Experience Required: 9 to 13 years (Relevant Pega experience) Work Mode: Hybrid Key Responsibilities Architect and manage solutions on the Pega platform, including rules engine, case management, and decisioning. Integrate Pega with external systems using REST and SOAP APIs. Lead Pega Cloud Migration efforts and address migration-related challenges. Perform performance tuning and application optimization. Participate in design and solution discussions, ensuring alignment with business goals. Conduct design and code reviews to maintain code quality and best practices. Engage in hands-on development and complex debugging. Collaborate with cross-functional teams for team coordination and technical support. Work effectively in an Agile development environment. Required Skills & Qualifications Strong analytical, problem-solving, and communication skills. Excellent debugging and hands-on coding capabilities. Experience in leading technical teams and providing architecture-level input. PLSA (Pega Lead System Architect) Certification is mandatory. Domain knowledge in Health Insurance is preferred. Job Type: Contractual / Temporary Contract length: 12 months Pay: ₹150,000.00 - ₹250,000.00 per month Schedule: Day shift Work Location: In person Speak with the employer +91 9833126019
Job Summary The client is from US Healthcare domain and provides new/existing patients with the best possible patient experience in relation to their prescriptions, clinical services, billing inquiries, feedback and suggestions. As the first line of contact to patients and stakeholders, the customer service representative will set the tone for how the client's services are experienced. Job Responsibilities · Receives inbound calls and performs outbound calls to patients or physician's offices regarding orders for medications, pharmacy services and any other non-clinical inquiries. · Adds or updates insurance and pharma information in patient's record, or collect insurance information and alert appropriate teams to update the patient's account. · Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of services, to contact a patient's doctor office, to mail a letter to a patient. · Connects patients with doctors/pharmacists for counseling and clinical inquiries as required. · Escalates calls to clinicians, insurance verification teams, specialized teams as required. · Adding appointments, cancellation, rescheduling, on given schedules of Dr. Visit in the facility. · Replying to every doubt and provide solutions as per the regulations and terms very professionally. · Each and every conversation on call should be only in English language. · Integrity to follow HIPAA guidelines *We are looking for the candidates from Mumbai Location only. Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹22,000.00 per month Benefits: Work from home Application Question(s): Do you have experience in US Healthcare domain as Customer Service Representative Experience: Relevant: 1 year (Required) US Healthcare domain as Customer Service Representative: 1 year (Required) Language: English (Required) Location: Mumbai, Maharashtra (Required) Shift availability: Night Shift (Required) Work Location: In person Application Deadline: 19/07/2025 Expected Start Date: 25/07/2025
As a skilled professional in Pega platform solutions, you will be responsible for architecting and managing solutions, integrating with external systems, leading Pega Cloud Migration efforts, and optimizing application performance. Your role will involve participating in design discussions, conducting code reviews, engaging in hands-on development, and collaborating with cross-functional teams to ensure alignment with business goals. Your strong analytical and problem-solving skills, along with excellent debugging capabilities, will be essential for success in this role. Key Responsibilities: - Architect and manage solutions on the Pega platform, including rules engine, case management, and decisioning. - Integrate Pega with external systems using REST and SOAP APIs. - Lead Pega Cloud Migration efforts and address migration-related challenges. - Perform performance tuning and application optimization. - Participate in design and solution discussions, ensuring alignment with business goals. - Conduct design and code reviews to maintain code quality and best practices. - Engage in hands-on development and complex debugging. - Collaborate with cross-functional teams for team coordination and technical support. - Work effectively in an Agile development environment. Required Skills & Qualifications: - Strong analytical, problem-solving, and communication skills. - Excellent debugging and hands-on coding capabilities. - Experience in leading technical teams and providing architecture-level input. - PLSA (Pega Lead System Architect) Certification is mandatory. - Domain knowledge in Health Insurance is preferred. This is a Contractual / Temporary job with a contract length of 12 months. The work schedule is during the day shift, and the work location is in person. If you are interested in this opportunity, please reach out to the employer at +91 9833126019 for further discussions.,
Job Title: Operations Executive (Full-Time | On-Site) Location: Andheri, Mumbai Industry: Business & Community Engagement Salary: ₹15,000 – ₹25,000 per month Work Schedule: Monday to Saturday (Day Shift) This Role Is About People, Not Just Processes At UJustBe, we believe operations go beyond ticking tasks off a list — they are about building genuine human connection. As an Operations Executive , your day-to-day work will directly impact how supported, informed, and empowered others feel — whether it's a teammate, a Client, or someone new stepping into our ecosystem. We’re looking for someone who thrives in building rapport , brings clarity when things are uncertain, and follows through with care. You’ll be the one others naturally turn to when they need help navigating challenges — not because it’s your job, but because they know you get it . If This Sounds Like You, You Might Be Who We’re Looking For: You find it easy to connect with people and make them feel heard. You speak with calm confidence, especially in tricky situations. You follow through on your responsibilities — no loose ends. You keep things organized, documented, and transparent. You’re someone who naturally brings clarity when others are unsure. What You’ll Be Responsible For: Engage with internal teams and Clients to ensure smooth, clear communication. Have meaningful conversations to understand concerns and offer practical, thoughtful support. Share accurate information and updates so that others can take the right action. Address any operational or behavioral concerns professionally and with empathy. Collaborate with leadership to resolve issues, implement action plans, and support people through transitions. Maintain structured records of interactions, challenges, and resolutions. Keep databases up to date and assist in preparing simple reports. Ensure timely follow-ups that support ongoing goals and projects. Who We’re Looking For: Experience: 2+ years in client-facing or people-oriented roles like operations, support, HR, or community building. Tools: Familiar with MS Office (Word, Excel, PowerPoint) — at least 6 months of regular use. Communication: Clear, calm, and confident verbal communication. People Skills: Emotionally intelligent and approachable. Bonus Points: If you’ve ever coached, mentored, or guided others in any formal or informal capacity. Traits That Will Help You Succeed Here: You truly listen before you speak. You’re emotionally aware and tuned in to people’s energy and tone. You stay composed when things get hectic. You’re proactive and dependable — people can count on you. You enjoy growing through feedback and real-life experience. Bonus Skills (Not Mandatory): Experience in community-building, HR, mentoring, or team support roles. Comfort in navigating sensitive conversations with empathy. We’re not just hiring for a position — we’re looking for someone who wants to make a difference through everyday interactions. If that sounds like you, we’d love to meet you. Job Types: Full-time, Permanent Pay: ₹15,000.00 - ₹25,000.00 per month Application Question(s): What makes you a strong fit for a people-first operations role? Work Location: In person Expected Start Date: 04/08/2025
At UJustCreate, we believe in, and strive for, holistic development of the self. This means we create and provide the appropriate environment for our staff to excel in their work profiles while ensuring their all-round personal development. We empower our staff to contribute to the best of their ability and make a positive difference in any endeavour assigned to them. We welcome applications for the below role at one of our clients in the US Healthcare industry. You can actively contribute to the well-being of patients by providing timely and accurate information to healthcare providers as described below – Job Summary The client is from US Healthcare domain and provides new/existing patients with the best possible patient experience in relation to their prescriptions, clinical services, billing inquiries, feedback and suggestions. As the first line of contact to patients and stakeholders, the customer service representative will set the tone for how the client's services are experienced. Job Responsibilities · Receives inbound calls and performs outbound calls to patients or physician's offices regarding orders for medications, pharmacy services and any other non-clinical inquiries. · Adds or updates insurance and pharma information in patient's record, or collect insurance information and alert appropriate teams to update the patient's account. · Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of services, to contact a patient's doctor office, to mail a letter to a patient. · Connects patients with doctors/pharmacists for counseling and clinical inquiries as required. · Escalates calls to clinicians, insurance verification teams, specialized teams as required. · Adding appointments, cancellation, rescheduling, on given schedules of Doctor Visit in the facility. · Report accurate information to the insurance company so the patient can be billed for the correct amount · Getting the remaining bill drawn up and sent to the patient · Verify coverage and eligibility for medical services · Communicate with insurance providers and patients · Review patient bills and correct any missing or inaccurate information · Use a billing software to prepare and transmit claims · Clear up balance discrepancies · Investigate and appeal claims that were denied · Process denial management for claims rejected by the Insurance companies · Replying to every doubt and provide solutions as per the regulations and terms very professionally. · Each and every conversation on call should be only in English language. · Integrity to follow HIPAA guidelines * We are looking for the candidates from Mumbai Location only. Additional Details : Job Type: Full-time, Permanent Benefits: Work from home Schedule: US shift ( 5:30 pm – 2:30 am IST (approx. , may vary depending on client work timings)) Experience: · Minimum of 2 years of CSR and Billing experience Language: English (Required) Location: Mumbai, Maharashtra (Required) Shift availability: Night Shift (Required) Expected Start Date: Immediate Please apply if you wish to work in a productive work environment which fosters growth while helping you make a valuable contribution through your work. Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹37,000.00 per month Benefits: Work from home Application Question(s): Are you located in Mumbai ? Do you have CSR & Medical Billing experience in US Healthcare ? Work Location: In person
Job Summary The client is from US Healthcare domain and provides new/existing patients with the best possible patient experience in relation to their prescriptions, clinical services, billing inquiries, feedback and suggestions. As the first line of contact to patients and stakeholders, the customer service representative will set the tone for how the client's services are experienced. Job Responsibilities · Receives inbound calls and performs outbound calls to patients or physician's offices regarding orders for medications, pharmacy services and any other non-clinical inquiries. · Adds or updates insurance and pharma information in patient's record, or collect insurance information and alert appropriate teams to update the patient's account. · Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of services, to contact a patient's doctor office, to mail a letter to a patient. · Connects patients with doctors/pharmacists for counseling and clinical inquiries as required. · Escalates calls to clinicians, insurance verification teams, specialized teams as required. · Adding appointments, cancellation, rescheduling, on given schedules of Dr. Visit in the facility. · Replying to every doubt and provide solutions as per the regulations and terms very professionally. · Each and every conversation on call should be only in English language. · Integrity to follow HIPAA guidelines *We are looking for the candidates from Mumbai Location only. Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹22,000.00 per month Benefits: Work from home Application Question(s): Do you have experience in US Healthcare domain as Customer Service Representative Experience: Relevant: 1 year (Required) US Healthcare domain as Customer Service Representative: 1 year (Required) Language: English (Required) Location: Mumbai, Maharashtra (Required) Shift availability: Night Shift (Required) Work Location: In person