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4.0 - 7.0 years

13 - 17 Lacs

Bengaluru

Work from Office

Key Responsibilities Product Strategy & Roadmap Define, own, and evolve the product roadmap for data and AI-driven products, aligned with company goals and customer needs. Prioritize features and initiatives based on business impact, technical feasibility, and market demand. Customer-Centric Development Deeply understand user pain points, jobs-to-be-done, and customer workflows through user research, feedback loops, and market intelligence. Translate complex user needs into clear product requirements and user stories. Cross-functional Leadership Partner with engineering, data science, UX, and business stakeholders to drive the end-to-end product development lifecycle. Act as the voice of the customer during development, testing, and go-to-market phases. Analytics & AI Integration Identify opportunities for AI/ML, data automation, and analytics to enhance product value. Collaborate with technical teams to define models, data pipelines, and measurement metrics. Product Launch & Adoption Drive successful product launches, adoption, and usage metrics through collaboration with marketing, sales, and customer success teams. Monitor product performance and continuously iterate based on feedback and data. Required Qualifications 4 7 years of product management experience, ideally in SaaS, B2B, or platform environments. Proven experience in building and launching data or AI-driven products. Strong technical understanding of data platforms, analytics, and/or ML lifecycle. Familiarity with agile methodologies, product lifecycle, and backlog management tools (e.g., Rally, Confluence). Exceptional communication, problem-solving, and stakeholder management skills. Exposure to healthcare products, clinical workflows, or regulatory environments (e.g., HIPAA, HL7, FHIR). MBA or equivalent experience in business and technology strategy is a plus. Experience working with cross-functional global teams and external vendors. Knowledge of data platforms, data visualization, and AI/ML frameworks is a plus. Key Responsibilities Product Strategy & Roadmap Define, own, and evolve the product roadmap for data and AI-driven products, aligned with company goals and customer needs. Prioritize features and initiatives based on business impact, technical feasibility, and market demand. Customer-Centric Development Deeply understand user pain points, jobs-to-be-done, and customer workflows through user research, feedback loops, and market intelligence. Translate complex user needs into clear product requirements and user stories. Cross-functional Leadership Partner with engineering, data science, UX, and business stakeholders to drive the end-to-end product development lifecycle. Act as the voice of the customer during development, testing, and go-to-market phases. Analytics & AI Integration Identify opportunities for AI/ML, data automation, and analytics to enhance product value. Collaborate with technical teams to define models, data pipelines, and measurement metrics. Product Launch & Adoption Drive successful product launches, adoption, and usage metrics through collaboration with marketing, sales, and customer success teams. Monitor product performance and continuously iterate based on feedback and data. Required Qualifications 4 7 years of product management experience, ideally in SaaS, B2B, or platform environments. Proven experience in building and launching data or AI-driven products. Strong technical understanding of data platforms, analytics, and/or ML lifecycle. Familiarity with agile methodologies, product lifecycle, and backlog management tools (e.g., Rally, Confluence). Exceptional communication, problem-solving, and stakeholder management skills. Exposure to healthcare products, clinical workflows, or regulatory environments (e.g., HIPAA, HL7, FHIR). MBA or equivalent experience in business and technology strategy is a plus. Experience working with cross-functional global teams and external vendors. Knowledge of data platforms, data visualization, and AI/ML frameworks is a plus. Ai, Ml Lifecycle, Data Pipelines, Integratons

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5.0 - 10.0 years

18 - 20 Lacs

Bengaluru

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Trainer - TPA Content Creation & Delivery Position Overview: We are looking for a Trainer responsible for creating content, delivering training, and updating training materials for our TPA operations team. The ideal candidate will have experience in training staff within the insurance or healthcare sector, specifically around TPA services and CMS guidelines. This role will focus on developing and maintaining training materials that ensure employees are well-equipped to manage back-office functions such as claims processing, enrollment, disenrollment, and other TPA services in compliance with regulatory standards. Key Responsibilities: Content Creation : Develop and create comprehensive training materials for TPA services, including training manuals, presentations, and eLearning modules. Ensure training content aligns with CMS guidelines and includes industry best practices for handling claims, enrollments, and provider payment processes. Customize content to meet the unique needs of onshore and offshore teams, ensuring relevance and accessibility for all learners. Training Delivery : Facilitate in-person and virtual training sessions for new hires & existing employees in claims adjudication, member enrollment, customer service, and regulatory compliance. Deliver classroom-based training, workshops, and webinars, ensuring interactive and engaging learning experiences. Conduct refresher training sessions to ensure ongoing knowledge retention and skill enhancement. Upkeep and Updating of Training Content : Regularly update training materials to reflect changes in CMS regulations, new process improvements, and evolving client needs. Monitor training effectiveness through feedback surveys, assessments, and performance tracking, and make adjustments as needed. Collaborate with subject matter experts (SMEs) and leadership to ensure training content remains current and relevant. Compliance and Certification : Ensure that training materials and programs comply with industry standards, including HIPAA, SOC 2, and CMS requirements. Develop and track training certifications for staff to ensure they meet regulatory and operational standards. Continuous Improvement : Collect and analyze training feedback to improve training delivery and effectiveness. Recommend and implement process improvements in training programs to enhance engagement, retention, and service quality. Required Qualifications: Bachelor s degree in Education, Training, Business Administration, or a related field. 5+ years of experience in training or learning and development, with a focus on TPA services or healthcare. Strong understanding of CMS regulations, claims processing, and TPA back-office operations. Experience in creating and delivering interactive training programs using modern learning technologies (e.g., LMS, eLearning platforms). Excellent presentation and facilitation skills, with the ability to engage and motivate learners. Strong communication and interpersonal skills for collaborating with teams and stakeholders. Preferred Qualifications: Certification in Instructional Design or Training Delivery Experience with virtual training tools Knowledge of adult learning principles and learning needs analysis. Key Competencies: Content Development: Strong skills in developing clear, effective, and engaging training materials. Leadership and Facilitation: Proven ability to lead and facilitate training sessions effectively. Regulatory Knowledge: Deep understanding of CMS guidelines and industry standards related to TPA services. Continuous Improvement: Focused on enhancing training programs to improve learner outcomes and operational efficiency. Analytical Thinking: Ability to assess training needs, collect feedback, and make data-driven decisions for content improvement.

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5.0 - 8.0 years

4 - 8 Lacs

Navi Mumbai

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Skill required: Group Core Benefits- Claims Case Mgmt. Group Disability Insurance Designation: Claims Management Senior Analyst Qualifications: Any Graduation Years of Experience: 5 to 8 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.Team prepares a case studyGroup disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Problem-solving skillsWritten and verbal communicationCollaboration and interpersonal skillsAbility to meet deadlinesProcess-orientation Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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10.0 - 15.0 years

6 - 10 Lacs

Noida

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Primary Responsibilities: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Education Background: Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certification: Certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P 10+ years of coding experience with about 3+ years of experience as a Team Lead Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Knowledge of organizational structure, workflow, and operating procedures Proficient in healthcare reimbursement methodologies\ Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to manage and enable teams to reach their goals Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness

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2.0 - 5.0 years

5 - 9 Lacs

Mumbai, Navi Mumbai

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Responsibilities: Conduct comprehensive security assessments, including network penetration testing and vulnerability analysis, to identify security gaps in critical systems. Complete the projects within budgeted efforts and deliver high quality reports. Gain in-depth knowledge and understanding of enterprise networks Be involved in network architecture understanding, threat identification, vulnerability identification and control analysis. Be proactive in project planning and execution. Perform likelihood determination, impact analysis and risk determination. Showcase prioritization of risks including solution recommendation and documentation Identify and infer the business risk posed by the weaknesses identified during the assessments Engage with both business and technical teams within and outside the organization from a project scope definition, project execution, project closure perspectives Open for onsite deployments anywhere across the world as business demands Required Skills Expertise in network penetration testing. Expertise in configuration audit or vulnerability assessment of multiple OS and Network Device platforms Ability to handle difficult situations and to provide alternative solutions or workarounds Flexible and creative in helping to find acceptable solutions for customers Good communication and writing skills with the ability to talk to both businesspeople and technical people. Good to have Skills Experience with Wireless Penetration Testing, Firewall Rulebase Review. Experience with Network Architecture Review and Firewall Rule-base Audit Experience with testing different types of networks including VOIP, GSM, etc. Security certifications such as CRT, OSCP, ECSA, etc. Knowledge of Cryptography (symmetric and asymmetric encryption, PKI, etc.) Ability to work on multiple complex assignments simultaneously Ability to work independently with minimal oversight or in teams Knowledge of different standards such as PCI DSS, HIPAA, ISO, etc. #Eviden

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1.0 - 5.0 years

6 - 10 Lacs

Bengaluru

Work from Office

Frontera Health is revolutionizing pediatric healthcare by developing a cutting-edge, tech-enabled platform that delivers essential therapies to rural families. Our platform leverages AI/ML to create a robust video-based data model for early intervention and developmental disorders. By collaborating closely with parents, caregivers, and clinical partners, we re bridging the gap in access to care, improving health equity, and providing personalized treatment plans. Backed by leading investors like Lightspeed and Lux, Frontera Health is poised for rapid growth. Our ABA direct services are designed to meet the unique needs of children in underserved communities, providing them with the support and resources they require to reach their full potential. We are passionate about ensuring that every child, regardless of their location or socioeconomic status, has access to high-quality healthcare. By leveraging our technology platform and partnering with local providers, we are able to deliver effective ABA therapy to families who may otherwise have limited access to these essential services. The Lead BCBA serves as a pivotal clinical leader, overseeing a team of clinicians in delivering high-quality Applied Behavior Analysis (ABA) services. This role encompasses advanced case management, clinical program development, mentorship, and close collaboration with both families and staff. The Lead BCBA is responsible for ensuring that all treatment is ethical, effective, and aligned with Frontera s values and technology, while also fostering team growth and promoting professional excellence Clinical Quality Conduct advanced behavior and functional analytic assessments, including Functional Behavior Assessments (FBAs), and skill-based assessments (e.g., VB-MAPP, ABLLS-R, AFLS). Develop, review, and oversee individualized ABA treatment plans and behavior intervention plans (BIPs) that reflect client-specific goals and progress Design and lead clinical programming including, case supervision, and discharge planning Provide high-level oversight of data collection, analysis, and documentation to ensure treatment effectiveness and fidelity Guide clinicians in adapting treatment modalities and instructional materials based on developmental level, cultural relevance, and individual needs Support and utilize Frontera Health s clinical technologies, including the Video Platform, to enhance service delivery and training Lead remote and in-person supervision, parent coaching, and team training sessions using evidence-based strategies Participate in clinical audits, treatment reviews, and quality assurance activities to maintain high standards of care. Leadership and Professionalism Mentor and coach BCBAs, Student Analysts, and Registered Behavior Technicians (RBTs), providing guidance on clinical challenges, treatment fidelity, and professional development Foster a culture of collaboration and clinical excellence through team meetings, and collaboration with with other team leaders Provide consultation and support on complex cases, behavioral emergencies, and sensitive family dynamics Collaborate with clients and families to identify socially significant goals and promote skill generalization across settings Assist in managing caseload distribution, scheduling, and productivity metrics for clinical teams Demonstrates clinical excellence by managing low cancellation rates and ensuring continuity of care, recognizing both as key performance indicators Champion the full integration (100% utilization) of Frontera s technology platforms including the assessment tool and digital phenotyping systems as essential tools for driving clinical excellence and operational efficiency Lead by example to ensure all BCBAs and RBTs are actively engaged with these platforms, leveraging them consistently to enhance outcomes and strengthen team performance Collect feedback from BCBAs and prioritize it based on operational and clinical impact for the product team Ethical and Professional Conduct Model and uphold the highest ethical standards in clinical care, supervision, and communication as outlined by the BACB Professional and Ethical Compliance Code Approach challenging conversations with professionalism, cultural sensitivity, and clear clinical rationale whether with team members or client families Ensure compliance with HIPAA and other privacy/confidentiality regulations in all service delivery platforms and documentation Promote inclusive, respectful, and safe work environments that reflect the values of integrity, transparency, and equity Qualifications: Master s degree in Applied Behavior Analysis, Psychology, Education, or a related field Current BCBA certification in good standing with the BACB Minimum 3-5 years of ABA experience, with at least 1-2 years in a supervisory or lead role Experience delivering ABA services via telehealth, including remote supervision and parent training Strong knowledge of ABA principles, clinical assessment tools, and data analysis Experience with electronic data collection systems (e.g., Catalyst, CentralReach) Experience managing hybrid caseloads (in-person and telehealth) Proficiency with telehealth platforms (e.g., google meets) Strong communication, leadership, organizational, and time management skills Excellent interpersonal, coaching, and relationship-building abilities Demonstrates cultural sensitivity and professionalism in diverse settings Team-oriented with a collaborative and engaged approach to the workplace Flexible schedule, but must be able to work irregular hours when necessary Qualified candidates will demonstrate the ability to conduct and maintain successful community partnerships such as school contracts Work Environment: Combination of telehealth service delivery in-clinic, in-home, school-based Flexibility to support clients and teams across various service settings and time zones Some evening or weekend availability may be required 25% travel to New Mexico required Frontera Health, Inc. is committed to creating and maintaining a diverse, equitable, and inclusive workplace where everyone feels valued, respected, and has the opportunity to thrive. We believe that our differences make us stronger and that all employees, regardless of their background, experiences, or abilities, contribute to our success. We are committed to: Providing equal employment opportunities to all qualified individuals, without regard to race, color, religion, sex, national origin, disability status, sexual orientation, gender identity or expression, age, genetic information, veteran status, or any other characteristic protected by law. Fostering a culture of inclusion and belonging where everyone feels valued and respected. Providing reasonable accommodations to employees with disabilities. Continuously learning and improving our DE&I practices. We will achieve this commitment by: Recruiting and hiring a diverse workforce that reflects the communities we serve. Creating and maintaining an inclusive work environment that is free from discrimination and harassment. Actively listening to and addressing the needs and concerns of all employees. We believe that diversity, equity, and inclusion are essential to our success as a company and to our mission of serving the pediatric behavioral health community. We are committed to continuous improvement in this area and welcome feedback from all employees.

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1.0 - 6.0 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst - Charge Entry & QC - Payment 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 ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) 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)

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2.0 - 7.0 years

10 - 20 Lacs

Pune

Remote

We are looking for Role: Consultant (Hitrust) Experience: 2-6 yrs Company Location: Bavdhan, Pune Work Mode: Remote RESPONSIBILITIES Lead the client audits/assessments and Interface with clients to review and analyze complex systems (Applications, Operating systems, Databases, and Networking devices), or Cloud technologies (AWS, Azure, GCP) to identify security gaps and missing security controls within the client environments as per the requirements defined in the security standards and regulations. Work with client to understand their business processes, analyze sensitive data flows (business and application data flows), network architecture, and define the proper audit/assessment scope. Perform reviews for client organizations information security policies and procedures against various industry standards and regulations, including HITRUST, HIPAA, and ISO 27001 Work on drafting information security policies and procedure documentation for clients as part of the consulting engagement Perform detailed risk assessment for the client environment, including their business processes and infrastructure, using risk management frameworks (ISO, NIST) Wherever possible, provide the audit/assessment scope reduction guidance to the client. Work independently with the client to perform audit interviews, collect, consolidate, and analyze evidence for the compliance assessment, and meet the internal quality assurance requirements throughout the assessment. Provide consulting guidance and recommendations to clients to help them meet the compliance requirements and improve their security posture in accordance with applicable security controls. Establish and maintain positive collaborative relationships with clients and stakeholders. Produce final reports on compliance to detail the controls observed during security assessments in accordance with various security standards and regulations. Escalates client and project issues to management in a timely manner to inform and engage the necessary resources to address the issue. Collaborates with project managers, internal quality assurance group, sales, and other delivery team members to drive customer satisfaction and meet project deliverables. Work on continuous professional development in maintaining industry-specific certifications and strong depth of knowledge in the practice area. Travel to client sites as needed. DESIRED SKILLS Bachelors degree. A specialization in information assurance is preferred. At least 2-6 years of information security assessment experience, including for HITRUST, HIPAA, and ISO 27001 Ability to analyse network architectures and review the network device (Firewalls/ Switches/ Routers/ IDS/IPS/ Load Balancers etc.) and Servers/ Virtualization Devices configurations. Good understanding and audit experience for cloud computing environments (e.g., Amazon Web Services, Microsoft Azure, Google Cloud Platform) In-depth knowledge in IT Security Policies and Procedures that govern clients Information Security and Privacy programs. In-depth knowledge and experience in IT Security, including access controls, network security, logging/monitoring, vulnerability assessments, system hardening, secure software development, application security, encryption, and key management best practices etc. In-depth knowledge and experience with the HITRUST framework, HIPAA law, and Risk Management Standards (NIST/ISO) At least one certification from each group is preferred: Group 1- CISSP, CISA, CISM Group 2- ISO27001 Lead Implementer, ISO27001 Lead Auditor Good knowledge of common office tools Strong written and verbal communication skills Demonstrated ability to structure and lead projects successfully. Good project management and time management skills Strong technical research skills -- Muugddha Vanjarii 7822804824 mugdha.vanjari@sunbrilotechnologies.com

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1.0 - 4.0 years

3 - 5 Lacs

Hyderabad, Bengaluru, Mumbai (All Areas)

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Hiring AR Callers Experience :- Minimum 1+ years in AR Calling Package :- Upto 38K Take-home ( Mumbai , Bangalore ) Package :- Upto 33k Take home ( Hyderabad ) Qualification: Inter & Above Notice Period : Preferred Immediate Joiners, Relieving is not Mandate Location : Mumbai, Bangalore, Hyderabad Work from Office 5 Days Working - Monday to Friday Saturday & Sunday - Fixed Off virtual & walk in interviews available perks and benefits 1. cab 2. incentives 3. allowances Interested candidates can Call Or Send Resume to HR Dharani - 9100982938 mail id : dharanipalle.axishr@gmail.com Referrals are welcome

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2.0 - 7.0 years

3 - 6 Lacs

Gurugram

Remote

Summary As a medical biller, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies. Responsibilities Perform charge and demo entries. Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems (ICD-10 and CPT) Review bills for accuracy and completeness and obtain any missing information. Knowledge of insurance guidelines especially Medicare and state Medicaid. Check each insurance payment for accuracy and compliance with the contract. Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures. Document all actions taken in the company or Client host system. Adhere to HIPAA, patient confidentiality, and compliance requirements at all times. Research payor rules and regulations to maintain current payor knowledge. Qualifications Proficiency in medical coding (ICD-10, CPT, HCPCS). Strong attention to detail to ensure accuracy in billing and coding. Knowledge of medical terminology and anatomy. Familiarity with healthcare billing software and electronic health records (EHR). Ability to navigate insurance claim processes and resolve issues. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone

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7.0 - 12.0 years

5 - 14 Lacs

Hyderabad

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Dear Applicant, Hiring for US Healthcare (SQL) - TM Level : TM Location - Hyderabad Work mode : WFO Shift : US shift Years of exp : 7 yrs CTC - Up to 15lpa Qualification : any Graduate Notice period : Immediate , 30 days Skills : US Health Care Domain Knowledge. E.g. Encounters, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid Markets etc. Facets or any other healthcare adjudication system knowledge will be added advantage. SQL Server SSIS and SSRS plus any Microsoft cloud technologies will be added advantage. Analytical and Query Writing Skills(SQL) SQL Procedure and Packages Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. PPT Presentations with client. Should be good at communication skills. Interested candidates contact HR Hema@9136535233/ hemavathi@careerguideline.com

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2.0 - 5.0 years

5 - 6 Lacs

Mumbai

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Summary: An EHR (Electronic Health Record) Support role involves providing technical assistance and training to healthcare staff using EHR systems. The role ensures smooth system functionality, troubleshoots user issues, and supports software updates and data integrity. Strong communication, problem-solving, and knowledge of healthcare workflows are essential. Role & responsibilities Maintain up-to-date knowledge of the applications. Collect required information to create new users, medical departments, and providers in EHR Enter requisite data to build out medical practices within EHR Maintain up to date documents to support medical care within EHR Enable and maintain EHR application configuration to support Electronic Prescriptions for Controlled Substances (EPCS) Support Health Insurance Portability and Accountability Act (HIPAA) compliance by routinely running audits Update provider mapping within application Assist with content configuration Document, track and take appropriate actions to close or escalate incident related issues in a timely manner Maintain confidentiality and comply with (HIPAA) Perform other duties as assigned Exp: 2-5 yrs Location: Remote Shift: 5:30pm - 2:30am

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12.0 - 15.0 years

7 - 11 Lacs

Pune

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Senior Specialist Quality Assurance1 Experience 12-15 Years in the role of SQA, SEPG and Metrics Function Skills Expert knowledge of CMMI SVC & DEV, ISO 20K and ISO 27K, ISMS, PIMS, HIPAA, Software Quality Assurance, Process Improvement & Definition, Data Privacy - GDPR & Six Sigma Green/Black belt would be added advantage. Expertise Skills: Experience in implementing various improvement standards like ISO, Models like CMMI SVC/DEV model till Maturity Level 5 Added advantage if performed ATM role in at least one CMMI Appraisal Experience in implementing ISO 20K & 27K, PIMS, Data Privacy standards and managing, conducting & reporting internal audits results Process definition Process implementation & facilitation Process Implementation Reviews Metrics data collection, Analysis, and creation of Process Performance Baselines & Models Status Reporting Tools / Applications e.g., JIRA, Azure DevOps, ServiceNow, Minitab, Crystal Ball, Process Model etc. Soft Skills: Fluency in written and verbal communicationEnglish must People skills Understanding, approachable, a coach mindset, Self-starter, Go getter Well conversant with MS Word, MS Excel, MS PowerPoint, and other apps like Visio

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6.0 - 9.0 years

7 - 11 Lacs

Pune

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: Job TitleTPRM - Process Unity Specialist, AS LocationPune, India Role Description Process Unity Application expert for the design and development within Process Unity and its integration with different applications supporting software to meet TPRM business requirements. What well offer you 100% reimbursement under childcare assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and education Accident and Term life Insurance Your key responsibilities Must have good knowledge of TPRM process i.e., process from sourcing/screening till the Exit plan. ProcessUnity Application functional expert should coordinate the design and development with in ProcessUnity and its integration with different applications supporting software to meet business requirement. SQL & Configuration expert having knowledge to write query for Changes build in TPRM application Support Operational Readiness Records for maintaining the regulatory compliance & Audit Assessments and Control function for Third party risk management process containing standard/high risk to low-risk process. Proven experience in overseeing Change Management processes with planning, testing, implementing changes ensuring seamless transitions. Develop and maintain comprehensive documentation on Change Management/Incident Management/Audit /Process Frameworks/ RCA etc. with clear framework reducing ambiguity and enhance team efficiency. Handle system administrator role, working on Service Requests and Jira changes. Utilize incident data to root causes and pattern, driving continuous improvement in process and application stability. Integration between different applications and maintenance of architecture layouts. Strong Stakeholder relationship as acting a layer between core IT integration and business to meet expected requirements. Maintain transparent and open lines of communication with stakeholders keeping informed about project progress, changes, and potential risk. Support the collection, analysis and production metrics on process data for KPIs to find out improvements. Your skills and experience Overall, 6-9 years of experience 3+ years experience on ProcesUnity Development How well support you About us and our teams Please visit our company website for further information: https://www.db.com/company/company.htm

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8.0 - 11.0 years

15 - 19 Lacs

Ahmedabad

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Design and execute manual test plans, test cases, and exploratory tests across web and mobile platforms (React, Flutter). Validate regression, integration, UI/UX, and backend flows with deep attention to clinical user paths and edge cases. Maintain traceability from user stories to test artifacts , ensuring FDA audit readiness. Perform root cause analysis in collaboration with developers; help triage and verify defects in dev and staging. Review release readiness by participating in sprint ceremonies and QA sign-offs. Ensure test artifacts, screenshots, and logs are well-maintained in compliance with documentation standards . Must-Have Skills 35 years in manual testing with a strong track record in healthcare, fintech, or similarly regulated domains . Hands-on experience testing web and mobile apps , particularly React and/or Flutter UIs. Solid grasp of test case design , exploratory testing, and regression planning. Experience with bug tracking, test management tools , and version control (e.g., Jira, TestRail, Git). Strong understanding of software development lifecycle (SDLC) and Agile methodologies. Comfort with documenting test results , logs, and user flows for compliance traceability. Nice-to-Have Familiarity with BDD tools (Cucumber/Gherkin). Exposure to FDA, HIPAA, or ISO 13485 compliance workflows . Experience working alongside automation pipelines or CI tools (e.g., Azure DevOps). Working knowledge of API testing (Postman, Swagger) and basic scripting.

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2.0 - 5.0 years

2 - 6 Lacs

Pune

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Marigold Banquets And Conventions is looking for HCC Coders to join our dynamic team and embark on a rewarding career journey Review and code medical records for billing and reimbursement. Ensure compliance with coding guidelines and regulations. Identify and correct any discrepancies in coding. Collaborate with healthcare providers to clarify documentation. Provide feedback and recommendations for improving coding accuracy. Prepare and present coding reports to management. Maintain accurate records of coding processes and results.

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15.0 - 22.0 years

25 - 30 Lacs

Pune

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We are looking for a dynamic and detail-oriented Manager - Delivery Management with 810 years of proven experience in successfully delivering IT projects using industry-standard methodologies. The ideal candidate will have a solid understanding of project lifecycle management, excellent stakeholder communication skills, and strong experience in team coordination, resource planning, and SDLC processes. Prior experience in the healthcare domain is a plus. Key Responsibilities: Project Planning & Execution: Manage end-to-end project lifecycle from initiation to closure Define project scope, goals, deliverables, and success criteria in collaboration with key stakeholders Monitor and control project schedules, costs, and resources to ensure timely delivery Team Management & Resource Forecasting: Assign tasks and responsibilities to project team members Forecast resource needs across assignments and manage team evaluations and performance feedback Foster collaboration, provide mentorship, and ensure accountability within the team Stakeholder Communication: Serve as the primary point of contact between internal teams and external customers Provide timely updates through status reports, risk logs, and change requests Ensure transparency and alignment across project stakeholders Risk & Issue Management: Identify, assess, and manage risks and issues throughout the project lifecycle Implement mitigation plans and escalate when necessary to ensure business continuity Release & SDLC Management: Plan and track release schedules and ensure all release activities align with SDLC standards Oversee documentation, peer code reviews, testing, and signoffs Maintain version control and change management protocols Process & Compliance: Ensure project compliance with HIPAA, Quality, Security, and BCP/DR policies Review and refine team procedures to support continuous improvement Mentoring & Documentation: Provide guidance on domain and technical processes Ensure all project documentation is accurate, current, and readily accessible Required Skills & Competencies: General Skills: Strong written and verbal communication skills Excellent interpersonal and stakeholder management skills Quick learner with good information retention and adaptability Proactive problem-solver with solid analytical capabilities Technical/Domain Skills: Must Have: Experience with Microsoft Project, Word, Excel, Internet tools Understanding of Software Development Life Cycle (SDLC) Good to Have: Exposure to healthcare industry systems and workflows Hands-on experience in IT product/services environments Educational Qualifications: Minimum: Graduate in any discipline Preferred: Experience in IT Product/Services Industry (>80% career) Certifications in Project Management (PMP, PRINCE2, or equivalent) preferred

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3.0 - 6.0 years

8 - 13 Lacs

Hyderabad

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Some careers shine brighter than others. If you re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further. HSBC is one of the largest banking and financial services organisations in the world, with operations in 64 countries and territories. We aim to be where the growth is, enabling businesses to thrive and economies to prosper, and, ultimately, helping people to fulfil their hopes and realise their ambitions. We are currently seeking an experienced professional to join our team in the role of Consultant Specialist In this role, you will: Design and Develop ETL Processes: Lead the design and implementation of ETL processes using all kinds of batch/streaming tools to extract, transform, and load data from various sources into GCP. Collaborate with stakeholders to gather requirements and ensure that ETL solutions meet business needs. Data Pipeline Optimization: Optimize data pipelines for performance, scalability, and reliability, ensuring efficient data processing workflows. Monitor and troubleshoot ETL processes, proactively addressing issues and bottlenecks. Data Integration and Management: Integrate data from diverse sources, including databases, APIs, and flat files, ensuring data quality and consistency. Manage and maintain data storage solutions in GCP (e. g. , BigQuery, Cloud Storage) to support analytics and reporting. GCP Dataflow Development: Write Apache Beam based Dataflow Job for data extraction, transformation, and analysis, ensuring optimal performance and accuracy. Collaborate with data analysts and data scientists to prepare data for analysis and reporting. Automation and Monitoring: Implement automation for ETL workflows using tools like Apache Airflow or Cloud Composer, enhancing efficiency and reducing manual intervention. Set up monitoring and alerting mechanisms to ensure the health of data pipelines and compliance with SLAs. Data Governance and Security: Apply best practices for data governance, ensuring compliance with industry regulations (e. g. , GDPR, HIPAA) and internal policies. Collaborate with security teams to implement data protection measures and address vulnerabilities. Documentation and Knowledge Sharing: Document ETL processes, data models, and architecture to facilitate knowledge sharing and onboarding of new team members. Conduct training sessions and workshops to share expertise and promote best practices within the team. Requirements To be successful in this role, you should meet the following requirements: Experience: Minimum of 5 years of industry experience in data engineering or ETL development, with a strong focus on Data Stage and GCP. Proven experience in designing and managing ETL solutions, including data modeling, data warehousing, and SQL development. Technical Skills: Strong knowledge of GCP services (e. g. , BigQuery, Dataflow, Cloud Storage, Pub/Sub) and their application in data engineering. Experience of cloud-based solutions, especially in GCP, cloud certified candidate is preferred. Experience and knowledge of Bigdata data processing in batch mode and streaming mode, proficient in Bigdata eco systems, e. g. Hadoop, HBase, Hive, MapReduce, Kafka, Flink, Spark, etc. Familiarity with Java & Python for data manipulation on Cloud/Bigdata platform. Analytical Skills: Strong problem-solving skills with a keen attention to detail. Ability to analyze complex data sets and derive meaningful insights.

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9.0 - 10.0 years

14 - 15 Lacs

Hyderabad

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Some careers shine brighter than others. If you re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further. HSBC is one of the largest banking and financial services organisations in the world, with operations in 64 countries and territories. We aim to be where the growth is, enabling businesses to thrive and economies to prosper, and, ultimately, helping people to fulfil their hopes and realise their ambitions. We are currently seeking an experienced professional to join our team in the role of Senior PEGA Engineer In this role, you will: Collaborate with business stakeholders and cross-functional teams to gather requirements and design effective Pega solutions. Develop and configure Pega applications using best practices to ensure high performance and maintainability. Implement Pega features such as case management, workflows, and user interfaces to enhance user experience. Integrate Pega applications with external systems and databases to ensure seamless data flow and accessibility. Design and implement data models and data transformation processes to support application functionality. Ensure data quality and consistency through effective validation and cleansing processes. Monitor application performance and identify areas for improvement. Optimize Pega applications for scalability and responsiveness, ensuring they can handle increasing user loads. Troubleshoot and resolve performance issues in a timely manner. Implement automated testing and deployment processes to streamline application delivery. Utilize tools like Jenkins or Pega s deployment manager for continuous integration and deployment (CI/CD). Maintain version control and documentation for all application changes. Apply security best practices to protect sensitive data within Pega applications. Ensure compliance with industry regulations (e. g. , GDPR, HIPAA) and internal policies. Collaborate with security teams to identify and mitigate vulnerabilities. Requirements The successful candidate will also meet the following requirements: Bachelor s degree in Computer Science, Information Systems, or a related field. Minimum of 8 years of industry experience, including at least 3 years of hands-on experience with Pega development. Strong understanding of Pega platform capabilities, mainly Pega CDH, business process management (BPM), and customer relationship management (CRM). Experience with integration techniques and tools (e. g. , REST, SOAP, connectors). Proficiency in Pega development tools and methodologies (e. g. , Pega Express, Pega 8. x). Knowledge of Java for custom coding and integration tasks. Familiarity with Agile methodologies and experience working in Agile teams. Strong analytical and problem-solving skills, with attention to detail. You ll achieve more when you join HSBC. .

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1.0 - 4.0 years

3 - 5 Lacs

Hyderabad, Bengaluru, Mumbai (All Areas)

Work from Office

AR Calling - Mumbai (Navi Mumbai) - 40k Take Home Experience :- Min 1+ yrs exp in AR Calling in Physician Billing Package :- Max Upto 40K Take-home Work Location :- Mumbai Qualification :- Inter & Above Notice Period :- Preferred Immediate Joiners - 1 week of notice (serving) Relieving is not Mandate WFO Interview Mode :- Virtual & Walkin AR Callers - Hyderabad - 33k Take Home Experience : Minimum 1+ years in AR Calling Package : Max Upto 33K Take-home Qualification: Degree Mandate Notice Period : 0 to 25Days Location : Hyderabad WFO Interview Mode : Virtual Interviews Interested candidates can share your updated resume to HR Harshitha - 7207444236 (share resume via WhatsApp ) Refer your friend's / Colleagues

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6.0 - 9.0 years

2 - 6 Lacs

Mumbai

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We are looking for a skilled Associate Process Manager to join our team at eClerx Services Ltd. The ideal candidate will have 6-9 years of experience in the IT Services & Consulting industry, with expertise in process management and improvement. Roles and Responsibility Manage and implement process improvements to increase efficiency and productivity. Develop and maintain process documentation and standard operating procedures. Collaborate with cross-functional teams to identify and resolve process issues. Analyze data and metrics to measure process performance and make informed decisions. Implement change management strategies to ensure successful process changes. Provide training and support to team members on new processes and procedures. Job Requirements Strong understanding of process management principles and methodologies. Excellent analytical and problem-solving skills with attention to detail. Ability to work effectively in a fast-paced environment and prioritize tasks. Strong communication and interpersonal skills with the ability to collaborate with stakeholders. Experience with process improvement tools and techniques, such as Lean or Six Sigma. Strong knowledge of industry-specific regulations and standards, such as HIPAA or PCI-DSS.

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3.0 - 8.0 years

5 - 10 Lacs

Bengaluru

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Designation: Desktop Support Technician Location: Bangalore Experience: 3+ yrs Shift hours: 9AM 5:30PM Job Purpose: The Desktop Support Technician is responsible for receiving, tracking, documenting, resolving or escalating all internal or external customer identified application and hardware issues Primary Responsibilities: Provide first and second level application and hardware support to internal users and external clients Field incoming problem tickets from end users to resolve application and software issues within servers, databases, and other mission-critical systems. Document all pertinent end user identification information, including name, department, contact information, and nature of problem or issue. Maintain and enhance performance of all new and existing software and applications across the organization. Perform hands-on fixes at the desktop level, including installing and upgrading software, installing hardware, implementing file backups, and configuring systems and applications. Test fixes and perform post-resolution follow-ups to ensure problems have been adequately resolved. Manage the resolution of a trouble ticket from start to finish. Escalate to third level support as required. Perform preventative maintenance, including the installation of service packs, patches, hot fixes, anti-virus software, and so on. Participate in the development and deployment of desktop management standards. Knowledge & Experience: Knowledge of multiple operating systems, Microsoft Office applications and web browser tools. Understanding of LAN & WAN network topologies and practices. Familiarity with Macintosh. Qualifications : University/college degree or equivalent industry training in a related area. Hands-on system administration experience in an enterprise environment. Personal Attributes: Strong customer service orientation. Experience working in a team-oriented, collaborative environment Highly self-motivated and directed. Ability to balance and shift priorities and deadlines in a fast-paced, demanding environment. Strong written and oral communication skills. Strong interpersonal skills. Ability to present ideas in user-friendly language. Work Environment: Participate in on-call/standby rotation as required. Carry a company mobile phone as required.

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3.0 years

2 - 3 Lacs

Coimbatore, Tamil Nadu

On-site

Roles and Responsibilities Front Desk & Patient Reception Greet patients and visitors in a professional and courteous manner. Manage patient check-ins and check-outs. Schedule, confirm, and reschedule appointments using practice management software. Answer phone calls, emails, and handle general inquiries. Patient Records Management Create, update, and maintain patient files (electronic and/or paper-based). Ensure accuracy in recording patient demographics, insurance, and medical history. Collect and verify insurance details and patient consent forms. Administrative Support Handle medical office correspondence, mail, and faxes. Assist in billing and coding support (if trained). Maintain office supplies and inventory levels. Coordinate with labs, pharmacies, and other medical service providers. Billing and Insurance Coordination Support the medical billing team by collecting co-pays and verifying coverage. Help with prior authorization requests and referral paperwork. Follow up on claim-related documents if required. Candidate Profile Required Qualifications: High school diploma or equivalent (mandatory) Preferred: Certification or diploma in Medical Office Administration or Medical Assisting Basic understanding of medical terminology and office workflows Proficiency in using EHR systems (e.g., DrChrono, Epic, Kareo, or similar) Typing speed of at least 35 WPM with accuracy Experience: 1–3 years of experience in a healthcare setting, medical clinic, or physician’s office Experience handling patient scheduling, front desk duties, and medical record management Familiarity with insurance verification, co-pay collection, and appointment coordination Knowledge of HIPAA and patient confidentiality standards Soft Skills & Behavioral Traits: Strong interpersonal and communication skills Highly organized , detail-oriented, and reliable Ability to multitask and prioritize in a fast-paced environment Empathetic and patient-centric attitude Team player with a proactive mindset Job Type: Full-time Pay: ₹20,000.00 - ₹25,000.00 per month Schedule: Night shift Education: Bachelor's (Preferred) Language: English (Preferred)

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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

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15.0 - 20.0 years

30 - 45 Lacs

Indore, Hyderabad, Ahmedabad

Work from Office

Experience: 15+ Years Role Type: Full-time | Onsite What You Will Do Role Overview As a Data Governance Architect, you will define and lead enterprise-wide data governance strategies, design robust governance architectures, and enable seamless implementation of tools like Microsoft Purview, Informatica, and other leading data governance platforms. This is a key role bridging compliance, data quality, security, and metadata management across cloud and enterprise ecosystems. Key Responsibilities 1. Strategy, Framework, and Operating Model Define governance strategies, standards, and policies for compliance and analytics readiness. Establish a governance operating model with clear roles and responsibilities. Conduct maturity assessments and lead change management efforts. 2. 5. Metadata, Lineage & Glossary Management Architect technical and business metadata workflows. Validate end-to-end lineage across ADF Synapse Power BI. Govern glossary approvals and term workflows. 6. Policy & Data Classification Management Define and enforce rules for: Classification, Access, Retention, and Sharing. Leverage Microsoft Information Protection (MIP) for automation. Ensure alignment with GDPR, HIPAA, CCPA, SOX. 7. Data Quality Governance Define quality KPIs, validation logic, and remediation rules. Build scalable frameworks embedded in pipelines and platforms. 8. Compliance, Risk & Audit Oversight Establish compliance standards, dashboards, and alerts. Enable audit readiness and reporting through governance analytics. 9. Automation & Integration Automate workflows using: PowerShell, Azure Functions, Logic Apps, REST APIs. Integrate governance into: Azure Monitor, Synapse Link, Power BI, and third-party tools. Primary Skills Microsoft Purview Architecture & Administration Data Governance Framework Design Metadata & Data Lineage Management (ADF Synapse Power BI) Data Quality and Compliance Governance Informatica / Collibra / BigID / Alation / Atlan PowerShell, REST APIs, Azure Functions, Logic Apps RBAC, Glossary Governance, Classification Policies MIP, Insider Risk, DLP, Compliance Reporting Azure Data Factory, Agile Methodologies #Tags #DataGovernance #MicrosoftPurview #GovernanceArchitect #MetadataManagement #DataLineage #DataQuality #Compliance #RBAC #PowerShell #RESTAPI #Informatica #Collibra #BigID #AzureFunctions #ADF #Synapse #PowerBI #GDPR #HIPAA #CCPA #SOX #OnsiteJobs #HyderabadJobs #IndoreJobs #AhmedabadJobs #HiringNow #DataPrivacy #EnterpriseArchitecture #DSPM #GovernanceStrategy #InformationSecurity Would you like this JD tailored for a LinkedIn post, referral message, or email template as well

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