J1649 : Associate / Sr. Associate
To check eligibility and verification, to validate demographic information and register live patients admitted to the emergency department at our facilities.
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J1648 : Associate/Sr. Associate - SCM
Perform web research on Medical, Surgical, Laboratory, and pharmaceutical products and procure standard attributes as specified by the client Candidate should be able to understand and identify technical specifications and capture the most appropriate information into respective product headers like name of product, variant of product, features, pricing, brands, manufacturer, vendor details, etc Categorize products according to established standards, such as the client schema and UNSPSC
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J1646 : TRO - Vulnerability Assessment ~ Sr. Specialist
The Sr. Cybersecurity Specialist for the TRO Vulnerability Assessment team is an expert (Level 3) position, requiring at least 7 years relevant experience. In this role, the candidate will significantly influence Prime Healthcare’s overall security posture by regularly scanning systems and networks for vulnerabilities, reviewing and prioritizing remediation guidance and reporting the results to all IT stakeholders.
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J1645 : TRO - Network Security ~ Sr. Specialist
• Experience 5 to 9 years. • Must be able to set up, implement, and maintain firewalls (FortiGate Preferred). • Creates and maintains network documentation and Visio diagrams. • Proactively engaged to identify opportunities and implement enhancements of data network. • Responsible for overall network security troubleshooting and support of corporate internal network. • Analyses log files, performance issues, and the production environment for mission-critical systems
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J1644 : TOR - Incident Response ~ Sr. Specialist
The Cybersecurity Specialist is responsible for the Incident Response Activity. This role will help develop innovative and effective procedures for the Security Operations Center to enhance response time, coordination, and incident response operations, and built a world class team of Cyber Security Incident Response. Train staff on security operations concepts, develop incident response management process, write correlations, and integrate intelligence data into monitoring and operations.
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J1641 : TRO - Threat Hunter - Specialist
• Proactively hunt for advanced threats within the network and systems using various tools and techniques • Use both Attack Based Hunting and Data Based Hunting to identify and analyze potential threats • Stay up to date with the emerging threats and the tactics, techniques, and procedures (TTPs) used by threat actors • Use various data transformation techniques to facilitate effective hunting • Dissect and simulate attacks that would help in conceptualizing and executing the hunts • Contribute to the hunting knowledge management i.e., document details about the hunting expeditions, common behaviors, explained anomalies, friendly intelligence, etc. • Collaborate within/outside the team regarding the identified anomalies and develop and implement tactics for the detection and prevention of incidents • Create and maintain custom threat-hunting queries, scripts, and dashboards • Assist in converting successful hunting techniques into automated detection to the extent feasible • Evaluate the hunting evidence sources and identify improvement areas when needed • Perform host-based and network-based analysis to support investigations and incident response • Document, report, and present critical information about the investigation/procedures performed • Actively participate in the establishment of policies and procedures, training of personnel, and maintenance of analysis and hunting toolset • Provide recommendations for improving security posture based on threat-hunting insights • Contribute to and/or participate in Cyber Maturity Assessment activities like purple team exercises, table-top exercises, etc. • Share knowledge and ideas with other team members
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J1640 : Senior Team Lead/Assistant Manager
Experience: 5-12 Years’ experience in denial management/US Healthcare Insurance. Skills and Responsibilities: • Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB-04). • Good knowledge in US insurance guidelines. • Experience in denial management and knowledge in denial scenarios. • Good researching skills. • Assist in managing inventory and preparing daily reports. • Collaborated with fellow team members to manage large volume of claims.
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J1637 : DGM - Medical Coding
Develop and implement coding policies, procedures, and best practices to ensure compliance with coding guidelines, regulations, and payer requirements. Stay updated with industry changes and regulatory updates related to medical coding, reimbursement methodologies, and documentation requirements. Lead and manage a team, provide guidance and training to coding team members. Collaborate with cross-functional teams,including physicians,clinical documentation and RCM to address coding-related issues
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J1631 : Cyber Security - Analyst
Skills: • Perform advanced security Operations tasks in SOC • Well versed with SIEM products – LogRhythm etc. • Strong conceptual skills around network security • Assist on the advanced security incident resolution • Expert in malware analysis (static & dynamic) • Strong in Advanced Correlation Rules, Alarms and Watch lists used in SIEM • Independently and confidently deal with security incidents and analysis and communicate effectively with stakeholders • Good problem-solving skills
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J1628 : Associate - Accounts Payable
Attached Below both JD and PRF
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J1626 : Associate - Legal Claim
Responsible for reviewing of complete claim life cycle. Refer/review the contract agreements thoroughly to identify the shortfalls in claim process. Categories the claim criticality as high, moderate and low. Ensure maximizing the collections from claim. Accurate in ensuring exact & prompt documentation of information. Maintain prominent level of data accuracy & integrity. Ensure to deliver the tasks within set timelines.
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J1620 : Manager - Procurement
? Provide leadership for client specific Procurement Operations activities ? Supervise a team of 60 resources involved in Procurement Operations. ? Ensure that services are provided within assigned timelines, take necessary action to address any issues ? Providing leadership to the team, talent retention (meeting attrition targets) people capacity building ? Responsible to drive tools & technologies implemented ? Strive to drive change and streamline processes to reduce inefficiencies
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J1619 : Analyst – Procurement
Role and Responsibilities ? The Buyer is responsible for purchasing a variety of equipment, supplies and services utilizing computerized systems. ? Orders parts on a timely basis to ensure sufficient stock and plan proper organization. ? Reviews and evaluates proper vendor selections for “stock”, non-stock”, “Special”, item purchasing. ? Responsible for working daily orders, incidents, exceptions, buyer messages and communicating with responsible parties as needed ? Communicates with vendors and internal teams as needed regarding requirements, discrepancies, pricing, substitutes, and backorders. ? Prioritizes duties for optimum productivity. ? Developing and maintaining sources of supply, selecting suppliers, negotiating prices and delivery dates, approving purchase requisitions/orders, and following up on purchases with regard to delivery date, discrepancies, and backorder situations ? Ensuring data integrity, monitoring, and auditing data for inconsistencies and reporting them to the teams responsible for making corrections if needed. ? Other additional tasks as assigned related to the role.
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J1616 : Analyst - Procurement
Role and Responsibilities ? The Buyer is responsible for purchasing a variety of equipment, supplies and services utilizing computerized systems. ? Orders parts on a timely basis to ensure sufficient stock and plan proper organization. ? Reviews and evaluates proper vendor selections for “stock”, non-stock”, “Special”, item purchasing. ? Responsible for working daily orders, incidents, exceptions, buyer messages and communicating with responsible parties as needed ? Communicates with vendors and internal teams as needed regarding requirements, discrepancies, pricing, substitutes, and backorders. ? Prioritizes duties for optimum productivity. ? Developing and maintaining sources of supply, selecting suppliers, negotiating prices and delivery dates, approving purchase requisitions/orders, and following up on purchases with regard to delivery date, discrepancies, and backorder situations ? Ensuring data integrity, monitoring, and auditing data for inconsistencies and reporting them to the teams responsible for making corrections if needed. ? Other additional tasks as assigned related to the role.
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J1614 : Medical Coder/ Sr. Medical Coder - E/M OP with Orthopedic, Primary Care
E/M OP Orthopedic, Primary Care - User should have thorough knowledge on Orthopedic procedures TCM, Vaccines, Immunizations, AWV, Preventive care visits. Ensure proper coding as per CMS guidelines. Serves as a resource about insurance resolutions and coding questions. Take responsibility in helping and educating the team across coding and billing per requirement. To keep Knowledge of current updates in coding and billing principles, including federal regulations and guidelines for documentation
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J1613 : Medical Coder/ Sr. Medical Coder - E/M IP, OP with Cardiology
E/M IP, OP with Cardiology Assign and sequence all codes for services rendered Collaborate with the billing department to ensure all bills are satisfied on time Communicate with insurance companies about coding errors and disputes Submit statistical data for analysis and research by other departments Ensure proper coding as per CMS guidelines
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J1612 : Medical Coder/Sr. Medical Coder - E/M IP OP with PMR (Physical Medicine and Rehabilitation)
E/M IP OP with PMR (Physical Medicine and Rehabilitation)- User should have thorough knowledge on PMR
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J1611 : Medical Coder/Sr. Medical Coder - E/M OP Family Medicine, Orthopedic
E/M OP Family Medicine, Orthopedic - User should have thorough knowledge on Orthopedic procedures TCM, Vaccines, Immunizations, AWV, Preventive care visits
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J1610 : Medical Coder/Sr. Medical Coder - E/M with Cardiology
E/M IP &OP with Cardiology procedures Assign and sequence all codes for services rendered Collaborate with the billing department to ensure all bills are satisfied on time Communicate with insurance companies about coding errors and disputes Submit statistical data for analysis and research by other departments Ensure proper coding as per CMS guidelines
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J1609 : Medical Coder/ Sr. Medical Coder - E/M OP with Urgent Care
E/M OP Urgent with Minor Procedures Assign and sequence all codes for services rendered Collaborate with the billing department to ensure all bills are satisfied on time Communicate with insurance companies about coding errors and disputes Submit statistical data for analysis and research by other departments Ensure proper coding as per CMS guidelines.
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J1603 : Manager - A/R
Manage & oversee A/R & Billing functions for multiple Physician Groups. Meet monthly cash goals, reduce aged A/R, meet TAT for claims transmission. Reduce rejection & denial rates by coordinating with business office, EMR & support teams. Provide direction and support to the teams.
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J1602 : Team Lead - A/R
Responsible to manage A/R for multiple physician projects. Manage & Control Denial and Rejection Rates, Improve team's productivity & quality with continuous feedback & training, Identify & escalate payer issues to management.
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J1594 : Senior Analyst - Procurement
Role and Responsibilities ? The Buyer is responsible for purchasing a variety of equipment, supplies and services utilizing computerized systems. ? Orders parts on a timely basis to ensure sufficient stock and plan proper organization. ? Reviews and evaluates proper vendor selections for “stock”, non-stock”, “Special”, item purchasing. ? Responsible for working daily orders, incidents, exceptions, buyer messages and communicating with responsible parties as needed ? Communicates with vendors and internal teams as needed regarding requirements, discrepancies, pricing, substitutes, and backorders. ? Prioritizes duties for optimum productivity. ? Developing and maintaining sources of supply, selecting suppliers, negotiating prices and delivery dates, approving purchase requisitions/orders, and following up on purchases with regard to delivery date, discrepancies, and backorder situations ? Ensuring data integrity, monitoring, and auditing data for inconsistencies and reporting them to the teams responsible for making corrections if needed. ? Other additional tasks as assigned related to the role.
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J1584 : Analyst - MIS
• Excel Automation: Develop and implement Excel formulas to automate data processing and reporting tasks. • Problem-Solving: Identify issues and develop effective solutions to enhance operational efficiency. • Collaboration: Work closely with various departments to understand communication : need to communicate well
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J1576 : Quality Analyst - AR
Good with AR Denial management Good understanding of the entire RCM cycle to improve the first pass resolution. Able to deliver effective feedback. Should be able to identify global trends and patterns. Good Communication and Interpersonal Skills, Good team Player 5+ years of experience in AR Minimum 1 year working as Quality Analyst Good MS Excel knowledge
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