Job description We are looking for candidates with 0 to 6 month of experience in voice-based customer service or call center roles, especially with exposure to US clients. If you have excellent verbal and written communication skills in English, strong problem-solving abilities, and a customer-centric approach, we want to hear from you! Requirements: - 0 to 6 month years of experience in voice-based customer service or call center roles. - Excellent verbal and written communication skills in English. - Strong problem-solving abilities and a customer-centric approach. - Ability to handle customer queries with professionalism and patience. - Willingness to learn and adapt in a dynamic work environment. Apply Now! Send your CV to swastikam@mdinetworx.com

Position Overview: MDI NetworX is seeking a Deputy Manager / Manager Payer Operations to oversee end-to-end healthcare payer processes, drive operational excellence, and ensure compliance with US healthcare standards. This leadership role requires expertise in process optimization, stakeholder management, and team development Key Responsibilities: Lead and manage payer operations, ensuring efficiency and quality in service delivery. Develop and implement strategies to optimize claims processing, enrollment, and provider data management. Drive team performance, coaching, and professional development initiatives. Conduct salary negotiations and oversee talent acquisition for the department. Ensure compliance with HIPAA, ACA, and other payer regulations. Manage escalations, resolve critical process issues, and implement continuous improvement initiatives. Collaborate with senior leadership, clients, and cross-functional teams to enhance operational effectiveness. Monitor key performance indicators (KPIs) and generate actionable reports. Required Skills & Qualifications: Bachelors degree or equivalent experience. 8-12 years of experience in US healthcare payer operations. Strong expertise in claims adjudication, enrollment, and provider data management. Proven experience in leadership, stakeholder management, and process optimization. Proficiency in MS Office, healthcare payer systems, and data analytics. Excellent strategic thinking, communication, and problem-solving skills. Preferred Qualifications: Experience with Medicare, Medicaid, and commercial payer processes. Knowledge of EDI transactions (837, 835, 834). Prior experience in a BPO or shared services environment

Key Responsibilities Handle inbound voice calls in Spanish , addressing customer queries and concerns with accuracy and professionalism. Provide prompt resolutions and deliver exceptional service experiences. Record all call interactions and customer details accurately in CRM systems. Meet established performance benchmarks for call quality , resolution time , and customer satisfaction . Escalate unresolved or complex cases to appropriate departments. Maintain a positive and empathetic approach while handling customer concerns. Qualifications & Requirements Minimum 1 year of experience in a Spanish voice-based customer service role. Excellent spoken and written fluency in Spanish and English . Previous experience in US shift or international voice process is essential. Proficiency in using CRM tools like Salesforce, Zendesk, etc. Willingness to work night shifts (US time zone) from our Viman Nagar office . Strong problem-solving, listening, and communication skills.

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 healthcare solutions. Key Responsibilities: Collaborate with stakeholders to gather, analyze, and document business requirements. Translate business needs into functional specifications for technical teams. Analyze healthcare claims, eligibility, and enrollment data to identify patterns and opportunities. Support project delivery by coordinating with development QA and configuration teams. Participate in client meetings, requirement walkthroughs, and status updates. Develop and maintain process documentation, user stories, workflow diagrams etc. Assist in UAT planning, execution, and issue tracking. Continuously monitor industry trends and regulatory changes in US healthcare. Mandatory Requirements: 3+ years of experience as a Business Analyst, with a strong understanding of US healthcare processes . Hands-on experience working with claims, eligibility, EDI 837/835/270/271 or other healthcare-related data sets. Experience in requirement elicitation , documentation , and business process mapping . Proven ability to work independently and in a team environment. Willingness to work from the Pune office on a full-time basis. Required Skills: Strong analytical and problem-solving skills. Proficiency in tools such as MS Excel, Visio , MS Word or similar. Excellent written and verbal communication skills. Attention to detail with strong organizational skills. Understanding of Agile/Scrum methodologies . Preferred Qualifications: Bachelor's degree in Computer science, IT, Healthcare Management, Information Systems, or a related field. Experience with HIPAA regulations , healthcare compliance, or payer-provider workflows. Exposure to reporting tools is a plus. Certification in Business Analysis (e.g., CBAP, CCBA) or Healthcare IT (e.g., CPHIMS) is a plus.

Role & responsibilities Develop and implement software solutions for the US healthcare domain, focusing on payer side EDI workflows. Collaborate with developers, QA engineers, project managers, and stakeholders to ensure project success. Work on end-to-end development using .NET Core, RESTful & SOAP APIs, microservices, and cloud technologies (AWS, Azure). Design, optimize, and maintain SQL and Oracle database architectures for performance and scalability. Set up and maintain CI/CD pipelines using Azure DevOps for automated builds, tests, and deployments. Use Power BI for data visualization and analytics as needed. Stay updated on software development trends and healthcare industry regulations. Preferred candidate profile Bachelors degree in Computer Science, Engineering, or a related field. 6+ years of experience in software development, with a strong background in Microsoft technologies (.NET Core, full-stack development). Proficiency in RESTful & SOAP APIs, microservices architecture, and cloud platforms (AWS, Azure). Experience in SQL and Oracle database design and optimization. Familiarity with Azure DevOps, CI/CD pipeline configuration, and agile methodologies. Understanding of US healthcare systems and payer side EDI workflows. Experience with Power BI for data visualization and analytics. Working knowledge of Angular for frontend development. Strong communication and teamwork skills. Proven experience in delivering complex software projects. Certifications in relevant technologies like AWS or Azure. Knowledge of domain-driven design and event-driven architecture. Familiarity with compliance standards such as HIPAA and HITRUST.