2545 Hipaa Jobs - Page 45

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...

Job Roles & Responsibilities: At least 10 years of Healthcare RCM Experience. Demonstrated leadership capabilities, including ability to organize and manage human resources to attain goals. Willingness to work US shifts. Expertise with MS Office tools like PowerPoint, Excel, etc. Preferred Qualification Any Graduate or above. Desired Skills: Develop the Operations strategy for the organization, keeping in mind the business requirements. Execute these innovative strategies to improve and secure business delivery. Drive and lead all the RCM and collection operations functions effectively with process improvements of existing processes. Performing operational due diligence for new prospective c...

Job Roles & Responsibilities: Develop and execute innovative strategies to improve and secure business delivery. Able to establish pilot A/R process and devise strategy to improve collections. Strong understanding of revenue cycle management and KPIs standards set to optimize insurance collection. Strong understanding of all downstream revenue cycle offices i.e. Payment Posting, AR Followup/Denial Management, & Patient Billing. Understands the eccentricities of various provider specialties. Ensure that the portfolio meets client and internal company performance benchmarks. Actively develop the management capabilities and business acumen of direct reporters, and drives the development of team...

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 requirements (HEDIS, Stars, MLR, risk ad...

The IBM Cloud Platform Compliance team is looking for a talented, innovative and enthusiastic software development manager that will support the team building automation to make our customers succeed. IBM Cloud Platform Compliance has a global cloud presence that continues to grow and expand its reach. Our automation engineering team is responsible for delivering compliance at scale for all IBM Cloud platform services. As a trusted platform, first-rate security, fail-safe reliability and exceptional quality is of the utmost importance.As an IBM Cloud Engineering Manager, you will specialize in ensuring the reliability, resiliency and security of our systems. Bringing a unique blend of knowle...

We are seeking a dedicated and detail-oriented Quality Assurance Analyst to support and enhance the performance of our call center operations within the US healthcare domain . The QA Analyst will monitor and evaluate calls and customer interactions to ensure high-quality service delivery, compliance with healthcare regulations (HIPAA), and alignment with organizational standards. The ideal candidate will have experience in US healthcare customer service, strong analytical skills, and a passion for improving the member and provider experience Monitor inbound and outbound calls, chat, and email interactions for accuracy, professionalism, and compliance with policies and procedures. Evaluate ag...

Educational Bachelor of Engineering,BCA,BTech,MCA,MTech,MBA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your ...

Educational Bachelor of Engineering,BCA,BTech,MBA,MTech,MCA Service Line Application Development and Maintenance Responsibilities A day in the life of an Infoscion As part of the Infosys delivery team, your primary role would be to interface with the client for quality assurance, issue resolution and ensuring high customer satisfaction. You will understand requirements, create and review designs, validate the architecture and ensure high levels of service offerings to clients in the technology domain. You will participate in project estimation, provide inputs for solution delivery, conduct technical risk planning, perform code reviews and unit test plan reviews. You will lead and guide your ...

Job Title: Subject Matter Expert - Microsoft Purview Data Governance Location: India preferred) Job Summary: We are seeking experienced and detail-oriented Subject Matter Experts (SMEs) to lead the implementation of sensitive data discovery and labeling initiatives across SharePoint Online and OneDrive environments. The ideal candidate will have deep expertise in Microsoft Purview and a strong understanding of data governance, compliance, and information protection frameworks. Key Responsibilities: Design, configure, and execute sensitive data discovery scans using Microsoft Purview. Develop and apply sensitivity labels and retention labels to files stored in SharePoint Online and OneDrive. ...

Educational Bachelor of Engineering,BCA,BTech,MCA,MTech,MBA Service Line Application Development and Maintenance Responsibilities As a ‘Senior Product Manager’ you will be pivotal to creating roadmap, owning release plan for multiple capabilities that is futuristic and meets industry and client needs. You will be responsible for continuous backlog management, prioritizing the backlog considering the needs and objectives of every stakeholder. As a thought leader in your business domain, bring in industry best practices, learnings from client demos and interactions into designing. You will anchor business pursuit initiatives, sales demo. You will have the opportunity to shape the Infosys platf...

Job Summary GRC Consultant Responsibilities Job Summary We are seeking an experienced IT GRC Manager to lead our Governance Risk and Compliance initiatives The candidate will be responsible for developing and implementing IT GRC strategies ensuring compliance with regulatory requirements and managing risk across the organization This role requires a deep understanding of IT governance frameworks risk management practices and compliance standards Key Responsibilities Governance Develop and maintain IT governance frameworks policies and procedures Ensure alignment of IT strategies with business objectives Oversee the implementation of IT governance initiatives and monitor their effectiveness R...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality c...

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SOC Analyst Exciting opportunity at hashtag#Corrohealth Infotech Private Limited in Chennai! We are seeking a SOC Analyst with a minimum of 3 years of experience in SOC. Immediate joiners preferred. Eligibility Criteria: - Minimum 3 years in SOC - Any Degree -WFO(Flexibility shift) Certifications: - Cloud Security (Microsoft) - CEH - CompTIA Security+ (any of these) Required Skills: - Work Experience in security tools like SIEM, Vulnerability and Assessment tools, EDR, Data loss prevention, Threat hunting tools - In-depth knowledge of security concepts such as cyber-attacks and techniques, threat vectors, risk management, incident management, etc. - Proficient in Incident Management and Resp...

Required Experience : 5-8 Yr Mandatory Job Type : Work From Office (WFO)- Hybrid Mode Working Hours : Normal working hours (Monday to Friday, ) Contract Duration : 6 Months Additional Information : Start Date : Immediate-Immediate Joiners Only Contract Duration : 6 months Location : Hyderabad or Cochin (Work From Office) Background Verification : Mandatory through a third-party verification process. Required Experience : 5-8 Yr Mandatory Please Note : We are looking for Immediate Joiner Only SailPoint Architect Role & Responsibilities : Lead the design, implementation, and maintenance of Identity and Access Management (IAM) solutions using SailPoint Identity Security Cloud. Collaborate with ...

CometChat OverviewOur mission: Fuel customer growth through meaningful user-to-user engagement.CometChat is an all-in-one communication platform that enables businesses to easily integrate customized ... CometChat Overview Our mission: Fuel customer growth through meaningful user-to-user engagement. CometChat is an all-in-one communication platform that enables businesses to easily integrate customized in-app messaging functionalities across text, voice, and video. This eliminates the need for businesses to start building a messaging module from scratch, and enables their end-users to communicate with each other, resulting in a unified customer experience, increased engagement and retention,...

As a Senior Software Engineer in the DevOps team, you will build and support applications and infrastructure enabling teams to configure, deploy, operate, and monitor the mission-critical services powering offered by the PredictSpring Cloud platform that serves the worlds leading brands and retailers for their Modern POS Platform. You will work in a highly collaborative and dynamic environment. You will influence the strategy and direction of our infrastructure by helping us build scalable solutions to challenging technical problems. Responsibilities: Provide cloud solutions with high reliability, high availability, fault-tolerance, and high security to meet business requirements. Design, De...

The Amazon Web Services Professional Services (ProServe) team is seeking a skilled Delivery Consultant to join our team at Amazon Web Services (AWS). In this role, youll work closely with customers to design, implement, and manage AWS solutions that meet their technical requirements and business objectives. Youll be a key player in driving customer success through their cloud journey, providing technical expertise and best practices throughout the project lifecycle. Possessing a deep understanding of AWS products and services, as a Delivery Consultant you will be proficient in architecting complex, scalable, and secure solutions tailored to meet the specific needs of each customer. You ll wo...

We are looking for experienced SailPoint professionals to join our team in Hyderabad or Cochin for an exciting Work From Office (WFO) opportunity . Working Hours : Normal working hours (Monday to Friday, ) Additional Information : Start Date : Immediate-Immediate Joiners Only Contract Duration : 6 months Location : Hyderabad or Cochin (Work From Office) Background Verification : Mandatory through a third-party verification process. Required Experience : 5-8 Yr Mandatory Please Note : We are looking for Immediate Joiner Only Role & Responsibilities : Lead the design, implementation, and maintenance of Identity and Access Management (IAM) solutions using SailPoint Identity Security Cloud. Coll...

Description for Internal Candidates Demonstrate understanding of medical terminology to accurately interpret and summarize medical records. Maintain strict confidentiality and adhere to HIPAA regulations while handling sensitive claimant information. On successful completion of training, the executive has to clear quality benchmarks in order to deliver work directly to the Customer, within stipulated timelines. Review and analyze medical records to extract relevant information. Create concise and accurate summaries of medical history, treatment, and outcomes. Ensure summaries are clear, comprehensive, and free of errors. Be thorough with client profile, references, and author specific instru...

Are we growing? Absolutely and Globally. In 2021 we grew our teams by almost 50% and continue to grow even more in 2022. Are we recognized as a company you are supported by for your career and growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as Great Places to Work in 2021. In 2020 and 2021 Evolent in the U.S. was both named Best Company for Women to Advance list by Parity.org and earned a perfect score on the Human Rights Campaign (HRC) Foundation s Corporate Equality Index (CEI). This index is the nations foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality. What Y...

Key Responsibilities : 1. Architect scalable GenAI platforms using advanced RAG techniques. 2. Design multi-agent orchestration using MCP and A2A patterns. 3. Integrate Knowledge Graphs and vector databases for semantic search. 4. Lead prompt pipeline development and observability tooling. 5. Define secure API gateways and DevOps deployment strategies. 6. Optimize LLM performance and context management. 7. Ensure compliance with data privacy standards (HIPAA/GDPR). 8. Collaborate with cross-functional teams for system reliability. 9. Mentor engineers on GenAI architecture and best practices. 10. Drive innovation in agentic AI and schema-aware retrieval systems. Must Have 1. Deep expertise in...

To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts. Job Category Software Engineering Job Details About Salesforce Job Overview As a Senior Software Engineer in the DevOps team, you will build and support applications and infrastructure enabling teams to configure, deploy, operate, and monitor the mission-critical services powering offered by the PredictSpring Cloud platform that serves the worlds leading brands and retailers for their Modern POS Platform. You will work in a highly collaborative and dynamic environment. You will influence the strategy and direction of our infrastructure by helping...

Occupational Therapist (Remote) - Full-time About the Opportunity A high-growth provider in the Education & Pediatric Rehabilitation sector, we deliver remote occupational therapy services to schools and young learners across India. Using secure telehealth platforms and evidence-based practice, our clinicians empower students with sensory-motor challenges to thrive in academic and daily activities while collaborating closely with educators and caregivers. Role & Responsibilities Conduct comprehensive virtual assessments and craft individualized treatment plans for children aged 3-18, following national OT standards. Facilitate engaging therapy sessions via HIPAA-compliant video tools, target...

About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: This Manager / Senior Manager - Learning & Development (L&D) role at CoverSelf is a fantastic opportunity for a seasoned professional passionate about Medical Coding and US Healthcare Payment Integrity . Based in Jayanagar, Bangalore , youll be joining a rapidly growing HealthTe...