276 Healthcare jobs in Bengaluru
Product Owner II- Healthcare Domain
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About Us
We are committed to strengthening the patient–provider relationship through innovative technology solutions. Our platform connects doctors with insurance companies, forming one of the most advanced health information networks in the United States. Each year, it facilitates over 13 billion transactions and links more than two million healthcare providers and thousands of technology partners to health plans nationwide.
From our innovation hub in Bengaluru, you'll have the opportunity to contribute to cutting-edge revenue cycle solutions that empower hospitals, health systems, and physicians to maximize payments and streamline workflows—positively impacting the healthcare experience for millions of people across the U.S.
We place strong emphasis on professional growth, global collaboration, and a healthy work-life balance within Bengaluru's dynamic tech ecosystem. Join a team that's not just transforming healthcare technology—but transforming lives.
Role: Product Owner II
- Location: Bengaluru
- Budget: 20-30 LPA
- Experience: 5-10 Years, 5+ Years experience required for PO II
Key Skill Sets
- Healthcare Domain Expertise
- RCM: Deep knowledge of healthcare revenue cycle processes, including claims processing, billing, and payment workflows.
- EDI: Expertise in EDI standards (e.g., X12, HL7) used for healthcare data exchange between providers, payers, and other entities.
- Clearinghouse Operations: Practical experience with clearinghouse functions, such as claims validation, routing, and format translation across systems.
- Healthcare Data Exchange: Proficiency in managing complex healthcare data exchange, ensuring accuracy and handling high transaction volumes.
- Product Management Mastery
- Product Vision and Strategy: Ability to define a clear product vision and strategy aligned with business goals and customer needs.
- Roadmap Planning and Prioritization: Skill in developing and managing product roadmaps, prioritizing features to balance short-term and long-term goals.
- Product Lifecycle Management: Experience overseeing the full product lifecycle, from ideation and development to launch and ongoing improvement.
- Backlog Ownership: Competence in defining, prioritizing, and refining the product backlog to maximize value delivery.
- Agile Methodologies
- Scrum Mastery: Strong understanding of Scrum principles, with the ability to lead agile ceremonies (e.g., sprint planning, reviews, retrospectives).
- Cross-Functional Collaboration: Ability to work effectively with developers, designers, QA, and other team members in an agile environment.
Interview Process
- Manager Resume Review.
- Technical Interview I- India Team.
- Technical Interview II – US Stakeholders.
- HR Round.
Our Culture And Benefits
- Our culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too
- We offer a competitive salary, bonus structure, healthcare, accident and life insurance
- We offer 12 PAID Holidays AND 24 days paid time off.
- We offer Paid Parental Leave for both moms and dads.
- Want to work for an organization that gives back to the community? You're at the right place
- We partner with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.
Requirements
- 5-7 years of experience in US Healthcare (RCM, Clearinghouse, EMR/EHR systems, Claims, Patient Access, etc.)
- 2-3 years of progressive work experience in a product role; designing business processes, process mapping, working on process improvement initiatives and business system design.
- A demonstrated mastery of using flowcharting tools.
- Strong analytical skills, including a thorough understanding of how to interpret business needs to translate them into application and operation requirements.
- Excellent verbal and written communication skills.
- Experience building product in an agile environment.
Roles & Responsibilities-
Why Join:
- Global Impact: Your work from Bengaluru will directly support and impact the lives of millions of US citizens.
- Innovation Hub: Bengaluru, the tech hub of India, is where your ideas will come to life, contributing to cutting-edge solutions in healthcare technology.
- Collaboration: Engage with a diverse and global team, fostering an environment where collaboration knows no boundaries.
- Career Growth: Our values your growth journey. With us, you'll find opportunities to expand your skill set and advance your career.
- Work-Life Balance: Embrace a work culture that values work-life balance, offering flexibility and support to ensure your well-being.
We are seeking a
Product Owner
to function as the bridge between the Product Manager and the delivery team by aligning both parties to the common goals and big picture of the enterprise and business. Reporting to the Sr. Manager of Product, you will be working closely with Product Managers coordinating with them on the scoping and priority issues on a regular basis.
Why Work On This Team
- You will be part of a leading health information network in the United States, processing more than 13 billion transactions annually and connecting more than two million healthcare providers and over two thousand technology partners to health plans
- nationwide.
- You will work with a team technology and business professionals in Bangalore, who are transforming healthcare delivery through innovation and collaboration.
- You will develop cutting-edge revenue cycle solutions that help hospitals, health systems, and physicians maximize payments and optimize their workflows.
What You Will Be Doing
- Leading storyboarding: developing and prioritizing stories based on the understanding of the overall business benefit and the relative cost of each piece of work while clearly defining the acceptance criteria for each of the stories.
- Acting as the "voice of the customer" while keeping the big picture in mind (preventing customers and users from getting into unnecessary short-term product development trade-offs.
- Managing and grooming the backlog to add, delete or modify user stories on a regular basis ensuring the customer team is properly prepared for kick-off.
- Actively participating in release planning, ensuring that the scope of monthly release demos remains realistic with respect to the capacity of the team.
- Monitoring progress and minimizing scope changes mid-stream.
- Ensuring usability testing is done on a regular basis and feedback incorporated is in alignment with the charter.
- Prioritizing log defects, forming the acceptance criteria and developing test cases.
- Participating in acceptance testing for every release and confirming the developed product is acceptable to the end user.
- Keeping the product charter update, ensuring the "customer team" agrees on priorities and acceptance while communicating the impact of changes, aligning the whole team around it.
- Verifying that the customer deliverables of wireframes, design and acceptance tests are consistent and agreed upon.
Skills: us healthcare (rcm, clearinghouse, emr/ehr systems, claims, patient access, etc.),product owner,agile methodologies,product manager,healthcare domain expertise,product management mastery
Solution Architect – Healthcare PACS & DICOM IRC273325
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Description
Bachelor's degree in Computer Science, Engineering, or a related field. Advanced degrees or relevant certifications are highly recommended.
Minimum of 10 years of total experience and 5+ years of exp. in a similar role within the healthcare technology sector, or equivalent experience as an IT/PACS or PACS Architect in a hospital, health system, or imaging practice.
Technical Skills:
Strong understanding of medical imaging workflows, processes, and protocols (DICOM and HL7).
Experience designing and delivering complex systems and networks, preferably in a healthcare environment.
Familiarity with PACS architecture and related technologies including storage, virtualization and cloud computing.
Experience with integration of PACS solutions into diverse healthcare IT environments.
Knowledge of cybersecurity best practices in healthcare technology.
Understanding of Disaster Recovery and Business Continuity strategies.
Understanding of VNA technologies ( Vendor Neutral Archive of Medical Images ).
Communication Skills:
Excellent verbal and written communication skills.
Ability to translate technical jargon into easily understandable terms for non-technical stakeholders.
Team Player: Demonstrated ability to work collaboratively in a fast-paced and dynamic team environment.
Willingness to continuously learn new technologies and keep up to date on industry advancements.
Requirements
Bachelor's degree in Computer Science, Engineering, or a related field. Advanced degrees or relevant certifications are highly recommended.
Minimum of 10 years of total experience and 5+ years of exp. in a similar role within the healthcare technology sector, or equivalent experience as an IT/PACS or PACS Architect in a hospital, health system, or imaging practice.
Technical Skills:
Strong understanding of medical imaging workflows, processes, and protocols (DICOM and HL7).
Experience designing and delivering complex systems and networks, preferably in a healthcare environment.
Familiarity with PACS architecture and related technologies including storage, virtualization and cloud computing.
Experience with integration of PACS solutions into diverse healthcare IT environments.
Knowledge of cybersecurity best practices in healthcare technology.
Understanding of Disaster Recovery and Business Continuity strategies.
Understanding of VNA technologies ( Vendor Neutral Archive of Medical Images ).
Communication Skills:
Excellent verbal and written communication skills.
Ability to translate technical jargon into easily understandable terms for non-technical stakeholders.
Team Player: Demonstrated ability to work collaboratively in a fast-paced and dynamic team environment.
Willingness to continuously learn new technologies and keep up to date on industry advancements.
Job responsibilities
Bachelor's degree in Computer Science, Engineering, or a related field. Advanced degrees or relevant certifications are highly recommended.
Minimum of 10 years of total experience and 5+ years of exp. in a similar role within the healthcare technology sector, or equivalent experience as an IT/PACS or PACS Architect in a hospital, health system, or imaging practice.
Technical Skills:
Strong understanding of medical imaging workflows, processes, and protocols (DICOM and HL7).
Experience designing and delivering complex systems and networks, preferably in a healthcare environment.
Familiarity with PACS architecture and related technologies including storage, virtualization and cloud computing.
Experience with integration of PACS solutions into diverse healthcare IT environments.
Knowledge of cybersecurity best practices in healthcare technology.
Understanding of Disaster Recovery and Business Continuity strategies.
Understanding of VNA technologies ( Vendor Neutral Archive of Medical Images ).
Communication Skills:
Excellent verbal and written communication skills.
Ability to translate technical jargon into easily understandable terms for non-technical stakeholders.
Team Player: Demonstrated ability to work collaboratively in a fast-paced and dynamic team environment.
Willingness to continuously learn new technologies and keep up to date on industry advancements.
What we offer
Culture of caring.
At GlobalLogic, we prioritize a culture of caring. Across every region and department, at every level, we consistently put people first. From day one, you'll experience an inclusive culture of acceptance and belonging, where you'll have the chance to build meaningful connections with collaborative teammates, supportive managers, and compassionate leaders.
Learning and development.
We are committed to your continuous learning and development. You'll learn and grow daily in an environment with many opportunities to try new things, sharpen your skills, and advance your career at GlobalLogic. With our Career Navigator tool as just one example, GlobalLogic offers a rich array of programs, training curricula, and hands-on opportunities to grow personally and professionally.
Interesting & meaningful work.
GlobalLogic is known for engineering impact for and with clients around the world. As part of our team, you'll have the chance to work on projects that matter. Each is a unique opportunity to engage your curiosity and creative problem-solving skills as you help clients reimagine what's possible and bring new solutions to market. In the process, you'll have the privilege of working on some of the most cutting-edge and impactful solutions shaping the world today.
Balance and flexibility.
We believe in the importance of balance and flexibility. With many functional career areas, roles, and work arrangements, you can explore ways of achieving the perfect balance between your work and life. Your life extends beyond the office, and we always do our best to help you integrate and balance the best of work and life, having fun along the way
High-trust organization.
We are a high-trust organization where integrity is key. By joining GlobalLogic, you're placing your trust in a safe, reliable, and ethical global company. Integrity and trust are a cornerstone of our value proposition to our employees and clients. You will find truthfulness, candor, and integrity in everything we do.
About GlobalLogic
GlobalLogic, a Hitachi Group Company, is a trusted digital engineering partner to the world's largest and most forward-thinking companies. Since 2000, we've been at the forefront of the digital revolution – helping create some of the most innovative and widely used digital products and experiences. Today we continue to collaborate with clients in transforming businesses and redefining industries through intelligent products, platforms, and services.
Supervisor - US Healthcare
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We are looking for a Supervisor Service Delivery to manage and develop a high-performing team, ensuring success across patient assistance, co-pay, and reimbursement programs. The role requires excellent leadership, analytical skills, and strong knowledge of US healthcare operations.
Responsibilities:
- Lead, coach, and mentor team members to achieve operational targets
- Monitor KPIs, SLAs, and ensure service quality standards are met
- Handle agent training, onboarding, and performance reviews
- Support program reporting, analytics, and client communications
- Drive process improvements and manage escalations
Required Qualifications & Skills:
- Bachelor's degree (Business, Public Health, Clinical Science, Health Economics, or equivalent)
- Minimum 4 years' experience in US healthcare reimbursement / patient access / healthcare contact centers
- Prior supervisory experience preferred
- Strong communication & interpersonal skills
- Proficiency in MS Excel, PowerPoint, and Word
- Ability to manage performance, coach teams, and deliver results under deadlines
Why Join Us?
- Opportunity to work in a fast-growing healthcare services company
- Collaborative work environment with professional growth opportunities
- Be part of a mission-driven team improving patient access to care
AGM Business Excellence - Healthcare Insurance (Payer) - GO/JC/1087/2025
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Job Description
Job Title - A
GM - Payer Insurance
Job Overview -
The role of Associate General Manager (AGM) in the Payer (Insurance) domain encompasses leadership, strategic oversight, and operational excellence.
Key Responsibilities
Quality Assurance - Ensure Program Quality objectives and SLAs are met. Ensure Program Quality measurements are reflective of Quality levels perceived by the client
Value Creation - Deliver tangible value to the clients thru. Process Reengineering, Transformation projects leveraging Digital capability (Automation, Analytics, etc.). Cross geo/cross tower projects. Drive client specific initiatives
Efficiency Improvement - Reduce cost of operations, reduce cost of quality, improve productivity, Optimize Spans & Ratios, Utilization Improvement, Speed to Proficiency �Learning curve reduction
Delivery Excellence - Improve process capability, improve end to end service delivery processes, Build and leverage Continuous Improvement, Meet SLA commitments, Lead and manage Interventions
People Management - Ensure employee engagement thru strong people connect and managing grievances with the help of HRBP and leadership team as appropriate. Drive team upskilling initiatives. Ensure appropriate staffing and back up plans to ensure business continuity
Client relationship - Manage client conversations w.r.t. Quality and Continuous Improvement. Periodically present value-adds in business reviews. Manage and drive client satisfaction improvement projects and key actions.
Skills & Attributes
Master's in business administration or any post-graduation will be an advantage.
Around
12
to 20 years, with approx. 10+ years of BPO experience
Experience in US healthcare BPO is necessary
Candidates with stability preferred in terms of previous job changes
Preferably, should have leadership experience in manufacturing/ services in the field of Quality/ Excellence/ Operations/Automation
Work experience in MNCs or reputed organizations will be an added advantage.
Certified
Six Sigma Black Belt
from reputed institutes/companies.
Skills Required
RoleAGM Business Excellence - Healthcare Insurance (Payer)
Industry TypeITES/BPO/KPO
Functional AreaITES/BPO/Customer Service
Required Education Post Graduate
Employment TypeFull Time, Permanent
Key Skills
- INSURANCE - PAYER
- REVENUE CYCLE MANAGEMENT
- SIXSIGMA
Other Information
Job CodeGO/JC/1087/2025
Recruiter NamePriya Srinivasan
BA Healthcare Provider
Posted today
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In-depth knowledge of Clinical Data Management and Care Management tools.
Knowledge of EMR/EHR systems (Like EPIC, Cerner, Athena) HIS modules (e.g., Clinical Management, Patient Management, RCM),
Working Knowledge of Clinical. Experience in FHIR, HL7, and healthcare interoperability standards.Good in BA Experience.
Project experience in AI/RPA based transformation for Healthcare Providers
Excellent communication and stakeholder management skills - able to collaborate with clinical leaders, operations, and IT teams.
Strong analytical, problem-solving, and documentation skills.
Experience with Agile methodologies, including user story creation, backlog grooming, and sprint ceremonies.
Familiarity with JIRA, Confluence, or similar tools for managing requirements and documentation.
About Virtusa
Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 27,000 people globally that cares about your growth — one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us.
Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence.
Virtusa was founded on principles of equal opportunity for all, and so does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
Engineering Manager – Healthcare Data Platforms
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About Zynix AI
Zynix AI is on a mission to transform value-based care using AI and data-driven automation. Our platform integrates with EMRs, HIEs, and payer systems to deliver predictive analytics, risk adjustment, and care management solutions for providers, ACOs, MSOs, and health plans.
Role Overview
We are seeking a Director of Healthcare Data Engineering to own our healthcare data infrastructure. This leader will design, scale, and manage our data pipelines and platforms — powering the AI agents and analytics that drive Zynix AI. The role is ideal for someone who has worked in healthcare data-first companies (Innovaccer, Arcadia, Health Catalyst, Optum, etc.) and understands the nuances of clinical + claims data integration at scale.
Responsibilities
- Architect and scale healthcare data pipelines (FHIR, HL7, X12, CCLF, ADT, EHR extracts).
- Lead the data engineering team responsible for ingestion, normalization, and quality of healthcare data.
- Work closely with AI/ML teams to ensure clean, structured datasets for predictive models and agents.
- Build a scalable healthcare data lake / warehouse powering analytics and care workflows.
- Ensure compliance with HIPAA, HITRUST, and other healthcare data standards.
- Collaborate with EMR vendors, payers, and HIEs to optimize integrations.
- Establish best practices in healthcare data engineering, observability, and reliability.
Qualifications
- 7+ years of experience in data engineering, with at least 3 years in healthcare.
- Prior work at a healthcare data platform company (Innovaccer, Arcadia, Health Catalyst, Optum, etc.) strongly preferred.
- Strong experience with healthcare data standards: FHIR, HL7, X12, claims, CCLF, ADT, EDI.
- Proven ability to lead teams building production-grade data platforms.
- Strong cloud experience (AWS, GCP, or Azure) with data pipelines (Spark, Databricks, Snowflake, Redshift, BigQuery).
- Familiarity with risk adjustment, value-based care, and quality measures (CQM/HEDIS) is a plus.
Why Zynix AI
- Join a fast-growing company at the intersection of AI and healthcare.
- Lead the foundation of a data platform that will power AI-driven value-based care.
- Competitive compensation, equity, and the opportunity to shape the future of healthcare technology.
Job Type: Full-time
Pay: ₹4,691, ₹5,507,672.64 per year
Benefits:
- Flexible schedule
- Health insurance
Healthcare Consulting Associate – HR Talent
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Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.
At Huron, An Associate leads with expertise and collaboration, partnering with Huron and client leaders to create sustainable solutions that drive meaningful results. As an Associate, with our Healthcare HR Talent & Culture (HRTC) team, you will lead one or more project work streams utilizing Huron approaches, methodologies helping clients solve their business challenges to advance their clinical and financial outcomes. You'll work on varied projects, gain valuable, hands-on consulting and change management experience, while positively impacting mission-driven healthcare organizations.
Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build critical leadership skills to develop your career and mentor junior Huron staff. This allows you to make an impact and provides you with career opportunities both within and beyond your areas of expertise. If you're passionate about driving impactful solutions and believe in the power of collaboration, Huron offers a rewarding path forward.
Job Title: Healthcare Consulting Associate – HR Talent & Culture
Practice: Healthcare
Level: Associate
Location: Bangalore
Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future.
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Required Skills
As the Healthcare Consulting Associate in HR Talent & Culture, you will:
- Comprehensive knowledge of Human Resources subject matter and operations
- Partner with project team members and client stakeholders to design and implement effective solutions by leveraging proven methodologies and best practices
- Leverage critical thinking skills in both data collection and complex analysis identifying data gaps and risks to develop sound conclusions and create implementable, sustainable recommendations for improvement
- Effectively summarize information and present findings and recommendations to varying levels of Huron and client leadership
- Provide direct supervision of junior project team members including coaching mentorship, leading teams, and providing feedback through performance management
- Deliver solutions tailored to each client's unique needs, enhancing both impact and accessibility across healthcare services
Requirements:
- Bachelor's degree required
- Minimum of three years of consulting, Human Resources or healthcare Human Resources operations experience
- Understanding of Total Rewards programs and industry practice, including compensation, absence management, and benefits
- Knowledge of Human Resources operating models and key business processes
- Understanding of talent acquisition processes and strategies
- Understanding and familiarity with interpreting labor law verbiage
- Team leadership experience including, building talent, training, supervising, coaching/mentoring, and performance management
- The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, the current average travel in the Healthcare practice is less than 50%, annually
- Proficiency in Microsoft Office (Word, PowerPoint, Excel)
Preferences:
- Experience in a matrixed organization or cross-functional team environment
*Position Level *
Associate
*Country *
India
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FiristSource hiring For Healthcare Process
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Key Responsibilities:
- Review and process insurance claims submitted by policyholders, providers, or third parties.
- Verify the accuracy and completeness of submitted claims and supporting documents.
- Investigate and validate claims using internal systems and guidelines.
- Coordinate with internal departments (e.g., underwriting, customer service) for clarification or additional information.
- Maintain accurate and organized records of all claims and transactions.
- Communicate claim decisions to stakeholders clearly and professionally.
- Escalate complex or disputed claims to senior team members or supervisors.
- Meet individual and team KPIs such as turnaround time, accuracy rate, and productivity.
- Ensure compliance with all legal, regulatory, and company standards during the claims process.
Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or email addresses.
Voice Program US Healthcare Specialist
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Role: Voice Program Specialist - Benefit Verification US Healthcare
Tenure: 6 Months Fixed Contract Extendable based on Performance (No Bond)
Client: Top Clinical Research & Development Company
Shift: 6PM-3AM
Cabs: 2 Ways Provided
Location: Bengaluru 56001
Work Model: Work From Home for initial 1 Month, then 5 Days Work From Office as per Requirement
Graduation is Mandatory
- Total 1.5 Years Experience into Customer Service & 1 year relevant in International Voice Process and 1yr relevant into US Healthcare.
- Minimum 1 Year Relevant Experience is Mandatory into US or International Healthcare Process.
- HIPAA Compliance Knowledge Preferred
If Only Suitable then share your Resume to
Contact: Ganesh Reddy)
Walk-in Location: Allegis Group
4th Floor, Commerce @Mantri, 12/1 & 12/2, Bannerghatta Rd, NS Palya, BTM 2nd Stage, BTM Layout, Bengaluru, Karnataka
Role: Program Specialist (Voice Process)
Minimum Requirement:
Experience:
The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer-facing experience. Prior experience in the US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s). Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidates should be flexible in working from home or in an office setting per business needs.
About the Role:
The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within Company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs.
Key Responsibilities:
- Quickly and efficiently respond to incoming calls and faxes, identify how best to assist.
- Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system.
- Document calls in appropriate tracking systems, and handle/escalate calls per established procedures.
- Process patient applications and follow the program's specifications to determine their eligibility.
- Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary.
- Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.
- Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate.
- Be familiar with the market place and the insurance options available for patients.
- Educate patients on the available options as appropriate.
- Strict adherence to follow the process SOPs.
Healthcare Recruiter (MBA HR Freshers_2025 passed out)
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Roles and Responsibilities
- Source and screen top talent for healthcare industry positions through various channels, including job boards, social media, employee referrals, and networking events.
Desired Candidate Profile
- MBA/PGDM in HR/Hospital Administration or related field (2025 passed out)
- Excellent communication skills with ability to effectively interact with candidates at all levels
- 0-1 year of experience in recruitment or a related field
- Only those candidates who have a genuine need for a job need to apply for this position
- Looking for candidates who are sincere, honest & hard working