Expert Healthcare Payer Solutions Architect

Job Summary:The Credentialing and Payer Enrollment Specialist plays a vital role in overseeing the end-to-end process of enrolling healthcare providers, facilities, or organizations with insurance payers.This position involves ensuring compliance with payer requirements, maintaining accurate records, and resolving intricate enrollment issues.The Senior Payer...

Role & responsibilitiesCandidate should have indepth knowledge on the payer enrollment process.Payer enrollment for Medicare, Medicaid, and commercial insurersManaging contracts and participation agreementsKnowledge of healthcare laws, payer policies, and revalidation requirementsInsights on the waystar clearing house is an added advantage

Job DescriptionWe are seeking an experienced Executive to lead our payer domain initiatives. The ideal candidate will have a strong track record of building and leading large teams in the healthcare payer industry.Key Responsibilities:Strategic Leadership: Develop and implement a long-range plan for the payer domain, including member engagement, provider...

About UsAt Pronix Inc, we are transforming the healthcare industry through intelligent, AI-powered automation. As a strategic partner of , we leverage their HealthAssist platform to help providers, payers, and healthcare systems deliver superior Patient Experience (PX) and Employee Experience (EX) through conversational and generative AI solutions. Our...

Healthcare Solutions ConsultantWe are seeking an experienced professional to join our team as a Healthcare Solutions Consultant.The ideal candidate will have 6–10 years of experience and possess strong knowledge of healthcare workflows, FHIR, HL7 standards, and excellent communication skills.Key Responsibilities:Conducting workshops to gather and document...

Job OpportunityWe are seeking an exceptional Automation Solutions Architect to lead the implementation of intelligent automation solutions across various platforms.The ideal candidate will have extensive experience in enterprise technology, including automation architecture, solution consulting, and platform implementation. They must possess strong expertise...

We are united in our mission to make a positive impact on healthcare.Key Responsibilities:Responds to Inbound Payer calls most professionally and takes the necessary information and provides the required insights to Payer representativesUpdates the necessary information in the patient account and fixes the same as and when it is required and deemed...

About Our Opportunity: We modernize the healthcare financial experience in the United States across payers, providers, and consumers.Our team identifies, optimizes, and solves problems holistically with technology built by healthcare experts driving real, measurable results.Our Mission: In the U.S., consumers, payers, and providers face significant...

Healthcare Solutions Strategist">You will work with stakeholders to define and execute a comprehensive product roadmap for healthcare administration solutions.">Key Responsibilities:">Translate high-level business requirements into detailed user stories and acceptance criteria for the development team.Serve as the product expert within an Agile/Scrum team,...

Job Title : Assistant Manager EDI Enrollment & CredentialingDepartment : Medica Billing Location : Remote / India [Currently work from Home]Reports To : ManagerExperience : 15 yearsShift Time : 5:30 Pm to 2:30 Am ISTCompany Website: Welcome to ModuleMDAt ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare...