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5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensuring data accuracy. Additionally, you will be responsible for creating and presenting educational material to Expert Claim Review Teams and other departments based on dispute findings. Your role will also involve research and analysis of content for bill review, utilizing strong coding and industry knowledge to maintain bill review content. Furthermore, you will be required to stay updated on regulatory changes and compliance enhancements by conducting research from multiple sources. Your support for client-facing teams regarding inquiries related to provider disputes will be crucial. Effective communication and collaboration with various teams within the organization, including the CMO and members of Expert Claim Review Product and Operations teams, will be essential to address important issues and trends. To excel in this role, you should possess a minimum of 5 years of experience in reviewing and/or auditing ICD-10 CM, MS-DRG, and APR-DRG claims. A solid understanding of audit techniques, revenue opportunities identification, and financial negotiation with providers is preferred. Knowledge of Health Insurance, Medicare guidelines, hospital coding and billing rules, and clinical skills for evaluating Medical Record Coding are necessary. In addition to technical skills, you should demonstrate strong analytical, communication, problem-solving, and project management abilities. An active Inpatient Coding Certification (e.g., CCS, CIC, RHIA, RHIT, CPC or equivalent) is required, along with a preference for a Bachelor's Degree in business, healthcare, or technology. Registered Nurse licensure is also preferred. At our organization, we are committed to fostering diversity, equity, inclusion, and belonging. We value the unique perspectives and backgrounds that each individual brings to the table. We encourage candidates from traditionally underrepresented communities to apply, including women, LGBTQIA people, people of color, and people with disabilities. We strive to make our application process accessible to all candidates and provide reasonable accommodations for qualified individuals with disabilities.,
Posted 1 day ago
5.0 - 9.0 years
0 Lacs
haryana
On-site
As the ideal candidate for the role, you will be responsible for defining and owning the Profit & Loss statement, long-term strategy, and product vision for cross-border money movement. Your key responsibilities will include conducting in-depth market, competitive, and regulatory research to identify opportunities, shaping differentiated offerings, and developing a multi-year product roadmap aligned with company objectives. You will be required to balance innovation, compliance, and speed-to-market while developing a clear Go-To-Market strategy encompassing pricing, distribution, and market positioning. It will be essential for you to influence and align senior leadership and cross-functional teams around business priorities. Additionally, you will drive the entire product lifecycle from ideation, research, and prototyping to launch, feedback, and scaling. Your role will involve translating complex regulatory and technical capabilities into simple, compelling value propositions that users can immediately understand. Collaboration with engineering and design teams will be crucial to deliver industry-first, scalable, and compliant solutions that set benchmarks in the remittance space. Validating solutions through data-backed hypotheses and rapid experimentation will also be a key part of your responsibilities. Furthermore, you will be tasked with building a robust partner ecosystem to facilitate faster, safer, and more convenient remittances, including innovative integrations like real-time settlements. Establishing strong working relationships with external stakeholders and managing complex, multi-party negotiations will be essential for success in this role. Designing bulletproof operational processes covering reconciliations, settlements, disputes, fraud prevention, and customer support workflows will be another critical aspect of your job. You will partner with finance and treasury teams to manage multi-currency flows, FX risk, and liquidity planning. Additionally, you will be responsible for implementing robust performance tracking, risk management, and continuous improvement mechanisms. As a talent magnet, you will be expected to lead the hiring efforts across product, partnerships, operations, and compliance functions. Building a high-performance culture rooted in ownership, precision, and speed will be essential. Mentoring and coaching team members to think strategically while executing flawlessly will also be a key part of your role. To be considered for this position, you should possess unmatched drive and a proven pedigree, with an educational background from IIT or a top-tier MBA program. You should have a minimum of 2 years of experience in strategy consulting (McKinsey, BCG, Bain) or leadership roles in high-growth startups, ideally in the fintech sector, with at least 5 years of overall experience. Demonstrated success in building and scaling businesses from zero to significant market presence will be highly valued. The successful candidate will be a strategic thinker with exceptional executional precision, thriving in ambiguity and comfortable making high-stakes decisions with incomplete data. Legendary attention to detail, the ability to dive deep into the complexities while maintaining a focus on the bigger picture, and the willingness to anticipate and proactively solve problems will be crucial for excelling in this role. You should be able to balance multiple complex priorities without compromising quality and remain calm and decisive in high-pressure situations. In conclusion, this role is not for someone looking to manage a small feature set but rather for an individual ready to build an entire business from the ground up. The autonomy and accountability that come with this position require someone who is driven, strategic, and capable of executing at warp speed.,
Posted 1 week ago
2.0 - 10.0 years
0 Lacs
haryana
On-site
As a Marketing Research Specialist, you will be responsible for creating collaborations with academic and research institutes to generate digital Intellectual Property Rights (IPR) for the company from sponsored research. Your role will involve exploring partnerships and projects with academia and research institutes to enhance company competitiveness and profitability. Additionally, you will be tasked with identifying technologies that can be converted into business models or applications. Your key responsibilities will include researching product information across different categories, facilitating project ideation for new content types through brainstorming sessions, conducting market and competitor analysis, and identifying real needs and opportunities for research proposals. You will also collaborate with external agency partners to conduct consumer research, present findings to management, and write various types of short-form content. Furthermore, you will report and escalate relevant issues to management, foster projects based on market demands, plan and implement consumer research studies, and create an ecosystem with various user groups. Clear communication and interpretation of actionable research and consumer insights across internal and external stakeholders will be essential, along with driving insights from data and connecting knowledge bases. Your role may also involve analytics and measurement capabilities using multiple data sources, statistical tools, and models. Mobilizing research on key regulations that impact innovation and conducting annual conferences and workshops to identify research areas in the mobility sector will be part of your responsibilities. Your qualifications should include a Bachelor's degree (4-year), MBA, or a Master's degree, with a minimum of 2-3 years of experience in marketing research. Proficiency in MS Office tools such as Excel, Word, and PowerPoint, as well as research experience and secondary research capabilities, will be required for this role. Strong interpersonal skills and the ability to collaborate effectively with internal and external stakeholders are key behavioral competencies for success in this position.,
Posted 1 month ago
7.0 - 11.0 years
0 Lacs
maharashtra
On-site
As a Manager in the Energy Markets & Regulatory Practice, you will play a crucial role in leading and executing consulting assignments related to policy, regulation, and market dynamics within the power and energy value chain. With a minimum of 7 years of experience, preferably in Management Consulting, you will be responsible for driving high-impact projects that influence the energy sector's landscape. Your key responsibilities will involve spearheading consulting assignments in the energy sector, focusing on regulatory and policy advisory. You will serve as a Project Manager or Team Lead in engagements with Regulatory Commissions, Power Utilities, and other key stakeholders. Independently developing financial models, including ARR / Tariff models across various energy segments will be a significant part of your role. Additionally, you will be tasked with preparing draft tariff orders, ARR and Multi-Year Tariff petitions, draft regulations, Statements of Reasons (SOR), and discussion papers, contributing to the practice's growth and success. Your preferred experience in consulting within the energy sector, particularly with regulatory bodies and utilities, will be highly valued. Exposure to power market advisory and experience managing teams will be advantageous. Demonstrating in-depth knowledge of the Indian Power sector and possessing strong financial modeling and energy market analysis skills are essential for this role. Proficiency in MS Office tools, particularly Word, Excel, and PowerPoint, is required, while experience with energy modeling tools will be beneficial. Your excellent analytical, report writing, and presentation skills, along with strong interpersonal and team management capabilities, will be vital in ensuring high-quality project deliverables and fostering a collaborative work environment.,
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
hyderabad, telangana
On-site
The project aims to create interactive panoramas from street-level positions globally by developing, testing, deploying, and maintaining hardware and sensors for various platforms. As a Compliance Coordinator, your primary responsibility will be ensuring the regulatory integrity of international shipments. This involves conducting pre-shipment trade and regulatory research, collaborating with third-party vendors, auditing and verifying shipping documents for compliance with regulations such as FCPA and Anti-Bribery, liaising with brokers and external parties, and coordinating with Legal and Tax teams for import/export processes. Your duties will also include providing clearance instructions to customs brokers, troubleshooting shipment issues, ensuring compliance of commercial documents like Commercial Invoices, Packing Lists, and Airway Bills, entering order forms into internal systems, supporting Tax and Customs audits, conducting due diligence on external parties, monitoring Personally Identifiable Information (PII) and Denied Party Screenings, maintaining brokerage performance reports, and resolving international customs-hold shipments. To qualify for this role, you should have a Bachelor's Degree in a related field, at least 3 years of experience in the logistics industry with exposure to trade compliance, regulations, inventory, or warehouse management, 2+ years of domain experience in Hardware Operations, proficiency in spreadsheets, stock management, and forecasting, adaptability in a fast-paced environment, strong interpersonal and communication skills, and knowledge of trade compliance rules and regulations. If you meet these qualifications and are ready to take on this challenging and rewarding role, we encourage you to apply and look forward to meeting you!,
Posted 1 month ago
2.0 - 4.0 years
6 - 9 Lacs
Chandigarh, Ahmedabad
Work from Office
Looking for someone from chemical background not pharma Relevant Experience with Skills and Key Responsibilities: Responsibilities: 1) The regulatory specialist will assist IDS senior staff to research (monitor, analyze and create) content regarding global chemical regulatory compliance for industrial/specialty / household/cosmetics/agricultural/ pesticides/biocides hazardous and non-hazardous chemicals and products. 2) Strong regulatory research and analytical skills as demonstrated by 2+ years relevant industry experience 3) Ability to understand and apply scientific, and technological knowledge and the regulatory law to the particular needs of the customers in global geographies for chemicals management and control solutions 4) Preparation of regulatory research report for various products in different geographies such as EU, US, China, India, Korea, ASEAN, and other countries 5) Working knowledge in EU REACH registration services, dossier submission via IUCLID 6, and full registration services; good knowledge of Safety Data Sheet Key Features : 1) Critical thinking regarding information and process 2) Excellent English report writing skills 3) Mon-Fri 9.5 hours per day including lunch, tea etc. 4) WFO (preferred) or Flexi or WFH 5) Self-motivated, with Excellent time management 6) Passion to learn new information and to build on existing knowledge 7) Experience in providing the chemical and chemical product consultancy services 8) Experience in regulatory compliance/ regulatory affairs 9) Additional non-English international language skill is a plus. Location - Remote.
Posted 1 month ago
2.0 - 6.0 years
6 - 9 Lacs
Chandigarh, Ahmedabad
Work from Office
Looking for someone from chemical background not pharma Relevant Experience with Skills and Key Responsibilities: Responsibilities 1) The regulatory specialist will assist IDS senior staff to research (monitor, analyze and create) content regarding global chemical regulatory compliance for industrial / specialty / household /cosmetics / agricultural /pesticides / biocides hazardous and non-hazardous chemicals and products. 2) Strong regulatory research and analytical skills as demonstrated by 2+ years relevant industry experience 3) Ability to understand and apply scientific, and technological knowledge and the regulatory law to the particular needs of the customers in global geographies for chemicals management and control solutions 4) Preparation of regulatory research report for various products in different geographies such as EU, US, China, India, Korea, ASEAN, and other countries 5) Working knowledge in EU REACH registration services, dossier submission via IUCLID 6, and full registration services; good knowledge of Safety Data Sheet Key Features: 1) Critical thinking regarding information and process 2) Excellent English report writing skills 3) Mon-Fri 9.5 hours per day including lunch, tea etc. 4) WFO (preferred) or Flexi or WFH 5) Self-motivated, with Excellent time management 6) Passion to learn new information and to build on existing knowledge 7) Experience in providing the chemical and chemical product consultancy services 8) Experience in regulatory compliance / regulatory affairs 9) Additional non-English international language skill is a plus Location - Remote,Chandigarh,Ahmedabad
Posted 1 month ago
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