38 Payer Jobs - Page 2

Job Title - DGM - Payer Insurance Job Overview - The role of Deputy General Manager (DGM) in the Payer (Insurance) domain encompasses leadership, strategic oversight, and operational excellence. Key Responsibilities Quality Assurance - Ensure Program Quality objectives and SLAs are met. Ensure Program Quality measurements are reflective of Quality levels perceived by the client Value Creation - Deliver tangible value to the clients thru. Process Reengineering, Transformation projects leveraging Digital capability ( Automation, Analytics, etc.). Cross geo/cross tower projects. Drive client specific initiatives Efficiency Improvement - Reduce cost of operations, Reduce cost of quality, Improve...

Product Owner Abacus Insights is a mission-driven, growth-stage technology company focused on transforming the healthcare payor industry, ultimately creating a more personalized patient experience, improving health outcomes, and lowering the overall cost of healthcare. Abacus Insights provides a flexible, efficient, and secure platform that organizes and exchanges healthcare data from various sources and formats, allowing our customers to uncover differentiated insights that address their clients' needs. Our employees know that they play an active role in keeping our customers' data safe and are responsible for ensuring that our comprehensive policies and practices are met. With our deep exp...

Role & responsibilities 18+ years of experience in program management , service delivery, or transformation initiatives within the US healthcare Payer domain. Deep understanding of healthcare industry dynamics, including provider, payer, and regulatory environments. Expertise in project management frameworks (e.g., Agile, Waterfall) and tools (e.g., MS Project, JIRA). Support legacy system modernization efforts and migration to modern platforms. Loc : Chennai / Hyderabad

Role: Operating Leader Revenue Cycle Management Location: Gurgaon Role Overview: We are seeking an experienced and results-driven Operating Leader to oversee large-scale revenue cycle management (RCM) operations, managing end-to-end service delivery, client relationships, and P&L for accounts and annual revenue management. This is a strategic role within the Healthcare vertical and will directly report to the Global Head of Healthcare Operations based in India. The Operating Leader should possess a strong track record in operational excellence, strategic client engagement, team leadership, and financial performance management in the healthcare RCM domain. Will be responsible for providing le...

Job Title: AVP Capability Development Job Type: Full Time Function/Department: Capability Development Role Description: the AVP will oversee and lead the Quality Management function across operations, ensuring world-class quality standards are met, continuous improvement is fostered, and client expectations are consistently exceeded. The individual in this role will manage quality assurance (QA), quality control (QC), and process improvement initiatives, while guiding teams to enhance overall business performance and customer satisfaction. This position requires a strong blend of strategic vision, operational experience, leadership, and deep expertise in quality management principles. Roles ...

Role: Healthcare Payer Presales & Solutioning Lead Location: Gr. Noida/Mumbai Experience: 15+ years Mode: work from office Description: Responsible for driving presales & solutioning activities for the health insurance (payer) segment of the organizations healthcare & life sciences business unit. Strong experience in a domain consulting / solutioning role in the US health insurance (payer) domain with expertise in payer workflows, regulations, technology landscape, trends, etc. Experience in BPaaS offerings for payers, TPA, MCO, VBC, etc. would be preferred. 15+ years of overall industry experience, 10+ years in healthcare and payer segment. Proven business assessment and solutioning skills ...

Role & responsibilities BA - APLD Analyst Experience level: 3 to 5 years Mandatory: US APLD, SQL, Excel, PowerPoint Good to have: Python, PySpark, Any BI tool, EU work exposure Preferred candidate profile Perks and benefits

Senior Vice President of Engineering and Technology - Healthcare Payer Domain Key Responsibilities: Strategic Leadership: Lead the development and execution of technology-driven strategies for payer operations, focusing on automation, AI, and data analytics to optimize claims processing, member engagement, and cost containment. Stay updated on industry trends, regulatory changes (CMS, ACA), and emerging technologies to adapt payer strategies. Operational Excellence: Oversee technology platforms supporting payer operations, ensuring accurate claims processing and reimbursement. Drive automation and efficiency initiatives to reduce operational costs and improve service delivery. Technology & D...

We at EMIDS, are hiring for QA Lead role. Please find the details below and share your interest at aarati.pardhi@emids.com Exp: 9+ yrs Location : Bangalore / Hyderabad Job Summary: We are seeking a highly skilled QA Lead with strong domain expertise in U.S. healthcare insurance. The ideal candidate will have deep knowledge of Health Rules modules, hands-on experience in SQL and EDI testing, and proven ability to lead QA efforts in an Agile environment. This role requires cross-functional collaboration with business analysts, development teams, and stakeholders to ensure the quality and integrity of healthcare applications. Key Responsibilities: Lead QA efforts across multiple systems and coo...

Job description Hiring for leading MNC company Interview Mode: Face-to-Face Interview Location: Noida Exp Req: 1.6 to 4 Yrs Qualification: Any Graduate Key skills: AR Caller, AR Follow-up, RCM (Revenue Cycle management), Medical Billing, Denial Management, Account Receivable, Billing operations, Infusion billing, MS office, Excel Work mode: WFO 5 days working Weekends fixed off US Shift Both sides Cabs available Salary: up-to 3.5 to 5 LPA Interview Date: Noida: 22/8/2025 (Friday) Interested candidates call or WhatsApp this number: 8700871235 / 7303505295 Share your CV on this email: aman.touchconsultant@gmail.com.

Candidate should be currently working as a Manager / Assistant Manager on papers in US Healthcare for Claims adjudication process. Work Location - Chennai / Hyderabad Shift - US rotational shifts Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Manager Reejo @ 9886360719 for more details.

This opportunity is under the direct pay roll of US based MNC. Job Location: Pune, Mundhwa Mode of work: Hybrid (3 days work from office) Shift timings: 1pm to 10pm About the Company: The Global MNC is a mission-driven startup transforming the healthcare payer industry. Our secure, cloud-enabled platform empowers health insurers to unlock siloed data, improve patient outcomes, and reduce healthcare costs. Since our founding in 2017, we've raised over $81 million from top-tier VCs and built a thriving SaaS business. Join us in shaping the future of healthcare data. With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we have built an innovative data ...

Role & responsibilities Associate Managers in this role get to: Impact the Bottom Line: Drive the performance of a team of Consultants, meeting and exceeding all KPI targets. Strengthen Relationships: Manage attrition, shrinkage, and other critical metrics of the team. Influence the Lives of Others: Coach and mentor Consultants, providing feedback and performance management. Keep Management Updated: Inform leadership on the latest trends of end-user customers and provide feedback to Ops Managers. Define Sutherland's Reputation: Drive organizational initiatives within the team from time to time. Preferred candidate profile Our most successful candidates will have: - Be able to work in MS Offi...