Job Role: Senior Consultant/Technical Lead - AEM (Adobe Experience Manager)Experience: 9 - 14 yearsWork Locations: Chennai & HyderabadWork Model: Hybrid Roles & Responsibilities:Administer, configure, and maintain Adobe Experience Manager (AEM) environments.Collaborate with cross-functional teams to deploy and manage AEM applications.Perform regular monitoring, troubleshooting, and performance tuning of AEM instances.Manage user access, security, and permissions within the AEM platform.Implement backup and disaster recovery strategies for AEM environments.Stay up to date with the latest AEM versions, patches, and upgrades, and ensure timely implementation.Work closely with developers and stakeholders to understand project requirements and provide technical expertise.Implement custom components, templates, dialogs, and workflows using the AEM architecture (Sling, CRX, OSGI, JCR, Slightly)Configure and set up AEM workflows, Sling mapping, Multi-site management including translation frameworkProvide architectural solutions for page layout and organizationAuthor personalized dynamic driven contentRequired skills: In-depth knowledge of AEM administration, including installation, configuration, and troubleshooting.Proficiency in managing AEM workflows, replication agents, and dispatcher configurations.Experience in monitoring AEM performance and implementing optimization techniques.Strong understanding of content authoring, asset management, and publishing in AEM.Effective communication skills to interact with cross-functional teams and stakeholders.Strong understanding of web services development in Java using REST and SOAP protocols and in particular, a strong understanding of REST-full architecture patternsWeb Development experience in HTML/CSS/JavascriptExperience in handling backup and restore activities.Understanding the IP whitelist and WAF.Able to perform a Health check of the systems.Hands-on experience in Unix and z/OS platform.Experience in using Dynatrace for monitoring.Experience in working with publisher and dispatcher environments.Experience in performing and coordinating the deployments. Good to have Skills: Excellent problem-solving and analytical skills.Ability to understand the shell scripts and modify (on need basis).Ability to work collaboratively in a team environment.Have a good understanding of software engineering practices, SDLC

Job Role: Senior/Specialist Python DeveloperExperience: 6 - 9 yearsWork Locations: Chennai & HyderabadWork Model: HybridShift: 3:00 PM to 12:00 PMRole Summary:This role demands experienced Senior Python Software Engineer to design, develop, and maintain backend applications within a fast-paced, agile environment. Responsibilities:Building efficient server-side applications in python (flask, Django, etc.)Help design and implement functional requirements.Peer code review and coaching junior team members.Build efficient back-end features in Python.Responsible to loading data into databases managing databases. Cloud development experience in Google Cloud (GCP) or Amazon Web Services (AWS)Responsible managing GitLab CICD for the project.Manage testing, unit test cases and bug fixes.Deploying solutions to test environment and elevating the solution to prod environments.Implement software enhancements and suggest improvements.Solve technical challenges by debugging while writing code.Required skills:At least 6-8 Years of expertise in development and 3 years experience in pythonStrong working Knowledge of Data Structures and Algorithms At least 2 years of experience in work in agile.Experience with Python Web frameworks (e.g. Django, Flask).Understanding of databases, SQL, PGSQL, MySQL and NoSQL.Ability to do code profiling.Ability to quickly produce prototypes and proof of concepts.Ability to present to leadership and articulate complex technical scenarios.Knowledge around Unix Systems, NAS, pip, and Shell scripting.Taking ownership of Modules and Features.Ability to estimate story point for a given task/feature/module.Ability to convert business requirement to technical requirement.Good to have Skills:Support prepare technical, architectural documentation.

Job Title: Medical Coding Analyst (IP DRG & Surgery)Experience: 3 to 7 yearsWork Location: Chennai / HyderabadShift: General (10 AM to 7 PM or 11 AM to 8 PM)Work mode: Work from Office onlyCertification: Must have (CPC/CCS/CIC/COC etc)Role Summary:This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.JOB SUMMARYThis job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skillsESSENTIAL RESPONSIBILITIESReview medical records received and code them to billable Revenue Code \ CPT, Modifiers, Diagnosis code and other relative and relevant billable requirements.Review all documentation for compliance with quality standards and relevant policies.Prepare and provide information to west partners based on their expectation.Identifies and recommends improvements to documentations workflows and processes to improve accuracy and efficiency.Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.Adhere to all company and department policies regarding security and confidentiality.EDUCATION:RequiredGraduation/BSc. in life sciences preferably clinical areas like Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology, etc.CertificationAAPC or AHIMA coding certifications required for all candidatesEXPERIENCE:RequiredSurgery with Multispecialty: 3 - 7 years of experience in E/M Coding (E/M OP/IP ED Profee/Facility) & Surgery (or)Surgery with Cardiovascular: 3 -7 years of experience in General Surgery (with Cardiovascular series) (or)IP DRG : 3 - 7 years of experienceShould have exposure to multi-specialty and handled Hospital & Provider CodingShould be currently in an Auditor role and have exposure to reports related to quality.PreferredPreferred working knowledge in Epic and 3M 360.Having exposure to General and Cardiovascular Surgery coding.Having exposure to Multiple specialty and or working on Claims Edits.Must be extremely detail oriented and able to multitask.Should be strong in quality parameters.Possess a high level of Self-motivation and energy with minimal supervision.Highly developed oral and written communication skills.Ability to work both independently and in a team-oriented environment.Possess good organizational skills and strong attention to detail.Identify process improvement and communicate them through proper channel, follow up on the identified improvement until implementation.Work in a standard protocol/document to accurately complete the work assigned.Consistently document work assignments, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames.Should develop knowledge about payor policies.Develop the team's talent, drive employee retention and engagement.If you have the relevant experience in Medical coding with certification, kindly share your profile to - rufus.jebaselvan@thryvedigital.com

ESSENTIAL RESPONSIBILITIESTake part in team projects or initiatives. Coordinate with impacted departments to identify necessary changes to policies, procedures, processes, and technology based on the identification of legislative, regulatory, sub-regulatory, and licensing / accreditation requirements from the Regulatory Guidance team. Translate and communicate compliance requirements into business and technical requirements for impacted stakeholders and systems. Provide regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required.Create and execute complex regulatory implementation strategies for assigned legislative, regulatory, sub-regulatory, and licensing / accreditation requirements across multiple jurisdictions, including assessments of the regulatory impact of changes to people, processes, and technologies deployed across the enterprise.Support all external audits of the organization, including ensuring that a) appropriate agreements are in place before the release of any information, b) the release of information is in accordance with applicable laws and organizational policies, c) information provided to the auditors is complete and accurate, d) chain of custody is maintained, and e) disruption to the daily operations of the Company is minimized.Standardize documentation and tracking of audits, market conduct exams, regulatory reviews, and external accreditation assessments of the organization. During an audit, engage senior Business Unit leadership and removing barriers for outside parties. Prepare and/or provide status reporting to Risk Partners, accountable management, and the Audit Committee of the Board of Directors as necessary.Standardize and expand internal and external risk intake (hotlines, inboxes, self-service, inquiries, vendor pipeline, incident & problem management systems, strategic initiative portfolio, etc.), and provide a streamlined, consistent point of entry for risk tracking, assessment, treatment, and monitoring for all of Highmark Health.Leverage analytics programs, decision support systems, and standards that apply to complex information sets in order to make logical and supported risk & regulatory implementation recommendations.Other duties as assigned or requested.

Role SummaryRole enables the analyst to coordinate activities related to Epic System. Analyzes, develops, configures and implements Electronic Health Record (EHR) software and related analytics on time with minimal supervision. Working closely with application teams to determine the business needs, document and configure system as per end user requirements.Certification or Proficiency in Epic is must in Ambulatory & BeakerGood understanding and background on workflows in EpicExperience in managing client and team.Excellent communication skillEssential ResponsibilitiesHands on experience in any Epic workflows.Implementing and maintaining the Epic system along with associated third-party systems by investigating processes to understand operations and developing appropriate system solutions.Responds to Service Requests and develops/maintains strong, positive working relationships with the end user community.Identify issues and develop recommendations for improved workflow and/or project design.Assist in planning/scheduling meetings and completing all necessary arrangements.Understanding multiple areas of hospital systems, including business/clinical information systems and technological aspects that affect the organization.Communicates effectively with management, steering committees, project sponsors, and subject matter/technical experts and promotes a culture of performance excellenceExperience Required6+ years (Epic - relevant experience is preferred)Work Experience on functions pertaining to any Epic workflowsAnalyzes, develops, configures, test and implements Electronic Health Record (EHR) software and related analytics on time with minimal supervisionExperience with history of solid build experience in different master files like Procedures, Procedure Categories, Ordersets, Preference Lists etc.Working closely with application teams to determine the business needs, document and configure in Epic per the requirementsClear understanding and adoption of change management process and protocols.Demonstrated ability to multi-task among complex assigned tasks/projects with strong communication and mentorshipPerforms system build. Assist in building master files as assigned. Monitors release notes for pertinent build and testing for the system.Complies with established policies, procedures and objectives of department/organization.Responsible for project coordination, tracking, scheduling, reporting to ensure the timely and accurate completion of assignments to enhance the efficiency and effectiveness of the department in meeting operational objectives.SHIFTGeneral Shift, May extend per business needsGOOD TO HAVEHealthcare Industry experienceQualifications: B.E / Masters in Hospital Health Administration / Equivalent Degree

Job Role: Epic Developer (Analyst & Consultant)No of Positions: 5 (ADT/Beaker/Cadence/Cogito/HIM)Location: Hyderabad & ChennaiRole Summary:Role enables the analyst to coordinate activities related to Epic System. Analyzes, develops, configures and implements Electronic Health Record (EHR) software and related analytics on time with minimal supervision. Working closely with application teams to determine the business needs, document and configure system as per end user requirements.Certification or Proficiency in Epic is must in Ambulatory or BeakerGood understanding and background on workflows in EpicExperience in managing client and team.Excellent communication skillEssential ResponsibilitiesHands on experience in any Epic workflows.Implementing and maintaining the Epic system along with associated third-party systems by investigating processes to understand operations and developing appropriate system solutions.Responds to Service Requests and develops/maintains strong, positive working relationships with the end user community.Identify issues and develop recommendations for improved workflow and/or project design.Assist in planning/scheduling meetings and completing all necessary arrangements.Understanding multiple areas of hospital systems, including business/clinical information systems and technological aspects that affect the organization.Communicates effectively with management, steering committees, project sponsors, and subject matter/technical experts and promotes a culture of performance excellenceExperience Required2-5+ years in Epic Development (relevant experience is preferred)Work Experience on functions pertaining to any Epic workflowsAnalyzes, develops, configures, test and implements Electronic Health Record (EHR) software and related analytics on time with minimal supervisionExperience with history of solid build experience in different master files like Procedures, Procedure Categories, Ordersets, Preference Lists etc.Working closely with application teams to determine the business needs, document and configure in Epic per the requirementsClear understanding and adoption of change management process and protocols.Demonstrated ability to multi-task among complex assigned tasks/projects with strong communication and mentorshipPerforms system build. Assist in building master files as assigned. Monitors release notes for pertinent build and testing for the system.Complies with established policies, procedures and objectives of department/organization.Responsible for project coordination, tracking, scheduling, reporting to ensure the timely and accurate completion of assignments to enhance the efficiency and effectiveness of the department in meeting operational objectives.SHIFT: General Shift, May extend per business needsGOOD TO HAVEHealthcare Industry experience in Epic developmentQualifications: B.E / Masters in Hospital Health Administration / Equivalent Degree

Role: Python Full Stack Developer (Strong in React JS)Experience: 6 to 9 yearsWork Locations: Ramanujan IT City, Tharamani, Chennai & MindSpace Hi-Tech City, Madhapur, HyderabadWork Model: HybridTime Zone: 3PM to 12AM IST (Both the way cab will be provided)Role Summary:This role demands experienced Full Stack Developer to design, develop, and maintain backend applications within a fast-paced, agile environment.Responsibilities:1.Building efficient server-side applications in python (flask, Django, etc.)/React JS.2.Help design and implement functional requirements.3.Peer code review and coaching junior team members.4.Build efficient back-end features in Python and front-end features using React JS/Next JS.5.Responsible to load data into databases managing databases.6.Responsible managing GitLab CICD for the project.7.Manage testing, unit test cases and bug fixes.8.Deploying solutions to test environment and elevating the solution to prod environments.9.Implement software enhancements and suggest improvements.10.Solve technical challenges by debugging while writing code.Required skills:ReactJS: Deep understanding of React concepts including functional components, hooks (useState, useEffect, etc.), context API, and lifecycle methods. Experience with performance optimization techniques is crucial.Next.js: Experience building server-side rendered (SSR) and statically generated (SSG) applications with Next.js. Familiarity with features like routing, data fetching (getStaticProps, getServerSideProps), and API routes is essential.JestJS: Experience writing unit tests using Jest for React components. Understanding of testing methodologies and best practices is necessary.Axios: Experience using Axios for making API calls and handling asynchronous operations.Git: Experience with version control systems (Git).Working Knowledge of Python and Postgres SQL is a must.Good to have Skills:CSS: Proficiency in writing clean, maintainable, and responsive CSS.Experience with CSS frameworks (e.g., styled-components, Tailwind CSS, Material UI) is a plus.Experience working with any cloud platform (GCP) is a plus.Knowledge around deployment of UI application in Linux platform (CI/CD using Jenkins is a plus).

The Talent Acquisition Coordinator will be responsible for ensuring a consistent and positive candidate experience. Will work in a fast-paced environment to support the talent acquisition team by coordinating all pre-hire processes and documentation for compliance and successfully complete the hire/transfer process.JOB SUMMARYThe Talent Acquisition Coordinator will be responsible for ensuring a consistent and positive candidate experience. Will work in a fast-paced environment to support the talent acquisition team by coordinating all pre-hire processes and documentation for compliance and successfully complete the hire/transfer process.ESSENTIAL RESPONSIBILITIESResponsible for candidate background checks including but not limited to: criminal background checks, drug screenings, adjudication, license and certifications (if applicable). Will ensure employee health screenings and vaccine/accommodations are complete and all necessary documentation is successfully completed for hire.Conduct administrative responsibilities including but not limited to:, employment correspondence as related to daily activities and prehire processes, service request management related to TA operations, email management, , and scheduling panel interviews (if applicable).Facilitates and ensure data integrity for all hires, and rehires such as: start date changes, , rescind hire/transfer dates, and cares for any in-flight data changes in the system that may impact the success of the process.Delivers consistent and positive communication to all candidates. Partners and communicates with recruiters of any issues or delays with pre-boarding process for candidates and confirming day one activities.Assist with and administer components of process compliance including but not limited to; license and certification collection and upload, pre-employment tracking, adjudication, and approvals, as well as processing hires in timely manner to meet compliance and business needs. Suggest updates/ edits to templates, SOPs, and processes as needed.[Executive Talent Acquisition Only] Provide white-glove service to candidates and pre-hires through the coordination of interviews and pre-employment requirements. Assist with third party staffing vendor management including working with the Executive Recruiting Team to ensure all documentation is collected from the vendor per the contract and vendor reporting as neededOther duties as assigned or requestedSkillset Required:Excel experience, specifically pulling reports from Workday for LCC auditing purposes and candidate tracking. Ability to pull candidate reports to track new and in progress candidates as they enter a pre-boarding stage until hired in the system, is required.Workday Salesforce integrations, and experience processing background checks is preferred.Excellent attention to detail, organization, and accuracy skills. Ability to follow SOPs, make suggestions to SOPs, and update SOPs.Demonstrate ability to think critically and research requests to identify the root cause of issues and develop effective solutions.Ability to work independently, multi-task, and prioritize work in a fast-paced environment and flexibility to deal with changing schedules and priorities.Understanding and administration of TA Operations:Conduct administrative responsibilities including but not limited to:, employment correspondence as related to preboarding processes requirements, service request management related to TA operations, email management, and scheduling interviews.Data integrity for hires, rehires, and CW conversions such as: start date changes, rescind hire/transfer dates, and cares for any in-flight data changes in the system that may impact the success of the process.Responsible for license and certification collection and upload, pre-employment tracking, adjudication, as well as processing hires in timely manner to meet compliance and business needs.Potential cross-functional training within similar operational teams.

Position Summary:This executive will be responsible for the Healthcare Payer domain will lead the strategic vision, operations, and innovation for the organization's payer-related services. He will be responsible for driving initiatives that improve payer processes, enhance member and provider experiences, and optimize cost and efficiency. Also he will work closely with executive leadership and healthcare partners to ensure the organization remains competitive and compliant in a rapidly evolving industry.Key Responsibilities:1. Strategic Leadership:Develop and execute a comprehensive strategy for the payer domain, focusing on member engagement, claims processing, provider relationships, and cost containment.Identify opportunities for innovation and implement solutions leveraging data analytics, AI, and automation to improve payer operations.Stay informed about industry trends, regulatory changes (e.g., CMS, ACA), and market dynamics to adapt strategies accordingly.2. Operational Excellence:Oversee end-to-end payer operations and customer service.Ensure efficient and accurate processing of claims and reimbursement in compliance with industry standards.Drive initiatives to reduce administrative costs and improve overall operational efficiency.3. Technology & Data Integration:Collaborate with technology teams to implement advanced platforms for claims adjudication, payment integrity, and member engagement.Leverage data analytics and predictive modeling to enhance risk management, improve care outcomes, and optimize value-based payment models.Ensure interoperability and compliance with healthcare standards such as EDI, HIPAA, and FHIR.4. Leadership & Team Building:Build and lead high-performing teams across payer operations, technology, and analytics functions.Foster a culture of collaboration, accountability, and continuous improvement.Provide mentorship and leadership development opportunities for team members.5. Stakeholder Management:Partner with providers, employers, brokers, and regulatory agencies to strengthen relationships and improve service delivery.Collaborate with clinical teams to align payer strategies with population health management and care delivery goals.Represent the organization at industry forums, conferences, and regulatory meetings.6. Financial Management:Develop and oversee budgets for payer operations, ensuring cost-effectiveness and ROI.Identify opportunities to enhance revenue streams and reduce medical loss ratios (MLR).Qualifications:Bachelors degree in Healthcare Administration, Business Management, or a related field; advanced degree (MBA, MHA) strongly preferred.25+ years of experience in leadership roles within the healthcare payer sector.Proven expertise in claims management, value-based payment models, risk adjustment, and member engagement.Strong knowledge of payer-specific regulations, including CMS, HIPAA, and ACA.Experience with technology solutions for payer operations, including claims adjudication systems, analytics platforms, and CRM tools.Exceptional strategic thinking, decision-making, and problem-solving skills.Outstanding communication and interpersonal abilities, with experience working with executive leadership and external partners.Key Competencies:Visionary leadership with a strong focus on payer transformation and innovation.Deep understanding of healthcare payer operations and regulatory environments.Skilled in financial management, including reducing administrative costs and improving MLR.Ability to lead large-scale projects and manage cross-functional teams.

OVERVIEW: Screens, reviews, evaluate claims based on set audit requirements and shares audit findings for further action, following organizational policies and procedures as part of retrospective quality control review under risk and governance area. Reviews processed claims and inquiries to determine corrective action which can include adjusting claims. Takes the corrective action steps using enrollment, benefit, and historical claim processing information. Translate foreign language claims into English using software and code appropriately. ESSENTIAL RESPONSIBILITIES:Determine if the claim information is complete and correct. Enter/verify claims data. Resolve claim edits (suspensions), review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.Meets all production and quality standards. Elevates issues to the next level of supervision, as appropriate.Maintains accurate records, including timekeeping records.Other duties as assigned or requested.QUALIFICATIONS:Bachelors Degree/Diploma in any streamFreshers - Exposure to claims processing preferred. Typing speed of at least 50 words per minuteBasic computer knowledge (MS Office- excel, word, PowerPoint)KNOWLEDGE, SKILLS, AND ABILITIES:Ability to take direction and navigate through multiple systems simultaneously.Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.Ability to use mathematics to adjudicate claims.Ability to solve problems within pre-defined methods and guidelines.Knowledge of operating systems specific to claim processing.WORK ENVIRONMENTWork from the office or home environment as the situation demands.Indian or US Holiday schedules as per client requirements.Ready to work in shifts as required by the client.Split week-offs, ready to w

Key Skills:Thorough knowledge of adult learning design and development best practices and techniques.Ability to think critically and solve problems related to instructional design and development challenges.Demonstrated experience working with western companies/organizations.Experience with having to communicate complex ideas, topics, and issues with U.S. team. members. Ability to work collaboratively with cross functional teams and subject matter experts.Storyboarding and storytelling skills (ability to utilize, understand and follow, and in some cases develop detailed outlines and or storyboards for developing learning content.)Proficient writing and editing skills to create clear and engaging instructional content and materials.Graphic Design Skills/Portfolio.Audio and Video Editing/Engineering.Proficient understanding of Design Standards/Visual Composition/Photography/Videography. Ability to incorporate different learning modalities and elements (e-Learning, Instructor Led, blended learning solutions) in partnership with team members and SMEs.Experience with working with various LMS technologies.Ability to write and design effective assessments to properly measure learning outcomes (done in collaboration with Learning Architect/team members/SMEs).Demonstrated understanding of the future of corporate L&D: AI/Microlearning/Blended Learning/Etc. Proficient with the following technologies:o Microsoft 365 SuiteTeamsPower Pointo Articulate Storyline Rise Adobe Adobe Photoshop Adobe Illustrator Adobe After Effects Adobe Premiere Pro Adobe Audition Adobe Firefly Adobe Experience Managero TechSmith SnagItOther duties as assigned or requested.

Role Summary: Thryve is looking for fresh and energetic Freshers to work in the US Healthcare with an excellent Communication Skills and flexible to work in shifts. JOB SUMMARYThis job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. Should be an excellent Team player & have excellent Problem solving & communication skillsESSENTIAL RESPONSIBILITIESCalling Insurance Company on behalf of Doctors / Physician for claim status.Follow-up with Insurance Company to check status of outstanding claims.Receive payment information if the claims has been processed.Analyze claims in case of rejections.Ensure deliverable adhere to quality standards.Also, Experience with Insurance Eligibility Verification..Good to Have:Strong Communication Skills Flexible to work in US shiftsEDUCATIONRequiredShould be a Graduate in any StreamEXPERIENCERequired0-0.6 years in Revenue Cycle and Delivery ManagementPreferredNeed excellent verbal & written communication skills.The candidate should be comfortable to work in US Shifts (Night)

Role Summary:This job will define and lead complex, cross-business and cross-functionalprojects, which are essential to the TIO Transformation and InnovationProgram. The incumbent will deploy accepted project, change, and processmanagement standards across the business to achieve business and programobjectives. Will conduct advanced research, analysis, and coordination ofstrategic innovation opportunities. Provide primary research, financialanalysis, business model design, and implementation proposal forinnovation projects. Essential ResponsibilitiesFormulate and be accountable for the overallprogram/project plan, delivery, and achievement of objectives as theyrelate to the innovate stage gate process (including problem exploration,ideation, solution proposal development, development and testing ofPoCs/MVPs, launch and monitoring, and incubation and transfer of innovation. Conduct stakeholder analysis, ensure stakeholder alignmentand engagement. Work closely with change management practitioners tocreate a change strategy and plan. Create and execute a leadership alignmentstrategy and plan to garner buy-in. Lead the analysis of strategic innovation opportunities.Develop concept briefs, business case documentation, and presentations forstrategic innovation projects based on problem identification or businessneeds. Develop business requirements and / or product specifications fortechnology for projects and initiatives. Define project scope and goals, estimate budget and risks,and define detailed project plan. Possess and deploy Program/projectmanagement domain knowledge and understanding of all relevant disciplines,processes and tools. Gather innovation ideas through crowd sourcing or seniormanagement ideation workshops. Summarize, prioritize, and combine ideasinto projects for further analysis and review.Provide business managementwith regular project performance status updates, variances to plan andidentification of corrective actions. Conduct evaluation upon projectcompletion to identify root causes for variances andimprovement opportunitiesThe experience we are looking to add to our teamRequired Masters degree in Business Administration, Management Information Science,Health Administration, or relevant field3+ years of Consulting and Product Management Good to have 3+ years working knowledge in the US Healthcare industryExperience working in Corporate Innovation, Digital Transformation, ChangeManagementHuman Centered Design / Design ThinkingAgileProblem solving, root cause analysis, and issue resolutionDemonstrated leadership skillsExperience engaging, influencing, and advising senior executive leadersExperience working in complex matrixed environmentsExperience in Healthcare or Health Insurance Industry

ESSENTIAL RESPONSIBILITIESTake part in team projects or initiatives. Coordinate with impacted departments to identify necessary changes to policies, procedures, processes, and technology based on the identification of legislative, regulatory, sub-regulatory, and licensing / accreditation requirements from the Regulatory Guidance team. Translate and communicate compliance requirements into business and technical requirements for impacted stakeholders and systems. Provide regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required.Create and execute complex regulatory implementation strategies for assigned legislative, regulatory, sub-regulatory, and licensing / accreditation requirements across multiple jurisdictions, including assessments of the regulatory impact of changes to people, processes, and technologies deployed across the enterprise.Support all external audits of the organization, including ensuring that a) appropriate agreements are in place before the release of any information, b) the release of information is in accordance with applicable laws and organizational policies, c) information provided to the auditors is complete and accurate, d) chain of custody is maintained, and e) disruption to the daily operations of the Company is minimized.Standardize documentation and tracking of audits, market conduct exams, regulatory reviews, and external accreditation assessments of the organization. During an audit, engage senior Business Unit leadership and removing barriers for outside parties. Prepare and/or provide status reporting to Risk Partners, accountable management, and the Audit Committee of the Board of Directors as necessary.Standardize and expand internal and external risk intake (hotlines, inboxes, self-service, inquiries, vendor pipeline, incident & problem management systems, strategic initiative portfolio, etc.), and provide a streamlined, consistent point of entry for risk tracking, assessment, treatment, and monitoring for all of Highmark Health.Leverage analytics programs, decision support systems, and standards that apply to complex information sets in order to make logical and supported risk & regulatory implementation recommendations.Other duties as assigned or requested.

JOB TITLE: Kronos Consultant/Senior ConsultantJOB SUMMARY:We are seeking a highly skilled and experienced Kronos Consultant with deep expertise in configuring and maintaining UKG (formerly Kronos) Dimensions or Workforce Central, specializing in accrual and attendance rules. This is a critical role supporting our HR operations, requiring a proactive, solutions-oriented individual to ensure accurate and compliant time and attendance management for our employees. ESSENTIAL RESPONSIBILITIES:Accrual Configuration & Maintenance: Design, implement, and maintain complex accrual policies within UKG Dimensions or Workforce Central, ensuring accurate calculation of employee leave balances based on various factors (e.g., tenure, job classification, performance).Attendance Policy Implementation: Configure and implement time and attendance policies, adhering to legal and company requirements. This includes managing exception handling, shift patterns, and overtime calculations.System Administration & Troubleshooting: Diagnose and resolve system-related issues related to timekeeping, leave accruals, and attendance discrepancies. Provide proactive system maintenance and monitoring.Reporting & Data Analysis: Develop and maintain custom reports using UKG reporting tools, providing insightful data on employee time, attendance, and leave usage. Identify trends and areas for improvement.Data Integrity & Compliance: Ensure data integrity within the UKG system, adhering to all relevant data privacy regulations.Project Management: Contribute to project planning and execution for system upgrades, implementations, and configurations. Collaborate effectively with cross-functional teams.Stakeholder Management: Effectively communicate technical information to both technical and non-technical stakeholders, providing support and training as needed. Required Experience:Proven experience (5 years) configuring and managing UKG Dimensions OR Workforce Central, with a strong focus on accruals and attendance. Deep understanding of time and attendance principles, leave management best practices, and relevant legislation (specifically US legislation if applicable).Experience designing, implementing, and maintaining complex accrual rules, including various accrual calculation methods.Proficiency in generating and interpreting reports using UKG reporting tools.Excellent problem-solving, analytical, and troubleshooting skills.Strong communication and interpersonal skills, with the ability to work collaboratively across teams.Project management skills and experience, including task prioritization and timely completion.Experience with HR processes and related workflows is essential. Good to have:Experience with UKG Payroll integrationExperience with other HR and Finance systems (Workday HCM, Oracle ERP)Relevant certifications (e.g., UKG certifications)Experience & Education: Bachelor's or Master's Degree in Computer Science, Human Resources, or related field 8+ years' of equivalent experience

The key responsibility of the Process Improvement Advisor is to work closely with the Program Manager/Director on assigned process improvement projects owning end-to-end project management. PMs exemplify our core behaviors and create an environment for a successful team. They also ensure for the process roll out assigned, they are identifying the key stakeholders, assisting with getting the right requirements, ensuring we have the business owners and stake holders, identifying impact of changes across various teams and the changes needed in the DE methodology. Responsible for driving the Delivery Excellence methodology and internal processes with the goal of increasing in knowledge expertise for internal delivery teams. Should be able to review data and understand the story it is telling- gaps improvements, what's going right what isnt.Role Expectations:Strong experience in project management tools and handling minimum of 20+ resources.Strong in reports building via Power BI (4+ yrs) and Dashboard creations.Creating new process improvement models to enhance the project effectiveness.Ready to work in 3PM-12AM Shift.Ready to work in Hybrid Model.Required Skill: At least 6 years Core project management end-end life cycle experience. Good verbal and written communication skills.Understanding of the Project lifecycle and the different deliverables associated with it.Experience with metrics and data analytics.Able to work in a fast-paced growth environment. Ability to work independently with minimal support & supervision.Strong Leadership skills along with Planning skills.Problem Management and Resolution.Experience with an industry standard software development life-cycle.Proficient with the Microsoft Office Suite of products including Excel, PowerPoint and Word. Responsibilities: Review existing metrics and data to identify process improvements for EHS.Run process improvement programs from requirement gathering to roll outsCoordinate with cross functional teams as needed to roll out processesBuild executive status reports and project plans for any process improvement that is being rolled out under the umbrella of Operational Excellence.Be a trusted advisor and advocate for adherence to Delivery Excellence 2.0 best practices and cost-efficient processes.Be a good listener, take feedback from PMO, B&E and Technical Architecture team to help with improvements needed in the organization.Build relationships as a priority for your success across all areas of the organization and among our clients.Ensure clarity timesheets are submitted (every Friday).Build knowledge and expertise of the EHS platform, client organizational structure and business processes in order to become a trusted advisor through a defined development plan approved by your manager. Meet with your peers and clients, and take actions to learn the business through introductions, meetings, and observations. Develop a comprehensive understanding of departments, functions and interdependencies across Highmark Health Plan and the enterprise, including all Partner Plans and any new partnerships in 2020 and beyond. Report status for your assigned projects as required and according to schedule. Know your deliverables and be able to represent in meetings and presentations as required. Strive to be a trusted advisor and strategic partner for your clientsAnalyze risk and instigate avoidance activities. Help Establish contingency plans and identify trigger events and responsibility for initiating corrective actionAnalyze the actual performance and adherence against the planned activitiesCoordinate with project stakeholders on project activities and completion

Job Role: Senior/Specialist - Credentialing Experience: 3-6 yearsLocation: Hyderabad/ChennaiShifts timings: General (10AM to 7 PM IST) /Noon (3PM to 12AM IST).Job Summary:The Credentialing Specialist plays a vital role in ensuring the quality and safety of Healthcare delivery by verifying and maintaining the credentials of Healthcare providers. This involves collecting, reviewing and verifying information related to education, license, Certifications, and experience, ensuring compliance with regulatory and accreditation standards. Key Responsibilities:Conduct Primary Source verification by contracting licensing boards, educational institutions and other relevant entities.Responsible for data entry and maintaining provider information in online credentialing database and systems. [CAQH, DEA, Provider Profiles]Verify the accuracy and validity of provider credentials, licenses and certificates.Ensure compliance with federal, state, and organizational credentialing.Maintain accurate and up-to-date provider profiles in credentialing department.Track and monitor credential expiration dates and recredentialing timelines.Initiate and manage the recredentialing process for healthcare providers.Ensure providers meet ongoing credentialing requirements. Maintain accurate and organized records of credentialing activitiesAddress credentialing inquiries and emails and resolves issues promptlyFamiliarity with CAQH, License validation, 24/7 coverage, Attestation date, Specialty verification, DEA and other external websites related to Credentialing.Collect and review initial Credentialing applications and supporting documentations.Responsible for monitoring development process and following up with providers as needed until confirmation of in network status has been received.Responsible for maintaining copies of current state license, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.Required Knowledge/Skills:Familiar with provider credentialing and recredentialing requirements.Strong analytical computer and software skillsExcellent interpersonal skills including excellent verbal and written communication skillsAbility to demonstrate high degree of trust and confidentiality

We have huge opportunities for Credentialing requirement, please go through below job description and apply if you are interested (Share your updated resume to susmitha.pittu@thryvedigital.com).Job SummaryThe Credentialing Specialist plays a vital role in ensuring the quality and safety of Healthcare delivery by verifying and maintaining the credentials of Healthcare providers. This involves collecting, reviewing, and verifying information related to education, license, Certifications, and experience, ensuring compliance with regulatory and accreditation standards.Experience: 3 to 4 Years in Credentialing (US Healthcare)Work Location: Hyderabad/ChennaiShift: Should be flexible for rotational (General/Mid shifts)Work Mode: Hybrid (Initial 3 to 4 months will be WFO)Contact: susmitha.pittu@thryvedigital.comKey ResponsibilitiesConduct Primary Source verification by contracting licensing boards, educational institutions and other relevant entitiesResponsible for data entry and maintaining provider information in online credentialing database and systems. [CAQH, DEA, Provider Profiles]Verify the accuracy and validity of provider credentials, licenses and certificatesEnsure compliance with federal, state, and organizational credentialingMaintain accurate and up-to-date provider profiles in credentialing departmentTrack and monitor credential expiration dates and recredentialing timelinesInitiate and manage the recredentialing process for healthcare providersEnsure providers meet ongoing credentialing requirementsMaintain accurate and organized records of credentialing activitiesAddress credentialing inquiries and emails and resolves issues promptlyFamiliarity with CAQH, License validation, 24/7 coverage, Attestation date, Specialty verification, DEA and other external websites related to CredentialingCollect and review initial Credentialing applications and supporting documentationsResponsible for monitoring development process and following up with providers as needed until confirmation of in network status has been receivedResponsible for maintaining copies of current state license, DEA certificates, malpractice coverage and any other required credentialing documents for all providersAnd all other duties as assignedKnowledge, Skills and AbilitiesFamiliar with provider credentialing and recredentialing requirements.Strong analytical computer and software skillsExcellent interpersonal skills including excellent verbal and written communication skillsAbility to demonstrate high degree of trust and confidentiality

Job Title: HRSC- Audit & Compliance Experience: 1-5 yearsLocation: HyderabadShift: 3pm-12amSkills required: Good communication, US HR Operations, I9 verification process (steps involved)/Immigration/LCC, HRMS tools knowledge, Excel.Job Description:Documentation & Training: Assist Program Manager to create and maintain clear and concise process documentation, including standard operating procedures (SOPs), user guides, and training materials.Data Analysis & Reporting: Collect and analyze data related to process performance, identify trends, and generate reports to track progress and measure the impact of process improvements. Intermediate expertise in Excel required (Vlookups, Xlookups, Formula creation, pivot tables, & conditional formatting specifically). Workday and Salesforce experience preferred. Perform regular audits to ensure organization compliance.Technology Evaluation & Implementation: Assist in the implementation and integration of new systems and/or processes. Evaluate and recommend new technologies and tools to support process automation and efficiency.Collaboration & Communication: Work collaboratively and effectively with current and former employees, internal HR partners, internal/external legal counsel. Strong written and verbal English communication required. Ensure KPIs are being met at target goals to create a positive customer experience.Experience with Workday and Salesforce

Role: Workday Functional ConsultantLocation: Chennai/HyderabadShift: 3pm to 12am (Both ways cab will be provided)Experience: 7-12 yrs (5+yrs in Workday)Certifications (Good to Have): Workday Pro (Core HCM / Recruiting / Learning / Compensation / Payroll / Time and Tracking / Time Off and Absence / Security)Primary Role:Bridges the gap between HR Centers of Excellence (COEs), HR tech, and the end user to close gaps between solutions, design, and user needsDelivers new systems and enhancements and leads projects for assigned areas and projectsDrives process improvements and innovative solutions to add value to the businessTo achieve this goal, you will:Champion emerging technologies that proactively address challenges across the HR landscapeDevelop/maintain deep functional expertise for area of support with high level of accountability Maintain and seeks knowledge of upcoming features and functionalityMaintain consistent open lines of communicationKey ActivitiesServes as the point person/subject matter expert for area of expertise, providing consultation for assigned areas/projectsLeads planning and implementation of ongoing upgrades and functionality releases in partnership with the COEsAnalyzes, designs, configures, tests and implements new functional and break/fix solutions for assigned HR COEs, leveraging technical and functional expertisePartners with assigned HR COEs to understand pain points, determine root causes, and develops solutions to address short and long termExecutes escalated complex SRsDocuments business process, requirements and test plansDevelops and manages relationships with customers, enGen, and team membersConduct research to support implementation of solutions and provide perspectives on best-fit solutionKey CompetenciesFunctional ExpertiseProject Lifecycle ManagementDocumentation ManagementCommunicationResearch and Solution DevelopmentBehaviorsCustomer FirstPurposeful ExecutionTrust Working TogetherTransformational LeadershipSense of UrgencyData Stewardship

Job Role: Senior Lead/Architect - AEM (Adobe Experience Manager)Experience: 12 - 16 yearsWork Locations: Chennai & HyderabadWork Model: Hybrid Roles & Responsibilities:Administer, configure, and maintain Adobe Experience Manager (AEM) environments.Collaborate with cross-functional teams to deploy and manage AEM applications.Perform regular monitoring, troubleshooting, and performance tuning of AEM instances.Manage user access, security, and permissions within the AEM platform.Implement backup and disaster recovery strategies for AEM environments.Stay up to date with the latest AEM versions, patches, and upgrades, and ensure timely implementation.Work closely with developers and stakeholders to understand project requirements and provide technical expertise.Implement custom components, templates, dialogs, and workflows using the AEM architecture (Sling, CRX, OSGI, JCR, Slightly)Configure and set up AEM workflows, Sling mapping, Multi-site management including translation frameworkProvide architectural solutions for page layout and organizationAuthor personalized dynamic driven contentRequired skills: In-depth knowledge of AEM administration, including installation, configuration, and troubleshooting.Proficiency in managing AEM workflows, replication agents, and dispatcher configurations.Experience in monitoring AEM performance and implementing optimization techniques.Strong understanding of content authoring, asset management, and publishing in AEM.Effective communication skills to interact with cross-functional teams and stakeholders.Strong understanding of web services development in Java using REST and SOAP protocols and in particular, a strong understanding of REST-full architecture patternsWeb Development experience in HTML/CSS/JavascriptExperience in handling backup and restore activities.Understanding the IP whitelist and WAF.Able to perform a Health check of the systems.Hands-on experience in Unix and z/OS platform.Experience in using Dynatrace for monitoring.Experience in working with publisher and dispatcher environments.Experience in performing and coordinating the deployments.Must Have:AEM AdministratorUnix command, Splunk, DynatraceGood to have Skills: Excellent problem-solving and analytical skills.Ability to understand the shell scripts and modify (on need basis).Ability to work collaboratively in a team environment.Have a good understanding of software engineering practices, SDLC

Role: Data ScientistLocation: Chennai/HyderabadShift: 3pm to 12am Experience: 7-10 yrs Role Summary:The Data Scientist will be responsible for developing data-driven insights and innovations within the Sidekick product, focusing on analytics, dashboarding, and Generative AI research and development.Responsibilities:Develop and maintain data analytics and dashboards for the Sidekick product, providing key insights to stakeholders.Conduct research and development in Generative AI to improve Sidekick features and functionality.Analyze large datasets to identify trends, patterns, and opportunities for improvement.Collaborate with product and engineering teams to translate insights into actionable strategies.Develop and implement machine learning models to support Sidekick's capabilities.Skills:R Shiny, R programming, Dashboarding, AI Development 7-10 years experience in data science, with a focus on analytics and model development.Experience in programming skills such as Python, including experience with relevant libraries (e.g., pandas, scikit-learn, TensorFlow/PyTorch).Experience with data visualization tools Experience with machine learning and Generative AI techniques.