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
Job Title :Communication Trainer
Skills :1.Verbal and Non verbal communication
2.Active Listening
3.Presentation and Public speaking skills
Vue.js
AngularJS (1.x)
Angular (2+)
React.js
Javascript• Hands-on experience in Python with 2-4yrs experience in backend web development with
Django. Exceptions can be made if you’re really good at any other language with experience in building
web/app-based tech products
• Hands-on experience with frontend codebases using HTML, CSS,JavaScript with knowledge of
any frontend framework (Preferably Vue or React)
• Excellent command over Data Structures and Algorithms with experience in software
engineering and product delivery
• Working knowledge of MongoDB, Redis, MySQL
• Familiarity with building robust and scalable REST API endpoints.
• Experience with web technologies like Linux, Apache, Memcache, Redis
• Familiarity with AWS services having experience with EC2, ELB, AutoScaling, CloudFront, S3,
RDS, SNS etc
• Good understanding of Data Structures, Algorithms, and Operating Systems
• Good communication and peer networking skills.
• Strong problem solving and analytical skills
• Proven ability to author clean, standards-compliant code
• Self-motivated and detail oriented with the ability to work independently
• Ability to thrive in a fluid and fast paced environment
• You might not have experience with all the tools that we use but you can learn those given the
guidance and resources
What will I be doing?
• Build new features into the application and own their further development.
• Build scalable and loosely coupled services to extend our platform.
• Build bulletproof API integrations with third-party APIs for various use cases.
• Evolve our Infrastructure and add a few more nines to our overall availability.
• Have full autonomy and own your code, and decide on the technologies and tools to deliver as
well as operate large-scale applications on AWS.
• Give back to the open-source community through contributions on code and blog posts.
• Stay up to date on webdev trends and understand how it applies to our customers' needs.
• Build automated unit and integration tests.
• Conduct performance tuning, testing, refactoring, usability, and automation.
• Maintain strong coding, compliance, & security standards.
• Understand proper web and application security practices and apply them.
Tech Stack ⚙
We believe in always using the sharpest tools for the job. On that end we always try to remain tech
agnostic and leave it upto discussion on what tools to use to get the problem solved in the most robust
and quick way.
That being said, our bright team of engineers have already constructed a formidable arsenal of tools
which helps us fortify our defence and always play on the offensive. Take a look at the tools we already
use over here.
*What happens after you apply? *
• Quick phone call to learn about your experience and why you want to work at Tranzact.
• Interview rounds with the founders and technical team.
• There might be optional rounds customized to your experience.
• We aim to close the end-to-end process within 3 days of giving you a phone call.
*Why Tranzact? *
• Be a part of the journey to take a Series A startup to IPO
• Build world class products that will have an impact on the lives of millions
• Work with a world-class, industry-leading team of engineers, product guys and growth
• Learn from great mentors and industry leaders.We have an agreement with our Angel Investors
that they will help us build & grow our product & company. If required, our team members can work
from their office to learn from
• Competitive salary and attractive ESOPs
Ampro Export is seeking a detail-oriented and experienced Accountant to manage our financial operations. The ideal candidate will be responsible for preparing financial statements, managing accounts payable and receivable, performing reconciliations, and ensuring compliance with tax regulations. This role is critical to maintaining the financial health and integrity of our growing business.
Key Responsibilities:
- Prepare accurate and timely financial statements.
- Manage day-to-day accounting operations including accounts payable, accounts receivable, and general ledger entries.
- Perform regular reconciliations of bank statements and accounts.
- Ensure compliance with local, state, and federal tax regulations.
- Monitor and report on financial performance, providing insights to management.
- Assist in budget preparation and forecasting.
Requirements:
- Bachelor’s degree in Accounting, Finance, or a related field.
Benefits:
- Competitive salary package.
- Health insurance and other benefits.
HTML/CSSJavascriptAngular (2+)AngularJS (1.x).Net developer role will involve working in all phases of the software development cycle. Build new systems with Microsoft technologies with primary focus in C#, .NET, .Net Core,Web API, SQL, Entity Framework, Async Programing, Git, and Design patterns. Be an effective team player in a small, experienced and energetic team working on a rapid and agile development schedule.
Required Skills 3-5 years of experience as a developer
3+ years in Microsoft Web-related Technologies
Deep knowledge of the .NET Framework, .NET Core,
.Net, MVC, C#, ENTITY Framework, REST web services
– Authentication, Authorization, Performance Tuning,
JSON, Unit testing – Nunit, Xunit
Experience in Data Modelling, Object Oriented Designs
Experience in integrating with other systems like Payment
gateway or third-party API or integration tools like Boomi
Hands-on experience in SQL Server stored procedure
development and fine-tuning.
Experience in using GitHub, project management, defect
tracking tools.
Provide accurate status to Management/Project Managers
and escalating where appropriate
Mentor and guide new developers and team
Self-directed with excellent problem-solving skills
Strong written and Oral communication skills and must be
a fast learner adapting to new technologies and frameworks.
Review test plans with QA & drive the code reviews
within the team
BE in CS, MCA or BSc in Math or equivalent
Desirable Skills
Exposure to Azure services, AWS services, cloud deployment
Role: Oracle DBA Developer
Location: Hyderabad
Required Experience: 8 + Years
Skills : DBA, Terraform, Ansible, Python, Shell Script, DevOps activities, Oracle DBA, SQL server, Cassandra, Oracle sql/plsql, MySQL/Oracle/MSSql/Mongo/Cassandra, Security measure configuration
Roles and Responsibilities:
1. 8+ years of hands-on DBA experience in one or many of the following: SQL Server, Oracle, Cassandra
2. DBA experience in a SRE environment will be an advantage.
3. Experience in Automation/building databases by providing self-service tools. analyze and implement solutions for database administration (e.g., backups, performance tuning, Troubleshooting, Capacity planning)
4. Analyze solutions and implement best practices for cloud database and their components.
5. Build and enhance tooling, automation, and CI/CD workflows (Jenkins etc.) that provide safe self-service capabilities to th6. Implement proactive monitoring and alerting to detect issues before they impact users. Use a metrics-driven approach to identify and root cause performance and scalability bottlenecks in the system.
7. Work on automation of database infrastructure and help engineering succeed by providing self-service tools.
8. Write database documentation, including data standards, procedures, and definitions for the data dictionary (metadata)
9. Monitor database performance, control access permissions and privileges, capacity planning, implement changes and apply new patches and versions when required.
10. Recommend query and schema changes to optimize the performance of database queries.
11. Have experience with cloud-based environments (OCI, AWS, Azure) as well as On-Premises.
12. Have experience with cloud database such as SQL server, Oracle, Cassandra
13. Have experience with infrastructure automation and configuration management (Jira, Confluence, Ansible, Gitlab, Terraform)
14. Have excellent written and verbal English communication skills.
15. Planning, managing, and scaling of data stores to ensure a business’ complex data requirements are met and it can easily access its data in a fast, reliable, and safe manner.
16. Ensures the quality of orchestration and integration of tools needed to support daily operations by patching together existing infrastructure with cloud solutions and additional data infrastructures.
17. Data Security and protecting the data through rigorous testing of backup and recovery processes and frequently auditing well-regulated security procedures.
18. use software and tooling to automate manual tasks and enable engineers to move fast without the concern of losing data during their experiments.
19. service level objectives (SLOs), risk analysis to determine which problems to address and which problems to automate.
20. Bachelor's Degree in a technical discipline required.
21. DBA Certifications required: Oracle, SQLServer, Cassandra (2 or more)
21. Cloud, DevOps certifications will be an advantage.
Must have Skills:
Ø Oracle DBA with development
Ø SQL
Ø Devops tools
Ø Cassandra
Roles & Responsibilities:
- Develop test plans, test environment and test scenarios for new product features
- Improve test efficiency by adapting an automated approach
Requirements:
- Should have 1-3 years of IT experience in software testing/automation
- Should have a bachelor’s/master’s degree in engineering/technology from a reputed college/university
- Strong communication skills, both verbal and written
- Should be a good team player who enjoys collaborating with others
Technical Skills:
- Proficiency in a scripting language, such as Python, Shell Scripting
- Experience in JavaScript test automation frameworks – Protractor/Selenium/TestNG (Primary)
- Experience in developing Continuous Integration pipelines using Jenkins and GitHUB Actions
- Experience with Source control such as GitHUB
- Experience in working with Postgres, Oracle , SQL DB
- Experience in Docker and any other containerization platform.
Desirable Skills:
- Familiarity with the following is a bonus:
- NodeJS and npm
- Jmeter and Groovy Scripting
- Experience in working with SCXML and VXML
- Experience in Contact center industry is added advantage
React.jsJavascript
Redux/FluxThe ideal candidate will be responsible for designing, developing, testing, and debugging responsive web and mobile applications for the company. Using JavaScript (React), HTML, and CSS, this candidate will be able to translate user and business needs into functional frontend design. Someone with prior experience with Gatsby, Hasura, Redux, etc and live projects to showcase will get prioritised.
Responsibilities
- Designing, developing, and testing UI for mobile and web applications
- Build reusable code and libraries for future use
- Accurately translate user and business needs into functional frontend code
Qualifications
- Bachelor's degree or equivalent in Computer Science
- 2+ years' experience in frontend development
- Familiarity using Scrum/Agile development methodologies
- Experience building object oriented web applications in JavaScript, HTML5, and CSS3
Java
Spring BootAbout Card91
Card91 is simplifying business payments by providing a plug and play issuance infrastructure to businesses for domestic and cross-border payments. Our full stack platform enables businesses to gain control and visibility into their payment flows, controlling the entire payment lifecycle from onboarding, to issuance, to transaction and data reconciliation. The platform aims to provide holistic solutions around payment issuance and distribution management. Our deep focus in payments will help us in bringing new issuance formats as well as technologies to businesses.
The company has been founded by seasoned technology entrepreneurs who have founded successful companies like Myntra, Mastiff Tech earlier. Headquartered in Bangalore, with presence in Mumbai and NCR, Card91 aims to disrupt the payment infrastructure space in the issuer-processor segment.
About the role
Our core issuance and processing system runs on Java. This system is responsible for powering the card issuance and management user experience as well. We are using Spring Boot stack for building our services.
The issuance backend team will be a small team of 2-4 developers, with a meaty responsibility to bring the user experience to life. It will be a hands-on role where every member of the team enjoys writing high quality code, and thrives on each other's experience.
If the following broad attributes sound like you, we would love to talk to you
-
4-6 years experience in backend services in Java.
-
Strong understanding of relational databases.
-
Ability to develop clean data models for complex problem domains.
-
Pragmatic approach to architecture and design - knowing when it is ok to deviate from
said best practices in the interest of practicality.
-
Above average writing and communication skills in English. Enjoy writing crisp and understandable documentation.
Why you should join
-
You enjoy working in smaller teams. We are a startup, and we believe that smaller teams are a super-power. There is lesser management overhead, and more talk about the work that matters.
-
You care about end-user and developer experience - and how the backend impacts that. Working backwards from what the user experience demands, rather than giving up to the path of least resistance.
-
We pay well (above market average). We are sufficiently capitalised by some prestigious investors in the Fintech space and we are looking at the long game. It is a fun and exhilarating journey ahead and we look forward to having some great team mates!
C#
MongoDB
Follow CutshortShubham Vishwakarma
Full Stack Developer - Averlon