcare systems, compliance, and data protection laws. Lead initiatives like EMR/EHR implementation, telemedicine platforms, digital OPD/IPD management, and AI-driven diagnostic tools. Enhance patient experience through technology — online portals, mobile apps, and self-service kiosks. In-depth expertise in Networking and Cybersecurity, including design, implementation, and management of secure hospital networks, firewalls, VPNs, and intrusion prevention systems. Proven ability to ensure data integrity, protect patient health information, and maintain compliance with healthcare security standards such as NABH. Ensure data integrity, privacy, and security in accordance with healthcare compliance regulations. Implement robust disaster recovery and business continuity plans. Evaluate and manage relationships with technology vendors, consultants, and service providers. Prepare and manage the IT budget and ensure cost-effective technology investments. Lead and mentor IT teams, foster a culture of innovation and accountability. Required Skills 15+ years in IT leadership, preferably in the healthcare/hospital industry. Access to Dr. Mehta’s Hospitals board members The role reports to Group Head of Finance & Shared Services and have access directly to family members Qualification – PG / UG in Computer Science or Information Technology 📩 Apply Now 📧 Email: mgrrecruit@mehtahospital.com 📞 Contact:8124173707
Posted 1 month ago
0 years
0 Lacs
Chhattisgarh, India
Remote
Do not apply if you are outside of Chhattisgarh, it will be auto rejected. Do not apply if you applied within 3 months. Role Description The ideal candidate will have experience in all stages of the sales cycle. They should be confident with building new client relationship and maintaining existing ones. They should have evidence of strong skills and possess good negotiation skills. It's a complete remote and flexible role. MSCRIBED is looking for independent responsible candidates who are self motivated and can handle the job independently. It is a contractual role that has a full potential to turn to be full time job role. This is a contract remote role for a Business Development Executive (Chhattisgarh) at MSCRIBED LLC. The Executive will be responsible for new business development, lead generation, business communication, and revenue generation tasks on a day-to-day basis. Although its a remote job but we are looking for candidates only from Chhattisgarh. Our clientele are USA, UK healthcare professionals so good command in English speaking and writing is a must. Qualifications New Business Development and Lead Generation skills Strong Business Communication abilities Experience in Account Management Excellent interpersonal and negotiation skills Ability to work independently and remotely Knowledge of the healthcare industry is a plus Minimum 10+2 passed Experience in sales for USA market is preferred Company Description MSCRIBED LLC, a USA (Delaware) based service providing company with an operational unit in Mumbai, India, is dedicated to improving healthcare by alleviating the administrative burden for physicians. Specializing in clinical documentation, we provide HIPAA-compliant "medical scribe service" , we deliver accurate "medical chart notes" to enhance practice efficiency. Our services aim to reduce EHR fatigue, improve revenue, and enhance patient satisfaction.
Posted 1 month ago
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
We have sent an OTP to your contact. Please enter it below to verify.
Accenture
39817 Jobs | Dublin
Wipro
19388 Jobs | Bengaluru
Accenture in India
15458 Jobs | Dublin 2
EY
14907 Jobs | London
Uplers
11185 Jobs | Ahmedabad
Amazon
10459 Jobs | Seattle,WA
IBM
9256 Jobs | Armonk
Oracle
9226 Jobs | Redwood City
Accenture services Pvt Ltd
7971 Jobs |
Capgemini
7704 Jobs | Paris,France