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6.0 - 11.0 years

8 - 9 Lacs

Chennai, Thiruvananthapuram

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Monitors, directs and evaluates coding production on a daily basis. Ensures that daily schedules are met and communicates with US Operational Manager and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay coding, implements measures/schedules to return to established coding schedules at the earliest possible time. Identifies day-to-day operational priorities and other workflow issues; adjusts coders, and other staff as necessary to ensure a constant flow of work so that delivery schedules are met, while respecting other parameters, such as login usage and quality/compliance considerations. Emphasizes productivity goals and takes action to ensure effective and efficient use of staff is maintained. Creatively plans for allocation of extra capacity for backlog coding. Tracks performance to ensure that staff is performing in alignment with the expectations of our clients. Responds to and ensures that the acknowledgement mail on daily updates is sent to US. Ensures client mails are promptly responded to. Codes actively alongside their team to stay abreast of all coding guidelines and processes. Helps to coordinate and follow through on the training plans for adding new trainees onto an account. Guideline updates Co-ordinate with the QA staff to ensure that the update is understood by the coders. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need : Any Life science, Paramedical Graduates and Postgraduates 6+ Years of Experience in Multispecialty Profee coding Valid certification from AAPC or AHIMA Leads experienced support professionals who exercise latitude and independence in assignments Responsible for leading daily operations or act as assistant to the supervisor What Would Be Nice to Have : Experience working in multiple specialties like E/M, ED, Denials Prior experience in handling client communication or audits Exposure to US Healthcare RCM process Proficiency in coding platforms or tools Ability to train or mentor Junior coders Basic understanding of compliance and HIPAA regulations

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5.0 - 10.0 years

6 - 10 Lacs

Noida

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Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ #NJP #NTRQ

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0.0 - 3.0 years

2 - 6 Lacs

Bengaluru

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes The Coder identifies and abstracts records consistently and accurately Consistently demonstrates time awarenessstrives to meet deadlines; reduces non-essential interruptions to an absolute minimum Meets departmental productivity standards for coding and entering inpatient and/or outpatient records Participates in coding meetings and education conferences to maintain coding skills and accuracy Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff Attend conference calls as necessary to provide information relating to Coding Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified Fresher or experience in medical coding or with any other experience Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview or offer process At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #njp

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0.0 - 3.0 years

4 - 7 Lacs

Mumbai

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Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of Meets Expectations or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NJP

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6.0 - 8.0 years

3 - 5 Lacs

Chennai

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Overview We are looking for a high-impact Product Manager who thrives at the intersection of technology and pharma/life sciences . This role demands a sharp strategic thinker with hands-on technical depth , product ownership mindset , and a solid grasp of pharma domain knowledge from primary market research (PMR) insights , competitive intelligence (CI) , to brand strategy . If you can translate brand/medical/commercial objectives into robust, scalable product solutions using AWS-native architectures , ML/GenAI models , and modern DevOps practices , you belong here. Key Responsibilities Product Leadership Own the end-to-end product lifecycle from discovery to launch across pharma/life sciences use cases. Translate unmet market and brand needs into differentiated, scalable, and user-centric product solutions. Prioritize features across platform modules by aligning commercial, medical, and data science needs. Partner with commercial, brand, and medical teams to translate PMR and CI into actionable product features. Technical & Platform Strategy Drive architectural discussions and product decisions around AWS cloud infrastructure , including Glue , Athena , Data Lake , S3 , Lambda , and Step Functions . Collaborate with engineering to ensure CI/CD pipelines , Docker , Kubernetes , and ML Ops practices are integrated for faster product iterations. Enable delivery of GenAI capabilities in the platform from document intelligence, medical NLP, summarization to insight generation. Data & AI Productization Lead data strategy for ingesting, cleaning, and transforming EMR, Claims, HCP/HCO, and RWD data using PySpark , SQL , and data pipelines . Build roadmap around ML/GenAI-driven use cases: e.g., treatment pathway prediction, KOL segmentation, site recommendation, competitive tracking. Collaborate with data scientists to deploy models in production using APIs and cloud-native services. Market & Domain Expertise Leverage deep knowledge of pharma workflows (Medical Affairs, Market Access, Clinical Dev, Commercial Ops). Map out patient journeys, treatment landscapes, and brand objectives into platform features. Convert PMR data and CI signals into competitive positioning and product differentiation. Required Qualifications 6 8 years of experience in product management or technical product ownership. Strong experience in pharma or life sciences industry ideally in commercial, medical, or clinical tech products. Proven hands-on experience with AWS cloud architecture , especially Glue, Athena, Data Lake, Step Functions. Proficient in Python , SQL , PySpark , and working knowledge of ML modeling & GenAI frameworks (LangChain, OpenAI, HuggingFace, etc.) . Strong grasp of DevOps pipelines (CI/CD, GitHub Actions/GitLab, Terraform, Docker, K8s) . Strong understanding of data engineering concepts ingestion, normalization, feature engineering, and ML pipeline orchestration. Familiarity with primary market research methodologies , CI tools , and brand strategy in pharma. Preferred Skills Prior experience building SaaS or platform products in regulated industries. Knowledge of data privacy, HIPAA, and compliance frameworks.

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6.0 - 11.0 years

7 - 11 Lacs

Hyderabad

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nitro-lazy"> Qualifications : Graduate in Lifesciences with Coding certifications : CPC, CCS. Highly experienced in surgical coding with an emphasis on orthopedic surgery. Years of Experience : Minimum 6 years of experience and overall 8 years of experience Job Summary The Coding Auditor and Educator is responsible for providing coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially orthopedic surgery, along with expertise in professional inpatient E/M services. The auditor/educator assists in providing educational training and understanding to physicians, mid-levels, clinical personnel, and revenue cycle teams. The auditor/educator will have effective communication skills via verbal and written and will be able to speak with providers and clinical team members confidently. Qualifications 2+ years of relevant experience in a professional coding auditor and/or coding educator capacity required. 3+ years orthopedic surgery and Evaluation and Management (E/M) coding experience. Other surgical specialties considered. Certified coding certificate from AAPC or AHIMA, required Strong understanding of and experience in auditing for compliance with 1995, 1997, and 2021/2023 E/M Guidelines required Additional credentials such as RHIT, CCS, CPMA, or specialty designations desirable Physician financial reimbursement and revenue cycle understanding is preferred Experience presenting to physicians and other healthcare providers required Ability to work in a fast-paced, high-volume coding audit (5-7 encounters per hour average expected) environment with a team, which expects high-quality deliverables and accuracy to clients Superior communication skills, both oral and written Excellent project management skills Traits that include detail-oriented, flexible, and responsive Experience with multiple practice management systems Expert level knowledge of Microsoft Office (Word and Excel) An innate desire for continuous operational improvement Responsibilities Conducts regular audits of coding and billing practices to ensure that they comply with regulations, identify areas for improvement, and provide training and support to staff members as necessary. Prepares clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating providers, coders, and management throughout the organization. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Conducts monthly monitoring reviews of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to ICD-10 CM codes, CPT s, HCPCS, modifiers, and place of service. Stays up-to-date with changes in coding regulations, policies, and procedures to ensure that the organization is always in compliance. Assists to designs, develops, and implements coding education programs for clients and staff members in the organization. Assists to provide education and training to coding staff, physicians, and other healthcare providers on CDI and coding best practices, including documentation requirements, coding guidelines, and compliance with regulatory requirements. Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)

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4.0 - 6.0 years

6 - 7 Lacs

Hyderabad

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"> Qualification & Desired Candidate Skills Intermediate or Bachelor s degree Candidate must have 4-6 years of experience in end to end AR process. Candidate with experience in Charge posting & Payment posting will get extra advantage. Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems. Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Ability to communicate effectively with insurance companies, patients, and other stakeholders. Ability to work independently and as part of a team. Proficient in Microsoft Office and other relevant software applications Shift Timings: 6:00 PM IST to 3:00 AM IST Responsibilites Manage and oversee the revenue cycle process, from charge capture to payment posting Review and analyze claims for accuracy and completeness before submitting to payers Ensure compliance with billing regulations and guidelines Identify and resolve issues with denied or rejected claims Follow up on unpaid claims and collections to ensure timely payment Communicate with insurance companies, patients, and stakeholders to resolve billing & coding issues. Work with healthcare providers to ensure accurate charge capture and documentation Analyze billing and payment data to identify trends and opportunities for improvement Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) Other duties as assigned

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3.0 - 8.0 years

6 - 10 Lacs

Hyderabad

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nitro-lazy"> Qualifications: Graduate in Lifesciences with Coding certifications : CPC, CCS Years of Experience : Minimum 3 years of experience and overall 5 years of experience Position : Coding Analyst Job Summary The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education, and compliance. Their primary responsibility is to review medical records for complete and accurate documentation, then working with departments and providers on improvement opportunities. Qualifications . CPC Certification through AAPC or AHIMA, Required . In depth knowledge of clinical workflow . Expert in Microsoft Office products, including Word and Excel . Minimum 5 Years Coding knowledge including E&M and Surgery . Training experience preferred . Expert experience with CCI edits . Revenue Cycle Management (RCM) experience required . Denial management and appeals experience, preferred . Strong verbal and written communication skills . Understand billing and coding requirements for government and commercial payers Responsibilities . Reviewing medical records to determine the appropriate codes for each diagnosis and procedure . Ensuring that coding is accurate and complies with all relevant regulations and guidelines . Communicating with healthcare providers to obtain additional information when necessary . Providing feedback and education to healthcare providers on coding and documentation best practices . Conducting audits of coding processes and documentation to identify opportunities for improvement . Staying up-to-date on changes to coding regulations and guidelines, and ensuring that coding processes are updated accordingly . Collaborating with other healthcare professionals, such as physicians and billing specialists, to ensure that billing and reimbursement processes are efficient and accurate . Advanced Proficiency with MS-Excel, Word, and PowerPoint . Account for internal control responsibilities in line with the organization s objectives . Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) . Perform another Account management duties as requested or assigned Work Environment/Physical Demands/Travel Requirements Ability to travel up to 5% Remote Position Primarily sedentary, using a computer and phone very often

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7.0 - 10.0 years

22 - 27 Lacs

Mumbai

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India s impact on the global economy has increased at an exponential rate and Deloitte presents an opportunity to unleash and realize your potential amongst cutting edge leaders, and organizations shaping the future of the region, and indeed, the world beyond. At Deloitte, your whole self to work, every day. Combine that with our drive to propel with purpose and you have the perfect playground to collaborate, innovate, grow, and make an impact that matters. The team Technology & Transformation is about much more than just the numbers. It s about attesting to accomplishments and challenges and helping to assure strong foundations for future aspirations. Deloitte exemplifies what, how, and why of change so you re always ready to act ahead. Learn more about Technology & Transformation Practice Your work profile As a Manager in our Cyber Team, you ll build and nurture positive working relationships with teams and clients with the intention to exceed client expectations: Lead and manage data privacy and protection engagements across industries (e.g., BFSI, Technology, Healthcare). Design, implement, and assess privacy programs in alignment with global regulations like GDPR, CCPA, PDPB/DPDP Act (India), HIPAA, etc. Conduct privacy impact assessments (PIAs), data protection impact assessments (DPIAs), and gap assessments. Provide advisory on cross-border data transfers, consent management, and lawful processing of personal data. Develop privacy frameworks, policies, and procedures tailored to client environments. Advise on embedding privacy-by-design in systems, processes, and product development lifecycles. Partner with cybersecurity and legal teams to build integrated data protection strategies. Lead client workshops, executive presentations, and training sessions on privacy compliance. Mentor junior team members and contribute to practice development and thought leadership. Desired qualifications 7 10 years of relevant experience in data privacy, data protection, or cybersecurity advisory. Deep understanding of privacy laws and frameworks (GDPR, DPDP, CCPA, ISO 27701, NIST Privacy Framework, etc.). Strong experience in conducting PIAs, gap assessments, and remediation roadmaps. Familiarity with data discovery tools, privacy tech solutions, and consent platforms is an advantage. Certifications such as CIPP/E, CIPM, CIPT, DPO Certification , or equivalent are preferred. Excellent stakeholder management, project leadership, and communication skills. Proven track record in client delivery and team management. Location and way of working Base location: Mumbai This profile involves frequent travelling to client locations. Your role as a Manager We expect our people to embrace and live our purpose by challenging themselves to identify issues that are most important for our clients, our people, and for society. In addition to living our purpose, Manager across our organization must strive to be: Inspiring - Leading with integrity to build inclusion and motivation Committed to creating purpose - Creating a sense of vision and purpose Agile - Achieving high-quality results through collaboration and Team unity Skilled at building diverse capability - Developing diverse capabilities for the future Persuasive / Influencing - Persuading and influencing stakeholders Collaborating - Partnering to build new solutions Delivering value - Showing commercial acumen Committed to expanding business - Leveraging new business opportunities Analytical Acumen - Leveraging data to recommend impactful approach and solutions through the power of analysis and visualization Effective communication Must be well abled to have well-structured and well-articulated conversations to achieve win-win possibilities Engagement Management / Delivery Excellence - Effectively managing engagement(s) to ensure timely and proactive execution as well as course correction for the success of engagement(s) Managing change - Responding to changing environment with resilience Managing Quality & Risk - Delivering high quality results and mitigating risks with utmost integrity and precision Strategic Thinking & Problem Solving - Applying strategic mindset to solve business issues and complex problems Tech Savvy - Leveraging ethical technology practices to deliver high impact for clients and for Deloitte. Empathetic leadership and inclusivity - creating a safe and thriving environment where everyones valued for who they are, use empathy to understand others to adapt our behaviours and attitudes to become more inclusive. How you ll grow Connect for impact Our exceptional team of professionals across the globe are solving some of the world s most complex business problems, as well as directly supporting our communities, the planet, and each other. Know more in our Global Impact Repor t a nd our India Impact Repor t . Empower to lead You can be a leader irrespective of your career level. Our colleagues are characterised by their ability to inspire, support, and provide opportunities for people to deliver their best and grow both as professionals and human beings. Know more about Deloitte and our One Young Worl d partnership . Inclusion for all At Deloitte, people are valued and respected for who they are and are trusted to add value to their clients, teams and communities in a way that reflects their own unique capabilities . Know mor e about everyday steps that you can take to be more inclusive . A t Deloitte, we believe in the unique skills, attitude and potential each and every one of us brings to the table to make an impact that matters. Drive your career At Deloitte, you are encouraged to take ownership of your career. We recognise there is no one size fits all career path, and global, cross-business mobility and up / re-skilling are all within the range of possibilities to shape a unique and fulfilling career. Know more about Life at Deloitte . Everyone s welcome entrust your happiness to us Our workspaces and initiatives are geared towards your 360-degree happiness. This includes specific needs you may have in terms of accessibility, flexibility, safety and security, and caregiving. Here s a glimpse of things that are in store for you. Interview tips We want job seekers exploring opportunities at Deloitte to feel prepared, confident and comfortable. To help you with your interview, we suggest that you do your research, know some background about the organisation and the business area you re applying to. Check out recruitin g tips from Deloitte professionals .

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0.0 - 1.0 years

2 - 6 Lacs

Navi Mumbai

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About The Role Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations New Associate Qualifications: Any Graduation Years of Experience: 0 to 1 years Language - Ability: English(International) - Intermediate About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.The business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for Ability to perform under pressureAdaptable and flexibleAbility to establish strong client relationshipWritten and verbal communicationPrioritization of workload Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your primary interaction is within your own team and your direct supervisor In this role you will be given detailed instructions on all tasks The decisions that you make impact your own work and are closely supervised You will be an individual contributor as a part of a team with a predetermined, narrow scope of work Please note that this role may require you to work in rotational shifts Qualification Any Graduation

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3.0 - 8.0 years

3 - 7 Lacs

Pune

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Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing system performance, and ensuring that applications run smoothly to support business operations effectively. You will engage with users to understand their challenges and work towards implementing solutions that enhance system functionality and user experience. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Assist in the documentation of processes and procedures to enhance team knowledge.- Engage with stakeholders to gather requirements and provide feedback on system performance. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong analytical skills to diagnose and resolve software issues.- Experience with troubleshooting and debugging software applications.- Familiarity with system integration and data flow management.- Ability to communicate technical information effectively to non-technical users. Additional Information:- The candidate should have minimum 3 years of experience in Electronic Medical Records (EMR).- This position is based at our Pune office.- A 15 years full time education is required. Qualification 15 years full time education

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2.0 - 5.0 years

5 - 9 Lacs

Bengaluru

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Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce DevelopmentMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time educationDeep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences commercial processes, and deep working knowledge of Salesforce ,Veeva CRM and Agentforce. This role is pivotal in designing and delivering scalable Salesforce solutions tailored for pharma field teams, HCP engagement, and compliance-driven operations.Key Responsibilities:Lead the technical design, development, and deployment of Salesforce solutions for life sciences commercial use cases.Work extensively on Agentforce modules for Pharma.Ability to put together over all architecture and suggest best practices for salesforce and Life science .Develop robust, scalable Apex, LWC, flows, and triggers aligned with Salesforce best practices.Integrate Salesforce with external systems such as Veeva CRM, MDM, IQVIA, MedPro, etc.Ensure solutions adhere to compliance and regulatory standards like HIPAA, GxP, and FDA transparency requirements.Guide junior team members and contribute to code reviews, DevOps (Copado/Gearset), and CI/CD pipelines.Participate in Agile delivery (Scrum) and maintain documentation aligned with validation/compliance processes.Required Skills: 810 years of Salesforce development and solutioning experience in Life Sciences domainStrong technical expertise in:oApex, SOQL, SOSL, LWC, Flow BuilderoREST/SOAP integrations, Platform EventsoCustom metadata and modular architectureHands-on experience with Agentforce (or equivalent field force automation)Proficient with Veeva CRM, including its data model, configuration, and integration touchpointsExcellent understanding of Life Sciences commercial processes:HCP engagement, field force operations, sample drops, complianceExperience working with DevOps tools (Copado, Git, Gearset) and Salesforce deployment lifecycleAbility to work with onshore-offshore delivery models and cross-functional teamsPreferred/Bonus Skills: Exposure to Salesforce CRM Analytics, Maps, or Einstein features used in life sciencesFamiliarity with Veeva Vault, Veeva My insights ,Salesforce Health Cloud, or LS Cloud industry add-onsKnowledge of validation documentation, GxP-aligned SDLC, or Part 11 audit trailsExperience on large scale data migration .Certifications (Required/Preferred):Salesforce Platform Developer I (Required) Salesforce Platform Developer II (Preferred)Salesforce Health Cloud (Preferred) Veeva CRM Configuration Certification (Preferred) Salesforce App Builder / Integration Architecture Designer (Nice to have) Additional Information:- This position is based at our Bengaluru office.- A 15 years full time education is required. Qualification 15 years full time education

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5.0 - 10.0 years

13 - 17 Lacs

Hyderabad

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Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Splunk Security Information and Event Management (SIEM), Security Information and Event Management (SIEM), Sentinal Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. A typical day involves collaborating with various teams to assess security needs, documenting the implementation of cloud security controls, and transitioning to cloud security-managed operations. You will engage in discussions to refine security strategies and ensure compliance with industry standards, all while adapting to the evolving landscape of cloud technologies and security threats. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Develop and maintain comprehensive documentation of security architecture and frameworks.- Conduct regular assessments and audits to ensure compliance with security policies and standards. Professional & Technical Skills: - Must To Have Skills: Proficiency in Splunk Security Information and Event Management (SIEM), Security Information and Event Management (SIEM).- Strong understanding of cloud security principles and best practices.- Experience with incident response and threat detection methodologies.- Familiarity with regulatory compliance frameworks such as GDPR, HIPAA, or PCI-DSS.- Ability to analyze security incidents and provide actionable insights. Additional Information:- The candidate should have minimum 5 years of experience in Splunk Security Information and Event Management (SIEM).- This position is based at our Hyderabad office.- A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required. Qualification A Bachelors or Masters Degree in Technology or similar streams as fulltime education is required

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5.0 - 10.0 years

13 - 17 Lacs

Hyderabad

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Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : SailPoint IdentityIQ Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : Bachelor or college degree in related field or equivalent work experience Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various teams to document the implementation of cloud security controls and facilitating the transition to cloud security-managed operations. You will engage in discussions to align security strategies with organizational objectives, ensuring that all security measures are effectively integrated into the cloud environment. Your role will also require you to stay updated on the latest security trends and technologies to enhance the overall security posture of the organization. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Develop and maintain comprehensive documentation of security architecture and controls.- Conduct regular assessments and audits to ensure compliance with security policies and standards. Professional & Technical Skills: - Must To Have Skills: Proficiency in SailPoint IdentityIQ.- Strong understanding of cloud security principles and best practices.- Experience with identity and access management solutions.- Familiarity with regulatory compliance frameworks such as GDPR, HIPAA, or PCI-DSS.- Ability to analyze security incidents and implement effective remediation strategies. Additional Information:- The candidate should have minimum 5 years of experience in SailPoint IdentityIQ.- This position is based at our Hyderabad office.- A Bachelor or college degree in related field or equivalent work experience is required. Qualification Bachelor or college degree in related field or equivalent work experience

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8.0 - 13.0 years

13 - 17 Lacs

Noida

Work from Office

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : SailPoint IdentityNow Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various teams to document the implementation of cloud security controls and facilitate the transition to cloud security-managed operations, ensuring that all security measures align with organizational objectives and compliance standards. You will engage in strategic discussions to enhance security protocols and contribute to the overall security posture of the organization. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Develop and maintain comprehensive documentation of security architecture and frameworks.- Conduct regular assessments of security controls to ensure effectiveness and compliance. Professional & Technical Skills: - Must To Have Skills: Proficiency in SailPoint IdentityNow.- Strong understanding of cloud security principles and best practices.- Experience with identity and access management solutions.- Familiarity with regulatory compliance standards such as GDPR and HIPAA.- Ability to analyze and mitigate security risks in cloud environments. Additional Information:- The candidate should have minimum 5 years of experience in SailPoint IdentityNow.- This position is based at our Noida office.- A 15 years full time education is required. Qualification 15 years full time education

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2.0 years

0 Lacs

Bengaluru, Karnataka

On-site

Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average. BETSOL’s open-source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 80% savings in total cost of ownership (TCO) and best-in-class performance. BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers. BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India. We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities. Learn more at betsol.com. Job Description Key Responsibilities: End-to-end follow-up on insurance claims via phone calls and/or payer portals. Analyze and resolve denials and rejections received from payers (CARC/RARC codes interpretation). Perform root cause analysis and take corrective action for recurring denial trends. Ensure timely re-submission, appeals, and escalations for denied claims. Maintain accurate documentation of all activities performed in the billing system. Meet daily, weekly, and monthly productivity and quality benchmarks. Collaborate with billing, coding, and patient access teams to fix front-end issues causing denials. Work on denial worklists, aging reports, and assigned inventory efficiently. Maintain up-to-date knowledge of payer policies, regulatory changes, and industry best practices. Provide feedback to Team Leads/Supervisors on process gaps and potential improvement areas. Required Skills & Qualifications: Minimum 2+ years of experience in US Healthcare AR and Denial Management. Strong understanding of medical billing terminologies, CPT/ICD codes, and payer guidelines. Hands-on experience with billing platforms (Athena, eClinicalWorks, Epic, In-Sync etc.) is preferred. Good understanding of HIPAA compliance and patient confidentiality. Strong communication skills – verbal and written (especially for payer calls). An analytical and problem-solving mindset to investigate and resolve complex denials. Ability to work independently and collaboratively in a high-volume environment. Additional Information All your information will be kept confidential according to EEO guidelines.

Posted 23 hours ago

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2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

As a Quality Control Analyst - Coding at Omega Healthcare Management Services Private Limited in Chennai, Tamil Nadu, you will play a crucial role in ensuring the quality requirements are met from both a process perspective and for targets set by the organization. Your responsibilities will include identifying methods to achieve quality targets, implementing them in consultation with the operations manager/team manager, and identifying errors efficiently during inspections. You will be required to actively participate in client calls, provide feedback face-to-face and via emails on errors identified, and ensure the correction of errors by the respective operations associates. Coaching employees to minimize errors, providing inputs to enhance training curriculum based on common mistakes observed, and testing files/batches for new clients/processes are also key aspects of this role. Additionally, you will be responsible for generating QA reports on a daily basis, meeting and exceeding internal and external SLAs as per defined processes, maintaining quality status reports, and ensuring strict adherence to company policies and procedures. Your role will involve conducting quality audits, coaching, and training sessions as per the defined process, requiring a minimum of 1.5 years of professional and relevant experience in the field. To excel in this role, you must possess sound knowledge of healthcare concepts, critical problem-solving skills, good analytical abilities, and judgmental skills. It is essential to have a good understanding of product and process knowledge, and to conduct quality feedback and refresher sessions regularly. If you are looking for a challenging opportunity to enhance your quality control skills and contribute to maintaining high standards in healthcare coding, this position offers a platform to showcase your expertise and make a significant impact within the organization.,

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7.0 - 11.0 years

0 Lacs

karnataka

On-site

As a Privacy and Data Protection Manager at our professional services firm, you will play a crucial role in leading strategic consulting engagements, managing client relationships, and driving privacy program implementations. With a focus on data privacy and protection, you will navigate global regulatory frameworks such as GDPR, CCPA, HIPAA, and GLBA. Your responsibilities will include leading end-to-end delivery of data privacy engagements, conducting data inventory, compliance readiness assessments, and implementing privacy programs. Leveraging your deep regulatory knowledge, you will apply GDPR, CCPA, HIPAA, and other regulations to client-specific environments. In this role, you will manage multiple client engagements in a fast-paced, collaborative setting while mentoring teams, resolving client challenges, and driving continuous improvement. Additionally, you will support business development, marketing, and thought leadership initiatives. The ideal candidate will have a Bachelor's degree in Law, Cybersecurity, Computer Science, IT, or an MBA/PGDM from a reputed institute, along with at least 7 years of experience in privacy consulting or a related domain. Strong knowledge of privacy tools such as OneTrust, Securiti, and BigID is a plus. To excel in this role, you must possess excellent stakeholder communication, project management, and team leadership skills. Additionally, holding certifications such as CIPP, CIPT, CISSP, or related certifications is mandatory. If you are passionate about shaping data privacy strategy and making a meaningful impact, we invite you to join our team and be part of something significant. If you meet the qualifications and are ready to take on this exciting opportunity, we encourage you to reach out to us. Let's discuss how your expertise can contribute to our mission. Please send us a message or email namitha@careerxperts.com to get connected.,

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1.0 - 3.0 years

6 - 7 Lacs

Kolkata

Work from Office

TATA AIG General Insurance Company Limited is looking for Manager - Commercial Claims to join our dynamic team and embark on a rewarding career journey Delegating responsibilities and supervising business operations Hiring, training, motivating and coaching employees as they provide attentive, efficient service to customers, assessing employee performance and providing helpful feedback and training opportunities. Resolving conflicts or complaints from customers and employees. Monitoring store activity and ensuring it is properly provisioned and staffed. Analyzing information and processes and developing more effective or efficient processes and strategies. Establishing and achieving business and profit objectives. Maintaining a clean, tidy business, ensuring that signage and displays are attractive. Generating reports and presenting information to upper-level managers or other parties. Ensuring staff members follow company policies and procedures. Other duties to ensure the overall health and success of the business.

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0.0 - 1.0 years

1 - 3 Lacs

Coimbatore

Work from Office

Job Summary Join our dynamic team as a Claims Processing Specialist where you will play a crucial role in ensuring the accuracy and efficiency of claims adjudication. With a focus on Medicare and Medicaid claims you will contribute to the seamless processing of claims enhancing our service delivery. This hybrid role offers the flexibility of working both remotely and on-site during night shifts. Responsibilities Process claims with precision ensuring adherence to Medicare and Medicaid guidelines. Analyze claims data to identify discrepancies and resolve issues promptly. Collaborate with team members to streamline claims adjudication processes. Utilize claims adjudication software to enhance processing efficiency. Provide feedback on process improvements to enhance service delivery. Maintain up-to-date knowledge of industry regulations and compliance standards. Communicate effectively with stakeholders to ensure clarity and resolution of claims issues. Document claims processing activities accurately for audit and reporting purposes. Support the team in achieving departmental goals and objectives. Participate in training sessions to stay informed about the latest claims processing techniques. Ensure confidentiality and security of sensitive claims information. Contribute to a positive work environment by supporting colleagues and fostering teamwork. Adapt to changing priorities and work effectively under pressure. Qualifications Demonstrate proficiency in claims adjudication processes and software. Possess strong analytical skills to identify and resolve claims discrepancies. Exhibit excellent communication skills for effective stakeholder interaction. Show a keen understanding of Medicare and Medicaid claims requirements. Display attention to detail in processing and documenting claims activities. Have the ability to work independently and collaboratively in a hybrid work model. Certifications Required Not required

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12.0 - 15.0 years

20 - 25 Lacs

Bengaluru

Work from Office

DESCRIPTION Experience: 12-15 Years Requirements: Bachelor s or master s degree in computer science, Artificial Intelligence, or a related field. 12+ years of experience in software development or architecture, with a significant focus on AI and machine learning. Deep understanding of AI/ML concepts and techniques, including supervised, unsupervised, and reinforcement learning, and experience with various AI algorithms and models. Hands-on experience with cloud computing platforms (e.g., AWS, Azure, GCP), with a strong preference for experience with Google Cloud Platform (GCP) and its AI-related services. Proven experience in designing and implementing scalable and robust AI solutions within the Healthcare IT domain. Strong programming skills in languages such as Python, Java, or Scala, as well as experience with AI/ML frameworks such as TensorFlow, PyTorch, or Scikit-learn. Excellent communication, presentation, and interpersonal skills, with the ability to effectively communicate complex technical concepts to diverse audiences. Proven ability to lead technical discussions and influence decision-making, with a demonstrated track record of successfully driving AI initiatives within an organization. Experience in working with cross-functional teams and stakeholders, with a strong ability to collaborate and build consensus. Strong analytical and problem-solving skills, with a demonstrated ability to identify and address complex technical challenges. Knowledge of healthcare industry standards and regulations (e.g., HIPAA) is required, as well as a strong understanding of the Healthcare IT landscape. Experience with MLOps practices and tools, with a focus on automating and streamlining the AI development and deployment lifecycle. Strong leadership skills, with the ability to provide technical guidance and mentorship to project teams. Driving Results: A good single contributor and a good team player. Flexible attitude towards work, as per the needs. Proactively identify & communicate issues and risks. Other Personal Characteristics: Dynamic, engaging, self-reliant developer Ability to deal with ambiguity Manage a collaborative and analytical approach Self-confident and humble Open to continuous learning Intelligent, rigorous thinker who can operate successfully amongst bright people QUALIFICATIONS Must Have Skills Deep understanding of AI/ML concepts and techniques, including supervised, unsupervised, and reinforcement learning, and experience with various AI algorithms and models. Hands-on experience with cloud computing platforms (e.g., AWS, Azure, GCP), with a strong preference for experience with Google Cloud Platform (GCP) and its AI-related services. Good To Have Skills Strong programming skills in languages such as Python, Java, or Scala, as well as experience with AI/ML frameworks such as TensorFlow, PyTorch, or Scikit-learn. Minimum Education Level Bachelors or Equivalent Years of Experience 12-15 years ADDITIONAL INFORMATION Work Type: FullTime Location: Bengaluru Karnataka India Job ID: Tescra-Awi-4EF899 or to apply! 3130 Crow Canyon Pl, Ste 205, San Ramon, CA 94583 Copyright 2025 ACHNET Inc. All rights reserved. Product Services Company More

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3.0 - 5.0 years

1 - 5 Lacs

Hyderabad

Work from Office

"Overview Experience3-5 Years Location Hyderabad Skills-Security Operations +Security platforms such as WAF, CASB, ZTNA, CFW, EDR, and SIEM tools +managing Netskope, Devo, and/or Akamai at a configuration/policy level Shift Timing - 6 30 pm - 3 30 am Analyst, Security Operations About Omnicom Global Solutions Omnicom Global Solutions is an integral part of Omnicom Group, a leading global marketing and corporate communications company Omnicom s branded networks and numerous specialty firms provide advertising, strategic media planning and buying, digital and interactive marketing, direct and promotional marketing, public relations, and other specialty communications services to over 5,000 clients in more than 70 countries OGS India plays a critical role for our group companies and global agencies by providing stellar products, solutions, and services across Creative Services, Technology, Marketing Science (Data & Analytics), Advanced Analytics, Market Research, Business Support Services, Media Services, and Project Management With over 4000 talented colleagues in India, we are growing rapidly and are looking for professionals like you to help build the next chapter of our journey Responsibilities Role Overview We have an exciting opportunity for an Analyst, Security Operations at our Hyderabad office This role is responsible for maintaining the confidentiality, integrity, and availability of personal information and company assets, ensuring compliance with Omnicom s internal policies and standards The Analyst will support the tools, technologies, and operational architecture that monitor and protect Omnicom s physical and digital environments This role plays a vital part in defending the organization s infrastructure and data by executing daily operational security tasks and contributing to long-term strategic security initiatives Key Responsibilities Manage and support cybersecurity tools and software that protect Omnicom s digital and physical environments Operate and maintain controls such as Web Access Firewall (WAF), Zero Trust Network Access (ZTNA), Cloud Access Security Broker (CASB), Cloud Firewall (CFW), Endpoint Detection & Response (EDR), and Security Information and Event Management (SIEM) systems Deploy and maintain software agents and intermediate nodes to facilitate secure operations across cloud and on-premises environments Collaborate across internal Omnicom teams as well as with external support, accounting, and engineering teams from trusted security partners Monitor environments for security threats and respond in accordance with incident response protocols Support ongoing security posture improvement initiatives and assist in risk mitigation efforts Qualifications Required Qualifications 3 5 years of experience in security operations, cybersecurity, or IT infrastructure Working knowledge of security platforms such as WAF, CASB, ZTNA, CFW, EDR, and SIEM tools Familiarity with incident detection, triage, and response processes Experience in agent deployment and system integration for enterprise-wide security tools Strong analytical and problem-solving skills with a proactive security mindset Ability to coordinate across teams and manage third-party security service providers Excellent communication skills and a detail-oriented approach to operational tasks Preferred Qualifications Security certifications such as CompTIA Security+, GIAC, or equivalent Experience with cloud security frameworks and zero trust architecture Exposure to regulatory compliance environments (e g, GDPR, HIPAA, ISO 27001) location_nameAnnalect Indiastreet_addressRMZ Spire, Tower 110,

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9.0 - 13.0 years

0 Lacs

chennai, tamil nadu

On-site

Engage with stakeholders to understand, document, and clarify business requirements and user needs. Analyze and prioritize business problems based on customer input and impact. Conduct requirements analysis and management, driving clarity and completeness across the project lifecycle. Prepare detailed User Stories with clear Acceptance Criteria aligned with Agile methodology. Propose and evaluate solutions, identifying pros and cons to aid in decision-making. Serve as the primary liaison between business users and technical teams, including developers and QA. Maintain and manage JIRA for tracking and updating requirements. Provide ongoing clarification and support to development and QA teams throughout the SDLC. Assist QA teams in User Acceptance Testing (UAT) by providing business context and reviewing test cases. Identify and document functional and non-functional requirements. Conduct walkthroughs and presentations to internal/external stakeholders. Track and manage requirement changes and ensure alignment with project goals. Create and maintain Business Process Documentation. Required Skills and Qualifications: Bachelors degree in any discipline; Masters degree in a related field is a plus. 9+ years of experience as a Business Analyst with strong emphasis on Healthcare domain projects. 10+ years of total industry experience in IT or Business Consulting. Strong knowledge of Healthcare processes, regulations, claims processing, and standards (e.g., HIPAA, EDI). Hands-on experience with tools like JIRA, Confluence, and other Agile lifecycle tools. Excellent written and verbal communication skills and interpersonal skills. Proven expertise in eliciting and documenting requirements, conducting gap analysis, and managing stakeholders. Ability to drive collaboration across business and IT teams. Prior experience working in Agile/Scrum environments. Preferred Skills: Familiarity with HealthEdge platform and ability to map features to business needs. Exposure to cloud-based healthcare solutions is a plus.,

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3.0 - 7.0 years

0 - 0 Lacs

uttar pradesh

On-site

The Workday Solutions Architect role based in Elmsford, New York is a grant-funded position within the MIT - Workday Support department. As a Solutions Architect, you will utilize your broad knowledge of company product capabilities and service offerings to create and maintain a portfolio of generic product-solution alternatives on the Workday platform. Your primary focus will be designing, developing, and delivering enterprise-grade solutions tailored to meet the unique challenges of the healthcare industry. You will be responsible for translating complex clinical, operational, and financial requirements into scalable Workday configurations, integrations, and reporting structures. This involves supporting implementations and optimizations for Workday HCM, ensuring compliance with healthcare regulations, workforce dynamics, and patient-care priorities. The Solutions Architect role is project-based, requiring a blend of strategic planning and hands-on involvement, sometimes working directly at customer healthcare sites. Key responsibilities include creating and maintaining a portfolio of Workday product and solution alternatives customized for the healthcare industry. You will architect high-performance, stable, and compliant Workday solutions using tools such as Workday HCM and Workday Extend for custom applications or workflows. Additionally, you will act as a liaison between business and Workday technology teams, advocating for the client to ensure alignment with organizational goals and regulatory standards. To qualify for this position, you should have a minimum of 7 years of experience as a solutions architect, with at least 3 years focused on Workday implementations in the healthcare industry. Expertise with Workday tools such as EIB, Core Connectors, Workday Studio, Report Writer, and Calculated Fields is essential. Experience integrating Workday with EMRs, scheduling systems, and ERP platforms is highly desirable. A Bachelor's degree is required, and a Master's degree is preferred. The ideal candidate will possess strong communication skills, client service skills, creativity, and flexibility. Technical expertise in areas such as servers, databases, networks, data engineering, internet/intranet, workstations, and network security is crucial for success in this role. As a Solutions Architect, you must be an innovative thinker capable of advocating for new alternative concepts and technology applications. In summary, the Workday Solutions Architect position in Elmsford, New York offers a dynamic opportunity to design and deliver cutting-edge Workday solutions tailored to the specific needs of the healthcare industry. If you are a seasoned solutions architect with a passion for driving innovation in healthcare technology, we invite you to apply for this role and be part of a dedicated team focused on transforming healthcare delivery.,

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1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Sanjana 9251688424

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Exploring HIPAA Jobs in India

The Health Insurance Portability and Accountability Act (HIPAA) has created a demand for professionals in India who are well-versed in maintaining the security and privacy of healthcare data. HIPAA jobs in India offer a range of opportunities for individuals looking to work in the healthcare industry and ensure compliance with data protection regulations.

Top Hiring Locations in India

  1. Bangalore
  2. Mumbai
  3. Hyderabad
  4. Pune
  5. Delhi

Average Salary Range

The average salary range for HIPAA professionals in India varies based on experience levels. Entry-level positions may start around INR 3-5 lakhs per annum, while experienced professionals can earn upwards of INR 10-15 lakhs per annum.

Career Path

A typical career path in HIPAA roles may involve starting as a Compliance Analyst, moving up to a HIPAA Specialist or Consultant, and eventually progressing to a HIPAA Compliance Manager or Director.

Related Skills

  • Healthcare IT
  • Data Security
  • Compliance Management
  • Risk Assessment
  • Privacy Regulations

Interview Questions

  • What is HIPAA and why is it important? (basic)
  • Can you explain the difference between HIPAA privacy and security rules? (medium)
  • How do you ensure compliance with HIPAA regulations in a healthcare setting? (advanced)
  • What steps would you take in the event of a HIPAA violation? (medium)
  • How do you stay updated on changes to HIPAA regulations? (basic)
  • Can you provide an example of a HIPAA compliance project you have worked on? (medium)
  • How do you handle sensitive healthcare data securely? (medium)
  • What are the key components of a HIPAA risk assessment? (advanced)
  • How do you communicate HIPAA requirements to non-technical staff? (medium)
  • Have you ever dealt with a HIPAA breach incident? How did you handle it? (advanced)
  • What are the consequences of non-compliance with HIPAA regulations? (basic)
  • How do you ensure that third-party vendors comply with HIPAA regulations? (medium)
  • Can you explain the concept of minimum necessary in HIPAA compliance? (advanced)
  • How do you handle patient requests for their health information under HIPAA? (medium)
  • What are the differences between HIPAA and GDPR? (advanced)
  • How do you ensure data encryption in compliance with HIPAA standards? (medium)
  • How do you conduct a HIPAA training program for healthcare staff? (medium)
  • Can you discuss a scenario where you had to balance patient privacy with the need for healthcare data access? (advanced)
  • How do you handle a situation where a healthcare provider is resistant to HIPAA compliance measures? (medium)
  • What are the key elements of a HIPAA compliance audit? (advanced)
  • How do you document HIPAA compliance efforts within an organization? (medium)
  • Can you provide an overview of the HIPAA breach notification requirements? (advanced)
  • How do you handle requests for amendments to patient health information under HIPAA? (medium)
  • What are the challenges you have faced in ensuring HIPAA compliance in your previous roles? (medium)
  • How do you ensure that electronic health records (EHR) systems are HIPAA-compliant? (medium)

Closing Remark

As you prepare for HIPAA job opportunities in India, remember to showcase your knowledge of healthcare data security and privacy regulations confidently during interviews. With the right skills and experience, you can excel in the growing field of HIPAA compliance and contribute to ensuring the confidentiality and integrity of healthcare information. Good luck!

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