1273 Hipaa Jobs - Page 10

Job Title: Data Strategist Commercial & Corporate Data Location: Warsaw, hybrid (3+2) Position Summary: We are seeking a visionary and technically skilled Sr Manager - Commercial & Corporate Functions Data Strategy to lead the design, governance, and strategic alignment of commercial and corporate data assets. This role will be pivotal in shaping our enterprise data architecture, enabling data-driven decision-making, and ensuring data integrity across business units such as Sales, Marketing, Finance, Legal, and HR. As a People Leader, the Sr Manager will be leading a Team of 2 associates. In this role, a typical day will include: Stakeholder Engagement Partner with business units to understand data needs and translate them into architectural solutions. Enable data driven decision-making across Commercial & Corporate Functions. Act as a trusted advisor to senior leadership on data capabilities and innovation opportunities. Data Strategy & Governance Develop and execute a comprehensive data strategy aligned with business goals. Define data standards & policies, and support governance frameworks for commercial and corporate data domains. Collaborate with data stewards and business leaders to ensure data quality, consistency, and compliance. Business/Systems Analysis & Design Capture business requirements and collaborate with Data Architects to design scalable, secure, and high-performing data architectures (data lakes, warehouses, marts). Set priorities for integration of structured and unstructured data from internal and external sources. Technology & Innovation Drive adoption of data visualization & analytics solutions and modern architectural paradigms to provide value to the Business. Stay current with industry trends and emerging technologies in data management and analytics. Data Enablement Support self-service analytics and data democratization initiatives. Enable advanced analytics, AI/ML, and business intelligence through robust data foundations. WHAT YOU LL BRING TO ALCON: Bachelor s or Master s degree in Computer Science, Data Science, Information Systems, or related field. 7+ years of experience in data analysis & visualization, data strategy, or enterprise data management. Strong knowledge of data modeling, data integration, and data governance frameworks. Familiarity with regulatory and compliance requirements (e.g., GDPR, SOX, HIPAA). Excellent communication, leadership, and stakeholder management skills. Preferred Skills: Experience in commercial or corporate data domains (e.g., CRM, ERP, HRIS, financial systems). Certifications such as CDMP, TOGAF, or cloud architecture credentials. Knowledge of data cataloging tools (e.g., Atlan, Collibra, Alation) and lineage tracking. Hands-on experience with cloud data platforms (e.g., Azure Synapse, AWS Redshift, GCP BigQuery). HOW YOU CAN THRIVE AT ALCON: Opportunity to work in best-in-class Organization among Medical Devices/Equipment sector. Truly international environment and daily interactions with colleagues from all over the world. Attractive benefits package (private medical care, group insurance, lunch card, transportation allowance, pension plan, Multisport/cultural card, Alcon products for you and your significant other). Company car or car allowance Permanent employment contract, attractive base salary and annual bonus. Hybrid model of work (3/2, weekly), Brand new office in Marynarska 15, Warsaw, with a lot of facilities inside. Alcon Careers See your impact at alcon.com/careers ATTENTION: Current Alcon Employee/Contingent Worker If you are currently an active employee/contingent worker at Alcon, please click the appropriate link below to apply on the Internal Career site. Find Jobs for Employees Find Jobs for Contingent Worker

Job Description : Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all payments Post all payments within 24 hours Meet strict posting deadlines to ensure that Payment Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Payment Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Required Knowledge, Skills, Abilities & Education: Payment posting Experience with accounts receivable Experience with some or all of the following practice management systems: Amkai, SIS/Vision/Advantx, HST, EPIC RESOLUTE, is preferred Knowledge of payer contracts and (EOBs), explanation of benefits Experience working in a clearinghouse Understanding of HIPAA regulations Strong verbal and written skills Great attention to detail to avoid data entry errors Excellent communication skills Strong organizational skills Effective time management A positive, open and friendly attitude to colleagues and clients Superior customer service and professionalism Preferred Knowledge, Skills, Abilities & Education: University certificate in healthcare related field 2+ years Ambulatory Surgical Center coding experience Department Revenue Cycle Services Open Positions 6 Skills Required Payment Posting, Communication Skills, Excel, HIPAA, EOBs, Location Noida, Uttar Pradesh, India Years Of Exp 1 to 2 years Designation Billing Executive - Charge Posting Posted On : 17-Jul-2025

Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all payments Post all payments within 24 hours Meet strict posting deadlines to ensure that Payment Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Payment Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Required Knowledge, Skills, Abilities & Education: Payment posting Experience with accounts receivable Experience with some or all of the following practice management systems: Amkai, SIS/Vision/Advantx, HST, EPIC RESOLUTE, is preferred Knowledge of payer contracts and (EOBs), explanation of benefits Experience working in a clearinghouse Understanding of HIPAA regulations Strong verbal and written skills Great attention to detail to avoid data entry errors Excellent communication skills Strong organizational skills Effective time management A positive, open and friendly attitude to colleagues and clients Superior customer service and professionalism Preferred Knowledge, Skills, Abilities & Education: University certificate in healthcare related field 2+ years Ambulatory Surgical Center coding experience

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : One Identity Manager Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various teams to assess security needs, documenting security controls, and transitioning to cloud security-managed operations. You will engage in strategic discussions to align security measures with organizational objectives, ensuring a robust security posture in the cloud environment. Your role will also include reviewing and refining security policies and procedures to adapt to evolving threats and compliance requirements, ultimately contributing to the overall security strategy of the organization. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Develop and maintain comprehensive documentation of security architecture and controls.- Conduct regular security assessments and audits to identify vulnerabilities and recommend improvements. Professional & Technical Skills: - Must To Have Skills: Proficiency in One Identity Manager.- Strong understanding of cloud security principles and best practices.- Experience with identity and access management solutions.- Familiarity with regulatory compliance frameworks such as GDPR, HIPAA, or PCI-DSS.- Ability to analyze security incidents and implement effective remediation strategies. Additional Information:- The candidate should have minimum 5 years of experience in One Identity Manager.- This position is based at our Kolkata office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Security Delivery Governance Good to have skills : NAMinimum 12 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. You will also document the implementation of the cloud security controls and transition to cloud security-managed operations. Roles & Responsibilities:- 1. Identity and Access Management (IAM)IAM ensures that only authorized individuals have access to the systems and data they need to perform their job functions. Proper governance ensures compliance with security policies, legal regulations, and business requirements.Key Aspects:Identity Lifecycle Management:Governance involves defining policies for how identities are created, modified, and deleted. This includes managing user access rights and ensuring that users have appropriate permissions for their roles.Authentication and Authorization:Governance ensures that access is properly authenticated (e.g., multi-factor authentication) and authorized based on role-based or attribute-based access control.Compliance:IAM governance helps organizations adhere to industry regulations (e.g., GDPR, HIPAA) by enforcing policies around data access and ensuring that sensitive information is adequately protected.Audit and Monitoring:Regular audits and monitoring help ensure that access is being granted according to policy, and that improper access is flagged and remediated.2. Security Operations Center (SOC)A SOC is responsible for detecting, analyzing, and responding to security incidents and events in real-time. Governance in this area is crucial to ensuring that the SOC operates efficiently, effectively, and in line with corporate and legal requirements.Key Aspects:Incident Response:A key element of governance in SOC is ensuring that incident response procedures are well-defined, tested, and followed when a security breach or anomaly is detected.Monitoring and Detection:Ensuring that SOC uses appropriate tools (e.g., SIEM, IDS/IPS) to monitor network traffic and detect suspicious activities in real-time.Compliance and Reporting:The SOC must generate reports for regulatory compliance (e.g., PCI-DSS, NIST) and provide visibility into the organization's security posture.Continuous Improvement:Governance includes reviewing the performance of SOC teams, assessing incidents, and refining processes to improve the security posture over time.3. Network Security (NetSec)Network security governance focuses on protecting an organization's network infrastructure from internal and external threats. Proper governance ensures that network security policies are in place, enforced, and continuously reviewed.Key Aspects:Firewall and Perimeter Security:Ensuring that the network perimeter is adequately secured by firewalls, intrusion prevention systems (IPS), and other technologies.Network Segmentation:Governance involves defining policies around network segmentation to limit the spread of threats and control traffic flow.Encryption and Data Protection:Ensuring that sensitive data in transit and at rest is encrypted, and that secure communication protocols are enforced.Vulnerability Management:Network security governance requires regular vulnerability assessments and patch management to address known threats and weaknesses.Security Delivery Governance FrameworkTo ensure effective security governance across IAM, SOC, and NetSec, a comprehensive framework should include:Policies and Procedures:Clear, actionable security policies, procedures, and guidelines must be established and regularly updated. These should cover all aspects of IAM, SOC, and NetSec.Risk Management:Regular risk assessments to identify vulnerabilities and mitigate them proactively. This involves continuous evaluation of potential threats and alignment with the overall risk tolerance of the organization.Compliance and Legal Requirements:Governance must ensure that all activities related to IAM, SOC, and NetSec are compliant with relevant laws and regulations, such as GDPR, HIPAA, PCI-DSS, and more.Incident Management and Response:Well-defined processes for responding to incidents that include communication protocols, escalation procedures, and documentation to ensure compliance and improvement.Auditing and Reporting:Regular audits should be conducted across IAM systems, SOC operations, and network security controls to ensure compliance with the organizations security policies and regulatory requirements.Continuous Monitoring and Improvement:An ongoing process of reviewing and refining security strategies, implementing new technologies, and training staff to adapt to emerging threats. Professional & Technical Skills: - Must To Have Skills: Proficiency in Security Delivery Governance.- Strong understanding of security architecture principles.- Experience in implementing security controls in cloud environments.- Knowledge of regulatory compliance requirements.- Hands-on experience with security tools and technologies. Additional Information:- The candidate should have a minimum of 12 years of experience in Security Delivery Governance.- This position is based at our Bengaluru office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities:Epic Analyst will provide primary support for their designated application/module.Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration.Provide on-going system support and maintenance based on support rosterRespond in a timely manner to system issues and requestsConduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues.Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPsPerform/support regular / periodic system patch, maintenance and verification.Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilizationPerform/support the work required to comply with audit and security requirements.Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: - Must To Have Skills: Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB)- Experience in troubleshooting and resolving application issues. Additional Information:- The candidate should have a minimum of 5 years of experience in EPIC Systems.- This position is based at our Chennai office.- work from office is mandatory for all working days- A 15 years full time education is required. Qualification 15 years full time education

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11am to 6pm ) Everyday Contact person VIBHA HR (9043585877) Interview time (11am to 6pm ) Bring 2 updated resumes Refer (HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- Vibha HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Minimum 10 - 12 years of experience in handling complex large transformation projects Experience in Client Relationship Management – key client stakeholders, understanding their requirements and Outsourcing ability to meet them Experience of leading large teams located across multiple cities in India and across the world. Experience of Driving Digital Transformation across a portfolio of accounts Demonstrates a breadth and depth of operational service delivery management expertise. Preferred: Ability to create technical designs based on functional designs, including, mockups, process and data flow diagrams, etc Ability to gather critical information from meetings with various stakeholders and produce useful reports. Ability to conduct market research for product development Knowledge of cloud platforms (Fundamentals of GCP/AWS/Azure) GDPR, HIPAA/GXP compliance, ERP and SAP application Role Lead the delivery of multi-functional, large-scale Cloud transformation projects Conduct a thorough review of all components in the Project/Program Plan: scope, deliverables, time frame, and cost Stakeholder management ( Internal and external ) Manage the risks, issues, scope changes, unplanned events and other actions of the project and regularly track them to meet the expected outcomes and timelines, building mitigation plans as the program evolves. Work closely with Developers, BA, Quality, Engineering, and cross-functional team to resolve issues that arise during design, implementation and in post-production. Work with external and internal partners on integration and product expansion opportunities.

Senior QA Engineer Lead Test Strategy for Life-Critical Software Company: Ajmera Infotech Private Limited (AIPL) Location: Ahmedabad (On-site) Experience: 5+ years Position Type: Full-time, Permanent Own Testing That Safeguards Lives Architect Compliance-Grade QA at Scale At Ajmera Infotech, our 120+ engineers deliver mission-critical software for NYSE-listed giants. As Senior QA Engineer, youll lead the test effort for an FDA-regulated health platform, ensuring every release is audit-ready, user-safe, and failure-proof. Join a culture where test strategy is a first-class discipline and your work directly supports 247365 clinical care. Why Youll Love It: Lead from the trenches — drive test planning, coverage, and compliance readiness across cross-functional teams. Critical domain mastery — work hands-on in healthcare, where precision QA translates to real-world safety. Code-first culture — collaborate with automation teams to embed test coverage into CI/CD pipelines and shift-left architectures. Mentor & uplift — coach junior testers on documentation standards, domain modeling, and edge-case thinking. Fast-track your future — grow into test strategy, automation leadership, or regulatory engineering. Key Responsibilities Define and execute test strategies and risk-based test plans for complex, multi-platform systems. Ensure traceability and compliance from requirements through execution, aligned to FDA and HIPAA standards . Lead functional, regression, integration, and exploratory testing across mobile, web, and backend systems. Coordinate with DevOps and Automation Engineers to embed quality gates into CI/CD. Maintain high-quality test documentation — test plans, cases, execution logs — to support regulatory audits . Provide QA sign-offs and own release validation in tight, Agile sprints. Represent QA in sprint ceremonies, design reviews, and retrospectives. Must-Have Skills 5+ years in QA/test engineering , with deep experience in regulated domains (healthcare, fintech, aerospace). Strong expertise in designing and managing manual test suites for complex apps (React, Flutter, APIs). Experience with test case management tools (TestRail, Zephyr), bug tracking (Jira), and source control (Git). Solid understanding of SDLC , Agile, and traceability practices for compliance workflows. Strong communication and leadership skills — able to influence across product, dev, and compliance teams. Nice-to-Have Familiarity with BDD frameworks (Cucumber, Gherkin). Exposure to FDA 21 CFR Part 11, HIPAA, or ISO 13485 documentation . Basic automation knowledge or collaboration with automation teams (e.g., Cypress, Appium). Experience validating mobile apps , backend systems, and API integrations. Benefits Competitive salary, bonus incentives , and leadership pathways. Collaborate with world-class engineers building systems where failure is not an option. Elevate QA to a strategic discipline — apply now to build software that earns trust at global scale.

We are looking for a person who will be handling regulatory compliance of the company. He /she will be responsible to adhere law & regulations, guidelines as per govt. policies & law. You will be responsible tp perform core compliances and ethics.

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Niveditha HR Senior Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432447/Whatsapp @9901039852| niveditha.b@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

About Client Hiring for one of the most prestigious multinational corporations Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS / FAMILY******

The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

As a Data Analyst with deep experience in the US Healthcare industry and skills around Machine Learning (ML), you will play a vital role in conducting comprehensive data analysis using statistical and exploratory methods to uncover patterns and insights that drive data-driven decision-making in the healthcare domain. Leveraging your knowledge of healthcare industry metrics such as HEDIS, CMS Star Ratings, risk adjustment models, and revenue cycle data, you will optimize analytics strategies to ensure efficient data quality, availability, and reliability for AI/ML-driven healthcare analytics solutions. Your responsibilities will include designing and maintaining data pipelines for the ingestion, transformation, and storage of claims, electronic health records (EHR), HL7/FHIR data, and real-world evidence (RWE) while ensuring compliance with HIPAA, PHI, and other regulatory requirements. Collaborating closely with data science and engineering teams, you will develop and maintain dashboards and reports that translate complex healthcare data into actionable insights for business stakeholders using visualization tools such as Streamlit, Snowflake, Power BI, or similar platforms. You will apply your expertise in healthcare cost, quality, and operational performance analytics to deliver meaningful insights and work closely with cross-functional teams, including data science, engineering, API development, and healthcare operations, to understand data needs and deliver tailored solutions. Additionally, you will engage with industry experts, attend relevant healthcare and data science conferences, and contribute to continuous learning within the team to enhance process understanding and ensure data accuracy for regulatory and business reporting. To excel in this role, you should have strong proficiency in SQL and Python, including libraries such as pandas for data manipulation and analysis. Experience with healthcare data visualization and storytelling tools, familiarity with ETL pipelines, data warehousing, and cloud platforms (AWS, Azure, GCP) for healthcare data processing, as well as knowledge of healthcare standards and regulations are essential. Experience in revenue cycle management (RCM), medical coding (ICD, CPT, DRG), and healthcare cost/utilization analytics is a plus, along with the ability to analyze complex healthcare datasets and derive meaningful insights impacting operational efficiency, patient outcomes, and cost optimization. Excellent communication and stakeholder management skills, with the ability to translate technical findings into business insights, are key to collaborating effectively with healthcare business teams, IT, and data science professionals. A curious mindset and willingness to explore new challenges and drive innovation in healthcare analytics are also important qualities for success in this role.,

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for necessary corrective actions. Collaboration with coding, billing, clinical, and compliance teams will be essential in addressing audit findings effectively. Additionally, you will be tasked with monitoring the implementation of corrective actions and conducting follow-up audits as required. Your contribution to supporting training initiatives by identifying educational opportunities for clinical and billing staff will be highly valued. This is a full-time position that offers Provident Fund benefits. The work location for this role is in person. If you are a dynamic individual with a background in Life Sciences and a passion for ensuring accuracy and compliance in healthcare documentation, we encourage you to apply for this exciting opportunity.,

As an experienced professional with 3-5 years of experience, you will be responsible for Vendor Risk Management, Third-Party Risk Management (TPRM), Risk Assessment, and ensuring compliance with regulatory frameworks such as HIPAA, PCI, GDPR. Your shift timing will be from 6.30 pm to 3.30 am. Join Omnicom Global Solutions, a key player within Omnicom Group, a renowned global marketing and corporate communications company. Our Indian division, OGS India, provides essential products and services across various domains including Creative Services, Technology, Marketing Science, Advanced Analytics, and more. With a team of over 4000 talented professionals, we are on a rapid growth trajectory and are seeking individuals like you to contribute to our ongoing success. To qualify for this role, you must hold a Bachelor's degree, preferably in computer science, information systems, engineering, or business administration, with a minimum of 5 years of relevant experience. You should have a deep understanding of regulatory frameworks such as SOX, HIPAA, PCI, and GDPR, along with practical knowledge of risk assessment and management methodologies. Familiarity with information security management frameworks like ISO/IEC 27001, ITIL, COBIT, and NIST, as well as past experience in the Media and Entertainment industry, would be advantageous. As a part of our team, you will need to demonstrate excellent communication skills, both written and verbal, the ability to convey complex security and risk-related concepts to diverse audiences, and exceptional problem-solving abilities. You should be a collaborative team player with strategic thinking capabilities, adept at managing multiple projects within tight deadlines and dynamic environments. Your role will involve developing risk and compliance strategies aligned with business objectives to enhance cybersecurity measures across the organization. Moreover, you should possess a strong technology background enabling you to assess and challenge technology decisions effectively. Your role will also require you to rapidly grasp business strategies, identify high-impact opportunities, and lead cross-functional teams towards achieving tactical and strategic goals. Having experience in managing global teams and locations will be an added advantage, showcasing your ability to navigate challenges and leverage opportunities across diverse environments. Join us at Omnicom Global Solutions and be a part of our journey to innovate and excel in the realm of marketing and corporate communications.,

We are seeking dynamic candidates to join our organization for the position of Billing Executive (Voice Dental RCM) for the Night Shift. As a Billing Executive, your primary responsibilities will include communicating with patients" Dental Insurance to obtain details regarding their dental policy benefits and the status of outstanding dental claims. A comprehensive understanding of Dental Billing operations is essential for this role. You will be required to liaise with Dental Insurance providers to inquire about benefit information, outstanding claims, and any additional guidelines that may impact coverage. Ensuring accurate and detailed documentation by obtaining benefit information on the necessary templates will be a crucial part of your daily tasks. The ideal candidate should meet the following eligibility criteria: - Educational Qualification: Undergraduate/Graduate or equivalent - Previous experience in Dental Billing is preferred - Familiarity with CDT, ADA, and HIPAA regulations would be advantageous - Excellent organizational skills and attention to detail - Strong written and verbal communication skills in English - Exceptional interpersonal skills with a focus on delivering excellent client service - Ability to handle sensitive patient information with confidentiality - Willingness to work in US Shift Timings (Night Shift) - Typing Speed of 40 WPM or more with a minimum accuracy of 95% - Proficiency in MS Office applications - Experienced candidates preferred In return, we offer the following benefits: - Fixed Salary - Paid Leaves - No overtime work - Incentive-based target system - Observance of US Federal Holidays - Fixed week-offs on Saturdays & Sundays - Health Insurance coverage - Night Shift Meal, Tea/Coffee - No salary cap for suitable candidates This is a full-time, permanent position with a flexible schedule, health, and life insurance coverage. The work schedule includes fixed shifts from Monday to Friday, during night shifts in the US time zone. Additional performance bonuses may be provided based on individual and team achievements. Education: Bachelor's degree preferred Language: Fluent in English Communication (Required) Shift availability: Night Shift (Required),

As a Manager Quality in Medical Coding with 10-12 years of experience, you will be responsible for overseeing the Inpatient Medical Coding operations. You will collaborate with the Coding Education and Quality Coordinator to ensure comprehensive on-the-job training for all staff under your supervision. Monitoring the progress of new employees and providing timely feedback to ensure competency is met is a crucial aspect of your role. Your duties will also include monitoring productivity levels to maintain work performance standards and addressing any day-to-day issues that may affect staff negatively. Regular update meetings will be conducted to keep the staff informed about departmental, hospital, market, and company changes and events. To excel in this role, you must have a solid understanding of HIPAA and healthcare compliance standards. Proficiency in using billing software such as Epic, Athena, Kareo, and QA tools is essential. If you are passionate about ensuring coding accuracy and compliance within the US healthcare industry, this position offers an exciting opportunity for growth and development. If you meet the requirements and are ready to take on this challenging role, apply now by sending your resume to suganya.mohan@yitrobc.net. Join us in upholding the highest standards of Medical Coding quality and compliance.,

Hiring for Accounts Receivable Executive (XiFin) experience!!! Call : Elizabeth - 7028889320 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Looking for experience in XiFin Software! Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Job Category: Revenue Cycle Mangement Job Type: Full Time Job Location: Pune Con. 7028889320 Email: Elizabeth.Pillay@in.credencerm.com

Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowledge in Provider credentialing (Doctor Side). Experience in Insurance calling. Initiate process improvement methods and best practices that will improve the performance of the team Proven ability to meet & exceed performance expectations set by upper management. Proven ability to independently manage large teams & advise business leaders of the same. Identifying and implementing ways to build better team effectiveness by encouraging a healthy environment for the team Strong business communication skills including the ability to work with all levels of the organization. contact person Vineetha HR ( 9600082835 ) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Information Protection Associate Advisor - HIH - Evernorth Position Summary: A successful Red Team member should possess a deep understanding of information security and computer science paired with experience executing highly technical offensive assessments. They should understand advanced red and purple team campaign concepts such as performing social engineering and covert operations against complex networks while remaining entirely undetected, advanced application manipulation, and basic programming concepts. They should be able to improve the overall detection and response capabilities of the organization by understanding adversarial TTPs, developing engagements that emulate specific threat actors of concern, and engaging with the Blue Team during and post engagement. At Cigna, you’ll be working with some of the best experts in the industry and faced with complex problem-solving opportunities daily. We help protect some of the most sensitive and valuable data for millions of members throughout the world and red teaming is critical to validating our global security posture. You are expected to quickly assimilate new information as you will face new environments across the globe on a regular basis. You will be expected to understand the relevant threat vectors to each environment and properly assess them, engage with peer teams (e.g., Cyber Threat Intelligence, Threat Hunt, and Incident Response) to develop engagements and effectively communicate results to a wide variety of audiences. Job Description & Responsibilities : Execute offensive security engagements, with a focus on advanced red team operations Engage with key service customers, partners, and stakeholders across the enterprise to drive improved security outcomes Identify, develop, and promote new red team capabilities and improve Adversary Simulation’s overall program maturity Technical mentorship and skill development of junior team members Experience Required: Overall 8-11 years of IT and/or information security experience Minimum 5 years spent performing red team engagements or advanced offensive security exercises in a professional environment Deep understanding of cybersecurity principles, network security, and modern attack vectors Advanced understanding of common network and host-based attacks and OPSEC-related considerations for offensive tradecraft Proven experience bypassing modern security controls to accomplish operational objectives Proficiency in scripting languages (Python, PowerShell, Bash) and familiarity with programming languages (C/C++, C#) Experience with or an understanding of: Command and Control frameworks (and related OPSEC considerations) Cloud Platforms/Environments Active Directory Exploitation Web Application Exploitation Social Engineering Exploit Development Reverse engineering Demonstrated ability to produce comprehensive reports and explain complex technical details in a concise, understandable manner Ability to manage and balance own time among multiple tasks and lead/facilitating work for junior operators during engagements when required Experience Desired: Experience performing offensive security operations within the healthcare industry Familiarity with cloud environments (AWS, Azure, GCP) and associated security challenges Knowledge of healthcare regulations such as HIPAA and their implications for security practices Education and Training Required: Bachelor’s degree in Computer Science, Information Security, or a related field. Equivalent experience may be considered Relevant certifications such as OSCP, OSCE, OSEP, GXPN, CRTO, or similar Primary Skills: Advanced knowledge and experience in offensive security techniques and red teaming Ability to emulate sophisticated adversaries and design realistic attack scenarios Excellent analytical and problem-solving skills with a keen attention to detail Additional Skills: Ability to work effectively in a team-oriented environment and collaborate with cross-functional teams Flexibility to adapt to evolving security challenges and stay current with emerging threats Willingness and ability to mentor and develop junior team members 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.

Job Title Data Analyst Expert Job Description Job title: Data Analyst Expert Your role: Analyzes complex and multi-dimensional datasets across various business units to uncover deep insights that inform high-level strategic decisions and drive business performance. Creates sophisticated data models and predictive analytics using advanced statistical techniques and machine learning algorithms to forecast trends and optimize business outcomes, working under general supervision. Implements scalable ETL (Extract, Transform, Load) pipelines and robust data integration solutions, ensuring data consistency, accuracy, and reliability across the organization. Provides inputs on data architecture and infrastructure improvements, advising on best practices for data storage, retrieval, and management to enhance system performance and scalability. Ensures compliance with global data privacy regulations (such as GDPR and HIPAA) by designing and enforcing comprehensive data governance frameworks and security protocols. Conducts advanced statistical analyses, including hypothesis testing and multivariate analysis, to validate business strategies and provide evidence-based recommendations for process enhancements. Evaluates the effectiveness of implemented data solutions using performance metrics and feedback loops, continuously refining analytical approaches to improve outcomes. Benchmarks existing data analytics tools and technologies, leading the selection and integration of state-of-the-art solutions to maintain a competitive edge and drive innovation. Supports the execution of enterprise-wide data strategies, providing thought leadership and expert guidance in data analytics, business intelligence, and data science methodologies. Identifies opportunities for automation and process optimization, leveraging artificial intelligence, machine learning, and advanced analytics to enhance data processing efficiency and decision-making accuracy. Youre the right fit if: (4 x bullets max) 1. Experience- 5+ Industry Experience in Data Analysis, SQL, ETL 2. Skills: Data Analysis & Interpretation Data Harmonization & Processing Statistical Methods Statistical Programming Software Business Intelligence Tools Data Mining Machine Learning Engineering Fundamentals Research & Analysis Structured Query Language (SQL) Regulatory Compliance 3. Education- Bachelors degree in Any Engineering 4. Anything else- Must have strong communication skill. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company s facilities. Field roles are most effectively done outside of the company s main facilities, generally at the customers or suppliers locations. Indicate if this role is an office/field/onsite role. If you re interested in this role and have many, but not all, of the experiences needed, we encourage you to apply. You may still be the right candidate for this or other opportunities at Philips. Learn more about our culture of impact with care here .

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Security Information and Event Management (SIEM) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various teams to assess security needs, documenting the implementation of cloud security controls, and transitioning to cloud security-managed operations. You will engage in discussions to align security strategies with organizational objectives, ensuring that all security measures are effectively integrated into the cloud environment. Your role will also require you to stay updated on the latest security trends and technologies to enhance the overall security posture of the organization. Roles & Responsibilities:1)Design and implement Microsoft Sentinel architecture, including data connectors, analytics rules, and workbooks.2)Integrate Sentinel with various data sources, including Azure services on-premises systems, and third-party security products.3)Develop and maintain data connectors, APIs and custom integrations.4)Configure and optimize incident response workflows, including automated response actions and playbooks.5)Collaborate with security operations teams to implement Sentinel-based security monitoring and incident response processes.6)Provide training and support to security teams on Sentinel features and functionality7)Continuously monitor and optimize Sentinel performance, scalability, and reliability8)Develop and maintain custom dashboards, reports, and workbooks to provide security insights and metrics. 9)Integrate Azure Logic Apps with Azure Sentinel to automate security workflows and incident response.10)Develop custom connectors for Logic apps to integrate with Azure Sentinel and other security tools. 11)Collaborate with security teams, developers, and operation teams to ensure seamless integration and deployment of Logic Apps with Azure Sentinel12)Configure and maintain Sentinel workspaces, including data connectors, analytics rules. 13)Optimize Sentinel workspace performance, scalability, and security.14)Develop and maintain reports and dashboards to provide visibility into security metrics and trends.15)Strong knowledge of KQL and experience writing complex queries. Proficiency in Microsoft Sentinel, Azure Security Center and Azure Monitor- Experience with data analytics, machine learning, and threat intelligence. Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Develop and maintain comprehensive documentation of security architecture and frameworks.- Conduct regular assessments and audits to ensure compliance with security policies and standards. Professional & Technical Skills: - Must To Have Skills: Proficiency in Sentinel SIEM & KQL query.- Strong understanding of cloud security principles and best practices.- Experience with security incident response and threat management.- Familiarity with regulatory compliance frameworks such as GDPR, HIPAA, or PCI-DSS.- Knowledge of network security protocols and technologies. Additional Information:- The candidate should have minimum 7.5 years of experience in Security Information and Event Management (SIEM).- This position is based at our Hyderabad office.- A 15 years full time education is required. Qualification 15 years full time education