157 Hipaa Compliance Jobs - Page 6

As a Senior Manager - Technical Architect at We Core Solutions INC, you will bring your extensive 18+ years of experience in the software development industry to lead technical architecture initiatives with a focus on the Dot Net Tech Stack. Your primary responsibilities will include defining and enforcing technical architecture standards, reviewing and approving code changes, and leading architectural decision-making processes. You will play a crucial role in transitioning from custom implementations to standardized SaaS offerings by designing scalable, secure, and maintainable solutions within the Microsoft technology stack. Your expertise will be instrumental in establishing technical doc...

The System Support Associate role involves being responsible for implementing and modifying EDI file feeds using programming languages like C#, Java, Python, and SQL. This position requires hands-on experience in the US healthcare industry, familiarity with HIPAA compliance standards, and the ability to establish secure connections using SFTP. As a member of the technical team, you will play a crucial role in integrating data feeds into systems and ensuring adherence to industry standards and regulations. Key responsibilities include implementing and modifying EDI file feeds for healthcare/benefits data integration, developing solutions using C#, Java, Python, and SQL, configuring and mainta...

As the Country Head at Core Solutions, you will play a pivotal role in leading and expanding our operations in India. You will be tasked with positioning Core Solutions as a top technology employer in India, while simultaneously delivering exceptional product development and support services to our US-based behavioral healthcare clients. Your responsibilities will encompass overseeing various aspects of our India operations, including product management, solutions delivery, infrastructure, and technical support, ensuring seamless integration with our global operations. Your strategic leadership skills will be put to the test as you develop and execute a vision for Core Solutions India operat...

The responsibilities of this role include assuring quality care by adhering to standards set by physicians, providing care education to patients in person or over the phone, and following compliance guidelines such as OSHA, FDA, and HIPAA throughout processes. The ideal candidate will be responsible for recognizing patient needs and prioritizing them alongside physician's needs. Qualifications for this position include being a Registered Professional Nurse with current licensure, holding CPR, ACLS, and BCLS certifications, having knowledge of OSHA, FDA, and HIPAA compliance, and being able to lift and position patients on endoscopy stretchers and transport them.,

As the Assistant Medical Director at Student Health Services, you will play a crucial role in providing leadership and strategic direction to ensure the smooth functioning of operations. Your responsibilities will include supervising subordinates, implementing HR-related actions, formulating medical and administrative policies, and monitoring adherence to proper medical protocols. Moreover, you will develop an annual work plan in collaboration with senior leadership for achieving health service goals, ensuring fiscal soundness, and maintaining a comprehensive quality improvement program. Your duties will also involve developing cooperative relationships with various stakeholders, supervising...

The role of Data Scientist - Clinical Data Extraction & AI Integration in our healthcare technology team requires an experienced individual with 3-6 years of experience. As a Data Scientist in this role, you will be primarily focused on medical document processing and data extraction systems. You will have the opportunity to work with advanced AI technologies to create solutions that enhance the extraction of crucial information from clinical documents, thereby improving healthcare data workflows and patient care outcomes. Your key responsibilities will include designing and implementing statistical models for medical data quality assessment, developing predictive algorithms for encounter cl...

As a Senior Process Analyst in the Revenue Cycle Management (RCM) Operations department at Mohali, you will be responsible for reviewing and processing medical claims for submission to insurance companies. Your role will involve performing data entry of patient and insurance information into RCM software, verifying insurance eligibility and benefits, and following up with insurance providers on denied or unpaid claims. It is crucial to maintain accuracy and compliance with healthcare regulations, particularly HIPAA. Additionally, effective communication with clients, insurance companies, and team members will be essential. You will also be required to prepare and maintain reports and documen...

As a Healthcare Project Manager at our organization, you will be responsible for leading and managing healthcare projects throughout their lifecycle, ensuring timely delivery within budget and scope. Your role will involve collaborating with cross-functional teams, including clinical, IT, and administrative staff, to define project requirements and objectives. You will develop detailed project plans using Agile and Waterfall methodologies, monitoring progress against milestones and facilitating regular project meetings to provide updates to stakeholders and address any issues or risks that may arise. Compliance with healthcare regulations, particularly HIPAA, will be a key aspect of your res...

We are seeking a highly skilled and experienced Contract Security Auditor to join our team for a 1-year engagement. This critical role will be instrumental in enhancing our organization's security posture. The ideal candidate will be an unbiased expert, capable of meticulously assessing our current security controls against various global standards. If you thrive in an environment where you can make a significant impact and demonstrate exceptional performance, this contract offers a unique pathway to a permanent position within our core security team. Responsibilities: As our Contract Security Auditor, you will be responsible for: Comprehensive Security Assessments: Conducting in-depth secur...

You should have 6-8 years of experience in AI/ML development, with a strong emphasis on Generative AI and Prompt Engineering. Your proficiency in programming languages should include Python (primary), with knowledge of JavaScript, SQL, and NodeJS being beneficial. You should have a strong experience with AI/ML frameworks such as TensorFlow, PyTorch, Transformers, and an understanding of Generative AI models, including LLMs. Additionally, you should have expertise in designing and implementing efficient prompts for Generative AI, focusing on improving model performance, Guardrails, RAG, Prompting attacks evasion, and user interaction. Experience in integrating AI models with APIs and applicat...

You will be part of a team that is pioneering the development of the world's first agentic AI voice-to-voice mental health platform, offering personalized therapy globally. The platform aims to provide validated emotional support and mental health care on a large scale to address the global mental health crisis. Your role as Co-founder & CTO will require you to lead the technical vision and execution, overseeing core AI infrastructure, voice integration, and team management. As the CTO, you will be responsible for refining and implementing revolutionary AI architecture for both B2C and B2B platforms, developing cutting-edge voice technology for therapeutic effectiveness, and ensuring secure,...

Core Solutions (CORE), a leading provider of Electronic Health Record (EHR) solutions tailored for the behavioral healthcare industry, is seeking an experienced Director of Technical Architecture to spearhead the organization's technical transformation to a SaaS-first model. As we gear up for rapid growth and market expansion with our new version and AI solutions, this role will play a pivotal part in establishing and maintaining architectural standards, ensuring code quality, and driving platform scalability and security. Responsibilities: Technical Leadership & Architecture: - Define and enforce technical architecture standards and best practices - Review and approve all code changes to en...

The Assistant Manager Risk & Compliance plays a crucial role in ensuring compliance with local laws, US healthcare industry regulations (such as HIPAA), and internal company policies. This position is key to establishing a secure and compliant operational environment across global functions. The primary goal is to ensure a secure and compliant customer experience, build an effective internal control environment, and promote ethical and compliant business practices. Key responsibilities include implementing and monitoring compliance programs across all business functions, reviewing and updating internal policies and procedures, conducting regular PHI risk assessments, handling incident report...

Role Responsibilities: Create and maintain electronic or paper-based medical records, including patient demographics, medical history, diagnoses, treatments, and test results. Ensure accuracy, completeness, and security of patient medical records in compliance with HIPAA and other regulatory requirements. Review and abstract medical records for billing and reimbursement, ensuring proper diagnosis, procedures, and treatments are coded. Collaborate with healthcare providers to ensure timely and accurate completion of medical records and documentation. Respond to requests for medical records, ensuring appropriate release of information. Job Requirements: Strong knowledge of medical terminology ...

The ideal candidate who is ready to join immediately can share their details via email for quick processing at nitin.patil@ust.com. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. Collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards (e.g., HIPAA). Guide and mentor development teams, enforce coding standards, and ensure adherence to design principles. Conduct technical reviews, identify risks, and suggest performance and scalability improvements. Drive DevOps practices, CI/CD pipelines, and cloud d...

The ideal candidate for this role should be ready to join immediately and can share their details via email for quick processing. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. You will collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards such as HIPAA. Your role will involve guiding and mentoring development teams, enforcing coding standards, and ensuring adherence to design principles. Additionally, you will conduct technical reviews, identify risks, and suggest performance and scalability impr...

The ideal candidate should be ready to join immediately and can share their details via email for quick processing at nitin.patil@ust.com. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. Collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards (e.g., HIPAA). Guide and mentor development teams, enforce coding standards, and ensure adherence to design principles. Conduct technical reviews, identify risks, and suggest performance and scalability improvements. Drive DevOps practices, CI/CD pipelines, and ...

The System Support Associate will be responsible for implementing and modifying EDI file feeds, utilizing programming languages like C#, Java, Python, and SQL. You should have hands-on experience working within the US healthcare industry, understanding HIPAA compliance standards, and creating secure connections using SFTP (Secure File Transfer Protocol). As a member of the technical team, you will be responsible for integrating data feeds into our systems and ensuring compliance with industry standards and regulations. Key Responsibilities: - Implement and modify EDI (Electronic Data Interchange) file feeds for healthcare/benefits data integration. - Develop and maintain solutions using prog...

The role requires a Java Developer to lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. You will collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards such as HIPAA. Your responsibilities include guiding and mentoring development teams, enforcing coding standards, ensuring adherence to design principles, and conducting technical reviews to identify risks and suggest performance and scalability improvements. Additionally, you will drive DevOps practices, CI/CD pipelines, and cloud deployment strategies. You should possess 10+ years of experience in Java/J2EE dev...

You should have 6-8 years of experience in AI/ML development, with a strong emphasis on Generative AI and Prompt Engineering. Your proficiency in programming languages should include Python as primary, with knowledge of JavaScript, SQL, and NodeJS being beneficial. You must have a strong experience with AI/ML frameworks such as TensorFlow, PyTorch, Transformers, and understanding of Generative AI models including LLMs. Expertise in designing and implementing efficient prompts for Generative AI is necessary, focusing on improving model performance, Guardrails, RAG, Prompting attacks evasion, and user interaction. Experience in integrating AI models with APIs and application servers (Flask, Dj...

About Evernorth: Evernorth Health Services, a division of The Cigna Group (NYSE: CI), creates pharmacy, care, and benefits 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. Integration Services Agile Product Owner Lead Analyst Position Overview: As the Integration Services Agile Product Owner Lead Analyst, you will serve as the voice of the customer within the Scrum team of the US Medical Front Office Technology Integration Services team. Your role will involve leveraging your solid business and technical expertise to manage the team's work intake efficien...

Job Description_ Senior Executive - AR Analyst _ Denial management Job Name: Senior Executive Position Title: Senior Executive - AR Analyst Band: A2 LOB: Denial Management - AR Analyst - RCM Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), website checking and working on non-callable denia...

Sr. Executive- AR caller: Overview: Review, Call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), Qualifications: Graduation in any stream Experience: BPO Experience - 2-5 years US Healthcare AR experience preferred Communication Skill: Excellent oral and written communication skills Working Hours: 40 hours per week as Full-time employee Shift time: 7:30 PM IST - 4:30 AM...

Role & responsibilities MRD Technician Preparing patient charts and gathering information and documents from patients Ensuring that the medical records are organized, accurate and complete Filing the paperwork and reports of inpatients quickly and accurately Safeguarding patient records and ensuring that everyone complies with the HIPAA standards Transferring data into the facilitys main system database Processing the records for admitting and discharging patients

Job Title: Pega Developer (SSA) Smart Claims Engine (SCE) Experience: 6+ Years Department: IT & Information Security Role Category: Programming & Design Employment Type: Full-Time Job Summary: We are looking for an experienced Pega Developer (SSA) with a strong background in Smart Claims Engine (SCE) integration and healthcare claims processing . The ideal candidate will work closely with cross-functional teams to design, develop, and enhance Pega-based applications and workflows that improve operational efficiency in claims management systems. Key Responsibilities: Design, configure, and customize Pega applications aligned with claims processing needs and business objective. Integrate Pega ...