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1.0 - 3.0 years

1 - 5 Lacs

thane, navi mumbai

Work from Office

Access Healthcare is hiring for Bpo international Voice experinced for US Healthcare Industry ( Payer Side ) Please apply or refer your friends or acquaintances for the AR international voice process Excellent English Communication Skills Required; Candidates must speak English without any grammatical errors. Must be ready to work in Night shift Experience Any freshers or Candidates with 1 to 3 years experience inbound calling domain are eligible CTC Will be finalized based on experience and interview scores) Free Transportation - Both pick up and drop will be provided in night shift no Transportation in day shift Work Location Navi Mumbai airoli No WFH, Must be ready to report office from day 1 Interview Process f2f Inbound calling Experienced is mandatory For any other queries kindly reach out & drop Your Resume On whatsapp Contact- 8251912169 Thanks and Regards ,Varsha Tiwari (HR) Whatsapp & call :- 8251912169 Email id :- varsha.tiwari@accesshealthcare.com

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8.0 - 13.0 years

20 - 35 Lacs

chennai

Remote

Role & responsibilities We are seeking a passionate, results-oriented Project management/Product owner/Lead Business Analyst in the healthcare payer domain with Multi-employer/Benefit Administration of self-funded client experience . The ideal candidate will excel in client interactions, and can collaborate effectively with stakeholders to analyze, define and manage requirements for client or product. He / She will have worked in-depth in healthcare payer domain in Health Plan Administration (Benefits & Claims Administration, Vendor integration, Portals) or Multi-employer/Benefit Administration space. Project experience involving data conversation, data migration, data governance and framework is a plus. This person must possess a blend of business and technical savvy; strong communication skills to collaborate across internal and external stakeholders. Preferred candidate profile Work with business and solution delivery owners to define and document requirements for the assigned products and services, as well as write user stories, acceptance criteria, feature description decks, process flows, manage traceability and UAT. Maintain a solid knowledge base of the functional and system capabilities of the various areas and products within the assigned product portfolio. Use applicable requirement methodology to analyze, define and document requirements and manage traceability. Work with stakeholders and product teams to drive consensus on scope, design and implementation decisions. Provide analysis and impact to user and business for changes to current functionalities and apply problem solving skills to meet business needs. Develop and integrate requirement management to the delivery approach and schedule; also be responsible for product quality, project timeliness, and customer satisfaction.

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1.0 - 4.0 years

4 - 7 Lacs

chennai, coimbatore, bengaluru

Work from Office

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing/Ambulance Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees to 30 days Notice Required Candidate profile looking for AR caller/Sr AR Caller/Ambulance Billing.Experience in to Hospital Billing/Physician Billing/Ambulance Billing.Who have experience in CMS1500 or UB04.Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

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6.0 - 10.0 years

15 - 30 Lacs

mumbai, pune, chennai

Hybrid

Role: Healthcare Business Analyst Work Mode: Hybrid Exp: 5 to 10 years Shift: 5 PM to 2 AM IST (Starlight work shift) Role & responsibilities Responsible for detailed assessment which includes data mapping/file loads and analysis of source data needed for the solution. Responsible for creation of Business Requirement Document which may include data mapping and Business Process flow diagrams. Coordinate with Business stakeholders for requirements gathering, clarifications and query resolution. Ability to work on Discovery phase of a project and create Assessment and Recommendation document Work closely with client business stakeholders to understand and finalize functional and non-functional requirements for solution implementation. Preferred candidate profile Senior Business Analyst with 5-7 years of experience. Candidate should have knowledge and experience in claims processing, enrollment, healthcare finance, plan products, premium billing, accumulators and other Health plan workflows. Work in Starlight work shift (Time- 5 PM to 2 AM IST) Good to have: Candidate with knowledge on HealthRules Payer and its associated Health Plan workflows (added advantage).

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6.0 - 10.0 years

15 - 30 Lacs

mumbai, pune, chennai

Hybrid

Role: Healthcare Business Analyst Work Mode: Hybrid Exp: 5 to 10 years Role & responsibilities Responsible for detailed assessment which includes data mapping/file loads and analysis of source data needed for the solution. Responsible for creation of Business Requirement Document which may include data mapping and Business Process flow diagrams. Coordinate with Business stakeholders for requirements gathering, clarifications and query resolution. Ability to work on Discovery phase of a project and create Assessment and Recommendation document Work closely with client business stakeholders to understand and finalize functional and non-functional requirements for solution implementation. Preferred candidate profile Senior Business Analyst with 5-7 years of experience. Candidate should have knowledge and experience in claims processing, enrollment, healthcare finance, plan products, premium billing, accumulators and other Health plan workflows. Good to have: Candidate with knowledge on HealthRules Payer and its associated Health Plan workflows (added advantage).

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10.0 - 15.0 years

25 - 40 Lacs

mumbai, pune, chennai

Hybrid

Role: Presales/Customer Succes Work Mode: Hybrid Exp: 10 to 15 years Desired Skillset: Presales, RFP, Proposals, US Healthcare Key Skill /Skill Specialization: 10-14 years experience in any one or more sub-sectors of Healthcare such as Payers i.e. Health Insurance preferably in the US market as Healthcare Consultant. Navigate complexities and ambiguities with client ask or industry trend to clearly document & present CitiusTech solution & perspective Ability to understand the client Problem statement and strong analytical skills for identifying the possible solution Ability to build professional relationships, a spirit of co-operation, and a flexible approach to work are required Self-motivated and strong team player Ability to work in a fast paced, entrepreneurial environment Experience in defining themes, epics, stories for requirements, experience of working in Agile Scrum Good understanding of SDLC process and experience working with development teams to ensure successful delivery of solutions Prior technology background & experience in Healthcare domain Strong verbal and written communication skills Role & responsibilities: Candidate will be part of CitiusTech Consulting team, responsible for working with clients in delivering consulting services, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with customer delivery and field teams and educating on roadmaps and delivery. Single handedly drive & own the sales support process in coordination with Sales / Account Management leads, Delivery leads, Architects Provide consulting and domain thought leadership to customers, company and teams Travel: Expected travel: Short term to US to meet customers and internal planning and discussions , as and when required (Post Covid) Travel within India as required for project work or internal meetings

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2.0 - 4.0 years

12 - 14 Lacs

navi mumbai

Work from Office

Job Description: Education Graduation Experience required – 2 years of Manager or we can also look for DM or AM with high experience Should be from Payer background Should be from US Healthcare background Team handled should be 75 Relocation is OK Good experience in team management & people management US Shifts

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1.0 - 4.0 years

4 - 7 Lacs

chennai, coimbatore, bengaluru

Work from Office

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

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16.0 - 25.0 years

25 - 40 Lacs

mumbai

Work from Office

Role & responsibilities Lead and manage large RCM delivery teams, including managers and team leads across multiple functions (billing, coding, AR, etc.). Ensure smooth execution of processes across the revenue cycle to achieve operational KPIs (cash collections, DSO, AR aging, denial rate, etc.). Drive continuous process improvements through automation, standardization, and lean methodologies. Partner with clients, internal stakeholders, and cross-functional teams to ensure high-quality service delivery and SLA adherence. Analyze performance reports and implement strategies to improve financial outcomes and operational efficiency. Oversee recruitment, training, and development of RCM staff to support team and business growth. Ensure adherence to HIPAA and healthcare compliance requirements. Lead transition and onboarding of new RCM clients/projects. Act as a strategic advisor to senior leadership on operational risks, metrics, and business development opportunities. Preferred candidate profile Bachelor's degree in Healthcare Administration, Business, or a related field (Masters preferred). 15-20 years of progressive experience in RCM operations, including 5+ years in a senior leadership role. Deep understanding of the US healthcare RCM cycle: coding, billing, collections, and compliance. Strong analytical and problem-solving skills with experience in revenue analysis and performance management. Proficiency in RCM platforms (e.g., Epic, Athena, Cerner, eClinicalWorks) and MS Office tools. Excellent communication, stakeholder management, and team leadership skills.

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1.0 - 4.0 years

4 - 6 Lacs

Chennai, Bengaluru, Mumbai (All Areas)

Work from Office

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits NIght Shift Allowance+ CAB pick up and Drop

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1.0 - 4.0 years

3 - 6 Lacs

Mysuru, Chennai, Bengaluru

Work from Office

wonderful job opportunity for AR Callers to move to AR Analyst. Should have experience in denial Management/Pre Authorisation.AR Voice Process looking for AR Analyst.AR Voice to Non Voice/Semi Voice AR Operations day shift.Preferably Immediate Joinee Required Candidate profile Should have experience in denial Management/Physician Billing.AR Voice Process looking for AR Analyst. AR Voice to Non Voice/Semi Voice AR Operations day shift. Preferably Immediate Joinees. Perks and benefits plus performance incentives

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5.0 - 10.0 years

6 - 7 Lacs

Hyderabad, Pune, Chennai

Work from Office

Candidate should have experience working as a Team Leader OR Quality analyst for US healthcare process. Shift - US rotational shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

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3.0 - 8.0 years

0 - 1 Lacs

Visakhapatnam

Remote

Job Title : Consultant Medical Coder (Contractual for 1 months- full time-Remote) Job Overview : Review patient visit summary documents and identify the best Payer Side, ICD10, CPT code(s) for the diagnosis and/or treatment. May involve selecting from existing codes, providing/writing codes, and ranking code. Company overview: iMerit is a well-funded, rapidly expanding global leader in data services for Artificial Intelligence in Healthcare. iMerits dedicated Medical Division works with the world’s largest pharmaceutical companies, medical device manufacturers, and hospital networks to supply the data that powers advances in Machine Learning. At iMerit, we have successfully delivered data services to power cutting-edge technologies such as digital radiology, digital pathology, clinical decision support, and autonomous robotic surgery. In 2022, iMerit was awarded the prestigious Great Place to Work certification for the second year in a row. The certification is recognized by employees and employers around the globe as the ‘Gold Standard’ for workplace excellence. This recognition reiterates the company’s commitment to creating an inclusive work culture where employees can grow as technology professionals and achieve their goals. In iMerit gender equality is not a business metaphor but being put in practice in its true sense. Our Women in Tech, making up over 50% of the company, are thriving and contributing to the development of cutting-edge AI technologies in different industries. If you are an aspiring learner, looking to make a career in a fast-growing technology company, join iMerit’s rapidly expanding team and become part of an award-winning organization that is shaping the future of data enrichment, annotation and labeling in Artificial Intelligence, Machine Learning. For more information, visit: www.imerit.net Job Role : Review patient visit summary documents and identify the best Payer Side,CPT,ICD10 code(s) for the diagnosis and/or treatment, Settlement. May involve selecting from existing codes, providing/writing codes, and ranking codes. To ensure maximum consistency in annotating. Ensure formatting in reports are maintained according to Research guidelines. Adapt seamlessly to changes in the training process. Skills we are looking for : Minimum 2-10 years of experience in Payer Side, CPT, ICD-10 CM coding. Must have CPC/ CCA/ CCS/ AAPC/ CCP-AS/ CMBS/ RHIT Certification. Experience in ICD-10-CM, CPT coding experience will be an advantage. Experience in multiple specialty documentation. Knowledge of medical terminology, AHDI guidelines and procedures. Ability to operate designated word processing, dictation, and transcription equipment, and other equipment as specified. Ability to access appropriate reference materials. Excellent listening skills and ability to understand diverse accents and dialects and varying dictation styles. Ability to work under pressure with time constraints. Ability to use excellent English grammar and spelling. Ability to speak, read and write the English language fluently. Qualification: Any Graduates or post graduates Experience: Minimum 2-10 Years Mode of work : Fulltime (MON-FRI) Project Duration : 1 Months Shift Timing : 2pm-10pm Salary : Competitive Location : Remote

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5.0 - 10.0 years

6 - 7 Lacs

Hyderabad, Pune, Chennai

Work from Office

Candidate should have experience working as a Process Trainer in Claims adjudication process for US Healthcare Shift - US rotational shifts Work Location - Hyderabad Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

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3.0 - 6.0 years

6 - 9 Lacs

Nagpur

Work from Office

operations of the healthcare claims processing team (Mediclaim, RCM, and denial management) Ensure claims, including verification, validation, coding .Monitor & manage denials, rejections, and appeals in accordance with Payer & Provider guidelines. Required Candidate profile knowledge of healthcare claims, RCM workflows, & denial management. Should have Team Management , Client Management. Analyze RCM data to identify trends, gaps, & opportunities for process improvement

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1.0 - 4.0 years

4 - 6 Lacs

Chennai, Coimbatore, Bengaluru

Work from Office

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits Incentives + CAB pick up and Drop

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1.0 - 3.0 years

2 - 3 Lacs

Hyderabad

Work from Office

Greetings from Firstsource Solution!!! We have an exciting opportunity for experienced candidates for with good communication skills for claims adjudication process. Walk-in Time : 11:30 AM to 2:00 PM Mode of Interview: 1. F2F HR round 2. Assessments 3. Live chat 4. Operations manager round. Eligibility Criteria: Minimum 6 months experience is required in Claims/ Insurance or healthcare. Processing and data entry for routine types of physician and contract linkage transactions such as: Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.) Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed Use desk-top macros whenever possible to ensure data loading accuracy and efficiency Send large requests capable of being automated as defined by management to the AST Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by: Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible Respond to customers in a polite and professional manner Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction. Interested candidates must directly walk-in to Firstsource office for the interview process. Please carry updated resume and Govt. photo ID proof Point of contact: N ithra-HR [Write on top of your resume] Contact no: 9502212950 Venue Details: Firstsource Solutions Limited 5th Floor, BSR Tech Park, Near Wipro Circle, Nanakramguda Financial District. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

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1.0 - 3.0 years

1 - 4 Lacs

Thane, Navi Mumbai

Work from Office

Access Healthcare is hiring for AR Experience for US Healthcare Industry ( Payer Side ) Please apply or refer your friends or acquaintances for the AR international voice process Excellent English Communication Skills Required; Candidates must speak English without any grammatical errors. Must be ready to work in Night shift Experience Any freshers or Candidates with 1 to 3 years experience in AR domain are eligible CTC Will be finalized based on experience and interview scores) Free Transportation - Both pick up and drop will be provided in night shift no Transportation in day shift Work Location Navi Mumbai airoli No WFH, Must be ready to report office from day 1 Interview Process f2f For any other queries kindly reach out & drop Your Resume On whatsapp Contact- 8251912169 Thanks and Regards ,Varsha Tiwari (HR) Whatsapp & call :- 8251912169 Email id :- varsha.tiwari@accesshealthcare.com

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1.0 - 4.0 years

4 - 6 Lacs

Chennai, Bengaluru, Mumbai (All Areas)

Work from Office

we have a wonderful job opportunity for AR Callers/SME. Should have experience in Hospital Billing/Physician Billing.AR Voice Process looking for AR caller/Sr AR Caller/SME - only Immediate joinees like proper relieved or without Required doc. Required Candidate profile looking for AR caller/Sr AR Caller/SME. Experience in to Hospital Billing/Physician Billing. Who have experience in CMS1500 or UB04.Pick up and drop is there and Incentive based upon your performance. Perks and benefits Incentives + CAB pick up and Drop

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10.0 - 17.0 years

25 - 40 Lacs

Noida

Remote

Candidate should have 8+ years of relevant experience in Project Management US Healthcare ,US Hospital ,EMR , EHR,HIS experience is must Interested candidates ,please share resume : ankita.shrivastava@elevancesysyems.com

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15.0 - 24.0 years

27 - 42 Lacs

Mumbai, Hyderabad

Work from Office

Role & responsibilities 15-18 years of experience with a minimum of 15 years in Healthcare RCM. Proven success in managing 200+ FTEs. Strong understanding of RCM functions like AR, Billing, Payment Posting, EV/BV. Demonstrated ability in P&L management, client satisfaction, and team development. Experience with at least one billing platform (e.g., Epic, eCW, Athena, NextGen). Preferred candidate profile Functional Competencies: AR: Knowledge on AR strategies, Payer guidelines, AR platforms, global issues, exposure to & understanding of AR complexities, denials & revenue stream, front end working environment would be preferred Billing: Knowledge on billing nuances, payer rules & guidelines, edits & rejections, billing platforms, exposure to & understanding of Coding would be preferred Payment Posting: Knowledge on payment / posting nuances, pay sources, enrollments, know-how of payer contractual, refunds & credits would be preferred Knowledge of either AR, PP, Billing, EV/BV would be preferred (Mandate for Internal Growth) Knowledge of federal and the top 5 commercial payers Basic Knowledge of Medical Codes would be preferred Good Feedback and Coaching Skills P&L Management Delegation Dealing with Ambiguity

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8.0 - 13.0 years

20 - 35 Lacs

Pune

Work from Office

About the Role : The Director of Engineering at Abacus is a key leadership role across US, India and Nepal, responsible for shaping the technical direction of the organization, ensuring the efficient operation of engineering teams, and driving the development of cutting-edge products and solutions. This role requires a combination of technical expertise, leadership skills, and strategic vision to support the company's growth and success. Specific Duties include the following: Manage a group of Data Engineers in US, India and Nepal and provide technical guidance, mentorship and performance management Collaborate with engineering managers, tech leads, cross-functional teams and stakeholders across US, India and Nepal to ensure engineering alignment and architectural principals Stay current with industry trends, emerging technologies, and best practices in data engineering and software development A broad technical understanding of cloud platforms (AWS, Azure, GCP) and data processing platforms/tools (Databricks, Snowflake, Airbyte, DBT) Understanding the ecosystem and data lifecycle of data ingestion, transformation, MDM, data decoration and distribution Foster a culture of collaboration, accountability, innovation and continuous learning Drive innovation and identify opportunities to improve engineering processes Collaborate closely with product management and other cross-functional teams to define technical requirements and project priorities Oversee the planning, execution and delivery of engineering projects, ensuring the timely and quality completion of the projects Monitor and communicate project progress, identify risks and implement mitigation strategies What Were Looking For : Bachelor's degree, preferably in Computer Science/Engineering Demonstrated track record of successfully managing and scaling engineering teams Prior experience managing global teams across different time zones 7+ years of experience managing software teams 3+ years of data engineering Go-getter with a self-starter mindset Strong project management skills Excellent oral and written communication skills Strong analytical, problem solving, organization and prioritization skills Be able to work in US Eastern hours 3 days a week, flexible to what the business needs at a given time Be able to travel to US at least 3 times a year Be able to travel to India and Nepal campus at least once per quarter Equal Opportunity Employer As a mission-led technology company that is helping to drive better healthcare outcomes, Abacus Insights believes that the best innovation and value we can bring to our customers comes from diverse ideas, thoughts, experiences, and perspectives. We are dedicated to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment of any type in regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Role & responsibilities Preferred candidate profile

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14.0 - 23.0 years

32 - 47 Lacs

Hyderabad, Chennai

Work from Office

Company Profile A RP Sanjiv Goenka Group company. Firstsource is a leading provider of customized Business Process Management (BPM) services. We are trusted custodians and long-term partners to 100+ leading brands with a presence in the US, the UK, India, and Philippines. Our rightshore delivery model offers solutions covering the complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services and Insurance Verticals. Our clientele includes Fortune 500 & FTSE 100 companies Job Summary: We are seeking a strategic and results-driven transformation leader to drive operational excellence across the Provider Revenue Cycle Management (RCM) ecosystem. The Associate Director / Director will lead complex process improvement initiatives, shape transformation strategy, and drive enterprise-wide value creation through a combination of Lean Six Sigma, analytics, and digital enablement. This role requires cross-functional collaboration, strong leadership presence, and the ability to influence senior stakeholders to deliver sustainable improvements in efficiency, cost, compliance, and customer experience. Key Responsibilities: Strategic Process Analysis: Lead diagnostics across end-to-end RCM processes including front-end (patient access), mid-cycle (coding, billing), and back-end (collections, denials). Use deep domain expertise to assess structural inefficiencies, policy-level gaps, and tech adoption maturity. Prioritize transformation levers based on business value, client pain points, and operational feasibility. Enterprise Process Transformation: Drive portfolio-level transformation programs with clearly defined KPIs (e.g., net collections %, denial resolution TAT, AR aging). Obtain sponsor sign off on key strategic initiatives such as predictive denials, automation at scale, or AI-powered quality checks. Co-create transformation roadmaps with leadership, aligning with client goals and compliance mandates like HIPAA, CMS guidelines, etc. Lean Six Sigma Leadership: Mentor and lead Green Belt and Black Belt projects across global delivery teams. Institutionalize a culture of continuous improvement using DMAIC, Kaizen, and value stream mapping. Ensure all improvement efforts tie directly to measurable outcomes in efficiency, cost reduction, quality, or compliance. Advanced Project Management: Lead transformation governance, define success criteria, and ensure delivery through PMO standards. Engage in regular executive reviews, risk mitigation, stakeholder alignment, and benefit realization tracking. Manage multi-region initiatives across diverse provider clients, tech teams, and operational leads. Best-in-Class Documentation: Develop playbooks, SOPs, and transformation blueprints for internal standardization and external client rollouts. Drive documentation of lessons learned, post-implementation reviews, and case studies. Data-Driven Insights & Change Adoption : Use BI tools, Excel modeling, and trend analysis to monitor project performance and surface improvement areas. Drive adoption of data visualization tools and KPI dashboards at the ops and leadership levels. Leverage TMS, root cause analytics, and ML-based insights to drive strategic decision-making. Culture of Continuous Improvement: Drive operational maturity by embedding a proactive mindset of innovation and waste elimination across teams. Establish transformation councils and forums to surface grassroots ideas and amplify bottom-up innovation. Compliance, Risk & Quality Governance: Lead risk assessments and mitigation plans for operational or tech-driven change initiatives. Ensure every transformation effort complies with PHI handling, HIPAA, CMS, and provider contract terms. Partner with Quality & Compliance to embed controls early in process redesign. Senior Stakeholder & Client Management: Serve as strategic advisor to BU heads, CXOs, and client executives. Communicate transformation plans and impact narratives with clarity and executive presence. Build consensus and drive engagement across leadership layers (onshore & offshore) to enable successful implementation and adoption. Qualifications: Bachelors degree in science (Preferably in Biology, Microbiology, Biotechnology, Pharma) or a related field. 15-20 years of experience in Revenue Cycle Management for providers, with a strong focus on process improvement. 10-15 years of experience in process improvement, project management, or a related role. Certifications Black Belt (mandatory). Competencies: Strategic Influence: Ability to align transformation with business strategy and client vision. Executive Communication: Skilled in presenting to CXO audiences and simplifying complex initiatives. Operational Leadership: Proven track record of driving change in matrixed environments with measurable impact. Innovation Leadership: Ability to drive and manage digital-first process improvement strategies (AI, RPA, ML). Skills: Advanced Process Improvement: Expertise in Lean, Six Sigma (Green Belt/Black Belt preferred), Kaizen, Value Stream Mapping, and root cause analysis (RCA) techniques for systemic improvements. Project & Change Management: Strong command over project management tools and methodologies (e.g., Agile, PMI, JIRA, Smartsheet). Capable of driving change management through stakeholder alignment, training, and adoption tracking. Data Analytics & Decision Support: Proficient in Excel, Power BI, Tableau, and SQL for analysis, reporting, and dashboarding. Experience using statistical tools like Minitab or R for deeper analytics. Ability to use data to build ROI models, process performance trackers, and improvement hypotheses. Digital Enablement Experience: Familiarity with automation tools (e.g., UIPath, Automation Anywhere), AI/ML-powered insights, and digital quality assurance systems (e.g., conversational analytics, NLP for call audits). Operational Knowledge of RCM : Deep understanding of U.S. provider RCM processes including Patient Access, Coding, Billing, Payment Posting, AR, Denials, and Compliance. Process Documentation & SOP Creation: Skilled in documenting AS-IS/TO-BE workflows using MS Visio, Lucidchart, or similar tools. Excellent Communication & Stakeholder Engagement: Strong executive presence with the ability to present transformation outcomes to CXOs and client leadership. Multi-Project Leadership: Experience in leading and overseeing multiple concurrent transformation projects across regions, balancing timelines, scope, and resources effectively. Compliance & Risk Awareness: Knowledge of HIPAA, PHI handling standards, and payer-provider contract obligations in process reengineering. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.

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6.0 - 10.0 years

5 - 7 Lacs

Hyderabad

Work from Office

Role & responsibilities We are seeking a dynamic and experienced Sr Team Manager to join our team in Hyderabad, India. As a Sr Team Manager, you will play a crucial role in overseeing, coaching, and developing our Customer Care team to deliver exceptional service and support to our customers and partners. Lead and manage a team of 50-60 Customer Care associates, ensuring high-quality service delivery and issue resolution Analyze large data sets and provide inputs to tackle any potential challenges proactively Monitor and optimize email/call volume, backlogs, and team performance metrics to maintain and improve service quality Coach and develop Team Managers to enhance their leadership skills and team management capabilities Collaborate closely with the Training department to implement effective training programs and initiatives Oversee agent goal-setting practices and conduct regular performance evaluations Handle escalated customer issues and provide expert-level problem resolution Develop and implement strategies to improve team efficiency, productivity, and customer satisfaction Analyze key performance indicators (KPIs) and create action plans to address areas needing improvement Foster a positive and collaborative work environment that promotes team growth and success Preferred candidate profile Bachelor's or Associate's degree preferred Proven experience managing a large team (50+ members) in a customer service environment SQL and Advanced Excel knowledge preferred Develop, optimize, and maintain complex Excel models, Macros, and VBA scripts to automate data processing and reporting. Analyze large datasets, identify trends, and provide actionable insights to drive business efficiency. Create visually compelling and data-driven presentations for leadership and stakeholders. Work with cross-functional teams to gather data requirements and translate them into automated solutions. Perform data validation, cleaning, and structuring for accurate reporting. Generate dashboards, reports, and trackers using Excel, PowerPoint, and other visualization tools. Identify opportunities for process improvements and automation within business workflows. Proficiency in Microsoft PowerPOint Strong leadership skills with the ability to motivate and inspire team members Excellent time management and organizational skills Proficiency in analyzing and interpreting performance metrics and KPIs Outstanding communication and interpersonal skills Demonstrated problem-solving abilities and strategic thinking Experience in performance management and employee development Ability to thrive in a fast-paced, dynamic environment Proficiency in customer service software and tools Strong decision-making skills and the ability to handle high-pressure situations Commitment to fostering a collaborative and supportive team culture

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5.0 - 10.0 years

6 - 7 Lacs

Hyderabad, Pune, Chennai

Work from Office

Candidate should have experience working as a Process Training in Claims adjudication process for US Healthcare Shift - US rotational shifts Work Location - Chennai / Bangalore Required Candidate profile Immediate Joiners OR Max 1 month notice period candidates can apply Call HR Swapna @ 7411718707 for more details.

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