commercial, federal and state government plans specifically support operational
processes for provider data management functions, enrollment and eligibility,
member benefits, claims adjudication and EDI Interfaces functions.
• Knowledge of State regulations to determine provider meets qualification to be
enrolled.
• Knowledge of provider files from State Medicaid programs to decipher provider
enrollment and eligibility rules.
• Knowledge of provider type designation identified by the State Medicaid programs.
• Knowledge of provider and member portal functions.
• Knowledge of provider reimbursement methodologies about Commercial, CMS and
State defined guidelines.
• Knowledge of provider matching criteria for claims.
• Knowledge of Coordination of Benefits (COB) and Claim Authorizations functions.
• Knowledge of Setting up communications for EDI transmissions using FTP, SFTP and
real time API setups
• Knowledge of health insurance, HMO and managed care principles including
Medicaid and Medicare regulation.
• Solid analytical skills with the ability to compile data from many sources and define
designs for enrollment to benefit plan configuration.
• Research, interpret and summarize new state, federal and client rules regarding
department functions. Alter or create policies and procedures to adhere to those
rules.
• Solid communication skills with working session facilitation.
• Strong time management, attention to detail, analytic and organizational skills.
• Excellent interpersonal, oral and written communication skills.
• Able to work independently and within a collaborative team environment with little
guidance/supervision.
Shubham Vishwakarma
Full Stack Developer - Averlon
Similar jobs
Role & Responsibilities
Lead and deliver designs that are innovative and sophisticated, buildable and scalable, and thoroughly documented.
Be responsible for delivering on our vision and strategy for customers and support the app team in shaping ACKOʼs
roadmap for D2C ensuring design tasks are prioritised in line with the agreed product goals and metrics.
Drive design tasks aligned with our product goals and metrics by collaborating closely with strategy, product, and business teams.
Take ownership of the entire user journey, from ideation and prototyping to user testing and final production, ensuring timely delivery.
Utilise data insights, including metrics and usability studies, to inform and refine design decisions.
Demonstrate a strong understanding of design patterns, best practices, and standards for both iOS and Android platforms.
Effectively communicating and collaborating with engineering teams to ensure seamless implementation of designs
Company Description
Nirmitee.io is a pioneering tech company based in Pune, revolutionizing the Healthtech and Fintech industries with smarter and faster solutions. Specializing in product engineering and software development, we empower businesses to scale their vision through cutting-edge technology and innovative solutions. Our focus on resilience, innovation, and digital transformation ensures impactful and lasting results for our partners.
Role Description
This is a full-time on-site role for a Business Development Executive at Nirmitee.io in Pune. The Business Development Executive will be responsible for new business development, lead generation, business communication, and account management on a day-to-day basis.
Required:
- Experience: 2-4 years
- IT sales experience for IT products and services
- Handling overseas clients is required.
- Experience in using Upwork and LinkedIn is a must.
Responsibilities:
- Market Research: Conduct market research to identify potential clients and industries for business development opportunities.
- Lead Generation: Generate leads through various channels such as cold calling, email campaigns, Upwork, Linkedin, and networking events.
- Client Engagement: Build and maintain relationships with prospective clients through effective communication and follow-up to understand their needs and requirements.
- Proposal Preparation: Assist in preparing proposals, presentations, and pitches for potential clients, highlighting the company's products or services.
- Sales Support: Provide support to the sales team in identifying opportunities, preparing sales collateral, and coordinating meetings with clients.
- Pipeline Management: Manage and maintain a pipeline of leads and opportunities, tracking progress and updating CRM systems accordingly.
- Continuous Learning: Stay updated on industry trends, market developments, and competitor activities to identify new business opportunities and improve sales strategies.
Qualifications:
- Bachelor's degree in Business Administration, Marketing, or a related field.
- Strong communication and interpersonal skills.
- Excellent organizational and time management abilities.
- Ability to work independently and as part of a team.
- Proactive attitude with a drive to achieve targets and goals.
iOS App Development
Objective C
SwiftAbout us:
We are helping 70M Indians to prevent, manage and reverse Type 2 Diabetes. Through our clinically verified digital well-beingprogram we help people with Type 2 Diabetes to reduce blood glucose, lose weight and stop medications in a fun and engaging way. We have a coach led community first approach which we combine with game design to deliver health outcomes. Our Net Promoter Score is 80 and more than 40% of our current customers are coming from word of mouth!
Our Team:
We are a team of 100+ people (doctors, engineers, designers, fitness coaches, and dieticians) who have been fortunate to study at leading colleges like UCLA, NTU, BITS Pilani and have extensively worked at great companies like McKinsey&Company, Accenture & Nomura.
About the Role:
We are looking for an iOS developer who possesses a passion for pushing mobile technologies to the limitsand will work with our team of talented engineers to design and build the next generation of our mobile application.
Requirements:
1.Min 3 yearsof experiencein iOS development.
2.Experience with offline storage, threading, and performance tuning.
3.Familiaritywith RESTful APIs to connect iOS application to back-end services.
4.Should have worked on sockets, hardware integrations.
5.Experience with iOS frameworks such as Core Data, Core Animation, etc.
6.Hungry to do awesome product development and keen to learn newer technologies.
JD:
1.Design and build application for the iOS platform.
2.Ensure the performance, quality, andresponsiveness of application.
3.Collaborate with a team to define, design, and ship new features.
4.Identify and correct bottlenecks and fix bugs.
5.Help maintain code quality, organization,and automatization.
Overview:
Join our team at YoHo Design as a Sales Associate and play a pivotal role in driving sales growth and enhancing customer satisfaction. As a Sales Associate, you will be responsible for providing exceptional service to clients, assisting them in selecting products and services that meet their interior design needs, and contributing to the overall success of our firm.
Key Responsibilities:
1. Customer Service: Provide exemplary customer service by greeting clients, assessing their needs, and guiding them through the selection process.
2. Product Knowledge: Develop a deep understanding of our products and services, including furniture, accessories, lighting, and design consultation services.
3. Sales Generation: Actively engage with clients to identify opportunities for sales, upselling, and cross-selling of products and services.
4. Consultative Selling: Utilize your knowledge of interior design principles to offer personalized recommendations and design solutions to clients.
5. Relationship Building: Build and maintain strong relationships with clients to foster repeat business and referrals.
6. Order Management: Assist clients with placing orders, processing payments, and coordinating delivery and installation.
7. Merchandising: Maintain a clean and organized showroom environment, ensuring that products are properly displayed and inventory levels are monitored.
8. Administrative Tasks: Perform various administrative duties, such as maintaining client records, generating sales reports, and responding to inquiries via phone, email, or in person.
9. Collaboration: Work closely with other team members, including designers, project managers, and administrative staff, to ensure a seamless customer experience.
10. Continuous Learning: Stay updated on industry trends, product developments, and best practices in interior design and sales techniques.
Must Have:
* Previous experience in retail sales, preferably within the interior design industry.
* Strong interpersonal and communication skills, with the ability to engage effectively with clients and colleagues.
* Passion for interior design and a keen eye for aesthetics.
* Proven track record of meeting or exceeding sales targets.
* Ability to multitask and prioritize tasks in a fast-paced environment.
* Proficiency in using computer software and point-of-sale systems.
* Flexibility to work weekends and evenings as needed.
* Complete Sales background with 2 years experience
Education:
Bachelor’s degree in interior design, marketing, business administration, or a related field preferred.
Hybris Professionals are responsible for e-commerce application development while providing expertise in the full software development lifecycle, from concept and design to testing.
- Setting expectations and features priorities throughout development life cycle.
- Writing well designed efficient code.
- Determining and implementing design methodologies and tool sets.
- Completing application development by coordinating requirements, schedules and activities.
- Envisioning the overall solution for defined functional and non-functional requirements; and being able to define technologies, patterns and frameworks to materialize it.
- Designing and developing the framework of the system and being able to explain choices made.
- Writing and reviewing design document explaining overall architecture, framework and high-level design of the application.
- Troubleshooting problems across multiple environments and operating platforms.
- Creating technical documentation and assistance tools for customers.
- Researching and learning new technologies to update knowledge.
- Participating in educational opportunities/trainings and reading professional publications.
- Contributing to team meetings.
- Enhancing organization's reputation by accepting ownership for accomplishing of tasks.
- Exploring opportunities to add value to job accomplishments.
Java|
· Oversee the workflow and the workforce involved in the entire software development process · Responsibilities include creating strategies for optimal performance, coordinating with different teams and departments to identify strengths and weaknesses, implementing training and workshop programs, and liaising with external agencies, including key clients |
- Key Accountabilities
|
Application Development · Pioneer and drive Agile development practices, leading sprint teams and backlogs · Provide guidance to the team and ensure they adhere to development standards · Ensure team structure is optimized, and resources managed, to facilitate efficient project delivery - seamlessly integrate, mentor, and manage internal (remote) and external teams (contractors), continually monitoring quality and effectiveness · Innovation and product development – generate and facilitate ideas development, requirement gathering and user evaluation to continually develop new and exciting features and value add services · Balance competing priorities – have a good understanding of software technical debt and ensure we've got the right balance between paying it down, delivering new projects and offering outstanding customer support · Create and/or refine lean processes to ensure effective, scalable, and profitable workflows – identify and analyze problems and implement solutions. Ensure consistent and iterative delivery of high-impact, high-quality work · Ensure that the business objectives and customer requirements are at the heart of all processes and projects · Take part in deep-dive troubleshooting exercises - drive technical post-mortem discussions to identify the root cause of complex issues and implement appropriate solutions Designers & Developers · Manage a team that designs, develops, troubleshoots, and debugs software and is the go-to team for all aspects of maintenance starting with resolving software bugs, managing delivery of software and working on customer escalations · Work with product managers, designers & developers to translate internal and external customer and market requirements into a system, product, and technology roadmaps Vendor Sourcing & Management · Manage relationships with various technology vendors and contract agreements to ensure technically and economically efficient products and services are provided Application Management · Ensure new application upgrades or transformation are compliant with current applications, commercials involved in their upkeep and overlook the future need of applications and their upgrades from software development perspective · Ensure availability of in-house applications to business/ functional users as per requirement · Ensure that in-house application related incidents, events, problems, and service requests get closed in an efficient, consistent manner per the committed SLAs
|
- Skills Required for the role
|
Strong leadership capabilities |
Excellent client/customer service mindset
|
|
Excellent written, interpersonal, and verbal communication skills |
Project Management and Delivery skills
|
|
IT Product development knowledge |
Analytical and inquisitive, with excellent attention to detail
|
|
Strong stakeholders’ management skills |
Ability to multi-task and stay organized in a dynamic work environment
|
React.js
Javascript
Redux/Flux1. Experience in developing web-based applications using React JS 2. React JS, Redux and TypeScript, HTML, CSS and JavaScript 3. Strong interpersonal and written communication skills 4. Willingness to learn and master new technologies 5. Knowledge in Angular or Node JS would be an added advantage.
https://www.linkedin.com/feed/hashtag/?keywords=%23Experience">#Experience:
1. Bachelors/ Master’s Degree & experience in the related field 2. Possess flexibility and adaptability to meet the working environment
- Establishing and maintaining an effective team through managing, advising, and motivating various other teams.
- Partnering with senior management to develop strategic HR goals, policies, and programs that align with business initiatives
- Developing Human Resources strategies for various teams that includes workforce planning, pay-for-performance, talent management, talent acquisition, and succession
- Coordinating the recruitment throughout the company. Building relationships with recruiters, setting up interviews, drafting JDs etc.
- Leading department personnel, including direct supervision, hiring, training, and performance management.
- Overseeing government, legal, and regulatory requirements and/ or complaints in various areas.
- Planning and conducting new team member orientation to foster positive attitude toward Company goals
- KPI finalization for each team member along with seniors: Conducting ongoing KPI assessment and reviewing with seniors
- Talent Development & Deployment : Facilitating in identifying, nurturing and deploying talent effectively.
- Taking structured initiatives in defining the company's values and reinforcing the same among employees through various engagement programs
- Handling employee payroll and driving a culture of performance from beginning through right Appraisal framework, the role expands as we keep hitting milestones!
- Managing the employee life cycle from entry to exit seamlessly, with meticulous and diligent record-keeping and compliance with all necessary laws/guidelines
Desired Candidate Profile
What you need to have:
- MBA (HR) with 5-6 years of experience in an HR Generalist role
- Preferably worked in a start-up environment
- Passion to learn & solve problems on the go
- Pleasing personality & poise to handle the employee life cycle
- Experience with being the front face of HR, representing policies and practices to managers and employees across the organisation.
- Experience in virtual onboarding orientation is advantageous.
- Experience in administering HR operations using automated tools (e.g. via Jira service desk, HRIS, or similar)
- Results-driven and numbers-oriented
- Logical and analytical thinking
- Strong communication skills
- Flexibility and adaptability
Javascript
NodeJS (Node.js)We are hiring a full time founding engineer on quite a bit of equity.
People who have always wanted to startup - please apply
Follow CutshortShubham Vishwakarma
Full Stack Developer - Averlon