Exusia (ex-OO-see-ah), A Globant Division has the mission of transforming the world through the innovative use of information. Exusia is an ISO 27001 certified technology solutions company that empowers its clients to gain a competitive edge by accelerating business objectives and providing solutions in artificial intelligence, cloud computing, data engineering and digital transformation. Exusia is a leader in end-to-end data strategy, execution and managed services offerings, leveraging its team of business strategy, analytics and data engineering experts along with cutting edge hosted software as a service accelerators to deliver to clients. Exusia was founded in 2012 and now provides services in IT Strategy, AI Enablement, Data Governance, Data Engineering, Cloud Migration and Mainframe Modernization to the Globant client base as apart of the Data & Artificial Intelligence Studio. Globant has over 30,000 employees providing services to clients in 34 countries across world.

EXUSIA

Fund Transfer Pricing Analyst

AWS and Python Senior Developers

Senior BI/Data Analyst (Poweru BI / Tablea) - US

Data Governance Lead / Lead Data Analyst

Ab Initio Data Engineers

Java / C# /C++ / .Net -Software Developer

Java / C# /C++ / .Net Software Developer

Data Science / ML Data Engineer

Process Engineer (BPM and Change Management)

Exusia is seeking a Fund Transfer Pricing Analyst with banking industry knowledge to deliver high-quality technology solutions for Banking & Financial Services clients. The role involves building robust transfer pricing documentations, handling post-signing compliances, and providing transfer pricing advisory services. The ideal candidate will have 5-10 years of experience in Direct Tax, International Tax, and Transfer Pricing, with a strong understanding of relevant laws and regulations.

Project Manager (PMP)

<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Description</h3>Department: Sales and Delivery Team - EmpowerIndustry: Information Technology & Services, Computer Software, Management ConsultingLocation: South Africa, Remote (WFH)Experience Range: 5- 12 yearsBasic Qualification: Masters / Bachelor in Engineering or Banking & FinanceTravel Requirements: Not requiredWebsite: <a href="http://www.exusia.com/" target="_blank" rel="noopener noreferrer" class="text-blue-600 hover:text-blue-800 hover:underline transition-colors duration-200">www.exusia.com</a>Exusia, a cutting-edge digital transformation Company and is looking for Fund Transfer And Pricing Analysts with banking Industry knowledge. You will work for our Banking & Financial Services clients across various domains including Lending, Mortgages, Payments & Capital markets to deliver high quality technology solutions on time and within budgets.What's the role?Experienced Professional with 5 - 10 years of hands-on experience in Direct Tax, International Tax, and Transfer Pricing. This role will be responsible for building robust transfer pricing documentations, handling post signing compliances, and transfer pricing advisory services for the organization. The ideal candidate will have a strong understanding of transfer pricing laws, regulations, guidelines and policies, and will be able to manage a variety of transfer pricing related projects.Primary Skills<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Pricing Analysis</li><li class="leading-relaxed">Pricing Strategy</li><li class="leading-relaxed">Deal Analysis</li><li class="leading-relaxed">Deal Structuring</li><li class="leading-relaxed">Deal Pricing</li></ul>The FTP month-end process:<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">On a monthly basis all assets and liabilities in the ZAR banking book are transfer priced, i.e. account level data is imported into Moody’s and every account is assigned the various FTP components based on the appropriate data attributes and the predefined FTP rules.</li><li class="leading-relaxed">Every account is tagged with a business unit and product line indicator and the results are aggregated to the business unit product line level and reported in the ledger (SAP BPC).</li></ul>Deliverables:<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">We require a senior resource to assist with the implementation in the system and to do deal level comparison of the results to our current system (Sendero), detailing the reasons for differences by referencing the predefined FTP rules and the system configuration.</li></ul>Skills required:<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Python skills required given size of datasets (current comparisons done in Python).</li><li class="leading-relaxed">If not Python, then SQL skills will be considered</li></ul><h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Requirements</h3>Mandatory Skills:<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Hands on experience delivering IT projects in Banking & Financial services domain</li><li class="leading-relaxed">Deep understanding of Lending & Mortgage data and applications used in the domain</li><li class="leading-relaxed">Strong organizational skills and detail oriented</li><li class="leading-relaxed">Strong communication and presentation skill</li><li class="leading-relaxed">Must be able to learn, understand and apply new technologies as per the project and program needs</li><li class="leading-relaxed">Strong Knowledge of Microsoft Office (Excel, PowerPoint, Word), MS Project, MS Server</li></ul>Nice-to-Have Skills:<ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Knowledge or understanding of product design tools</li><li class="leading-relaxed">Exposure to other banking domains like Payments, Capital Markets will be useful</li><li class="leading-relaxed">Exposure to product owner role will be a huge advantage</li><li class="leading-relaxed">Exposure to Azure cloud services</li></ul>About ExusiaExusia (<a href="http://exusia.com/" target="_blank" rel="noopener noreferrer" class="text-blue-600 hover:text-blue-800 hover:underline transition-colors duration-200">http://exusia.com/</a>)is a global technology consulting company that empowers its clients to gain a competitive edge by accelerating business objectives and providing strategy and solutions in data management and analytics. The company has established its leadership position by solving some of the world's largest and most complex data problems in the financial, healthcare, telecommunications and high technology industries.Exusia’s mission is to transform the world through the innovative use of information.Exusia was recognized by Inc. 5000 and by Crain’s publications as one of the fastest growing privately held companies in the world. Since the company’s founding in 2012, Exusia has experienced an impressive seven years of revenue growth and has expanded its operations in the Americas, Asia, Africa and UK. Exusia has recently also been recognized by publications such as the CIO Review, Industry Era, Insight Success and the CIO Bulletin for the company’s innovation in IT Services, the Telecommunications and Healthcare industries and its entrepreneurship. The company is headquartered in Miami city of Florida, United States with development centers in Pune, Hyderabad, Bengaluru and Gurugram, India.Interested applicants should apply by forwarding their CV to: <a href="http://mailto:elevate@exusia.com/" target="_blank" rel="noopener noreferrer" class="text-blue-600 hover:text-blue-800 hover:underline transition-colors duration-200">elevate@exusia.com</a>Apply for this job

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Zelis 

Clinical Dispute Reviewer

Accenture

#ACN GN- T&O- Instructional Design -Consultant

Candidate Source & Screen Senior Analyst

Order to Cash Operations Analyst

Candidate Source & Screen Analyst

#ACN GN - T&O - Instructional Design – Senior Analyst

Total Rewards Analyst

The Clinical Dispute Reviewer conducts comprehensive clinical reviews of medical records, claims, and other healthcare documentation to ensure compliance with clinical guidelines, regulatory requirements, and organizational policies. This role supports the quality and integrity of clinical review processes, provides expert guidance, and contributes to continuous improvement of healthcare services. The ideal candidate possesses extensive clinical experience, strong analytical skills, and a deep understanding of healthcare regulations and standards.

Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

Provider Enrollment Advisor

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Manager, Client Services

Ruby Backend Software Engineer

Technical Support Engineer

Manager Quality Assurance Implementations

Sr Office 365 Engineer

Senior Network Security Engineer

<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Position Overview</h3>The Clinical Dispute Reviewer is responsible for conducting comprehensive clinical reviews of medical records, claims, and other healthcare documentation to ensure compliance with clinical guidelines, regulatory requirements, and organizational policies. This individual will play a critical role in supporting the quality and integrity of our clinical review processes, providing expert guidance, and contributing to the continuous improvement of our healthcare services. The ideal candidate will have extensive clinical experience, strong analytical skills, and a deep understanding of healthcare regulations and standards.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">What you’ll do:</h3><ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Review provider disputes for DRG Coding and Clinical Validation (MS and APR), Itemized Bill Review (IBR) and Clinical Chart Review (CCR) and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met.</li><li class="leading-relaxed">Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures</li><li class="leading-relaxed">Serve as subject matter expert for the Expert Claim Review Team on day-to-day activities including troubleshooting and review for data accuracy</li><li class="leading-relaxed">Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests.</li><li class="leading-relaxed">Create and present education to Expert Claim Review Teams and other departments dispute findings.</li><li class="leading-relaxed">Research and analysis of content for bill reviews</li><li class="leading-relaxed">Use of strong coding and industry knowledge to create and maintain bill review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies, CCR Review Guidelines and Templates, and Dispute Rationales</li><li class="leading-relaxed">Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities</li><li class="leading-relaxed">Support for client facing teams as needed relating to client inquiries related to provider disputes.</li><li class="leading-relaxed">Utilize the most up-to-date approved medical coding sources for bill review maintenance.</li><li class="leading-relaxed">Communicate and partner with CMO and members of Expert Claim Review Product and Operations teams regarding critical issues and trends</li><li class="leading-relaxed">Ensure adherence to quality assurance guidelines</li><li class="leading-relaxed">Monitor, research, and summarize trends, coding practices, and regulatory changes</li><li class="leading-relaxed">Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests.</li><li class="leading-relaxed">Ensure adherence to quality assurance guidelines.</li><li class="leading-relaxed">Maintain awareness of and ensure adherence to standards regarding privacy.</li></ul><h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">What you’ll bring to Zelis:</h3><ul class="list-disc list-inside my-5 pl-5 space-y-2 text-gray-700"><li class="leading-relaxed">Current, active Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT, CPC or equivalent credentialing).</li><li class="leading-relaxed">Registered Nurse licensure preferred</li><li class="leading-relaxed">Bachelor’s degree in business, healthcare, or technology preferred.</li><li class="leading-relaxed">5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred</li><li class="leading-relaxed">Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers</li><li class="leading-relaxed">Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs</li><li class="leading-relaxed">Understanding of hospital coding and billing rules</li><li class="leading-relaxed">Clinical skills to evaluate appropriate Medical Record Coding</li><li class="leading-relaxed">Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner.</li><li class="leading-relaxed">Background and/or understanding of the healthcare industry</li><li class="leading-relaxed">Knowledge of National Medicare and Medicaid regulations</li><li class="leading-relaxed">Knowledge of payer reimbursement policies</li><li class="leading-relaxed">Creative problem-solving skills, leveraging insights and input from other parts of an organization.</li><li class="leading-relaxed">Consistently demonstrate ability to act and react swiftly to continuous challenges and changes.</li><li class="leading-relaxed">Excellent analytical skills with data and analytics related solutions</li><li class="leading-relaxed">Excellent communication skills.</li><li class="leading-relaxed">Strong organization and project/process management skills.</li><li class="leading-relaxed">Strong initiative, self-directed and self-motivation.</li><li class="leading-relaxed">Good negotiation, problem solving, planning and decision-making skills.</li><li class="leading-relaxed">Ability to manage projects simultaneously and achieve goals.</li><li class="leading-relaxed">Excellent follow through, attention to detail, and time management skills.</li></ul>Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Location and Workplace Flexibility</h3>We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Base Salary Range</h3>$95,000.00 - $127,000.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Equal Employment Opportunity</h3>Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Accessibility Support</h3>We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com.<h3 class="text-xl md:text-2xl font-bold mt-8 mb-3 text-gray-800">Disclaimer</h3>The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

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This assessment gives us an idea of your C++ skills- Companies that evaluate this skillset in interviews: Rockstar Games, Ubisoft, Mayhem Studios, etc.- 10 Multiple Choice questions- Average time to complete: 7 to 10 minutes

Let's assess your Data Structures! - This assessment gives us an idea of your problem solving skills using DSA- Companies that evaluate this skillset in interviews: MPL, LILA Games, GSN Games, etc.- 10 Multiple Choice questions

Data Structures and Algorithms

Let's assess your Programming Patterns! ????- This assessment gives us an idea of your code architecture skills- Companies that evaluate this skillset in interviews: Dirtcube, PTW, Playshifu, etc.

Programming Patterns

Let's assess your OOPs skills! ????- This assessment gives us an idea of your fundamental OOPS concepts and Solid principles skills- Companies that evaluate this skillset in interviews: Hitwicket, GSN Games, Tomo Club, etc.

Object Oriented Programming

Let's assess your Unity Skills ????- This assessment gives us an idea of your Unity fundamentals- Companies you can apply for after taking this assessment: Godspeed games, Salvation Games, nCore Games, etc.