
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.

Similar jobs
- Strong experienced UX / Product Designer profile with a focus on Mobile Apps
- Mandatory (Experience 1): Must have 4+ YOE in UX / Product Design, with a strong experience in B2C Mobile Apps
- Mandatory (Experience 2): Must have Managed a team of 1–2 Designers (Lead or above in current role, Senior Designer designation can be considered if Team leading is explicitly mentioned in CV)
- Mandatory (Portfolio): Must have a strong UX-focused portfolio showcasing case studies, user research work, with strong designs for Mobile Apps (Mandatory)
- Mandatory(Education): Must have a formal Design degree (B.Des / M.Des or equivalent)
- Mandatory (Company): Good Product Company with high-traffic Mobile Apps
As a Product Manager at Brainstorm Force, you’ll be at the forefront of shaping the direction of our WordPress products and SaaS applications, bridging the gap between stakeholders, development teams, and customers.
From conducting market research and defining product roadmaps to overseeing feature delivery, acceptance testing, and post-launch optimization, you’ll play a pivotal role in driving product innovation, enhancing user experiences, and achieving business objectives.
Key Responsibilities:
Product Vision and Strategy:
- Define the overarching vision and strategic goals for our product portfolio.
- Conduct market research, competitor analysis, and gather customer feedback.
- Identify opportunities for product differentiation and innovation.
Roadmap Planning and Prioritization:
- Develop product roadmap, prioritize features based on business objectives and customer needs.
- Collaborate with cross-functional teams to ensure alignment (development, support and marketing)
Product Mockups:
- Work closely with the team to plan product features and create mockups.
- Ensure that product designs align with user needs and business objectives.
Feature Definition:
- Work closely with the team to define user stories, acceptance criteria, and feature specifications.
- Prioritize features based on their impact on users, revenue and market competitiveness.
Feature Acceptance:
- Conduct final acceptance testing to ensure that features meet quality standards.
- Provide the final go-ahead for product releases based on acceptance testing results.
- Ensure adherence to timelines.
Stakeholder Engagement and Communication:
- Engage with stakeholders and align customers satisfaction with business goals.
- Communicate product vision, roadmap, and progress to internal teams and external stakeholders.
Required Skills and Qualifications:
- In-depth knowledge of WordPress ecosystem and familiarity with relevant technologies.
- Understanding of user needs and business objectives
- Ability to prioritize features based on their impact on user satisfaction and business goals.
- Strong analytical skills with the ability to translate data insights into actionable strategies and plans.
- Excellent communication and interpersonal skills, with the ability to engage with stakeholders.
- Experience working in tools like Jira, Linear, etc for backlog management.
- Proven track record of product planning, acceptance testing, and product design.
Your Success:
Your success will be measured by following KPIs that reflect the impact of your contributions:
Product Growth and Revenue:
- Market share or penetration of the product compared to competitors.
- Revenue generated by the product.
- Percentage growth in product revenue over time.
Customer Satisfaction and Retention:
- Net Promoter Score (NPS) or customer satisfaction survey results.
- Customer retention rate or churn rate.
- Customer feedback and sentiment regarding overall product experience.
Product Performance and Market Positioning:
- Market share or competitive positioning of the product.
- Customer perception of product differentiation and value proposition compared to alternatives.
Innovation and Product Roadmap Execution:
- Rate of new feature delivery or innovation.
- Percentage of product roadmap milestones achieved on schedule.
- Adoption rate of new product features or enhancements.
Team Collaboration and Alignment:
- Feedback from cross-functional teams regarding collaboration and alignment with product strategy.
- Team morale and satisfaction with product direction and leadership.
- Effectiveness of communication and alignment with stakeholders.
Preferred Skills:
- Good communication skills in English (Written and Oral)
- Strong knowledge of RDBMS concepts
- Strong analytical and problem-solving skills
- Experience in performance tuning
- Experience in interaction with the customer
- Mandatory technical skills Java, Spring boot , Microservices , Hibernate
- Preferred Tools (SVN, GIT, Maven, Jenkins Jira Confluence)
- Ability to explore the application by himself/herself from the training provided.
Responsibilities:
- New feature development or enhancement or change request activities (Requirement analysis, Requirement documentation, Design, Coding, Review, Testing and Release process)
- Defect Fixing (Defect analysis, route cause identification, Code change, testing, obtaining user confirmation and release process)
- Support tasks (Ticket analysis, data uploading, performance tuning, job monitoring, any analysis task, ReportGeneration and etc.,)
- Level 2 and Level 3 support (Support process adherence)
- Functional and technical or solution documentation preparation
- Execution will either be Waterfall or Agile
- The process needs to be followed as defined by RBEI or RBEI’s Customer
- Preparation & participation in the project status and review meeting


We at Convrse are revolutionizing the way, 'The Metaverse' is going to be built. We aim to become the world’s largest library for sourcing interoperable 3D spaces for building all kinds of metaverse experiences.
We are searching for an innovative technical lead. to join our company. As the technical lead, you will oversee the company’s technical team and all projects they undertake, analyze briefs, write progress reports, identify risks, and develop work schedules. You should be able to work with your team and inspire them to reach their goals.
To be successful as a technical lead, you should always be expanding your industry knowledge and be able to quickly identify problems. Outstanding technical leads are accountable, trustworthy, and able to build lasting relationships with their teams.
Technical Lead Responsibilities:
-
Determining project requirements and developing work schedules for the team.
-
Delegating tasks and achieving daily, weekly, and monthly goals.
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Liaising with team members, management, and clients to ensure projects are completed to standard.
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Identifying risks and forming contingency plans as soon as possible.
-
Analyzing existing operations and scheduling training sessions and meetings to discuss improvements.
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Keeping up-to-date with industry trends and developments.
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Updating work schedules and performing troubleshooting as required.
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Motivating staff and creating a space where they can ask questions and voice their concerns.
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Being transparent with the team about challenges, failures, and successes.
10. Writing progress reports and delivering presentations to the relevant stakeholders.
Technical Lead Requirements:
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Bachelor’s/Master's degree in computer science, engineering, or a related field.
-
A 3-4 years of experience in a similar role would be advantageous.
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In-depth experience in working with Reactjs and Go.
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Excellent technical, diagnostic, and troubleshooting skills.
-
Experience with blockchain technology preferable.
-
Strong leadership and organizational abilities.
Experience - 2 to 6 Years
Work Location - Pune
Datametica is looking for talented SQL engineers who would get training & the opportunity to work on Cloud and Big Data Analytics.
Mandatory Skills:
- Strong in SQL development
- Hands-on at least one scripting language - preferably shell scripting
- Development experience in Data warehouse projects
Opportunities:
- Selected candidates will be provided learning opportunities on one or more of the following: Google Cloud, AWS, DevOps Tools, Big Data technologies like Hadoop, Pig, Hive, Spark, Sqoop, Flume, and KafkaWould get a chance to be part of the enterprise-grade implementation of Cloud and Big Data systems
- Will play an active role in setting up the Modern data platform based on Cloud and Big Data
- Would be part of teams with rich experience in various aspects of distributed systems and computing
We are looking for a talented and competitive Inside Sales Representative that thrives in a quick sales cycle environment. An inside sales rep will play a fundamental role in achieving our ambitious customer acquisition and revenue growth objectives. You must be comfortable making calls per day, generating interest, qualifying prospects and closing sales.
Responsibilities
- Source new sales opportunities through inbound lead follow-up and outbound cold calls and emails
- Understand customer needs and requirements
- Route qualified opportunities to the appropriate sales executives for further development and closure
Requirements:
- Comfortable working in Sales profile
- Build long-term trusting relationships with clients
- Stay up-to-date with new products and new pricing/payment plans
- Strong phone presence and experience dialling dozens of calls per day
- Excellent verbal and written communications skills
- Strong listening and presentation skills
- Ability to multi-task, prioritize, and manage time effectively

- Mandatory: Docker, AWS, Linux, Kubernete or ECS
- Prior experience provisioning and spinning up AWS Clusters / Kubernetes
- Production experience to build scalable systems (load balancers, memcached, master/slave architectures)
- Experience supporting a managed cloud services infrastructure
- Ability to maintain, monitor and optimise production database servers
- Prior work with Cloud Monitoring tools (Nagios, Cacti, CloudWatch etc.)
- Experience with Docker, Kubernetes, Mesos, NoSQL databases (DynamoDB, Cassandra, MongoDB, etc)
- Other Open Source tools used in the infrastructure space (Packer, Terraform, Vagrant, etc.)
- In-depth knowledge on Linux Environment.
- Prior experience leading technical teams through the design and implementation of systems infrastructure projects.
- Working knowledge of Configuration Management (Chef, Puppet or Ansible preferred) Continuous Integration Tools (Jenkins preferred)
- Experience in handling large production deployments and infrastructure.
- DevOps based infrastructure and application deployments experience.
- Working knowledge of the AWS network architecture including designing VPN solutions between regions and subnets
- Hands-on knowledge with the AWS AMI architecture including the development of machine templates and blueprints
- He/she should be able to validate that the environment meets all security and compliance controls.
- Good working knowledge of AWS services such as Messaging, Application Services, Migration Services, Cost Management Platform.
- Proven written and verbal communication skills.
- Understands and can serve as the technical team lead to oversee the build of the Cloud environment based on customer requirements.
- Previous NOC experience.
- Client Facing Experience with excellent Customer Communication and Documentation Skills



