Medical Claims Review Senior Analyst/Clinical supervisor

Job DescriptionJob Profile: Medical Claims Review Senior AnalystJob Profile Summary Delivers specific delegated tasks assigned by a supervisor in the Medical Claims Review job family. Provides medical interpretation and decisions on identified health claims based on contractual benefits and medical circumstances and develops recommendations for resolution of...

About the Role: As a Medical Claims Review Senior Analyst at The Cigna Group, you will play a critical part in delivering specific delegated tasks assigned by a supervisor in the Medical Claims Review job family. Your primary responsibility will be to provide medical interpretation and decisions on identified health claims based on contractual benefits and...

Job DescriptionMedical Claims Review Senior Analyst/Clinical supervisor Complex Claim UnitProvides clinical review expertise for high dollar and complex claims, including facility and professional bills. Provides cost containment services by identifying coding and billing errors and insuring application of Medical and Reimbursement Policies. Additionally...

About The RoleAs a Medical Claims Review Advisor with The Cigna Group, you will play a crucial role in ensuring the accuracy and fairness of medical claims. Your clinical expertise will be utilized to review complex claims, identify coding and billing errors, and provide cost containment services.Main Responsibilities- Evaluate medical information against...

**Job Summary:**The Nurse Clinical Advisor works closely with Customer Service, Care Team, Nurse Case Managers and Medical advisors to optimize use of healthcare services for all costumers while also ensuring the quality of care provided.The Nurse Clinical Advisor maintains accountability for achieving cost containment outcomes and fulfils the obligations...

Job Title: Senior Medical Reviewer Job Location: Bengaluru, Karnataka, India Job Location Type: On-site Job Contract Type: Full-time Job Seniority Level: Department – Centralised Monitoring Unit (CMU)Does your motivation come from challenges and working in a dynamic environment? Do you thrive in a working environment where close collaboration with key...

 Department – Centralised Monitoring Unit (CMU)Does your motivation come from challenges and working in a dynamic environment? Do you thrive in a working environment where close collaboration with key stakeholders and strategic alignment is essential? Do you have a can-do attitude with continuous improvement as one of your career objectives? Then we...

 Department – Centralised Monitoring Unit (CMU)Does your motivation come from challenges and working in a dynamic environment? Do you thrive in a working environment where close collaboration with key stakeholders and strategic alignment is essential? Do you have a can-do attitude with continuous improvement as one of your career objectives? Then we...

**Claims Senior Supervisor (SSV)****Location: Cigna, Bangalore****The Position:**GHB EU Admin & Member claim department have staff across 3 main locations: Scotland, Nairobi and Bangalore.This role is to manage Supervisors along with their teams across the Bangalore and Nairobi office, as this role is 1 of 2 Senior Supervisors you will be working closely...

Job OverviewWe are seeking a highly skilled Senior Clinical Data Review Manager to join our team at IQVIA. As a key member of our clinical data sciences group, you will be responsible for ensuring the accuracy and integrity of patient-reported data.Main ResponsibilitiesServe as a Subject Level Data Reviewer (SLDR) and identify any anomalies in...

Roles and Responsibility As a Clinical Quality Analyst inHealthtech, one will be responsible for ensuring that the company's healthtechproducts and services meet the required standards of quality and compliancewith regulatory requirements. One will work with a team of healthcareprofessionals and software engineers to review, analyze, and validate...

Job DescriptionSkills:Claims Processing Knowledge:, Attention to Detail, Analytical Skills, Knowledge of Medical Terminology, Communication Skills, Problem-Solving Skills,Company OverviewClini Launch Research Institute (CLRI) is an advanced clinical research institute and professional training center dedicated to bridging the gap between aspirants and the...

Are you looking to join a company where your contributions truly matter, and where you'll be part of a supportive, innovative team? MMS is a award-winning, data-focused clinical research organization (CRO). We pride ourselves on being a Great Place to Work certified organization, recognized for our exceptional culture and industry best employee retention...

Job DescriptionJob descriptionDepartment - Centralised Monitoring UnitAre you passionate about ensuring high-quality medical data in clinical trials Do you have a keen eye for detail and a drive to resolve medical concerns If so, you might be the Medical Reviewer we're looking for Join us in our Centralised Monitoring Unit in Bangalore and contribute to...

Department – Centralised Monitoring Unit Are you passionate about ensuring high-quality medical data in clinical trials? Do you have a keen eye for detail and a drive to resolve medical concerns? If so, you might be the Medical Reviewer we're looking for Join us in our Centralised Monitoring Unit in Bangalore and contribute to life-changing research. Read...

Department – Centralised Monitoring Unit Are you passionate about ensuring high-quality medical data in clinical trials? Do you have a keen eye for detail and a drive to resolve medical concerns? If so, you might be the Medical Reviewer we're looking for Join us in our Centralised Monitoring Unit in Bangalore and contribute to life-changing research. Read...

Job Title: Medical Data Review Specialist II Job Location: Bengaluru, Karnataka, India Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior level As a leading global contract research organization (CRO) with a passion for scientific rigor and decades of clinical development experience, Fortrea provides pharmaceutical,...

POSITION Claim Senior Representative A REPORTING TO Claim Supervisor or Manager DEPARTMENT Claims Career Band Band 2 About US At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection Responsible Growth is how we run our company and how we deliver for...

Job Description: MBBS DoctorPosition Title: MBBS DoctorDepartment: MedicalLocation: BengaluruReports to: DirectorJob Summary:We are seeking a dedicated and professional MBBS Doctor to join our team. The primary responsibility of this role is to assist in medical examinations, sign and verify medical reports, and ensure accurate documentation of patient...

We're looking for people who are determined to make life better for people around the world. LCCI Quality Medical Reviewer – Medical Affairs Quality (Title/level may vary by site or geographic location) Purpose:  Organization Background Scientific data and information are core assets of Lilly. Providing balanced, objective, and accurate...