2545 Hipaa Jobs - Page 36

Experience in BPO Industry- International Voice only Team Leader - Health and welfare process voice (MUST) Health and welfare - Medicare Hippa Cobra Excellent Comms

Role: Program Specialist (Voice Process) About the Role The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones...

Job Title : Mid-Level Data Engineer Healthcare Domain Location: Remote Option Experience: 2 to 3 Years Employment Type: Full-Time About the Role We are seeking a motivated and detail-oriented Mid-Level Data Engineer with 2 to 3 years of experience in designing, developing, and optimizing data pipelines within the healthcare domain. The ideal candidate will have hands-on experience with Databricks , strong SQL skills, and a solid understanding of healthcare data standards (e.g., HL7, EDI X12 837/835, HCC, CPT/ICD codes). Key Responsibilities Design, develop, and maintain scalable ETL/ELT pipelines using Databricks , PySpark , and Delta Lake for large-scale healthcare datasets. Collaborate wit...

We are seeking an experienced Senior Customer Care Executive to manage and support the US medical prescription process in our Health Tech company. The ideal candidate will have 4+ years of experience in healthcare customer service, with a strong understanding of patient centricity, prescription handling, and compliance requirements. In this role, you will be responsible for handling customer interactions through email, chat, and outbound calls, ensuring a smooth and professional communication experience. You will serve as a vital link between the company and its clients, providing eff icient and accurate support. Cloudphysician

We are looking for a highly skilled and experienced PDI Associate to join our team at Ekya Schools. The ideal candidate will have 2-5 years of experience in the field. Roles and Responsibility Collaborate with cross-functional teams to design and implement effective learning solutions. Develop and maintain high-quality educational content and materials. Provide training and support to teachers and staff on new technologies and methodologies. Evaluate student progress and provide feedback to improve outcomes. Participate in professional development opportunities to stay current with best practices. Foster positive relationships with students, parents, and community members. Job Requirements S...

Role & RESPONSIBILTY Conduct threat modeling and risk assessments to evaluate potential security risks associated with the organization. Provide guidance on risk remediation strategies and the implementation of countermeasures to address identified security risks. Ensure GDPR & PCI-DSS compliance across all areas of the organization. Work with the development team to ensure compliance with SDLC lifecycle and secure coding practices. Lead encryption efforts and disable deprecated protocols to maintain data security while in transit or at rest. Incorporate NIST framework into the organization's security practices and stay up-to-date with the latest controls. Review penetration testing reports,...

Company: Marsh Description: Ensures timely and accurate production/processing of complex documents/information (includes report preparation) Maintains a basic understanding of the core aspects of relevant Insurance and related legislation (customer awareness) and strengthen established relationships Adheres to Company policies and performance standards Contributes to the achievement of Operations team Service Level Agreements (SLA) , Key Performance Indicators (KPI) and business objectives Marsh, a business of Marsh McLennan (NYSE: MMC), is the world s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries acro...

Lead the scalable design and implementation of IBM ITX-based integration solutions across healthcare payer systems. Architect and optimize transformation maps and data flows for high-volume healthcare EDI transactions such as 837, 835, 834, 270/271, and 276/277. Ensure solution architectures are modular, extensible, and aligned with enterprise integration patterns and scalability goals. Act as the SME for the ITX Pack for Healthcare Payer, offering best practices on compliance, transformation rules, and partner onboarding. Collaborate across business and technical teams to translate complex integration needs into resilient and scalable ITX solutions . Develop architectural and interface docu...

Key Responsibilities: Design and implement integration architectures that leverage APIs, microservices, and enterprise service buses (ESB). Collaborate with cross-functional teams to understand integration requirements and translate them into technical solutions. Develop and maintain integration frameworks and standards that promote best practices and facilitate efficient integration across the organization. Evaluate and recommend integration tools, technologies, and platforms to enhance integration capabilities and performance. Provide technical leadership and guidance to development teams on integration practices, patterns, and tools. Conduct system assessments to identify integration chal...

Manage day-to-day operations of the organization s website (CMS updatescontent uploadsbug fixesetc.) Collaborate with departments (e.g.clinical teamsmarketingcompliance) to ensure accurate and timely web content Implement best practices for SEOaccessibilityand user experience (UX) Monitor site analyticsgenerate performance reportsand recommend improvements Ensure website securityprivacy compliance (e.g.HIPAA)and regular backups Work with third-party developers or internal IT for major updates and troubleshooting Update and maintain online directoriespatient portalsappointment systemsand other digital tools Create landing pages and digital assets for campaigns and events Website Integrations ...

" Healthcare,Agile,Business Analysis,Requirement Gathering ","description":" 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 requ...

JOb Dicription: Role & responsibilities : Technical Strong experience in review of guideline defined, conducting regulatory assessments for BFSI (E.g. RBI, SEBI, IRDAI). Global guidelines knowledge which includes NIST, ISO27001, PCI-DSS, COBIT, etc. Assisting in remediating gaps on the defined guidelines for the client. Performing System Audit and conducting technology landscape review. Having worked on Information Technology Risk Assessment areas such as NIST, ISO27001, PCI-DSS, COBIT, etc. Experience of handling IT audits and reviews. Good understanding on technology topics related to cyber security, encryption, architecture resiliency , business continuity, disaster recovery, IT Governanc...

We are looking for a skilled Senior Coder with 2-4 years of experience to join our team in Chennai. The ideal candidate will have a strong background in coding and analytics, with excellent problem-solving skills. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and validate coding quality for accuracy and compliance. Develop and implement coding standards and guidelines. Collaborate with healthcare professionals to clarify coding discrepancies. Conduct audits to ensure coding compliance with regulations. Provide training and support to junior coders on coding best practices. Job Strong knowledge of coding principles and regulati...

Overview: RSM is seeking a highly skilled and experienced Informatica MDM Development Supervisor to lead our master data management initiatives. The ideal candidate will have a strong background in Informatica Saas MDM including IDMC, Multi Domain 360, Data Marketplace and Catalogue, excellent leadership skills, and a proven track record of managing complex implementation projects. This role will involve overseeing a team of developers, collaborating with cross-functional teams, and ensuring the successful delivery of MDM solutions. Essential Duties and Responsibilities: Implement an enterprise-wide data governance framework, with a focus on data quality, synchronization, and standardization...

Risk Consulting helps clients across various industries by addressing the increasingly complex strategic, operational, compliance, and governance challenges faced by those responsible for managing or overseeing dynamic businesses. Risk Consulting major offerings includes AML & Regulatory Compliance; ERP Advisory; Automation and Analytics; Enterprise Risk Management; Internal Audit; SOX Advisory; Contract Compliance; Credit Reviews; Information & Technology Audits; Cybersecurity risk management; Third-party risk management; IT due diligence; SOC1 / SOC2; Security and Privacy Risk; Governance Risk and Compliance; PCI; Cyber Transformation; Manage Security Services; Secure Architecture Solution...

Position Summary: We are seeking a highly experienced and driven Business Analyst to lead and manage Product digital and IT initiatives within the pharmaceutical/life sciences sector. The ideal candidate will have strong experience in Business analysis, stakeholder engagement, and driving execution across multiple workstreams, while ensuring compliance with regulatory and quality standards. ______________ Key Responsibilities: Lead end-to-end product management for IT/technology initiatives in the pharma/life sciences domain, ensuring requirement gathering , gap analysis , process flows modelling documentation practices and technical document writing. Experienced in data analysis (SQL, ETL e...

OVERALL OBJECTIVES: As a senior member of the team, you will join a challenging and unique large-scale Transformation Program with high impact and visibility. Primary focus is the assessment, planning and implementation of new or improved IT Services as part of the project engineering team. Senior Reliability Engineer (SRE) is primarily responsible for the engineering, configuration, installation, and maintenance of; Windows physical and virtual servers, Active Directory, Azure cloud and on-prem environments based on Hyper-V/VMWare, storage, backups, and disaster recovery planning. We rely on our engineers to empower our users with high availability, excellent performance levels and key serv...

Job Title: Business Analyst (Candidate must have experience in to US Healthcare Domain Adjudication System) Job Summary: We are seeking a motivated and detail-oriented Business Analyst with 3+ years of experience, preferably in the US healthcare domain , to join our dynamic team in Pune. This is a full-time, on-site position ideal for someone who thrives in a collaborative environment and is passionate about driving process improvement and delivering value through data-driven insights. The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact health...

As a Software Engineer - Cloud Security at Incedo, you will be responsible for designing and implementing security solutions for cloud-based environments. You will work with clients to understand their security needs and design security solutions that meet those needs. You will be skilled in cloud security technologies such as Amazon Web Services (AWS) Security, Microsoft Azure Security, or Google Cloud Platform (GCP) Security and have experience with security architecture design patterns such as multi-factor authentication and encryption. Roles & Responsibilities: Developing and implementing cloud security strategies and policies Conducting security audits and assessments Collaborating with...

Healthcare experience is Mandatory Position Overview : We are seeking an experienced Data Modeler/Lead with deep expertise in health plan data models and enterprise data warehousing to drive our healthcare analytics and reporting initiatives. The candidate should have hands-on experience with modern data platforms and a strong understanding of healthcare industry data standards. Key Responsibilities : Data Architecture & Modeling : - Design and implement comprehensive data models for health plan operations, including member enrollment, claims processing, provider networks, and medical management - Develop logical and physical data models that support analytical and regulatory reporting requi...

1. Accurate review and post charges for medical services provided by healthcare providers. 2. Analyze patient encounter documentation such as super bills, operative reports and medical reports to ensure accurate charge capture and appropriate code assignment. 3. Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding related issues before charge posting. 4. Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulation (e.g., Medicare, Medicaid). 5. Maintain high accuracy in charge entry, minimizing errors and discrepancies. 6. Meet or exceed establi...

Hiring: AR Caller (Denial Management) 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 AR Calling professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in AR Calling (Provider Side) Qualification: Any Key Skills: Revenue Cycle Management (RCM) Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

You should have 12-15 years of experience in the roles of SQA, SEPG, and Metrics Function. Your skills should include 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 an added advantage. Your expertise should include experience in implementing various improvement standards like ISO, Models like CMMI SVC/DEV model till Maturity Level 5. It would be an added advantage if you have performed the ATM role in at least one CMMI Appraisal. You should have experience in implementing ISO 20K & 27K, PIMS, Data Privacy standards and managing, conducting & rep...

You re at the right place if you wish to make a difference and see the impact. Work with us to unleash your true potential while being yourself. Associate Governance Risk & Compliance Responsibilities Perform information security audits and consulting as per the regulatory requirement and security standards Develop and participate in implementation of client initiatives focused on the reduction of technology risk, governance and compliance to policies and external regulatory compliance Developing IT security policies, procedures and guidelines controls to manage risks. Knowledge of vulnerability management. A good understanding of IT data centre operations and a variety of technology platfor...

Jul 2, 2025 Location: Mumbai Designation: Analyst Entity: Deloitte South Asia LLP Job Title: Senior Database Administrator (DBA) - MySQL, MSSQL, Redis, Cosmos DB With Cloud experience We are seeking a highly skilled and experienced Senior Database Administrator (DBA) to manage our cloud-based database infrastructure, which includes MySQL , MSSQL , Redis , and Cosmos DB across cloud platforms such as AWS , Azure , and Google Cloud . This role involves managing, optimizing, and securing high-performance database systems, ensuring reliability, availability, and scalability in the cloud environment. The successful candidate will also provide strategic guidance on database architecture, performan...