Role: Claims Adjudication Process
Experience: 2.5-4 Years
Job Location: Coimbatore, Tamil Naidu
Work Timing: US Shift(Night Shift)
Job Description:
Claims Experience is required:
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More than 3 years of experience in handling the Healthcare claims adjudication process.
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Experienced level adjudicator providing analytical ability to review claim rules and workflows.
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Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
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Responsible for the coordination and resolution of the administrative denials and appeals
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Ability to understand logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).
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Ability to resolve claims that require adjustments and adjustment projects , Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
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Organizing and completing tasks per assigned priorities.
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Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
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Resolving complex situations following pre-established guidelines

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Job Description
Cateina Technologies is looking for IBM ACE Developers
Technical Skills
● IBM Message Broker
● IIB ACE
● Kubernetes
● Microservices
● Docker
● EAI and SOA architecture
● Java
● Web services (REST, SOAP)
● JSON, XML
● Database knowledge
● Understanding of Nodes
● Basic Unix knowledge
● Angular JS
● Jira
Required competencies
● Experience in designing, developing, implementing and supporting SDLC by using IBM integration bus/IBM connect API/IBM ACE
● Required API Banking Knowledge Banking Domain, Oracle PL SQL 16 WebSphere Message Broker IBM Integration Bus IIB
● Sound knowledge of REST XML/JSON, WSDL, SOAP, JMS, HHTP, SSL, XSLs, XST and gateway script is required
● Clear understanding of the IBM API Connect architecture and its components.
● Should be clear on the concepts of different protocols (HTTP(s) etc) and RESTful services standards.
Skills
- Strong communication skills both written and verbal
- Any degree
Who can apply
Candidates who:
- are willing to travel to client site
- willing to relocate to Mumbai
Office Location
Cateina Technologies
Vikhroli (West),
Mumbai, Maharashtra 400083


• As a member of the architecture team, become deeply familiar with the product goals, and provide thought leadership on the technical aspects of realizing the product goals
• Contribute to the SDLC best practices, modeled after contemporary industry standards, and ensure the practices are diligently followed
• Provide technical mentorship to the technical team
• Encourage automation in various aspects of software development such as code reviews, unit tests, continuous integration, system testing. Identify appropriate tools, and create best practices around automation
• Participate in requirement gathering, analysis, designing proofs of concepts
• Team up with various stakeholders in aiding project planning, estimation, execution, and production support
• Identify the most appropriate platforms, frameworks, and third-party components to meet the product requirements
• Define and own the interfaces, such as services and APIs between product components
• Perform code walkthroughs, reviews. Promote code-reuse. Identify opportunities for refactoring code, and ensure code is modular and extensible
• Ensure adequate coverage of functional and non-functional requirements in test plans
• Provide guidance on production support/bug-fixing issues. Own the technical resolution of high-priority fixes
Technical Skills:
• 5+ years of hands-on experience with Python and Python-based frameworks such as Django, Flask, and web2py, etc.
• 3+ years of hands-on experience with front-end technologies such as HTML5, CSS3, Javascript, AJAX, REACT, etc.
• 1+ years of experience in building multi-tenant web applications using AWS or other cloud PaaS providers.
• Understanding of fundamental design principles for building a scalable web application and integration using RESTful APIs and JSON data
• Deep familiarity with n-tier and MVC patterns
• Strong unit testing and debugging skills
• Familiarity with CI tools such as Jenkins
Process & Tools:
• Experience in working with code versioning tools
• Experience in development organizations following Agile methodologies like SCRUM
• Experience in AGILE project management tools such as JIRA
Who are we looking for?
• Should be comfortable working in a team-oriented, fast-paced, collaborative environment
• Willingness to take on ownership and responsibility
• Resourceful, confident under pressure, ability to communicate with folks with varied experience and backgrounds
• Aptitude for problem-solving and analytical skills
Work Experience: 5-8 years of hands-on experience

TechUnity is looking for a highly motivated and skilled React JS / React Native software developer who is comfortable with both front and back-end programming. Developer will be designing and implementing attractive and intuitive Web-based user interface and developing backend services to support front-end requests. Developer will be required to see out a project from conception to final product, requiring good organizational skills and attention to detail.
Other Responsibilities:
· Seeing through a project from conception to finished product
· Designing and coding of frontend web architecture
· Designing user interactions on web pages
· Developing backend server architecture
· Creating specification for servers and databases needed
· Ensuring responsive performance of applications.
· Designing and developing APIs.
· Meeting both technical and consumer needs.
· Staying abreast of developments in web applications and programming languages
· Good problem-solving skills.
· Excellent verbal communication skills


Sankey Solutions, Thane.
We are looking for a Tech PM role – who are having the ability and keenness, to adapt and implement new technologies fast, and has a learning attitude and preference for learning over knowing. Organized, customer-facing, analytical, and technically sound lead who is interested in guiding key business decisions. The position holder will be working as a technical lead for Sankey Solutions and play a key role in driving projects through the whole lifecycle. Be able to think about all aspects of the problem and propose the right business and technical solutions.
Technical skills
• 5 to 10 years’ experience in Project Management and handling team
• Take end to end ownership to lead cross-functional teams to successfully deliver multiple software development projects supporting various business units.
• Design, Architect, develop application using multiple tech stack.
• Understanding of client-side web technologies like React/Redux Js JavaScript, J-Query, HTML, CSS.
• Understanding one of the core technologies like Java/Python/Php/.Net • Understanding of DB in PL/SQL, SQL DB design/ performance analysis for DB. Knowledge of cloud technologies will be added advantage.
• Ensure that solutions are being delivered as per standards of availability, scalability and security point of view and that are done on time with the highest quality.
• Ensure that all delivery artefacts are reviewed and are according to the standards and guidelines Communicate proactively with all involved personnel to provide encouragement, identify problems, create solutions, and implement efficiency improvements.
Soft Skills
• Should have good communication and direct interaction with customer on daily basis.
• Should grasp things quickly on new technologies and implement it for Project requirements.
• Handle resources and get hands on to solve technical problems faced by the delivery team.
• Maintain comprehensive knowledge of industry standards, methodologies, processes and best practices
Requirements:
- Role- Tech PM
- Job Qualifications: Only IT graduate (Technical background)
- Job Location(s) – Mumbai, Thane
- Industry Type IT - Software, Software Services
- Functional Area IT Software - Application Programming
- Maintenance Employment Type - Full Time, Permanent
- Role Category- Project Management



The FullStack Developer primarily participates in designing and implementing new services as well as participates in customer delivery. It will be possible to influence your work profile based on your interests.
While not mandatory, a generic understanding of user interfaces and being able to position oneself as an end-user is highly desirable. We appreciate also prior knowledge of the Image Processing domain.
We are looking for well-rounded people who care about their craft and understand software development. While we value a formal degree in computer science we do not require one - a candidate with a strong background, open mind and ability to learn would be an ideal addition to our team.
That being said, here is what we think the ideal team member would be:
Responsibilities :
- Develop and Integrate Django backend and API's with frontend framework.
- Develop Angular applications
- Working closely with UX and Front-end Developers
- Participating in architectural, design and product discussions
- Designing and creating RESTful APIs for internal and partner consumption
- Working in an agile environment with an excellent team of engineers
Requirements :
- Good experience developing Angular applications into production
- Good experience with the Django REST framework
- Strong understanding of the Angular framework as well as javascript, jQuery and HTML/CSS
- Good experience on designing and structuring of database most likely ORM (i.e MongoDB)
- Knowledge of how to build and use with RESTful APIs
- Good experience of Python coding skills
- Strong knowledge of version control (i.e. git, svn, etc.)
- Experience deploying Python applications into production
Qualification: Engineering from CSE/IT



- Responsible for building native applications that can run on multiple platforms such as Android, iOS, or Windows
- Work as part of a small team to build React Native iOS / Android applications for Full Stack's clients.
- Architect, build and maintain excellent React Native applications with clean code.
- Implement pixel perfect UI's that match designs.
- Must have experience in using Flutter.
- Sitecore developer with experience in
- Should have headless sitecore experience.
- Should know Sitecore APIs
- Preferably has experience working with modern JavasScript frameworks such as ReactJS/Angular/NextJS
Roles and Responsibilities
- Actively manage the entire sales process from lead generation to on-boarding.
- Build and Manage the sales pipeline.
- Ability to map-customer requirements with the product roadmap and contribute to driving product development efforts.
- Getting new accounts on-boarded and managing/growing Key Accounts.
- Manage customer relationship, including escalations
Skills & Qualifications
- Excellent Communication and Presentation skills.
- Strong problem-solving and Creative Skills.
- Teamwork and Leadership skills.
- Strong achiever in a target-driven role.
- Entrepreneurial Mind-set.
- Individual & Team Contributor.
Preferred Experience
- 2 Year experience in selling Enterprise SaaS Solutions to Indian Customers.
- Proven experience in interacting/working/networking with CXO’s.
- Experience of working in a start-up / growing organization

About the role:
We are currently building an exciting multi-category, digital first, direct to consumer, commerce business for couple of new brands in Food & Fashion category. The Engineering Team forms the backbone of our ecommerce business. We build and iterate over our core platform that handles orders, payments, delivery promises, order tracking & logistics integrations.
We are looking for an Engineering Manager to lead its development across web, mobile and in-store devices. You will be responsible to work closely with business leaders to understand the developer needs and device solutions through developer tools and services. The role incumbent will be managing a team of in-house & outsourced developers and will be responsible for defining the technical roadmap, project delivery and maintenance of systems developed in-house. The incumbent will also be driving technology innovation with integrations and external partners to fully leverage the latest solutions and technologies for servicing the organization needs. This role will report to the Director-Engineering.
Location: Mumbai based preferably. We can also consider Bangalore based candidates.
Responsibilities:
Your core responsibilities will include Technical Guidance, Execution, Delivery & Team Management. You will be working in a fast-paced and agile work environment delivering quality solutions that have immediate business impact.
- Ownership of engineering features and components from concept, design, development & deployment
- Participate in the solution architecting, enterprise interface design and integration.
- Work with users to understand requirements, design scalable and efficient technology solutions.
- Manage multiple projects across a wide breadth of technologies, coordinate dependencies, and interactions with other internal teams and external partners.
- Communicate cross-functionally, collaborate with Business teams, Product managers, engineers and QA to plan, own and deliver solutions on time.
- Ensure teams follow best practices regarding coding standards, code reviews, and testing. Responsible for code quality, review & release strategy.
- Define and drive development team priorities and ensure delivery through in-house and vendor development teams.
- Keep tab of latest technology trends and leverage it for improvements/changes in current setup to increase efficiency, reduce maintenance cost and time to market.
- Publish regular reports of activities and highlight potential risks.
- Attract, hire, retain, motivate and mentor engineering team resources.
Required Qualification, Experience & skills:
- Bachelor's degree in Computer Science, Computer Engineering or related technical discipline
- 6-8 years of overall developer experience with a minimum 12-18 months in the GoLang toolkit – very familiar with all the frameworks and tools needed to manage and further build an end to end ecommerce platform in GoLang
- Prior experience in managing a team of min 4-6 engineers
- Hands-on management with deep-dive into the details of software design, implementation and debugging
- Experience of implementing Agile, Scrum & Iterative processes
- Experience taking a leading role in building complex software systems that have been successfully delivered to customers
- Knowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, code reviews, source control management, build processes, testing, and operations
- Experience in communicating with users, other technical teams, and senior management to collect requirements, describe software product features, technical designs, and product strategy
- Experience mentoring junior software engineers to improve their skills, and make them more effective, product software engineers
- Hands-on expertise in many disparate technologies, typically ranging from Web development, Mobile app development, AWS, machine learning, large scale data platforms, service oriented architecture, distributed systems design, android platform, front-end user interfaces, databases etc.

