1271 Hipaa Jobs - Page 3

About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate 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 Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for Ability to perform under pressureAdaptable and flexibleAbility to establish strong client relationshipWritten and verbal communicationPrioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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 : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing system performance, and ensuring that applications run smoothly to support business operations effectively. You will engage with users to understand their challenges and work towards implementing solutions that enhance system functionality and user experience. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the documentation of processes and procedures to enhance team knowledge.- Engage with stakeholders to gather requirements and provide feedback on system performance. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong analytical skills to diagnose and resolve software issues.- Experience with troubleshooting and debugging software applications.- Familiarity with system integration and data flow management.- Ability to communicate technical information effectively to non-technical users. Additional Information:- The candidate should have minimum 3 years of experience in Electronic Medical Records (EMR).- This position is based at our Pune office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce DevelopmentMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time educationDeep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences commercial processes, and deep working knowledge of Salesforce ,Veeva CRM and Agentforce. This role is pivotal in designing and delivering scalable Salesforce solutions tailored for pharma field teams, HCP engagement, and compliance-driven operations.Key Responsibilities:Lead the technical design, development, and deployment of Salesforce solutions for life sciences commercial use cases.Work extensively on Agentforce modules for Pharma.Ability to put together over all architecture and suggest best practices for salesforce and Life science .Develop robust, scalable Apex, LWC, flows, and triggers aligned with Salesforce best practices.Integrate Salesforce with external systems such as Veeva CRM, MDM, IQVIA, MedPro, etc.Ensure solutions adhere to compliance and regulatory standards like HIPAA, GxP, and FDA transparency requirements.Guide junior team members and contribute to code reviews, DevOps (Copado/Gearset), and CI/CD pipelines.Participate in Agile delivery (Scrum) and maintain documentation aligned with validation/compliance processes.Required Skills: 810 years of Salesforce development and solutioning experience in Life Sciences domainStrong technical expertise in:oApex, SOQL, SOSL, LWC, Flow BuilderoREST/SOAP integrations, Platform EventsoCustom metadata and modular architectureHands-on experience with Agentforce (or equivalent field force automation)Proficient with Veeva CRM, including its data model, configuration, and integration touchpointsExcellent understanding of Life Sciences commercial processes:HCP engagement, field force operations, sample drops, complianceExperience working with DevOps tools (Copado, Git, Gearset) and Salesforce deployment lifecycleAbility to work with onshore-offshore delivery models and cross-functional teamsPreferred/Bonus Skills: Exposure to Salesforce CRM Analytics, Maps, or Einstein features used in life sciencesFamiliarity with Veeva Vault, Veeva My insights ,Salesforce Health Cloud, or LS Cloud industry add-onsKnowledge of validation documentation, GxP-aligned SDLC, or Part 11 audit trailsExperience on large scale data migration .Certifications (Required/Preferred):Salesforce Platform Developer I (Required) Salesforce Platform Developer II (Preferred)Salesforce Health Cloud (Preferred) Veeva CRM Configuration Certification (Preferred) Salesforce App Builder / Integration Architecture Designer (Nice to have) Additional Information:- This position is based at our Bengaluru 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 : Splunk Security Information and Event Management (SIEM), Security Information and Event Management (SIEM), Sentinal Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. A typical day involves 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 refine security strategies and ensure compliance with industry standards, all while adapting to the evolving landscape of cloud technologies and security threats. 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 frameworks.- Conduct regular assessments and audits to ensure compliance with security policies and standards. Professional & Technical Skills: - Must To Have Skills: Proficiency in Splunk Security Information and Event Management (SIEM), Security Information and Event Management (SIEM).- Strong understanding of cloud security principles and best practices.- Experience with incident response and threat detection methodologies.- Familiarity with regulatory compliance frameworks such as GDPR, HIPAA, or PCI-DSS.- Ability to analyze security incidents and provide actionable insights. Additional Information:- The candidate should have minimum 5 years of experience in Splunk Security Information and Event Management (SIEM).- This position is based at our Hyderabad office.- A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required. Qualification A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required

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 : SailPoint IdentityIQ Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : Bachelor or college degree in related field or equivalent work experience 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 document the implementation of cloud security controls and facilitating the transition 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:- 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 assessments and audits to ensure compliance with security policies and standards. Professional & Technical Skills: - Must To Have Skills: Proficiency in SailPoint IdentityIQ.- 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 SailPoint IdentityIQ.- This position is based at our Hyderabad office.- A Bachelor or college degree in related field or equivalent work experience is required. Qualification Bachelor or college degree in related field or equivalent work 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 : SailPoint IdentityNow 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 document the implementation of cloud security controls and facilitate the transition to cloud security-managed operations, ensuring that all security measures align with organizational objectives and compliance standards. You will engage in strategic discussions to enhance security protocols and contribute to the overall security posture 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 frameworks.- Conduct regular assessments of security controls to ensure effectiveness and compliance. Professional & Technical Skills: - Must To Have Skills: Proficiency in SailPoint IdentityNow.- Strong understanding of cloud security principles and best practices.- Experience with identity and access management solutions.- Familiarity with regulatory compliance standards such as GDPR and HIPAA.- Ability to analyze and mitigate security risks in cloud environments. Additional Information:- The candidate should have minimum 5 years of experience in SailPoint IdentityNow.- This position is based at our Noida office.- A 15 years full time education is required. Qualification 15 years full time education

Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India. We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities. Learn more at betsol.com. Job Description Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills – verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment. Additional Information All your information will be kept confidential according to EEO guidelines.

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employees to minimize errors, providing inputs to enhance training curriculum based on common mistakes observed, and testing files/batches for new clients/processes are also key aspects of this role. Additionally, you will be responsible for generating QA reports on a daily basis, meeting and exceeding internal and external SLAs as per defined processes, maintaining quality status reports, and ensuring strict adherence to company policies and procedures. Your role will involve conducting quality audits, coaching, and training sessions as per the defined process, requiring a minimum of 1.5 years of professional and relevant experience in the field. To excel in this role, you must possess sound knowledge of healthcare concepts, critical problem-solving skills, good analytical abilities, and judgmental skills. It is essential to have a good understanding of product and process knowledge, and to conduct quality feedback and refresher sessions regularly. If you are looking for a challenging opportunity to enhance your quality control skills and contribute to maintaining high standards in healthcare coding, this position offers a platform to showcase your expertise and make a significant impact within the organization.,

As a Privacy and Data Protection Manager at our professional services firm, you will play a crucial role in leading strategic consulting engagements, managing client relationships, and driving privacy program implementations. With a focus on data privacy and protection, you will navigate global regulatory frameworks such as GDPR, CCPA, HIPAA, and GLBA. Your responsibilities will include leading end-to-end delivery of data privacy engagements, conducting data inventory, compliance readiness assessments, and implementing privacy programs. Leveraging your deep regulatory knowledge, you will apply GDPR, CCPA, HIPAA, and other regulations to client-specific environments. In this role, you will manage multiple client engagements in a fast-paced, collaborative setting while mentoring teams, resolving client challenges, and driving continuous improvement. Additionally, you will support business development, marketing, and thought leadership initiatives. The ideal candidate will have a Bachelor's degree in Law, Cybersecurity, Computer Science, IT, or an MBA/PGDM from a reputed institute, along with at least 7 years of experience in privacy consulting or a related domain. Strong knowledge of privacy tools such as OneTrust, Securiti, and BigID is a plus. To excel in this role, you must possess excellent stakeholder communication, project management, and team leadership skills. Additionally, holding certifications such as CIPP, CIPT, CISSP, or related certifications is mandatory. If you are passionate about shaping data privacy strategy and making a meaningful impact, we invite you to join our team and be part of something significant. If you meet the qualifications and are ready to take on this exciting opportunity, we encourage you to reach out to us. Let's discuss how your expertise can contribute to our mission. Please send us a message or email namitha@careerxperts.com to get connected.,

TATA AIG General Insurance Company Limited is looking for Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties. Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.

Job Summary Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing efficiency. Provide feedback on process improvements to enhance service delivery. Maintain up-to-date knowledge of industry regulations and compliance standards. Communicate effectively with stakeholders to ensure clarity and resolution of claims issues. Document claims processing activities accurately for audit and reporting purposes. Support the team in achieving departmental goals and objectives. Participate in training sessions to stay informed about the latest claims processing techniques. Ensure confidentiality and security of sensitive claims information. Contribute to a positive work environment by supporting colleagues and fostering teamwork. Adapt to changing priorities and work effectively under pressure. Qualifications Demonstrate proficiency in claims adjudication processes and software. Possess strong analytical skills to identify and resolve claims discrepancies. Exhibit excellent communication skills for effective stakeholder interaction. Show a keen understanding of Medicare and Medicaid claims requirements. Display attention to detail in processing and documenting claims activities. Have the ability to work independently and collaboratively in a hybrid work model. Certifications Required Not required

DESCRIPTION Experience: 12-15 Years Requirements: Bachelor s or master s degree in computer science, Artificial Intelligence, or a related field. 12+ years of experience in software development or architecture, with a significant focus on AI and machine learning. Deep understanding of AI/ML concepts and techniques, including supervised, unsupervised, and reinforcement learning, and experience with various AI algorithms and models. Hands-on experience with cloud computing platforms (e.g., AWS, Azure, GCP), with a strong preference for experience with Google Cloud Platform (GCP) and its AI-related services. Proven experience in designing and implementing scalable and robust AI solutions within the Healthcare IT domain. Strong programming skills in languages such as Python, Java, or Scala, as well as experience with AI/ML frameworks such as TensorFlow, PyTorch, or Scikit-learn. Excellent communication, presentation, and interpersonal skills, with the ability to effectively communicate complex technical concepts to diverse audiences. Proven ability to lead technical discussions and influence decision-making, with a demonstrated track record of successfully driving AI initiatives within an organization. Experience in working with cross-functional teams and stakeholders, with a strong ability to collaborate and build consensus. Strong analytical and problem-solving skills, with a demonstrated ability to identify and address complex technical challenges. Knowledge of healthcare industry standards and regulations (e.g., HIPAA) is required, as well as a strong understanding of the Healthcare IT landscape. Experience with MLOps practices and tools, with a focus on automating and streamlining the AI development and deployment lifecycle. Strong leadership skills, with the ability to provide technical guidance and mentorship to project teams. Driving Results: A good single contributor and a good team player. Flexible attitude towards work, as per the needs. Proactively identify & communicate issues and risks. Other Personal Characteristics: Dynamic, engaging, self-reliant developer Ability to deal with ambiguity Manage a collaborative and analytical approach Self-confident and humble Open to continuous learning Intelligent, rigorous thinker who can operate successfully amongst bright people QUALIFICATIONS Must Have Skills Deep understanding of AI/ML concepts and techniques, including supervised, unsupervised, and reinforcement learning, and experience with various AI algorithms and models. Hands-on experience with cloud computing platforms (e.g., AWS, Azure, GCP), with a strong preference for experience with Google Cloud Platform (GCP) and its AI-related services. Good To Have Skills Strong programming skills in languages such as Python, Java, or Scala, as well as experience with AI/ML frameworks such as TensorFlow, PyTorch, or Scikit-learn. Minimum Education Level Bachelors or Equivalent Years of Experience 12-15 years ADDITIONAL INFORMATION Work Type: FullTime Location: Bengaluru Karnataka India Job ID: Tescra-Awi-4EF899 or to apply! 3130 Crow Canyon Pl, Ste 205, San Ramon, CA 94583 Copyright 2025 ACHNET Inc. All rights reserved. Product Services Company More

"Overview Experience3-5 Years Location Hyderabad Skills-Security Operations +Security platforms such as WAF, CASB, ZTNA, CFW, EDR, and SIEM tools +managing Netskope, Devo, and/or Akamai at a configuration/policy level Shift Timing - 6 30 pm - 3 30 am Analyst, Security Operations About Omnicom Global Solutions Omnicom Global Solutions is an integral part of Omnicom Group, a leading global marketing and corporate communications company Omnicom s branded networks and numerous specialty firms provide advertising, strategic media planning and buying, digital and interactive marketing, direct and promotional marketing, public relations, and other specialty communications services to over 5,000 clients in more than 70 countries OGS India plays a critical role for our group companies and global agencies by providing stellar products, solutions, and services across Creative Services, Technology, Marketing Science (Data & Analytics), Advanced Analytics, Market Research, Business Support Services, Media Services, and Project Management With over 4000 talented colleagues in India, we are growing rapidly and are looking for professionals like you to help build the next chapter of our journey Responsibilities Role Overview We have an exciting opportunity for an Analyst, Security Operations at our Hyderabad office This role is responsible for maintaining the confidentiality, integrity, and availability of personal information and company assets, ensuring compliance with Omnicom s internal policies and standards The Analyst will support the tools, technologies, and operational architecture that monitor and protect Omnicom s physical and digital environments This role plays a vital part in defending the organization s infrastructure and data by executing daily operational security tasks and contributing to long-term strategic security initiatives Key Responsibilities Manage and support cybersecurity tools and software that protect Omnicom s digital and physical environments Operate and maintain controls such as Web Access Firewall (WAF), Zero Trust Network Access (ZTNA), Cloud Access Security Broker (CASB), Cloud Firewall (CFW), Endpoint Detection & Response (EDR), and Security Information and Event Management (SIEM) systems Deploy and maintain software agents and intermediate nodes to facilitate secure operations across cloud and on-premises environments Collaborate across internal Omnicom teams as well as with external support, accounting, and engineering teams from trusted security partners Monitor environments for security threats and respond in accordance with incident response protocols Support ongoing security posture improvement initiatives and assist in risk mitigation efforts Qualifications Required Qualifications 3 5 years of experience in security operations, cybersecurity, or IT infrastructure Working knowledge of security platforms such as WAF, CASB, ZTNA, CFW, EDR, and SIEM tools Familiarity with incident detection, triage, and response processes Experience in agent deployment and system integration for enterprise-wide security tools Strong analytical and problem-solving skills with a proactive security mindset Ability to coordinate across teams and manage third-party security service providers Excellent communication skills and a detail-oriented approach to operational tasks Preferred Qualifications Security certifications such as CompTIA Security+, GIAC, or equivalent Experience with cloud security frameworks and zero trust architecture Exposure to regulatory compliance environments (e g, GDPR, HIPAA, ISO 27001) location_nameAnnalect Indiastreet_addressRMZ Spire, Tower 110,

Engage with stakeholders to understand, document, and clarify business requirements and user needs. Analyze and prioritize business problems based on customer input and impact. Conduct requirements analysis and management, driving clarity and completeness across the project lifecycle. Prepare detailed User Stories with clear Acceptance Criteria aligned with Agile methodology. Propose and evaluate solutions, identifying pros and cons to aid in decision-making. Serve as the primary liaison between business users and technical teams, including developers and QA. Maintain and manage JIRA for tracking and updating requirements. Provide ongoing clarification and support to development and QA teams throughout the SDLC. Assist QA teams in User Acceptance Testing (UAT) by providing business context and reviewing test cases. Identify and document functional and non-functional requirements. Conduct walkthroughs and presentations to internal/external stakeholders. Track and manage requirement changes and ensure alignment with project goals. Create and maintain Business Process Documentation. Required Skills and Qualifications: Bachelors degree in any discipline; Masters degree in a related field is a plus. 9+ years of experience as a Business Analyst with strong emphasis on Healthcare domain projects. 10+ years of total industry experience in IT or Business Consulting. Strong knowledge of Healthcare processes, regulations, claims processing, and standards (e.g., HIPAA, EDI). Hands-on experience with tools like JIRA, Confluence, and other Agile lifecycle tools. Excellent written and verbal communication skills and interpersonal skills. Proven expertise in eliciting and documenting requirements, conducting gap analysis, and managing stakeholders. Ability to drive collaboration across business and IT teams. Prior experience working in Agile/Scrum environments. Preferred Skills: Familiarity with HealthEdge platform and ability to map features to business needs. Exposure to cloud-based healthcare solutions is a plus.,

The Workday Solutions Architect role based in Elmsford, New York is a grant-funded position within the MIT - Workday Support department. As a Solutions Architect, you will utilize your broad knowledge of company product capabilities and service offerings to create and maintain a portfolio of generic product-solution alternatives on the Workday platform. Your primary focus will be designing, developing, and delivering enterprise-grade solutions tailored to meet the unique challenges of the healthcare industry. You will be responsible for translating complex clinical, operational, and financial requirements into scalable Workday configurations, integrations, and reporting structures. This involves supporting implementations and optimizations for Workday HCM, ensuring compliance with healthcare regulations, workforce dynamics, and patient-care priorities. The Solutions Architect role is project-based, requiring a blend of strategic planning and hands-on involvement, sometimes working directly at customer healthcare sites. Key responsibilities include creating and maintaining a portfolio of Workday product and solution alternatives customized for the healthcare industry. You will architect high-performance, stable, and compliant Workday solutions using tools such as Workday HCM and Workday Extend for custom applications or workflows. Additionally, you will act as a liaison between business and Workday technology teams, advocating for the client to ensure alignment with organizational goals and regulatory standards. To qualify for this position, you should have a minimum of 7 years of experience as a solutions architect, with at least 3 years focused on Workday implementations in the healthcare industry. Expertise with Workday tools such as EIB, Core Connectors, Workday Studio, Report Writer, and Calculated Fields is essential. Experience integrating Workday with EMRs, scheduling systems, and ERP platforms is highly desirable. A Bachelor's degree is required, and a Master's degree is preferred. The ideal candidate will possess strong communication skills, client service skills, creativity, and flexibility. Technical expertise in areas such as servers, databases, networks, data engineering, internet/intranet, workstations, and network security is crucial for success in this role. As a Solutions Architect, you must be an innovative thinker capable of advocating for new alternative concepts and technology applications. In summary, the Workday Solutions Architect position in Elmsford, New York offers a dynamic opportunity to design and deliver cutting-edge Workday solutions tailored to the specific needs of the healthcare industry. If you are a seasoned solutions architect with a passion for driving innovation in healthcare technology, we invite you to apply for this role and be part of a dedicated team focused on transforming healthcare delivery.,

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Sanjana 9251688424

Summary : A leading company is hiring experienced Medical Billers (US healthcare) for Noida location. Local candidates from Delhi-NCR only need to apply. Job Description : Good knowledge & experience in US healthcare Revenue Cycle Management end to end processes. Ability to analyse and organize work for maximum efficiency. Excellent hands-on experience on all the items below: Demographic entry, Eligibility verification, Charge entry for Medicare, Medicaid, Commercial & W/C insurances, Co-pay, Co-insurance handling. Working knowledge of CPT, ICD codes, Modifiers etc. Rejection & denials management. Checking status of claims on payer portals. Payments posting: Manual & electronic (EOB/ERA). Preparing and sending Patient Statements. Excellent communication skills in English (written as well as Verbal) Ability to analyse and organize work for maximum efficiency and meet Daily targets. Ability to work in a team and communicate effectively. Candidate should be a local of Delhi-NCR. Qualification : Undergraduate or Post Graduate in any discipline Minimum 3 Years of experience as Medical biller

Tech stack- Database: Mongodb: S3 Postgres Strong experience on Data pipelines; mapping React; Node; Python Aws; Lambda About the job Summary We are seeking a detail-oriented and proactive Data Analyst to lead our file and data operations, with a primary focus on managing data intake from our clients and ensuring data integrity throughout the pipeline. This role is vital to our operational success and will work cross-functionally to support data ingestion, transformation, validation, and secure delivery. The ideal candidate must have hands-on experience with healthcare datasets, especially medical claims data, and be proficient in managing ETL processes and data operations at scale. Responsibilities File Intake & Management Serve as the primary point of contact for receiving files from clients, ensuring all incoming data is tracked, validated, and securely stored. Monitor and automate data file ingestion using tools such as AWS S3, AWS Glue, or equivalent technologies. Troubleshoot and resolve issues related to missing or malformed files and ensure timely communication with internal and external stakeholders. Data Operations & ETL Develop, manage, and optimize ETL pipelines for processing large volumes of structured and unstructured healthcare data. Perform data quality checks, validation routines, and anomaly detection across datasets. Ensure consistency and integrity of healthcare data (e.g., EHR, medical claims, ICD/CPT/LOINC codes) during transformations and downstream consumption. Data Analysis & Reporting Collaborate with data science and analytics teams to deliver operational insights and performance metrics. Build dashboards and visualizations using Power BI or Tableau to monitor data flow, error rates, and SLA compliance. Generate summary reports and audit trails to ensure HIPAA-compliant data handling practices. Process Optimization Identify opportunities for automation and efficiency in file handling and ETL processes. Document procedures, workflows, and data dictionaries to standardize operations. Required Qualifications Bachelors or Master’s degree in Health Informatics, Data Analytics, Computer Science, or related field. 5+ years of experience in a data operations or analyst role with a strong focus on healthcare data. Demonstrated expertise in working with medical claims data, EHR systems, and healthcare coding standards (e.g., ICD, CPT, LOINC, SNOMED, RxNorm). Strong programming and scripting skills in Python and SQL for data manipulation and automation. Hands-on experience with AWS, Redshift, RDS, S3, and data visualization tools such as Power BI or Tableau. Familiarity with HIPAA compliance and best practices in handling protected health information (PHI). Excellent problem-solving skills, attention to detail, and communication abilities.

Job Details: Job Process/Role: Claims Adjudication (US Healthcare) Experience: 1 - 3 Years of Relevant experience in Claims adjudication Skillset: CPT Codes, HIPAA, Co-pay and Co-insurance, Medicaid and Medicare, Denial claims, UB and CMS forms. Shift: Night shift Location: Chennai Mode of Work: Work from the office Notice Period Eligible: Immediate to 30 Days of Notice period is acceptable. Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials. Knowledge in handling authorization, COB, duplicate, pricing, and the corrected claims process. Knowledge of healthcare insurance policy concepts, including in-network, out-of-network providers, deductible, coinsurance, co-pay, out-of-pocket, maximum inside limits, and exclusions, state variations. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team. Resolving complex situations following pre-established guidelines. Requirements: 1-3 years of experience in processing claims adjudication, and the adjustment process. Experience in professional (HCFA), institutional (UB) claims (optional). Both undergraduates and postgraduates can apply. Good communication (Demonstrate strong reading comprehension and writing skills). Able to work independently, with strong analytical skills. 1. Required schedule availability for this position is Monday-Friday, 5.30 PM/3.30 AM IST (AR SHIFT). The shift timings can be adjusted according to client requirements. 2. Additionally, resources may have to work overtime and on a weekend basis to meet business requirements.

Job Title Senior Verification Leader MedTech & Health Informatics (PACS) Job Description Job Title: Senior Verification Leader MedTech & Health Informatics (PACS) Reports To: Software Leader About the Company We are a leading MedTech and Health Informatics company dedicated to transforming healthcare delivery through innovative Picture Archiving and Communication Systems (PACS). Our solutions empower clinicians with seamless access to imaging data, enabling faster, more accurate diagnoses and improved patient outcomes. Role Overview We are seeking a transformational Verification Leader with 18 20 years of experience in healthcare technology, particularly in verification and validation functions. This role demands a strategic thinker and hands-on leader who can evolve our testing approach from traditional requirement-based testing to a workflow-centric model that mirrors real-world clinical usage. Key Responsibilities Strategic Leadership & Transformation Lead the transformation of verification practices from requirement-based to workflow-based testing , focusing on how clinicians interact with PACS in real scenarios. Champion a break-the-system mindset to uncover hidden defects and ensure robust product quality. Define and implement a critical minimum test case strategy to maximize coverage while reducing defect escape rates. Functional, Non-Functional & Automation Testing Oversee comprehensive functional, non-functional (performance, usability, security) , and automation testing strategies. Drive high-quality automation by identifying high-impact areas using heat maps and prioritizing sanity and regression test suites. Evaluate vendor-delivered automation scripts to ensure they meet quality standards and run reliably over extended periods. People & Competency Management Lead and mentor a diverse team of verification engineers, fostering a culture of engagement, continuous learning, and clinical awareness . Provide domain-specific training and encourage rotations across automation, clinical workflows, and system testing to maintain motivation and skill diversity. Promote professionalism and ownership within the team, aligning individual growth with organizational goals. Collaboration & Influence Partner with system engineering, product management, and clinical teams to enhance domain understanding and test relevance. Collaborate with vendors to scale automation efforts while maintaining quality and alignment with internal standards. Use data-driven decision-making and rational influence to align cross-functional teams on verification priorities. Ensure that there is minimal overlap between agile testing and system functional testing. Work with software group leaders and test leaders to ensure that testing best practices are followed in the organization Use data driven approaches to reduce escaped defects in the field. Metrics & Continuous Improvement Define and track leading and lagging KPIs such as defect trends, automation coverage, CI build stability, and defect severity. Focus on early defect detection , continuous integration, and maintaining automation quality as part of best practices. Continuously refine verification processes to align with evolving regulatory and clinical requirements. Leverage AI significantly for self-healing tests, test frameworks and test script generation. Qualifications Bachelor s or Master s degree in Computer Science, Biomedical Engineering, or related field. 10+ years of experience in software/system verification within reputed healthcare or MedTech companies. Proven leadership in transforming verification strategies and managing high-performing teams. Deep understanding of PACS, DICOM, HL7, and clinical imaging workflows. Strong experience with test automation tools and frameworks (e. g. , Selenium, Robot Framework, Jenkins). Familiarity with regulatory standards (IEC 62304, ISO 13485, FDA 21 CFR Part 820). Preferred Skills Experience with cloud-native PACS or enterprise imaging platforms. Knowledge of healthcare data privacy and cybersecurity standards (HIPAA, GDPR). ISTQB certification or equivalent is a plus. Why Join Us? Be a catalyst for change in a mission-driven organization. Work on impactful technologies that directly improve patient care. Lead a passionate team in a collaborative, innovation-focused environment. Competitive compensation, benefits, and professional development opportunities. 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. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we wont stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help the lives of others. Learn more about our business . Discover our rich and exciting history . Learn more about our purpose . 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 .

We are seeking a detail-oriented and proactive HRIS Data Analyst to champion the accuracy, integrity, and consistency of employee data primarily within Oracle HCM . You will play a key role in embedding data quality best practices, resolving data issues, improving HR data processes, and enabling better business decisions through reliable workforce data. What Youll Do Embed data quality standards into all HR processes, ensuring that accurate, consistent, and complete data is maintained across the employee lifecycle. Investigate and resolve data issues, performing root cause analysis and implementing preventive actions to reduce recurring errors. Analyze and act on data audits, identifying trends and areas for improvement, and partnering with stakeholders to drive higher standards of data integrity. Serve as a subject matter expert (SME) on employee data processes in Oracle HCM, supporting global standardization, evaluating transaction accuracy, and improving end-user experience. Continuously challenge and improve existing data processes and system configurations, staying current on Oracle HCM releases and recommending enhancements to better support business needs. Support global data governance initiatives, contributing to the development and enforcement of data policies, standards, and controls. Collaborate cross-functionally with HR, HRIS, and IT teams to ensure consistent and scalable data quality practices across all regions. Analyze transactions and process flows, identifying inefficiencies and opportunities to streamline operations while maintaining data quality and compliance. Assess impacts, identify solutions and best practices during data conversion for implementation of core HR systems. Basic Qualifications Bachelor s degree in Human Resources, Information Systems, Business Administration, or a related field. 5 years of experience working with employee data in Oracle HCM or similar HR systems. Strong understanding of data quality principles, audit practices, and root cause analysis. Preferred Qualifications Experience working in a global HR environment, preferably in people operations or shared services, with an emphasis on standardized and scalable data practices. Excellent analytical skills and attention to detail. Strong communication and problem-solving skills with the ability to translate technical findings into actionable insights. Familiarity with HR compliance and data privacy standards (e.g., GDPR, HIPAA). Experience supporting HR system upgrades or implementations preferred.

Position: Java Cloud Developer Location: Jaipur (WFO) Experience: 7+ Years Location: Jaipur , BLR , Hyderabad and Pune Quick Reach Appy directly on Form Link : https://forms.gle/2ZkjYhAcMztSnuH87 Required Parameters: 7+ years of hands-on experience in Java development and cloud-native application architecture Strong expertise in Java (8/11/17+) , with solid understanding of OOP, design patterns, and multithreading Proficiency with Spring Framework (Spring Boot, Spring MVC, Spring Cloud) and Hibernate/JPA Extensive experience with cloud platforms : AWS, Azure, or Google Cloud Platform Deep understanding of microservices architecture , API design (REST/GraphQL), and service orchestration Experience with CI/CD pipelines (Jenkins, GitLab CI/CD, GitHub Actions, or Azure DevOps) Strong exposure to Docker , Kubernetes , and containerized deployments Experience with Infrastructure as Code (Terraform, CloudFormation, or Pulumi) Familiarity with NoSQL & SQL databases : MongoDB, PostgreSQL, MySQL, DynamoDB Proficient in API integration, cloud security best practices, and modern deployment strategies Excellent troubleshooting, debugging, and performance optimization skills Key Responsibilities Cloud-Native Application Development Design and develop scalable microservices using Java (Spring Boot) deployed on AWS/Azure/GCP Build RESTful APIs and integrate third-party services to support complex business workflows Implement secure, high-performance back-end systems for web/mobile applications Cloud Engineering & Infrastructure Deploy and manage cloud resources using IaC tools like Terraform or CloudFormation Configure and monitor compute, storage, and networking services (EC2, S3, Lambda, Azure Functions, etc.) Apply cloud security best practices and ensure resiliency and high availability of applications DevOps & CI/CD Integrate code repositories with CI/CD pipelines for seamless build, test, and deploy cycles Automate unit/integration testing and container deployment using Docker and Kubernetes Monitor cloud applications using tools like Prometheus , Grafana , CloudWatch , or ELK Collaboration & Agile Delivery Collaborate with cross-functional teams including frontend, QA, DevOps, and Product Managers Participate in sprint planning, code reviews, and architectural discussions Write clean, maintainable, and well-documented code following industry best practices Monitoring & Optimization Implement logging, alerting, and application performance monitoring Continuously optimize existing services for cost, performance, and reliability Conduct root cause analysis and troubleshoot production issues with minimal downtime Nice to Have / Bonus Skills Experience with Serverless Architectures (AWS Lambda, Azure Functions) Exposure to message brokers (Kafka, RabbitMQ, SQS) Knowledge of OAuth2.0, JWT , and Spring Security Familiarity with GraphQL APIs Understanding of event-driven architecture and CQRS patterns Website : www.medhansolutions.com, HR Consulting Quick Reach Appy directly on Form Link : https://forms.gle/2ZkjYhAcMztSnuH87

We are seeking a highly skilled and proactive Cybersecurity Engineer with deep expertise in Micro-Segmentation and Data Loss Prevention (DLP) technologies. This role will be instrumental in designing, implementing, and managing security strategies to prevent lateral movement within the network and safeguard sensitive data against unauthorized access or leakage. Roles & Responsibilities :- Micro-Segmentation: Design and implement micro-segmentation strategies using tools such as VMware NSX, Illumio, Guardicore, or Cisco Tetration. Perform network traffic analysis and application dependency mapping to define security zones. Collaborate with network and application teams to deploy and fine-tune segmentation policies with minimal business disruption. Monitor and adjust policies to respond to emerging threats or changes in business architecture. Ensure micro-segmentation aligns with Zero Trust architecture principles. Data Loss Prevention (DLP): Implement and manage enterprise DLP solutions (e.g., Symantec, Microsoft Purview, Forcepoint, McAfee). Define DLP policies and controls to detect, monitor, and prevent unauthorized sharing of sensitive data across endpoints, emails, cloud, and network channels. Conduct regular tuning and testing of policies to reduce false positives while maintaining strong enforcement. Collaborate with legal, compliance, and data governance teams to ensure alignment with regulatory and organizational requirements. Generate regular reports and metrics on policy violations, incidents, and effectiveness. Qualification :- Bachelor s degree in Computer Science, Information Security, or a related field. 4 7 years of experience in cybersecurity, with at least 2+ years in micro-segmentation and/or DLP implementation and operations. Hands-on experience with segmentation tools (VMware NSX, Illumio, Guardicore, etc.) and DLP platforms (Symantec, Microsoft Purview, etc.). Strong knowledge of network protocols, firewall policies, and endpoint security. Familiarity with regulatory standards such as GDPR, HIPAA, PCI-DSS, etc. Relevant certifications (preferred): CISSP, CISM, CCSP, CEH, or vendor-specific (e.g., Illumio Certified Engineer, Microsoft Information Protection certification).

Work Flexibility: Hybrid What will you do: Architect resilient and observable infrastructure on Azure using IAC principles while considering the tradeoffs between cost, performance, and reliability. Lead the design of platform-wide monitoring, alerting, and dashboard strategy. Oversee incident management and post-incident analysis at the org level. Guide DevSecOps strategy and secure automation across engineering teams. Implement FinOps practices by optimizing cloud spend and forecasting usage trends. Collaborate with global stakeholders to drive and document best practices, governance, and standards. What will you need: Required Qualifications: Bachelors or Masters degree in Computer Science, Software Engineering, or a related discipline along with 12+ years of professional experience with deep expertise in infrastructure automation and operations. Expertise with Infrastructure as Code (IaC) tools such as Terraform, Helm, and Ansible. Expertise in CI/CD using platforms such as Gitlab, GitHub, Azure DevOps, and containerization tools such as Docker and Kubernetes. Expertise with observability tools such as Grafana, Prometheus, and ELK Stack. Experience with FinOps and compliance frameworks such as SOC 2, ISO 27001, GDPR, HIPAA, and NIST 800-53. Preferred Qualifications: Strong technical leadership skills to mentor and influence cross-functional teams. Strong ability to communicate across the team and with global stakeholders Travel Percentage: 20%

Dear Candidates, Sakon is hiring for Associate Analyst- Compliance. Interested candidates, please share your updated resume at namrata1.navadgi@sakon.com Below is the detailed Job description for your reference. Our journey Sakon offers a SaaS platform and services to optimize enterprise mobility expenses, lifecycles, and support. Integrating data from carriers, HR, MDM, and Finance, it streamlines workflows, provides insights, and ensures accurate reporting. Features include invoice auditing, lifecycle management, 24x7 support, and seamless ServiceNow integration. Additional services like MDM administration and BYOD management enhance operations, driving savings and efficiency. Manage mobile investments confidently with Sakon. Learn more at www.sakon.com. The Value We Deliver SAKON empowers employees with self-service and real-time updates via a branded portal, app, email, chat, or ServiceNow. It streamlines policy management, optimizes costs, addresses usage issues, and integrates data from carriers, MDM, HR, and Finance. SAKON delivers insights, ensures compliance, and drives efficiency across mobile inventory and expenses. Our Vision Sakons vision is to be the leading enterprise communications SaaS Platform and services provider. We will continue to foster and develop a culture that values: Innovation: At Sakon, we foster creativity and curiosity by asking our employees to think big to dynamically improve our products and services. Execution: We encourage employees to take calculated risks and strive for excellence. We have an unrelenting drive for results. Customer Focus: We start by listening and then execute flawlessly to delight our customers. We meet our commitments to our customers and to each other. Integrity: Above all else, we act honestly and ethically and take responsibility for ourselves and our actions. We are transparent in our decisions. Diversity: We value diversity by celebrating each of our unique talents, abilities, and backgrounds enabling us to create a culture of inclusivity. Role Overview/Your Impact The Analyst-Compliance officer's role is to ensure the secure operation of the Sakon information assets in accordance with our internal processes, procedures, and compliance requirements as per the relevant ISO standards, regulatory frameworks applicable to Sakon and industry best practices. What Does team do The Sakon Compliance team ensures that the organization adheres to laws, regulations, industry standards, and internal policies. The compliance team plays a crucial role in mitigating risks, maintaining ethical business practices, and avoiding legal penalties. What will you do Establish and implement practices for Information Security aligned to Cyber Security Frameworks such as International Organization for Standardization (ISO) 2700X, National Institute of Standards and Technology (NIST) 800-53, Payment Card Industry Data Security Standard (PCI DSS), AICPA Trust Services Principles and Criteria (SOC). Develop, implement, and maintain the organizations security architecture to provide an effective platform to protect the organizations assets. Perform security reviews and compliance testing to ensure adherence to adopted security and governance frameworks. Conduct gap assessments against security and privacy frameworks, regulations, and best practices. Implementation of security and governance controls to address requirements of privacy like GDPR, CCPA and HIPPA. Third party risk assessment for onboarding new vendors and annual review for existing vendors. Perform IT Risk Management as per the ISO 31000 Risk Management Framework (RMF) and provide recommendations for applying the RMF to the organizations information systems. Information Security Policy and Procedure Management: Creating, communicating, and maintaining IT Security policies/procedures. Lead the development of security and privacy awareness training in conjunction with other members of the Information Security group. Ensuring Security Awareness Trainings and refreshers are updated to current IT Security Standards. Perform and maintain IT Risk Management for processes and technological controls as per ISO 27002 guidelines. Managing internal audits, creating Corrective and Preventive Actions (CAPA) and tracking until closure. Monitor change management process to ensure compliance. Our Expectations Complete understanding of Cyber Security compliances like SOC1 (SSAE-18), SOC2, SOC3, ISO27001, PCI- DSS, Cloud Security Alliance (CSA). Complete understanding of Privacy Compliances and Frameworks like GDPR, CCPA and HIPPA. Working knowledge and understanding of COBIT and ITIL Framework. Understanding of Software Development Life Cycle (SDLC). Integrating security practices within SDLC. Knowledge of Information Technology trends and impact on related security procedures and processes. Strong analytical and critical-thinking skills. Identification and mitigation of gaps within Information Security policies and procedures. Knowledge of identity management include authentication and authorization across internal and external IT assets of services. High quality documentation based on relative standards. At least one industry certification (ISO 27001 LA, CISA, CISM, CRISC, ISAAP) highly desired. Minimum two to three years experience conducting security control assessments or audits. Minimum two years' experience developing or managing a security awareness program. High-level of attention to detail and be a self-starter with ability to work independently, multi-task and adjust to shifting priorities. The SAKON Spirit At Sakon, teamwork and excellence define our culture. Our diverse team of engineers, telecom experts, and CPAs share a passion for innovation and service. Driven by collaboration, our global teams deliver exceptional customer experiences, combining technical expertise with a human touch to achieve great results with enthusiasm and care. Benefits and Perks Flexible Holiday Policy (choose your own holidays) Hybrid Working Options Life & Medical Insurance Focus on Skill Development, Re-imbursement for Certifications Wifi-Mobile bill reimbursement Employee wellbeing activities Role & responsibilities Consent : We will be using your resume for job applications open with us for a full-time appointment and will save them for future reference.