6 Member Enrollment Jobs

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4.0 - 8.0 years

0 Lacs

karnataka

On-site

As a Sr. Blaze Developer based in Bangalore & Hyderabad, your role involves engaging in application design, development, testing, release, and support. You are expected to produce fully functional application code based on industry best practices. Additionally, you will gather specific requirements, ask questions, and suggest solutions, troubleshoot, and debug to optimize performance. Furthermore, you will liaise with the Product development team to plan new features in an agile model. Key Responsibilities: - Engage in application design, development, testing, release, and support - Produce fully functional application code following industry best practices - Gather specific requirements, as...

Posted 2 weeks ago

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11.0 - 20.0 years

20 - 35 Lacs

pune, chennai, bengaluru

Work from Office

Urgent Hiring for- Role - QA Lead / Architect Location : Chennai , Bangalore, Hyderabad, Pune Mandate Skills : Functional Testing, Automation Testing , End to End US healthcare (Member Enrolment, Claims, Prior Authorization, Encounters and Care Management) Note- Strong experience in EDI with 8 years of experience in healthcare domain. Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multiple healthcare domains (Member, Enrolment, Claims, Prior Auth, Encounters, Care Management). Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies. Conduct functional, Automa...

Posted 1 month ago

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10.0 - 15.0 years

25 - 30 Lacs

Hyderabad, Chennai, Bengaluru

Hybrid

Location: Chennai, Bangalore, Hyderabad, Pune & Baroda Work Mode : Hybrid Exp : 10+ Yrs Looking for Immediate to 15 Days joiners only, since we are planning to kick start this project by Aug 1st week. We are seeking a detail-oriented and proactive End-to-End Test lead, preferably 12+ years with strong expertise across Member Enrollment, Claims, Prior Authorization, Encounters and Care Management domains in the US healthcare ecosystem. The ideal candidate is an independent thinker , able to design and execute test strategies, ensuring comprehensive coverage and quality in complex healthcare systems. Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multip...

Posted 3 months ago

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5.0 - 10.0 years

3 - 8 Lacs

Bengaluru

Work from Office

Location: Bangalore (Work from Office) Grade: G Designation: Team Executive Shift: Night shift Number of Positions: 1 About the Role: We are seeking a dynamic and experienced Team Lead with a strong background in US Healthcare , specifically in Member Enrollment . The ideal candidate will have proven experience in managing teams, excellent communication skills, and a deep understanding of the healthcare domain. This is a Team Lead role and requires hands-on leadership experience in enrollment processes. Key Responsibilities: Lead and manage a team responsible for US healthcare member enrollment activities. Ensure compliance with CMS guidelines and support processes related to Medicare (prefe...

Posted 4 months ago

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2.0 - 7.0 years

1 - 6 Lacs

Chennai, Coimbatore

Work from Office

Hiring for Enrollment ( Us Healthcare ) Process : Non voice Location - Coimbatore / Chennai Timings - US Night shift ( 5:30pm to 3:30 am ) Mode - Work From Home Notice Period - Immediate to 15 Days SPE - Upto 5 Lpa SME - Upto 6.4 Lpa SPE 2+yr exp in Enrollment ( Us Healthcare ) SME 4+yr exp in Enrollment ( Us Healthcare ) Interested Candidates contact HR Dinesh@ 9353611283 dinesh@careerguideline.com

Posted 4 months ago

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5.0 - 8.0 years

4 - 6 Lacs

Coimbatore

Work from Office

Job Title: Team Leader-Provider configuration- Coimbatore & Claims Adjudication (US Healthcare) Experience: 5-8 years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary: Team Leader - Provider configuration- Coimbatore and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction. Key Responsibilities: Team Management & Leadership: Lead, mentor, and manage a...

Posted 5 months ago

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