Clinical Investigator

5 months ago

Noida Uttar Pradesh, India Optum Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

**Primary Responsibilities**:

- Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies
- Adherence to state and federal compliance policies and contract compliance
- Assist the prospective team with special projects and reporting
- Work is frequently completed without established procedures
- Works independently
- May act as a resource for others
- May coordinate others' activities
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

**Required Qualifications**:

- Medical degree - BHMS/BAMS/BUMS/BPT/MPT
- B.Sc Nursing and BDS with 1 year of corporate experience
- Experience Range - 06 months - 3 years (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
- Extensive work experience within own function.
- Proven attention to detail & Quality focused
- Proven good Analytical & comprehension skills

**Preferred Qualifications**:

- Claims processing experience
- Health Insurance knowledge, managed care experience
- Knowledge of US Healthcare and coding
- Medical record familiarity
- At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._

  • Clinical Investigator

    5 months ago

    Noida, Uttar Pradesh, India Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Clinical Research Coordinator

    5 months ago

    Lucknow, Uttar Pradesh, India MEDICLIN CLINICAL SERVICES PVT LTD Full time

    Key Responsibilities - Responsible for preparation of relevant standard operating procedures as per the current technicalities with respect to ICH GCP guidelines and other regulatory requirements. - Training of relevant SOPs to all staff of the department. - Providing study related information and assist in obtaining written informed consent from volunteers...

  • Clinical Research Associate

    2 months ago

    Noida, Uttar Pradesh, India Pravek Kalp Pvt. Ltd. Full time

    Job Title: Clinical Research Associate (CRA) - Ayurveda Job Summary: Key Responsibilities: 1. Clinical Trial Management: Manage clinical trials from initiation to close-out, ensuring compliance with GCP, regulatory requirements, and company SOPs. 2. Site Management: Coordinate with research sites, investigators, and site staff to ensure timely trial...

  • Clinical Investigator

    4 weeks ago

    Noida, Uttar Pradesh, India Optum Full time

    Optum Clinical Investigator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Investigator, you'll play a critical role in ensuring the integrity of our healthcare services and identifying opportunities for improvement.Key Responsibilities:Utilize medical expertise to...

  • Clinical Investigator

    4 weeks ago

    Noida Sector, India Optum Full time

    Optum Clinical Investigator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Investigator, you'll play a critical role in our mission by connecting people with the care, pharmacy benefits, data, and resources they need to thrive.Key Responsibilities:Utilize medical...

  • Clinical Investigator

    4 weeks ago

    Noida Sector, India Optum Full time

    Optum Clinical Investigator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Investigator, you'll play a critical role in advancing health equity and making a meaningful impact on the communities we serve.Key Responsibilities:Utilize medical expertise to prevent...

  • Clinical Investigator

    4 weeks ago

    Noida Sector, India Optum Full time

    Optum Clinical Investigator Job DescriptionAt Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Investigator, you'll play a critical role in our mission by connecting people with the care, pharmacy benefits, data, and resources they need to thrive.Key Responsibilities:Utilize medical...

  • Clinical Investigator

    5 months ago

    Noida, India Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Manager Clinical Affairs

    6 days ago

    uttar pradesh, India Medical Learning Hub Full time

    Clinical Affairs ManagerJoin the Future of HealthcareTC4A, a pioneer in democratizing healthcare innovations, is revolutionizing diagnostics with LightAI. We are seeking talented individuals to join our office in Noida and address one of healthcare’s biggest challenges, the overuse of antibiotics that leads to drug-resistant infections and costs billions...

  • Manager Clinical Affairs

    12 hours ago

    uttar pradesh, India Medical Learning Hub Full time

    Clinical Affairs ManagerJoin the Future of HealthcareTC4A, a pioneer in democratizing healthcare innovations, is revolutionizing diagnostics with LightAI. We are seeking talented individuals to join our office in Noida and address one of healthcare’s biggest challenges, the overuse of antibiotics that leads to drug-resistant infections and costs billions...

  • Assistant Clinic Incharge

    5 months ago

    Lucknow, Uttar Pradesh, India Dr. Krishna's Cancer Healer Center Full time

    We are looking a dedicated and capable **Assistant clinic Incharge** has responsibility for the supervision and daily operations of the Corporate Sponsored Practices. This includes Provides ongoing Quality Improvement monitors and ensures safe patient care to the clinic patients of all ages that present to the clinic, and ensures office staff is competent to...

  • Custodian

    5 months ago

    Lucknow, Uttar Pradesh, India MEDICLIN CLINICAL SERVICES PVT LTD Full time

    Responsible for preparation for relevant standard operating procedures as per the current technicalities with respect to ICH GCP guidelines and other regulatory requirements. - Training of relevant SOPs to other staff of department. - Responsible for volunteer recruitment as per requirement of the study within given time limit in consultation with Principal...

  • Clinical Health Outcomes Investigator

    2 weeks ago

    Noida, Uttar Pradesh, India UnitedHealth Group Full time

    At UnitedHealth Group, we strive to deliver high-quality care to millions of people worldwide. As a Clinical Investigator, you will play a crucial role in improving health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to live healthier lives. Our team is guided by diversity and inclusion, and we offer...

  • Clinical Investigator

    3 months ago

    Noida, Uttar Pradesh, India Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Clinical Investigator

    2 months ago

    Noida, Uttar Pradesh, India Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Clinical Research Coordinator

    5 months ago

    Noida, India IQVIA Full time

    Job Overview Perform a variety of clinical procedures to collect, record, report and interpret data on patients enrolled and/or seeking enrollment in clinical studies according to the protocol, standard operating procedures (SOPs), and Good Clinical Practice (GCP). Assist with daily workload planning. Essential Functions - Provide clinical research support...

  • Clinical Investigator

    5 months ago

    Noida, India UnitedHealth Group Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Clinical Investigator

    5 months ago

    Noida, India Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance...

  • Doctor (Mbbs)

    1 month ago

    Lucknow Chowk H.O, Lucknow, Uttar Pradesh, India MEDICLIN CLINICAL SERVICES PVT LTD Full time

    To work/discharge duties according to SOPs and study protocols and related guidelines - Ensuring screening source records for correctness & compliance with related SOPs - Evaluation of the medical fitness of the registered volunteers - Reviewing of all laboratory, diagnostic test and procedure reports - Providing screening/study related information and...

  • Clinical Research Coordinator

    2 months ago

    Lucknow, Uttar Pradesh, India INPHOG Research Foundation Full time

    **JOB SUMMARY / ROLE**: The Clinical Research Coordinator will plan, direct, or coordinate INPHOG clinical research projects, and will evaluate and analyse clinical data. **JOB RESPONSIBILITIES**: - To facilitate and coordinate the all daily INPHOG clinical research trial activities for sponsored & academic studies, for assigned projects. - To review and...