JOB DESCRIPTION:
Looking for Claims experienced candidates As a claims processor, you will be responsible for delivering business solutions that support the healthcare claim function, leveraging a knowledge of the processes and systems to receive, edit, price, adjudicate, and process payments for claims
WORK LOCATION - MDC7
WORK STYLE - WFO.
SHIFT - 4 PM to 2 PM.
Responsibilities
Key Responsibilities
Receive, review, and process healthcare claims (professional, institutional, or pharmacy) in accordance with payer guidelines.
Perform claims editing, pricing, and adjudication using payer systems and tools.
Validate member eligibility, provider credentials, benefits, and authorization requirements.
Identify and resolve claim discrepancies, denials, and exceptions.
Apply correct coding (CPT, ICD-10, HCPCS) and reimbursement methodologies.
Ensure accurate payment processing and coordination of benefits (COB).
Maintain compliance with HIPAA, CMS, and internal policies.
Work with internal teams, providers, and stakeholders to resolve claim-related issues.
Meet productivity, quality, and turnaround time (TAT) metrics.
Required Skills & Experience
Proven experience in healthcare claims processing/adjudication.
Strong understanding of the claims lifecycle: intake → editing → pricing → adjudication → payment.
Experience with payer systems (e.g., Facets, QNXT, Amisys, Epic, or similar).
Working knowledge of medical terminology and coding standards.
Ability to analyze claim data and identify root causes of errors or denials.
High attention to detail and strong problem-solving skills.
Preferred Qualifications
Experience with Medicare, Medicaid, or Commercial claims.
Knowledge of provider contracts and fee schedules.
Prior experience in claims quality audits or denial management.
Certification such as CPC, CCS, or equivalent (a plus).
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
As a Custom Software Engineer, you will engage in the development of custom software solutions that are designed to meet specific business needs. Your typical day will involve coding, enhancing components across various systems or applications, and collaborating with team members to implement modern frameworks and agile practices, ensuring the delivery of scalable and high-performing solutions. 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 design and implementation of software components to enhance system functionality.- Collaborate with cross-functional teams to gather requirements and translate them into technical specifications. Professional & Technical Skills: - Must To Have Skills: Proficiency in SUSE Linux Administration.- Good To Have Skills: Experience with Unix Architecture and Design.- Strong understanding of software development methodologies and best practices.- Experience with scripting languages to automate tasks and improve efficiency.- Familiarity with version control systems to manage code changes effectively. Additional Information: - The candidate should have minimum 3 years of experience in SUSE Linux Administration.- This position is based at our Mumbai office.- A 15 years full time education is required.
Responsibilities
As a Custom Software Engineer, you will engage in the development of custom software solutions that are designed to meet specific business needs. Your typical day will involve coding, enhancing components across various systems or applications, and collaborating with team members to implement modern frameworks and agile practices, ensuring the delivery of scalable and high-performing solutions. 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 design and implementation of software components to enhance system functionality.- Collaborate with cross-functional teams to gather requirements and translate them into technical specifications. Professional & Technical Skills: - Must To Have Skills: Proficiency in SUSE Linux Administration.- Good To Have Skills: Experience with Unix Architecture and Design.- Strong understanding of software development methodologies and best practices.- Experience with scripting languages to automate tasks and improve efficiency.- Familiarity with version control systems to manage code changes effectively. Additional Information: - The candidate should have minimum 3 years of experience in SUSE Linux Administration.- This position is based at our Mumbai office.- A 15 years full time education is required.
Salary : Rs. 0.0 - Rs. 10,00,001.0
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
We are looking for a skilled DevOps Engineer with strong experience in Google Cloud Platform (GCP), Google Kubernetes Engine (GKE), Liferay, and Elasticsearch, to support and manage CI/CD pipelines and production deployments for enterprise digital platforms. The role focuses on ensuring high availability, automation, performance, security, and operational stability across production environments.
________________________________________
Key Responsibilities
Production Support & Operations
• Provide end to end DevOps production support for applications hosted on GCP and GKE.
• Ensure 24x7 availability, scalability, and performance of production environments.
• Monitor production systems and handle incidents, alerts, and escalations within SLA.
• Participate in major incident management (MIM) and post incident root cause analysis (RCA).
• Continuously improve system reliability and reduce MTTR.
________________________________________
CI/CD & Deployment Management
• Design, implement, and maintain CI/CD pipelines for Liferay and microservices/UI applications.
• Perform production deployments, rollbacks, and hotfixes in a controlled and auditable manner.
• Automate build, test, and deployment processes using CI/CD tools.
• Support canary, rolling, and blue green deployment strategies.
• Maintain deployment calendars and follow change management processes.
Responsibilities
We are looking for a skilled DevOps Engineer with strong experience in Google Cloud Platform (GCP), Google Kubernetes Engine (GKE), Liferay, and Elasticsearch, to support and manage CI/CD pipelines and production deployments for enterprise digital platforms. The role focuses on ensuring high availability, automation, performance, security, and operational stability across production environments.
________________________________________
Key Responsibilities
Production Support & Operations
• Provide end to end DevOps production support for applications hosted on GCP and GKE.
• Ensure 24x7 availability, scalability, and performance of production environments.
• Monitor production systems and handle incidents, alerts, and escalations within SLA.
• Participate in major incident management (MIM) and post incident root cause analysis (RCA).
• Continuously improve system reliability and reduce MTTR.
________________________________________
CI/CD & Deployment Management
• Design, implement, and maintain CI/CD pipelines for Liferay and microservices/UI applications.
• Perform production deployments, rollbacks, and hotfixes in a controlled and auditable manner.
• Automate build, test, and deployment processes using CI/CD tools.
• Support canary, rolling, and blue green deployment strategies.
• Maintain deployment calendars and follow change management processes.
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Microsoft Power BI~Microsoft SQL Server 2019~Digital : Microsoft Power Platform
AppDevelopEnhance existing Power Apps, automation WorkflowsoQuerying datasets using SQL . Querying through KustooPower BI Reporting (Develop from ScratchEnhance the Existing Reports) Understand sourcesoConfigure App Security, PBI Protection, Data protection (HBI data) Important AspectAPI integration (REST, Supplier APIs)UATTest automationoPerform UNIT And Integration Testing for the Features to be implementedDocumentation audit - Tech Spec Live Document Quick updates and keep it up to date.
Essential Skills:-
Digital Microsoft Power BI Digital Microsoft Power Platform PLSQL Kusto Data Analysis, ADF, oPower Apps (Model-drivenCanVas), Dataverse, Power Automate Understand existing App structure, ecosystem data architecture, Data and Process workflow, Decode Low Code No Code scenariosSW From to Canvas - Model Driven AppDevelopEnhance existing Power Apps, automation WorkflowsoQuerying datasets using SQL . Querying through KustooPower BI Reporting (Develop from ScratchEnhance the Existing Reports) Understand sourcesoConfigure App Security, PBI Protection, Data protection (HBI data) Important AspectAPI integration (REST, Supplier APIs)UATTest automationoPerform UNIT And Integration Testing for the Features to be implementedDocumentation audit - Tech Spec Live Document Quick updates and keep it up to date.
Responsibilities
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Role Category :Programming & Design
Role :Microsoft Power BI~Microsoft SQL Server 2019~Digital : Microsoft Power Platform
Workday HCM Technical~Workday Integration Cloud and Cloud Connect
\Must-Have • Bachelor’s degree in Information Systems, Data Analytics, Finance, or related field.
• 2–5 years of experience working with Workday Finance or other modules (reporting, analytics, or data management). Strong knowledge of Workday Reporting (Advanced, Matrix, Composite, Prism Analytics).
• Hands-on experience with EIBs, calculated fields, and business process configuration.
• Proficiency in Excel, SQL, or other data analysis tools is a plus.
• Strong analytical skills with the ability to interpret data and provide actionable insights.
• Excellent communication and stakeholder management skills.
• Ability to work independently in a fast-paced, dynamic environment.
Good-to-Have • Workday Prism Analytics experience.
• Knowledge of data visualization tools (e.g., Tableau, Power BI).
• Familiarity with HR, Finance, or Payroll processes.
• Experience in Workday implementations or upgrades
Certifications Required
Responsibilities
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Role Category :Programming & Design
Role : Workday HCM Technical~Workday Integration Cloud and Cloud Connect
Candidate will be working closely together with our product owners and developers, understand their needs and translate them into UI/UX design
Web Designing
Should have worked on Responsive Websites, Micro-sites
Should have experience with thinking creative concepts & not just into execution
1-2 years of experience in Graphic Designing
Good communication and interpersonal skills
Adobe Photo Shop, Illustrator,
Passion and enthusiasm for design, with a creative flair
Graphic Designing
Flexible with shifts
Other graphic design courses from reputed organizations
Latest Image editing / extracting software's
Shifts - Rotational.
Responsibilities
Candidate will be working closely together with our product owners and developers, understand their needs and translate them into UI/UX design
Web Designing
Should have worked on Responsive Websites, Micro-sites
Should have experience with thinking creative concepts & not just into execution
1-2 years of experience in Graphic Designing
Good communication and interpersonal skills
Adobe Photo Shop, Illustrator,
Passion and enthusiasm for design, with a creative flair
Graphic Designing
Flexible with shifts
Other graphic design courses from reputed organizations
Latest Image editing / extracting software's
Shifts - Rotational.
Salary : Rs. 20,000.0 - Rs. 30,000.0
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Regular exposure to business stakeholders and executive management, as well as the authority and scope to apply your expertise to many interesting technical problems
Candidate must have a strong understanding of UI, cross-browser compatibility, general web functions and standards
The position requires constant communication with colleagues
Shift - Rotational
Hybrid
Experience in planning and delivering software platforms used across multiple products and organizational units
knowledge of HTML, CSS, JS
Responsibilities
Min. 1 year in Templates development & maintenance, working on Content Management System
Flexible working in shifts
Excellent written and verbal English skills
Good to have Skills
Good Communication
Rotational shifts
Work from office
Salary : Rs. 26,200.0 - Rs. 30,000.0
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
