1267 Hipaa Jobs - Page 25

Looking for an experienced End-to-End RCM Manager (US Healthcare) skilled in Credentialing, Payment Posting, Charge Entry, Authorization, Eligibility Verification, Medical Billing, and knowledge of Adaptive Behavior Assessment. Responsible for managing the entire revenue cycle, ensuring compliance, optimizing revenue flow, and leading the RCM team effectively. Roles & Responsibilities Revenue Cycle Management: Manage and optimize the entire RCM process. Credentialing: Oversee provider credentialing, revalidations, and insurance enrollments. Payment Posting & Charge Entry: Ensure accurate and timely payment postings and charge entries. Authorization & Eligibility Verification: Manage insurance eligibility checks and authorization processes. Medical Billing & Claims: Supervise billing, reduce denials, and enhance collections. Adaptive Behavior Assessment: Knowledge of ABAS or similar tools; ensure proper documentation and billing. Team Leadership: Train, mentor, and enhance team productivity. Reporting & Analysis: Generate reports, analyze data, and improve revenue generation. Client & Stakeholder Communication: Address queries, resolve issues, and provide updates. Continuous Improvement: Stay updated with industry changes and implement process improvements. Please share CV at annu.misra@rsystems.com

Job Summary: We are seeking a highly motivated and experienced Telemarketing Executive to join our growing team. The primary responsibility of this role is to effectively market and promote our cutting-edge medical software/CRM solutions to potential doctors, clinics, and healthcare practices across the United States. The ideal candidate will possess a strong understanding of telemarketing best practices, excellent communication skills, and a proven track record of generating qualified leads and setting appointments. Experience in healthcare IT or B2B software sales/marketing is highly desirable. Key Responsibilities: Outbound Calling: Conduct a high volume of outbound calls to a targeted list of doctors, clinics, and medical practices in the USA. Lead Qualification: Qualify leads by identifying their needs, pain points, and current software solutions, determining their potential fit for our medical software/CRM. Product Presentation (Initial): Articulate the value proposition and key benefits of our medical software/CRM in a clear, concise, and compelling manner. Appointment Setting: Successfully set qualified appointments for our sales team (demos, follow-up calls, consultations). Database Management: Accurately record and update all interactions, lead status, and relevant information in our CRM system (e.g., Salesforce, HubSpot). Objection Handling: Effectively address and overcome objections from potential clients with persuasive and informative responses. Market Research: Stay informed about industry trends, competitor offerings, and the evolving needs of the US healthcare market. Collaboration: Work closely with the sales, marketing, and product teams to refine messaging and optimize lead generation strategies. Performance Tracking: Achieve and exceed daily, weekly, and monthly targets for calls, qualified leads, and appointments set. Feedback Loop: Provide constructive feedback to the marketing and sales teams regarding lead quality, campaign effectiveness, and market responses. Qualifications: Experience: Minimum of 3-5 years of proven experience in telemarketing, inside sales, or lead generation, preferably in a B2B environment. Strongly preferred: Experience marketing software solutions, particularly CRM, EHR, or other medical/healthcare IT products. Experience targeting the US market is a significant plus. Communication Skills: Exceptional verbal communication skills with a clear, professional, and persuasive telephone manner. Excellent active listening skills to understand client needs. Strong written communication for follow-up emails and CRM notes. Technical Aptitude: Comfortable understanding and explaining technology solutions (medical software/CRM features and benefits). Proficient in using CRM software (e.g., Salesforce, HubSpot, Zoho CRM) and Microsoft Office Suite (Word, Excel, Outlook). Sales & Marketing Acumen: Demonstrated ability to identify client needs and align them with product solutions. Results-oriented with a strong drive to achieve targets. Ability to handle rejections gracefully and maintain a positive attitude. Industry Knowledge (Preferred): Familiarity with the US healthcare system, medical practice workflows, and challenges faced by doctors/clinics. Understanding of HIPAA compliance and data security in healthcare is a plus. Work Ethic: Self-motivated, disciplined, and able to work independently with minimal supervision. High level of professionalism and integrity. Adaptable and able to thrive in a fast-paced environment. What We Offer: Competitive salary and attractive incentive structure based on performance. Opportunity to work with a cutting-edge medical software/CRM product. Comprehensive training on our product and sales methodologies. Supportive and collaborative team environment. Opportunities for professional growth and career advancement. Job Types: Full-time, Permanent Pay: ₹9,079.71 - ₹27,261.46 per month Benefits: Flexible schedule Food provided Schedule: Fixed shift Monday to Friday Night shift US shift Supplemental Pay: Commission pay Language: English (Required) Work Location: In person

Immediate Openings on SAP EDI See Burger Experience : 6+ Skill:- SAP EDI See Burger Location :- PAN INDIA Notice Period :- Immediate. Job description: SAP EDI See Burger EDI Integration Lead Minimum of 6-9 years experience in EDI Map Development using any of the EDI standards & Tools major EDI standards including X12, HIPPA, EDIFACT, TRADACOMS, VDA, (SI preferable) Minimum of 6 years related experience in the above related to full cycle ERP implementation for Logistics/supply chain, Sales & Finance process areas. Must have excellent/hands-on experience in setting up/performing prototyping, functional configuration, and developing functional specifications Preferably with manufacturing experience and business process knowledge particularly in handling OEM customers Sound experience in Seeburger BIC MD and Business Processes development skills. Experience with other EDI platforms such as TLE, Cleo will be added advantage.Experience in Migration/Integration projects specifically related to Seeburger, TLE, CLEO.Very good knowledge & hands-on experience with various communication protocols like SFTP, FTP, AS2, HTTP and JMS Ability to interact with business and other stakeholders to get requirements and build low-level solution design specifications.Good Knowledge of Industry standards for EDI such as SWIFT formats, XML, and EDIFACT.Ability to work in a team in diverse/ multiple stakeholder environment. Prepare all tests data and manage all communication with trading partners and assist to produce all operational documents and furnish a stable connection with/for you for all key stakeholders users.Good Analytical and communication skillsExcellent troubleshooting and analyzing skills. Dedication to meeting deadlines and ensuring quality delivery. Expert in implementing specifications; and translating customer requirements into mapping specifications.Ability to release and coordinate the changes in a Production environmentGood Knowledge of change management, release management, and disaster recovery. Mandatory Skills Seeburger Business Integration Server, Java, Industry standards for EDI such as SWIFT formats, XML, ANSI, EDIFACT 850.855/810Very good hands-on experience with various Seeburger BIS tools such as BIS Developer Studio , BIC Mapping Designer , BIS Front End , BIS Landscape Manager(BLM) , Message tracker SIL etc.,Knowledge on Experience of different middleware . Able to work with Functional Stream to design the interface and complete the mapping spec with different EDI messages with the SAP and non-SAP systems.

Primary Responsibilities: The Coderperforms 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: Should be a Graduate Any Graduate Certified Fresher or experience in medical coding or with any other experience If experience in Medical Coding G23 (0 to 2+ years), G24 (3+ years) Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS,CIC and COC Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview / 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 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. #NTRQ

Primary Responsibilities: Maintain knowledge of coding and billing requirements and regulatory changes KPIs include but not limited to Productivity, quality, TAT, Attendance and Attrition Quick turnaround using logical understanding of data Manages overall personnel, performance, and discipline of the assigned project(s) Provide expertise and leadership in assigned functional area Manage relationship with internal stakeholders and functions Manage all client interaction and client communication. Should front end the relationship with the client Review and analysis of periodic reports and metrics Evaluation of operational practices and procedures Provide support to quality initiatives targeted towards process improvements Actively involved in the internal audit support, ensuring all compliance parameters are met Establish and maintain a working environment conducive to positive morale, individual style, quality, creativity, and teamwork Provide direction to staff; ensure resolution of problems; sets priorities Actively provides inputs and assistance to the senior management in the planning, implementation, and evaluation / modifications to existing operations, systems, and procedures, specifically relating to his/her assigned project(s) Managing attrition and building retention strategies Preparation of annual business plans including operating budgets Negotiating solutions, resolving conflicts and anticipating/handling critical situations Providing regular performance feedback and giving frequent formal and informal coaching sessions 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 or Postgraduate inLife Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing) or others Certified coder AAPC / AHIMA CCS/CPC/CPC-H/CCS-P 10+ years of coding experience with about 3-4 yr experience as a Team Lead Knowledge of organizational structure, workflow, and operating procedures Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology Proficient in healthcare reimbursement methodologies Proven ability to manage and enable teams to reach their goals Proven good analytical and communication skills Proven solid interpersonal and communication skills Proven solid acumen towards employee engagements & driving customer satisfaction Proven ability to work closely with SME, Auditor and Trainer and identify training needs for outliers Proven ability to effectively provide 1 on 1 coaching Proven ability to monitor absences and overall day to day operations Proven ability to identify areas of weakness and provide educational teaching to improve those areas of weakness 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 #NTRQ

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibilities: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settingsMultispecialty Outpatient Surgery centre and hospital Ability to code 4-6 charts per hour and meeting the standards for quality criteria. Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly 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 with certification from AAPC or AHIMA 4+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines 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. External Candidate Application Internal Employee Application

Primary Responsibilities: 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 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 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 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 – Any Graduate 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 / Offer process Certified Fresher or Experience in medical coding or with any other previous experience Experience in Medical Coding G23 (0 to 2+ years), G24 ( 3 to 5 years) Must be a certified coder through AAPC or AHIMA Demonstrates thorough understanding on how position impacts the department and hospital Demonstrates willingness and flexibility in working additional hours or changing hours Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff 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. #NTRQ External Candidate Application Internal Employee Application

Job Summary Synechron is seeking an experienced ServiceNow Architect with IT experience and deep expertise in IT Service Management (ITSM) , Workplace Service Delivery (WSD) , and HR Service Delivery (HRSD) modules. The successful candidate will lead the design, development, and implementation of scalable, secure, and high-performing ServiceNow solutions aligned with organizational business objectives. This role plays a critical part in driving digital transformation initiatives, optimizing service delivery processes, and ensuring platform stability and compliance. Software Required Software Skills: ServiceNow platform (latest LTS versions, with at least 8+ years of hands-on solution design) Scripting and developmentJavaScript (including GlideScript), UI Policies, Business Rules, Client Scripts, and Workflows Integration toolsREST APIs, SOAP APIs, IntegrationHub, MID Servers ServiceNow modulesITSM, WSD, HRSD Platform administration and configuration tools within ServiceNow Preferred Software Skills: ServiceNow Certified Application Developer (CAD) ServiceNow Certified Implementation Specialist (CIS) for ITSM and HRSD Knowledge of Agile/Scrum project management tools Security and compliance tools/frameworks (GDPR, HIPAA) Overall Responsibilities Architect and oversee end-to-end implementation of ServiceNow modules including ITSM, WSD, and HRSD, ensuring alignment with enterprise service management strategies. Collaborate with business and technical stakeholders to gather requirements, define technical solutions, and optimize processes. Design scalable, robust, and maintainable platform architecture, including integrations with external systems. Enforce governance standards, development best practices, and platform security protocols. Lead platform upgrades, patch management, and release cycles to ensure optimal platform performance. Provide technical guidance and mentorship to developers, administrators, and project teams. Conduct regular platform health checks, monitor performance, and implement improvements. Stay informed about ServiceNow product updates and new features, recommending adoption strategies. Ensure compliance with security, privacy, and data management policies. Technical Skills (By Category) Programming Languages: RequiredJavaScript (for scripting, workflow customization, UI policies) PreferredJava, other scripting languages for automation and integration Databases/Data Management: Familiarity with ServiceNow data models, CMDB, and data integration best practices Cloud Technologies: PreferredExperience with cloud platforms (AWS, Azure, GCP) especially in context of integrations or hosting Frameworks and Libraries: Knowledge of ServiceNow Flow Designer, IntegrationHub, and custom application development Development Tools and Methodologies: Expertise with Agile/Scrum methodologies Version control (e.g., Git) Development and deployment best practices Security Protocols: In-depth understanding of security architecture within ServiceNow Experience with roles, permissions, compliance frameworks (GDPR, HIPAA) Experience Minimum 10 years of IT industry experience with at least 8+ years dedicating to ServiceNow platform architecture and solution design Proven experience in implementing core ServiceNow modulesITSM, HRSD, WSD Strong grasp of enterprise IT processes, especially ITIL-based service management Demonstrated success in leading complex platform upgrades and multi-instance environments Experience working in large-scale, multi-stakeholder enterprise settings Knowledge of regulatory standards such as GDPR, HIPAA is desirable Alternative pathways: Candidates with substantial enterprise IT architecture experience and proven ServiceNow expertise are encouraged to apply. Day-to-Day Activities Lead design workshops, gather client requirements, and translate needs into technical architecture solutions Develop and customize ServiceNow modules, workflows, and integrations Conduct code reviews, enforce coding standards, and oversee application health Coordinate with platform administrators for environment updates and maintenance Collaborate with security teams to ensure compliance and risk mitigation Conduct platform performance reviews and implement optimization strategies Document architecture, configurations, and best practices Provide ongoing support, troubleshooting, and continuous improvement initiatives Mentor junior team members and contribute to knowledge sharing Qualifications Academic backgroundBachelor's degree in Computer Science, Information Technology, or related discipline; equivalent professional experience acceptable Certifications: RequiredServiceNow CSA, CIS (ITSM & HRSD) PreferredServiceNow CAD, additional security or integration certifications TrainingCommitment to continuous learning through certifications, webinars, and industry events Demonstrated experience in enterprise-scale implementations and platform upgrades Professional Competencies Critical thinking with the ability to analyze complex technical and business challenges Leadership skills to guide teams and influence stakeholders Excellent communication skills, capable of articulating complex solutions clearly Stakeholder management and collaboration across diverse teams Adaptability to evolving technologies and project scopes Innovation mindset to leverage new ServiceNow features and best practices Strong time management and task prioritization skills S YNECHRONS DIVERSITY & INCLUSION STATEMENT Diversity & Inclusion are fundamental to our culture, and Synechron is proud to be an equal opportunity workplace and is an affirmative action employer. Our Diversity, Equity, and Inclusion (DEI) initiative Same Difference is committed to fostering an inclusive culture promoting equality, diversity and an environment that is respectful to all. We strongly believe that a diverse workforce helps build stronger, successful businesses as a global company. We encourage applicants from across diverse backgrounds, race, ethnicities, religion, age, marital status, gender, sexual orientations, or disabilities to apply. We empower our global workforce by offering flexible workplace arrangements, mentoring, internal mobility, learning and development programs, and more. All employment decisions at Synechron are based on business needs, job requirements and individual qualifications, without regard to the applicants gender, gender identity, sexual orientation, race, ethnicity, disabled or veteran status, or any other characteristic protected by law . Candidate Application Notice

About UKGHere at UKG, our purpose is people„¢. Our HR, payroll, and workforce management solutions help organizations unlock happier outcomes for all. And our U Krewers, who build those solutions and support our business, are talented, collaborative, and innovative problem-solvers. We strive to create a culture of belonging and an employee experience that empowers our people "“ both at work and at home. Our benefits show that we care about the whole you, from adoption and surrogacy assistance to tuition reimbursement and wellness programs. Our employee resource groups provide a welcoming place to land, learn, and connect with those who share your passions and interests. What are you waiting forLearn more at www.ukg.com/careers #WeAreUKG Job SummaryUKG is looking for a highly motivated, self-driven and detail-oriented Senior Internal Auditor for a hybrid-office based position out of our Noida, India office. The ideal candidate should be a self-starter and possess strong work ethics. This role will also support audit work focused on compliance with federal, state, and internal regulatory requirements. The ideal candidate will play a key role in ensuring effective risk management, promoting best practices, and providing insights to support organizational objectives. This position offers the opportunity to play a key role in ensuring the effectiveness of internal controls and compliance with organizational policies and regulations. The Senior Internal Auditor will join a Global Internal Audit Team and will be working closely Internal Audit leaders and team members across the world. Our Internal Audit team fosters a culture of collaboration and innovation and utilizes top of the line audit tools and systems. Key Responsibilitiesa) Internal Controls Evaluation and Enhancementˆ’ Conduct evaluations of internal controls and ensure they align with industry standards and regulatory requirements. ˆ’ Design and implement improvements in control processes to enhance efficiency, safeguard assets, and ensure compliance. ˆ’ Collaborate with process owners to develop and maintain control documentation, including narratives, flowcharts, and risk and control matrices. b) Compliance Audits and Controls Testingˆ’ Perform testing of controls related to compliance with federal, state, and internal regulations, such as SOX, and other applicable standards. ˆ’ Assess compliance with organizational policies and regulatory requirements, identifying gaps and providing recommendations for mitigation. ˆ’ Monitor the remediation of identified control deficiencies and ensure timely implementation. c) Reporting and Communicationˆ’ Prepare well-documented, clear, and concise audit reports, summarizing control deficiencies, risks, and improvement opportunities. ˆ’ Communicate findings and recommendations to senior management and stakeholders, ensuring transparency and fostering collaboration. d) Risk Assessment and Control Environment Monitoringˆ’ Participate in risk assessments to identify high-risk areas and prioritize audits focused on critical compliance and control issues. ˆ’ Develop a thorough understanding of the organization's control environment and contribute to the annual internal audit planning process. e) Otherˆ’ Work closely with business units, compliance, and risk teams to promote control awareness and support compliance initiatives. ˆ’ Serve as a trusted advisor on controls and compliance matters, providing insights and actionable recommendations to enhance business processes. Qualifications- Bachelor's degree in accounting, Finance, Business Administration, or a related field. Relevant certifications such as CPA, CIA, or CFE are highly preferred. 3"“6 years of experience in internal auditing, controls testing, or a similar field, preferably within a multinational organization. Strong understanding of internal control frameworks (e.g., COSO) and experience with compliance standards, such as SOX, HIPAA, or state-specific regulations. Proficiency in controls testing and compliance audit methodologies. Excellent communication and interpersonal skills, with the ability to present complex issues clearly to both technical and non-technical audiences. Strong analytical and problem-solving skills, with attention to detail and accuracy. Ability to work independently and as part of a team, with a proactive approach to managing multiple projects and meeting deadlines. Personal Attributes- High level of integrity and professionalism. Strong organizational and time-management skills. Ability to manage multiple tasks and meet deadlines.

The Strategy & Consulting Global Network Song Practice| Service | Life Science Manager (Level 7) Join our team of Strategy & Consulting Global Network Song who solve customer facing challenges at clients spanning Sales, Service and Marketing to accelerate business change. Practice: Strategy & Consulting Global Network Song I Areas of Work: Life Science, Service transformation, Contact Center, Platform Enablement viz. Vlocity CPQ, Veeva CRM, Salesforce Health Cloud, etc | Level: Manager | Location: Bengaluru, Gurgaon, Mumbai, Chennai, Kolkata Hyderabad | Years of Exp:8 + years Explore an Exciting Career at Accenture Are you passionate about scaling businesses using in-depth frameworks and techniques to solve customer service challengesDo you want to design, build and implement strategies to enhance business performanceDoes working in an inclusive and collaborative environment spark your interest Then, this is the right place for you! Welcome to a host of exciting global opportunities within Accentures Strategy & Consulting Global Network Song practice. The Practice A Brief Sketch The Strategy & Consulting Global Network Song practice is aligned to the Global Network Song Practice of Accenture and works with clients across their marketing, sales and services functions. As part of the team, you will provide transformation services driven by key offerings like Service Transformation, Marketing Transformation, and Commerce and Sales. These services help our clients become living businesses by optimizing their marketing, sales and customer service strategy, thereby driving cost reduction, revenue enhancement, customer satisfaction and impacting front end business metrics in a positive manner. The Life Science Senior Manager position is within the Service practice of Accenture GN Song. The individual would work at the heart of the top global Pharmaceuticals, Biotechnology and Medical Technology organizations and would collaborate on innovative projects while bringing in deep industry knowledge to enhance Patient and HCP experience. You will work closely with our clients as Consulting Professionals who design, build and implement strategies that can help enhance business performance. As part of leading the project teams, you will drive the following: Consulting & Advisory service Lead a team responsible for designing, developing and implementing plans on delivering consulting services that improve service delivery, customer engagement, operational efficiency, and market success. Aid clients to adopt digital solutions to increase their competitiveness and accelerate GTM. Develop and implement solutions to address client challenges , such as improving patient outcomes, optimizing supply chain management, enhancing regulatory compliance, and accelerating product commercialization. Drive the adoption of technology capabilities while ensuring compliance with pharma industry regulations (e.g., HIPAA, GDPR, FDA, EMA) and data security standards. Assist Life Science clients with their most pressing service transformation problems by offering consulting and advisory services. Create a service transformational plan, close the gap between business and technology , and help clients achieve long-term success by co-creating future-proof, agile and resilient operating models. Develop and oversee Life Science components such as care management, patient journeys, appointment scheduling, and data integrations with other systems. Build and maintain client relationships , both existing and new, by understand client problems, bringing relevant solutions and offerings to the clients and influence improvement objectives Provide solutions to complex business problems /opportunities requiring in-depth knowledge of Patient and HCP dynamics, to optimize business processes and deliver on multi-channel customer service strategy. Data and Analytics driven approach highly essential powered by GenAI orchestration for identification and realization of value for the clients and help in driving measurable outcomes through digital investments at the right pace and scale. Recommend and implement digital solutions (e.g., automation, cloud platforms, AI and machine learning tools) to streamline operations and enhance service delivery. Sales & Business Development Generating new business engagements :Drive new business opportunities by identifying and pursuing new leads, defining GTM strategy, facilitate client discussions and presentations to drive new business and client relationships. Work as an integral part of the clients sales / channel development organization. Work towards driving sales and revenue numbers with a structured, logical and dataoriented approach, conducting Market Opportunity. Own and drive Service transformation RFP/RFI response coming in from Life science customers. Practice Development - Strong consulting and advisory experience in Life Sciences industry with deep industry knowledge and understanding of key trends. Take on leadership role: Support overall growth of practice area through a combination of business development, talent management, oversight of delivery work, and thought leadership. Collaborate with Salesforce, Adobe, Nice, MS Dynamics, Genesys etc. business groups, to enable business capabilities with agility, velocity, and quality while optimizing costs. Lead and motivate teams with diverse skills and backgrounds. Manage and mentor talented teams of consultants and technologists supporting, providing input and guidance into the talent strategy and actively participate in engagement, capability development activities. Experience in working as an advisory lead in designing next gen service transformation solution on digital technologies like Vlocity CPQ, Veeva CRM, Salesforce Health Cloud, Data automation and AI tools. Adept with working knowledge of Gen AI based technologies and tools such as ChatGPT, Gemini, DallE, Midjourney, Anthropic, Amazon Bedrock, LLama etc. Capable of using GenAI within applications such as Salesforce, Adobe and MS Dynamics. Understanding on healthcare delivery models, reimbursement systems (e.g., insurance, public health systems), and patient access programs. Bring your best skills forward to excel at the role: Strong consulting and advisory experience in Life Sciences industry with deep industry knowledge and understanding of key trends. Expertise in patient-centric services, healthcare delivery systems, or operational models in life sciences. Deep understanding of Health Care processes, performance drivers & industry leading practices, regulatory and compliance requirements. Understanding of market access strategies for pharmaceuticals and medical devices, pricing and reimbursement, payer negotiation, health economics, and outcomes research (HEOR). Ability to develop long standing relationships with senior client stakeholders. Experienced in managing large global teams, multi-stakeholder environments and complex digital projects engagements in a global network. Strong program management/ people management skills. Experience working with C level executives. Problem solving and conflict management. Ability to work effectively in a remote, virtual and global environment. Read about us. Whats in it for you An opportunity to work on with key G2000 clients Potential to with leaders in strategy, industry experts, enterprise function practitioners and, business intelligence professionals to shape and recommend innovative solutions that leverage emerging technologies. Ability to embed into everythingfrom how you service your clients to how you operate as a responsible professional. Personalized training modules to develop your to grow your skills, industry knowledge and capabilities Opportunity to thrive in a that is committed to accelerate equality for all. Engage in boundaryless collaboration across the entire organization. Qualification Your experience counts! Minimum 8+ years of relevant experience in Life science industry with good analytical skills along with domain experience. Working knowledge of Veeva CRM or Salesforce Health cloud and AI tools. Implementation experience is a plus. Demonstrated sustained client relations management experience at a C-suite level or operated at a senior management level in the industry role. Familiarity with healthcare technologies such as CRM, Electronic Health Records (EHR), Laboratory Information Management Systems (LIMS), and patient management platforms. Knowledge of allied service transformation capabilities such as speech analytics, workforce management, CX, etc. is a plus. Travel may be required for this role. The amount of travel will vary from 25% to 100% depending on business need and client requirements.

Project description The project will focus on ensuring data privacy and compliance in the client environment by implementing and managing data masking solutions using the Delphix platform. This role involves collaboration with cross-functional teams to secure sensitive data while maintaining data integrity for development, testing, and analytics. Responsibilities Key Responsibilities: Design and Implementation: -Develop and implement robust data masking solutions using the Delphix platform. -Analyze data sets to identify sensitive information that requires masking. -Create and maintain masking rules, algorithms, and templates for various data environments. Data Security & Compliance: -Ensure sensitive data complies with regulatory requirements, such as GDPR, HIPAA, PCI-DSS, and CCPA. -Collaborate with security and compliance teams to establish masking policies and standards. Testing & Validation: -Conduct thorough testing to validate the effectiveness of masking solutions. -Troubleshoot and resolve issues related to data masking processes. Collaboration & Support: -Work closely with database administrators, developers, and QA teams to integrate masking into workflows. -Provide training and documentation on the Delphix platform and data masking techniques. Monitoring & Optimization: -Continuously monitor and optimize data masking performance. -Stay updated on the latest trends and updates in data masking technologies. Skills Must have Required Skills and Qualifications: Bachelor's degree in Computer Science, Information Technology, or a related field with 10+ years of IT industry experience. 8-10 years of experience in data masking, data privacy, or a related field. Expertise in the Delphix platform with 4+ years, including data virtualization and masking. Strong understanding of database management systems (e.g., Oracle, SQL Server, MySQL). Understanding of mainframe databases is an added advantage. Knowledge of data privacy regulations (GDPR, HIPAA, PCI-DSS, etc.). Proficiency in scripting languages such as Java, Python, Shell, or SQL. Excellent problem-solving and troubleshooting skills. Strong communication skills and ability to work in a collaborative team environment. Nice to have Preferred Qualifications: Mainframe exposure -Experience with cloud platforms (AWS, Azure, or GCP). -Familiarity with other data masking tools and technologies. -Certification in data privacy or data security (e.g., CIPP, CDPSE). Other Languages EnglishC2 Proficient Seniority Senior

Project description The project is focused on ensuring data privacy and compliance in the client environment by implementing and managing data masking solutions using the Delphix platform. This role involves collaboration with cross-functional teams to secure sensitive data while maintaining data integrity for development, testing, and analytics. Responsibilities Key Responsibilities: Design and Implementation: Develop and implement robust data masking solutions using the Delphix platform. Analyze data sets to identify sensitive information that requires masking. Create and maintain masking rules, algorithms, and templates for various data environments. Data Security & Compliance: -Ensure sensitive data complies with regulatory requirements, such as GDPR, HIPAA, PCI-DSS, and CCPA. -Collaborate with security and compliance teams to establish masking policies and standards. Testing & Validation: Conduct thorough testing to validate the effectiveness of masking solutions. Troubleshoot and resolve issues related to data masking processes. Collaboration & Support: Work closely with database administrators, developers, and QA teams to integrate masking into workflows. Provide training and documentation on the Delphix platform and data masking techniques. Monitoring & Optimization: Continuously monitor and optimize data masking performance. Stay updated on the latest trends and updates in data masking technologies. Skills Must have Required Skills and Qualifications: -Bachelor's degree in Computer Science, Information Technology, or a related field. -10+ years of experience in mainframe environments with expertise of 1 year in Hogan applications. -Strong knowledge of COBOL, JCL, VSAM, DB2, and CICS. Knowledge of ---IMS is an added advantage. -Experience with Hogan modules such as IDS, CIS, or Loans. -Familiarity with banking processes and financial services. -Excellent problem-solving, debugging, and analytical skills. -Strong communication skills, with the ability to collaborate across technical and business teams. Nice to have Preferred Qualifications: -Experience with mainframe modernization or migration projects. -Knowledge of automation tools for mainframe systems. -Familiarity with Agile and DevOps methodologies in a mainframe environment. -Certification in mainframe technologies and Hogan systems. Other Languages EnglishC2 Proficient Seniority Senior

Position: Product Analyst (US Healthcare) About the job The Product Analyst plays a crucial role in driving product development and strategy within the US healthcare sector. They possess a strong understanding of healthcare systems and help organizations achieve their business goals by analyzing product requirements, identifying opportunities for enhancement, and collaborating with cross-functional teams. They support product lifecycles by aligning product strategies with business objectives and regulatory compliance, ensuring seamless execution of product initiatives. Responsibilities Collaborate with internal teams and external stakeholders to gather and analyze product requirements focused on the US healthcare system. Perform data-driven analysis of market trends, user behavior, and product performance to drive strategic product decisions and support business cases for new features. Create functional specifications, including wireframes and prototypes, to represent product ideas clearly and communicate feature functionality to stakeholders and development teams. Maintain the product roadmap, ensuring that features align with business objectives and user needs. Document product requirements through detailed Product Requirement Documents (PRDs), user stories, and acceptance criteria. Ensure product initiatives comply with US healthcare regulations (HIPAA) and align with industry best practices for privacy and security. Facilitate communication between stakeholders and development teams to ensure alignment and timely updates throughout the product lifecycle. Contribute to process improvements related to product analysis, requirement documentation, and stakeholder communication. Oversee development efforts, validate functionality, and ensure the product meets specified requirements. Assist in the creation of test plans and test cases for product validation in collaboration with QA and business testing teams. As a Product Owner Prepare and present strategic ideas to stakeholders to align product direction with business needs. Define product features based on customer requirements and market trends. Lead the development process by managing the product roadmap, ensuring alignment with business objectives. Act as the main point of contact between teams and stakeholders, ensuring smooth communication and workflow. Organize and prioritize the product backlog according to business and user requirements. Knowledge & Skills Experience in the US healthcare industry, with a strong understanding of healthcare regulations, such as HIPAA, and industry workflows. Ability to analyze complex business requirements and provide data-driven insights for product enhancements. Proficiency in wireframing and prototyping tools such as Balsamiq, Figma, or Sketch, as well as documentation tools like JIRA and Confluence. Excellent interpersonal skills, with strong written and verbal communication, to manage stakeholder relationships and collaborate with cross-functional teams. Familiarity with healthcare platforms, patient assistance programs, or electronic medical record systems is a plus. Ability to work in a fast-paced, collaborative environment and manage multiple tasks simultaneously. Preferred Qualifications 2-4 years of experience in Product Analysis or Product Management within the US healthcare sector. Familiarity with healthcare claims processes, benefit verification, patient electronic medical record system, revenue cycle management or patient assistance programs. Strong problem-solving skills and experience working with cross-functional teams to deliver product solutions.

Position: Product Analyst (US Healthcare) About the job The Product Analyst plays a crucial role in driving product development and strategy within the US healthcare sector. They possess a strong understanding of healthcare systems and help organizations achieve their business goals by analyzing product requirements, identifying opportunities for enhancement, and collaborating with cross-functional teams. They support product lifecycles by aligning product strategies with business objectives and regulatory compliance, ensuring seamless execution of product initiatives. Responsibilities Collaborate with internal teams and external stakeholders to gather and analyze product requirements focused on the US healthcare system. Perform data-driven analysis of market trends, user behavior, and product performance to drive strategic product decisions and support business cases for new features. Create functional specifications, including wireframes and prototypes, to represent product ideas clearly and communicate feature functionality to stakeholders and development teams. Maintain the product roadmap, ensuring that features align with business objectives and user needs. Document product requirements through detailed Product Requirement Documents (PRDs), user stories, and acceptance criteria. Ensure product initiatives comply with US healthcare regulations (HIPAA) and align with industry best practices for privacy and security. Facilitate communication between stakeholders and development teams to ensure alignment and timely updates throughout the product lifecycle. Contribute to process improvements related to product analysis, requirement documentation, and stakeholder communication. Oversee development efforts, validate functionality, and ensure the product meets specified requirements. Assist in the creation of test plans and test cases for product validation in collaboration with QA and business testing teams. As a Product Owner Prepare and present strategic ideas to stakeholders to align product direction with business needs. Define product features based on customer requirements and market trends. Lead the development process by managing the product roadmap, ensuring alignment with business objectives. Act as the main point of contact between teams and stakeholders, ensuring smooth communication and workflow. Organize and prioritize the product backlog according to business and user requirements. Knowledge & Skills Experience in the US healthcare industry, with a strong understanding of healthcare regulations, such as HIPAA, and industry workflows. Ability to analyze complex business requirements and provide data-driven insights for product enhancements. Proficiency in wireframing and prototyping tools such as Balsamiq, Figma, or Sketch, as well as documentation tools like JIRA and Confluence. Excellent interpersonal skills, with strong written and verbal communication, to manage stakeholder relationships and collaborate with cross-functional teams. Familiarity with healthcare platforms, patient assistance programs, or electronic medical record systems is a plus. Ability to work in a fast-paced, collaborative environment and manage multiple tasks simultaneously. Preferred Qualifications 4-6 years of experience in Product Analysis or Product Management within the US healthcare sector. Familiarity with healthcare claims processes, reimbursement services, patient electronic medical record system, revenue cycle management or patient assistance programs. Strong problem-solving skills and experience working with cross-functional teams to deliver product solutions

Key Responsibilities: Assist in developing and implementing sales and marketing strategies to drive business growth. Conduct market research to identify potential clients and market trends. Support the creation of promotional materials, including presentations and social media content. Engage with clients through various channels, understanding their needs and providing product information. Participate in sales meetings and contribute ideas for improving team performance. Maintain accurate records of sales activities and customer interactions. Collaborate with team members to achieve monthly and quarterly sales targets. Criteria :- Female Candidate only Age - 18-25 Immediate joinner Fresher will be preffered Location: Dombivli,Panvel,Karjat Contact no. - 9324483283

Caliber Organisation is a leading client servicing company, catering to esteemed organizations such as UNICEF, IndusInd Bank, Axis Bank, AU Small Finance Bank, and HDFC Bank. We are committed to nurturing talent and providing a platform for career growth. As a Business Leader , you will undergo comprehensive on-the-job training to gain in-depth knowledge of our organization and industry, with the opportunity to advance to higher positions based on performance. We are seeking highly motivated and ambitious FRESHERS to join our team as Marketing Team Leader. The role involves intensive training, exposure to various aspects of the organization, and the potential to lead a team based on individual performance. Designation: We are hiring for theTeam leader position. The trajectory of growth within the organization includes advancement into roles focused on Business Development and Business Management, offering ample opportunities for professional development and career progression. Location:Dombivli,Panvel

Here, the only person to stop you from succeeding is you As one of the most progressive sales and marketing companies we specialise in providing the clients we represent with an outsourced sales solution. With expanding demand comes expansion and we are currently opening 5 new offices around Mumbai in the coming 12 months and are recruiting for Business Management Officer Unlimited career growth Valuable skills that are highly transferable Weekly earnings and attractive incentives Be part of a high charged, motivated & fun environment Be part of a team-oriented and fun environment 1) Training and Developing team members to develop a high performance culture. 2) Training & imparting knowledge on sales and marketing techniques 3) Expanding Business across country 4) Customer Acquisition & Promotion: Acting as a point of contact on behalf of the client for promotion & brand development. 5) Expanding Business & mapping of new market segments in new territories across India. 6) Looking forward to people who have good command over English & local language. 7) To meet sales and performance expectations 8) Train and develop associates on regular basis Location: Thane,Mumbai,Navi Mumbai,Kalyan/Dombivli,MUMBAI ALL AREAS CONTACT ON: 9324483283

*Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information. *Analyzes medical records and identifies documentation deficiencies *Assign codes for reimbursements, research with regulatory guidelines Required Candidate profile *Administrative writing skills *Reporting skills *Record-keeping *Professionalism, confidentiality, and organization *Typing *Verbal Communication *Good to have CPC CERTIFICATION Perks and benefits Performance Bonus(yearly) Medical Insurance

Duties: - Provide assistance with activities of daily living (ADLs) for patients in mental healthcare facility. - Ensure resident rights are respected and upheld at all times - Perform basic nursing tasks such as taking vital signs and providing first aid when necessary - Adhere to HIPAA regulations to maintain patient confidentiality - Assist with heavy lifting and transferring of residents as needed - Collaborate with social workers and other healthcare professionals to provide comprehensive care -Supervising in-patient department -Manage pantry stock & other stocks for smooth functioning. -Rapport building with different stakeholders. Requirements: - Previous experience of multi tasking or nursing home setting is preferred - Open to work as per requirement. - ready to learn new skills. -Negotiation skills during different purchases. - Ability to lift heavy objects and assist with resident transfers - Excellent communication and interpersonal skills - Familiarity with HIPAA regulations and maintaining patient confidentiality Please note that this job description is not exhaustive and additional duties may be assigned as needed. Job Type: Full-time Pay: ₹12,000.00 - ₹13,500.00 per month Benefits: Internet reimbursement Schedule: Day shift Night shift Supplemental Pay: Overtime pay Performance bonus Shift allowance Work Location: In person

You will be handling the specific part of market which will be assigned by the company. You would have to meet the client at their work space and give corporate Presentation about the product, doing negotiation by communicating with patience and by solving their query. Having Strong interpersonal skill is must for dealing with the clients and need to be self motivated. Skills Required: Contributes to team effort by accomplishing related results as needed. Maintains quality service by establishing and enforcing organization standards. Identifies product improvements or new products by remaining current on industry trends, market activities, and competitors. Maintains relationships with clients by providing support, information, and guidance; researching and recommending new opportunities; recommending profit and service improvements. Sells products by establishing contact and developing relationships with clients. Criteria: Immediate joiner Age - 18 to 25 Location - Mumbai all areas, Mumbai Suburbs, kalyan,Dombivli,Panvel

We train and develop freshers at different level of BUSINESS giving them an exposure in marketing,management, team handling, client servicing, training & Development, Accounts and Finance. Job Role- * Working for business management and development profile for clients. * Training and developing people in business management and development * Managing clients and providing the best services * Doing B2B campaigns for business management and development * Organizing events, seminars and workshop at corporate level * Maintaining relationship with HNI Clients and customers * Handling a team of 20-25 associate Required Candidate profile *Graduates & post Graduates who aspires to build themselves as leaders in the industry *Dynamic & Hardworking *Ambitious & Positive Thinker * Freshers can Apply * Post Graduate/Graduate Freshers Location-Thane,Mumbai,Navi Mumbai,Mumbai All Areas, Kalyan/Dombivli

Required Candidate profile Caliber Organisation is a leading client servicing company, catering to esteemed organizations such as UNICEF, IndusInd Bank, Axis Bank, AU Small Finance Bank, and HDFC Bank. We are committed to nurturing talent and providing a platform for career growth. As a Management Trainee, you will undergo comprehensive on-the-job training to gain in-depth knowledge of our organization and industry, with the opportunity to advance to higher positions based on performance. Location- Thane,Navi Mumbai,Mumbai,Dombivli,Panvel,Karjat,mumbai all areas, MUMBAI SUBURBS, kalyan Desired Candidate Profile *Dynamic & Hardworking *Freshers *Excellent Interpersonal and Communication skills *Graduate & Post Graduate Freshers *Freshers willing to get trained in all the areas of management.

Management freshers into sales marketing PR -Brand awareness/ customer acquisition -Developing team and providiing and providing effective trainiing -mentoring & managing team to achieve desired performance -understanding financial aspects REQUIRED CANDIDATE PROFILE -Creative & positive -well groomed -GOOD ETIQUETTE -willingness to learn -training provided -has a smile & great leadership qualities *Age 18-27 *Freshers can apply *Immediate joiner Locations : thane, navi mumbai, mumbai all areas, MUMBAI SUBURBS, MUMBAI, kalyan, dombivli, panvel,

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: The implementation and day to day performance of process activities related to Accounts Receivable process. These processes include the review of claims, contracts and fee schedules to identify and resolve incorrectly paid/denied/rejected claims and processing, procedural, systemic and billing errors and practices leading to claims denials The incumbent will actively analysis on potential for provider and vendors as well as various internal divisions to ensure that potential recovery opportunities are appropriately identified by fixing the denied/rejected claims Perform complex claims analysis and audit activities to identify trends, determine root cause of payment inaccuracies, and to recommend / implement process and systems improvements Ensure that team performance metrics are achieved and maintain an effective Team environment Build and maintain effective relationships with internal customers (i. e. US Onshore Partners / Supervisors, Managers and Directors Etc.) Monitoring the SLAs, KPIs for the process, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level Coordinate with the Team to identify process improvement opportunities Maintain production and quality databases and spreadsheets for analysis and day to day reporting Partner with leadership to promote department revenue and business objectives Provide feedback to management on individual and team performance Identify root cause of errors and opportunities for claims denial reduction Analyze and develop overall improvement plans (department and individual) Measuring and tracking team performance Provide feedback to team members on a regular basis Review and update process SOP’s/documents as needed Create innovative solutions to an extensive range of complex data requests 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: Bachelor’s degree or equivalent experience (any stream) 5+ years of experience in Team Handling (18 - 20 people) 5+ years in US healthcare and/or AR claim experience Sound knowledge of RCM (AR, PP & CB) Extensive knowledge of NextGen, Allscripts, Epic as well as desk top applications Solid knowledge of US Health care and should have knowledge of AR, CE, CB and PP LOB Fair understanding of UB04 & HICFA 1500 claim forms Exposure to all the facets of Operations Management Exposure to People Management, Performance Management and Client Management Proficient in MS Office software; particularly Excel and Outlook and PPT’s Proven good analytical skills Proven excellent written and verbal communication skills Proven solid work ethic and a high level of professionalism with a commitment to client/Management satisfaction and have functional knowledge of HIPAA rules and regulations Demonstrated ability to communicate effectively both verbally and in writing Demonstrated ability to analyze data to identify trends and issues Demonstrated ability to make decisions and work independently Willing or open to Night Shifts 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.

Job Summary: We are seeking a skilled and detail-oriented Business Analyst to join our US IT Healthcare Company. The successful candidate will be responsible for analyzing business processes, identifying areas for improvement, and developing data-driven strategies to enhance operational efficiency and patient care. This role requires a strong understanding of healthcare industry standards, regulations, and technology solutions to drive process improvement and optimize performance across the organization. Key Responsibilities: Analyze and evaluate business processes within healthcare operations, identifying inefficiencies, gaps, and areas for improvement. Gather and document business requirements, translating them into functional specifications for healthcare systems and technology projects. Work closely with stakeholders, technical teams, to ensure alignment of business goals and technology solutions. Conduct data analysis, interpret trends, and provide actionable insights to support decision-making and improve patient care quality and operational efficiency. Lead the development of process improvement initiatives, utilizing Lean, Six Sigma, or other methodologies to enhance workflows. Collaborate with the IT team in implementing healthcare management software and ensure compliance with industry regulations (HIPAA, ICD-10, etc.). Create and maintain documentation, including process maps, workflows, and business requirement documents. Facilitate communication between business units and technical teams to ensure successful project execution and outcomes. Develop and deliver reports, presentations, and updates to senior management on project status, business performance, and improvement recommendations. Ensure that business solutions align with regulatory requirements and healthcare standards. Qualifications: Bachelors degree in Business Administration, Healthcare Management, Information Technology, or related field (Master’s degree preferred). 3-5 years of experience as a Business Analyst, preferably within the healthcare industry. Strong understanding of healthcare systems, processes, and regulations (e.g., HIPAA, EMR/EHR systems, coding standards). Proven experience with data analysis, business process improvement, and technology solutions in a healthcare setting. Proficiency in business analysis tools (e.g., MS Visio, Excel, Power BI) and project management methodologies. Knowledge of Lean, Six Sigma, or similar process improvement frameworks is preferred. Excellent communication and interpersonal skills, with the ability to work collaboratively with cross-functional teams. Strong analytical, problem-solving, and decision-making skills. Ability to manage multiple projects and deadlines in a fast-paced environment. Preferred Skills: Experience in implementing and optimizing Electronic Health Records (EHR) and healthcare management systems. Familiarity with healthcare data analytics, quality improvement, and regulatory compliance. Strong project management skills and experience in healthcare software implementations