4628 Hipaa Jobs - Page 35

About The Role 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 Development Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Deep 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 com...

About The Role 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 Development Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Deep 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 com...

About The Role 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 Development Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Deep 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 com...

We are seeking talented AI Engineers and an AI Lead with 510 years of experience in developing and deploying Generative AI and Agentic AI solutions within the healthcare domain The role involves building intelligent AI agents capable of automating multi-step clinical and operational workflows such as Prior Authorization, Eligibility Checks, and Care Management The ideal candidate will have strong programming experience in Python, NET, or Java, with deep knowledge of LLMs, transformers, and prompt engineering Experience working with frameworks like LangChain, AutoGen, or Microsoft Copilot Studio is essential The role requires strong architectural understanding of APIs, microservices, and clou...

About The Role 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 : NA Minimum 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 identifying and solving issues within multiple components of critical business systems. Your day will involve troubleshooting, analyzing system performance, and collaborating with cros...

About The Role 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 : Saviynt Identity Platform Good to have skills : NA Minimum 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...

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 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 ...

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 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 ...

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 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 ...

About The Role 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 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 oper...

About The Role 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 : Okta Identity Management Good to have skills : NA Minimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with variou...

About The Role 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 : Saviynt Identity Platform Good to have skills : NA Minimum 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...

The role requires: Retrieval and review of documentation in medical records from various client EMR systems. Verify the completeness of the documentation and coding in accordance with the coding compliance guidelines. Verify the assigned diagnoses, procedural codes, modifiers and HCPCS codes adhering to the general, payer and client specifications (in all forms of audits (prospective, retrospective, focused). Identify errors related to compliance and coding

Job Summary: We are seeking an experienced SailPoint IIQ Developer to join our cybersecurity team. The ideal candidate will be responsible for the design, development, implementation, and maintenance of Identity and Access Management (IAM) solutions using SailPoint IdentityIQ. The role involves working closely with business stakeholders, security teams, and IT operations to ensure seamless IAM integration across the organization. Key Responsibilities: Design, develop, configure, and customize SailPoint IdentityIQ solutions to meet business requirements. Implement workflows, rules, policies, and connectors for integrating SailPoint with various enterprise systems. Develop and maintain SailPoi...

Job Title: Manual QA Healthcare Domain (EDI & US Claims) Experience: 4+ Years Location: [Gurugram/Bangalore] Job Description: We are seeking an experienced Manual QA Engineer with a strong background in the Healthcare domain , specifically EDI transactions and US healthcare claims processing . The ideal candidate will be responsible for testing healthcare applications, validating EDI files, and ensuring data integrity across claim processing workflows. Key Responsibilities: Develop and execute manual test cases , test scenarios, and test data for healthcare applications. Perform end-to-end testing of EDI transactions (837, 835, 270/271, 276/277, etc.) . Validate US healthcare claims processe...

Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent & referral to general guidelines. Your expected interactions are within your own team & direct supervisor. You will be provided detailed to moderate level of instruction on daily work tasks & detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts. Process incoming service requests received through the Contact Center, Email or Web Portal. Process employee leave requests, w...

Position Title: AI - Associate Architect - GR - JR172684 Job Family: IFT > IT Architecture Shift: Job Title Associate Architect III Requirement Type Full-Time Employee Job Location Bangalore Requirement Level I11 Hiring Manager Asst Delivery Manager Primary Skill Microservices, AI Multi-Cloud Business Chief Strategy Planning Office Skill Category Super Super Niche ABOUT CARELON Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system. Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands ...

Data Cataloging: Utilize IDMC/Collibra/Alation to effectively catalog data assets, ensuring robust metadata management and enhancing data discoverability across the organization. Data Classification: Support with necessary data classification (manual or automated) around sensitive, critical, confidential data Master Data Management: Develop, validate, and maintain detailed mappings and schemas in Excel to manage master data critical for analysis and reporting. Data Quality Assurance: Regularly audit and refine data quality, collaborating with IT, Data Owners, Data Stewards, and other stakeholders to rectify discrepancies and maintain high data integrity. Policy Implementation and Compliance:...

Role Overview : We are seeking an accomplished Implementation Architect with deep expertise in AWS cloud architecture. This role requires a seasoned professional capable of designing, implementing, and governing secure, compliant, and scalable solutions within the AWS ecosystem. The ideal candidate brings a strong understanding of DevOps best practices, and enterprise-grade integration for healthcare systems. Key Responsibilities : 1. Cloud Architecture - AWS Ecosystem : - Design and deploy end-to-end AWS infrastructure leveraging services such as ECS, EKS, EC2, S3, FSx, RDS, IAM, API Gateway, AWS Glue, Lambda, SNS, EventBridge, SES, CloudWatch, CloudTrail, Parameter Store, AWS Config, and A...

Payment Posting Executive / AR Caller US Healthcare Job Description: 1 Payment Posting US Healthcare Requirements Minimum 1+ year experience in US Healthcare Payment Posting Intermediate / 12th Pass & Above Excellent understanding of EOBs, ERA posting, adjustments, denials , and reconciliation Good communication skills Compensation & Benefits Up to 35,000 TH + 2,000 Allowances Two-way cab facility Stable & long-term process Immediate joiners preferred 2 AR Caller (HB / PB) PB - 40k Take-home & HB - 45K Take-home Requirements Minimum 1 year experience in AR Calling Ability to handle claims follow-up, denials, resolutions Strong communication and analytical skills Comfortable with Night Shift ...

AR Caller (Denial Management) | Upto 45k Take Home Physician Billing (CMS 1500) Experience: Min 8 months into AR Calling - Physician billing Package: Up to 40k TH + Allowances + Incentives Locations : Hyderabad | Bengaluru | Mumbai Qualification: Inter & above Notice Period : 0 - 30 days of notice period Hospital Billing (UB04) Experience: Min 1 year into AR Calling - Hospital billing Package: Up to 45k TH + Incentives Locations : Hyderabad | Bengaluru Qualification: Inter & above Notice Period : 0 - 10 days of notice period Prior Authorization | Upto 40k Take Home | Chennai , Mumbai Experience: Min 1 year in Prior authorization voice process Package: Up to 40k TH + Incentives Qualification:...

AR CALLER (HB & PB) || upto 45K TH || 2 way cab AR Caller - Physician billing min 1 yrs in to AR Caller upto 40k take home + 2200 allowances inter and above immediate joiners AR Caller - Hospital Billing min 1 yrs in ar caller upto 45k take home inter and above immediate joiners Open Locations: Hyderabad • Mumbai • Bangalore • Mohali Hiring for Payment Posting || Upto 35k TH Experience: 1+ Year in Payment Posting Package: 35K TH + 2K Allowances Qualification: Inter & Above Immediate Joiners Preferred Locations: Hyderabad | Bangalore Perks and Benefits 2-Way Cab Facility Allowances Incentives Share Resume: HR Nandini - Call: 7329806220 Mail ID : Nandini.k@axisservice.co.in

We are looking for a skilled IP DRG Coder with 1-4 years of experience to join our team. The ideal candidate will have expertise in coding and analysis, with a strong understanding of healthcare industry standards. Roles and Responsibility Analyze medical records to assign accurate codes for diagnoses and procedures. Review and interpret medical information to identify relevant details for coding purposes. Assign appropriate codes using knowledge of coding systems and regulations. Collaborate with healthcare professionals to clarify coding discrepancies or issues. Maintain accurate and up-to-date records of coded data and patient information. Stay current with changes in coding guidelines an...

We are looking for a highly skilled and experienced ED Facility Coder to join our team. The ideal candidate will have 1-3 years of experience in the field. Roles and Responsibility Accurately code patient records using relevant coding systems. Ensure compliance with regulatory requirements and industry standards. Collaborate with healthcare professionals to clarify coding discrepancies. Maintain confidentiality and adhere to HIPAA guidelines. Stay updated with changes in coding regulations and guidelines. Participate in quality improvement initiatives to enhance coding accuracy. Job Requirements Strong knowledge of coding principles and practices. Experience with electronic health records (E...

We are looking for a highly skilled HCC Coder with 1-2 years of experience to join our team. The ideal candidate will have expertise in healthcare coding and be able to work efficiently in a fast-paced environment. Roles and Responsibility Accurately code patient records using HCC codes. Ensure compliance with regulatory requirements and industry standards. Collaborate with healthcare professionals to clarify coding discrepancies. Maintain confidentiality and adhere to HIPAA guidelines. Stay updated with changes in coding regulations and guidelines. Participate in quality improvement initiatives to enhance coding accuracy. Job Requirements Strong knowledge of HCC coding principles and practi...