Architect (Authority Approvals & Codes)

Role & responsibilitiesPrioritization and Prior Approval: Responsible for evaluating the patient's condition, determining the medical necessity, and submitting the necessary documentation to the insurance company for approval ensuring that the proposed treatment or service is covered by the insurance policy before it is performed.Medical Necessity...

The Prior Authorization Manager is responsible for overseeing the daily operations of the prior authorization department. This role involves leading a team to ensure all required prior authorizations are obtained accurately and in a timely manner for patient services, medications, and procedures. The manager will develop and implement efficient workflows,...

We are seeking an experienced Senior Architect with strong expertise in high-rise residential/commercial projects and proven experience in MIVAN formwork technology. The candidate will be responsible for conceptualizing, designing, coordinating, and supervising architectural works from planning to execution, ensuring compliance with building codes, safety...

Job Description Associate, Inpatient Prior AuthorizationAssociate Inpatient Prior AuthorizationDepartment: Revenue Cycle Management / Utilization ManagementReports To: Team Lead Prior Authorization / Prior Authorization SupervisorJob Level: Associate / Entry to Mid-LevelWork Location: RMZ, Hi-Tech city HyderabadEmployment Type: Full-timePosition SummaryThe...

Job OverviewWe're hiring an Automation Architect to design and govern end-to-end automation patterns across APIs, workflows, and human-in-the-loop (HITL) actions. You'll define the architecture for safe, auditable automation-spanning orchestration engines, connector/adapters, policy-as-code guardrails, and reliability/observability. The ideal candidate...

We're Hiring | Clinical Prior Authorization Executive & QAOpen Roles:Clinical Prior Authorization ExecutiveQuality Analyst (QA) Prior AuthorizationJob Responsibilities:For Clinical Prior Authorization Executive:Review medical records and prior authorization requests.Validate clinical necessity based on payer policies and guidelines.Coordinate with healthcare...

Join our innovative team and help transform business processes through cutting-edge low-code technologies.As a Low-Code Workflow Solution Architect within the Client Onboarding & Due Diligence team, you analyze business requirements and re-engineer processes using low-code platforms.You deliver hands-on implementation of workflow solutions, collaborating...

Company: AMPS - Advanced Medical Pricing SolutionsJob Title: Director/Associate Director - Data & Azure Cloud ArchitectureLocation:Hyderabad, IndiaIndustry:IT | US HealthcareAbout AMPS:AMPS is a leading US-based Healthcare Technology company focused on delivering innovative cost containment, payment integrity and pharmacy savings solutions.As part of our...

We are seeking an experienced and visionary AI Architect to lead Generative AI development services at QualiZeal. This individual will define the technical architecture, design principles, and governance models for all GenAI-related initiatives, including our flagship platform QMentisAI and enterprise-grade AI solutions for clients.The ideal candidate will...

We are seeking an experienced and visionary AI Architect to lead Generative AI development services at QualiZeal. This individual will define the technical architecture, design principles, and governance models for all GenAI-related initiatives, including our flagship platform QMentisAI and enterprise-grade AI solutions for clients.The ideal candidate will...