Healthcare Claims Processing Systems Architect

7 days ago


Bhavnagar, Gujarat, India beBeeEngineeringManager Full time ₹ 1,29,62,377 - ₹ 3,01,00,568
Job Description">

We are seeking a seasoned Engineering Manager to lead our healthcare claims processing engineering teams. This role requires a unique blend of strong system design expertise and exceptional people management skills.

This is an excellent opportunity for a motivated professional to take charge of designing and architecting scalable healthcare claims processing systems handling millions of transactions.

The ideal candidate will be able to drive technical strategy for claims adjudication, provider networks, and member management systems, ensuring system reliability, performance, and security standards meet healthcare compliance requirements (HIPAA, GDPR).

">Required Skills and Qualifications">
  • ">
  • 6+ years of software engineering experience with 1+ years in engineering management">
  • Strong system design experience with distributed systems, microservices, and event-driven architectures">
  • Hands-on coding experience - ">
  • Experience with real-time processing systems and high-volume transaction processing">
  • Track record of successful large-scale system migrations or platform modernizations">
  • Proven track record of scaling engineering teams and managing technical talent">
  • Deep knowledge of cloud platforms (AWS/Azure), databases, and modern engineering practices">
  • Experience with agile methodologies and continuous integration/deployment">
  • Bachelor's degree in Computer Science, Engineering, or related field">
">Key Responsibilities">
  1. ">
  2. Design and architect scalable healthcare claims processing systems handling millions of transactions">
  3. Lead system design reviews and technical decision-making for complex healthcare workflows">
  4. Ensure system reliability, performance, and security standards meet healthcare compliance requirements (HIPAA, GDPR)">
  5. Drive technical strategy for claims adjudication, provider networks, and member management systems">
  6. Collaborate with architects on system integration patterns and data flow optimization">
  7. Build, lead, and mentor a team of software engineers across multiple product areas">
  8. Foster a culture of continuous learning, innovation, and technical excellence">
  9. Recruit top engineering talent and build diverse, inclusive teams">
  10. Manage team capacity, sprint planning, and delivery commitments">
  11. Partner closely with Product, Data, and Operations teams on feature planning and delivery">
">"],

  • Bhavnagar, Gujarat, India beBeeHealthcare Full time ₹ 1,75,000 - ₹ 3,50,000

    US Healthcare Claims Process JobWe are seeking a highly skilled professional to fill the role of Sr. Process Executive – US Healthcare (Claims). The ideal candidate will possess extensive experience in claims adjudication, specifically in the US healthcare industry.The successful candidate will have a strong background in claims adjustments, coding (ICD,...


  • Bhavnagar, Gujarat, India beBeeClaims Full time ₹ 4,00,000 - ₹ 8,00,000

    As a Claims Resolution Specialist, you will be responsible for ensuring timely and accurate processing of health insurance claims. This is an exciting opportunity to join our team and contribute to the success of our organization.About the Role:We are seeking a detail-oriented individual with excellent analytical and problem-solving skills. The ideal...


  • Bhavnagar, Gujarat, India beBeeProblemSolving Full time ₹ 10,80,000 - ₹ 15,60,000

    Job OverviewSenior Process Executive Role Summary:This position requires a highly skilled Senior Process Executive to manage US healthcare claims efficiently. The ideal candidate will leverage analytical and problem-solving skills to drive business growth.


  • Bhavnagar, Gujarat, India beBeeTechnical Full time ₹ 7,50,000 - ₹ 15,00,000

    Job Title: Senior Technical ArchitectAbout the PositionWe are seeking an experienced and skilled Senior Technical Architect with expertise in Medicaid healthcare systems to support our team on a part-time basis.The ideal candidate will be responsible for designing and documenting the overall system architecture, ensuring alignment with business needs, and...


  • Bhavnagar, Gujarat, India beBeeOperations Full time ₹ 10,00,000 - ₹ 15,00,000

    Healthcare Operations and Data Management SpecialistAs a key member of our team, you will be responsible for overseeing healthcare data management, improving clinic operations, and ensuring compliance with healthcare standards. You will lead teams, enhance workflows, and implement process improvements to drive decision-making and improve clinic...


  • Bhavnagar, Gujarat, India beBeeInsurance Full time ₹ 60,00,000 - ₹ 80,00,000

    About Job:This role is responsible for overseeing the management of cashless insurance claims, ensuring timely and accurate processing to policyholders.The Insurance Claims Manager will be in charge of verifying policy coverage, reviewing medical records, coordinating with Insurers, and maintaining accurate records of claim-related activities. This...


  • Bhavnagar, Gujarat, India beBeeClaims Full time ₹ 12,00,000 - ₹ 20,00,000

    About this roleWe are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. In this role, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.The ideal candidate will have a strong...


  • Bhavnagar, Gujarat, India beBeeProfessionalism Full time ₹ 40,00,000 - ₹ 80,00,000

    Healthcare Revenue Cycle RepresentativeAbout the Role:We are seeking experienced professionals to fill Healthcare Revenue Cycle Representative positions in our rapidly growing revenue cycle team.Key Responsibilities:Making outbound calls to US healthcare insurance companies to follow up on pending claims, resolve issues and ensure timely reimbursement for...


  • Bhavnagar, Gujarat, India beBeeBilling Full time ₹ 6,00,000 - ₹ 10,00,000

    Executive Billing SpecialistOur team is dedicated to delivering advanced technology and patient-centric care through excellence in clinical services.Key Responsibilities:Ensure accurate billing for in-patients and out-patients:Coordinate with insurance companies, TPAs, and patients:Prepare and verify bills:Maintain records and ensure compliance:Follow up on...


  • Bhavnagar, Gujarat, India beBeeQuality Full time ₹ 8,00,000 - ₹ 12,00,000

    Quality Assurance Specialist Job DescriptionWe are seeking a skilled professional to test and ensure the quality of Claim Center.About the Role:The ideal candidate will be responsible for testing and quality assurance of Claim Center, ensuring that user stories are effectively demonstrated and business scenarios are converted into test cases.Key...