(Urgent Search) Clinical Investigator

17 hours ago

Noida Uttar Pradesh, 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 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 NTClinical

  • Clinical Investigator

    1 week ago

    Noida, Uttar Pradesh, India Optum Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Role & responsibilitiesOptum 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...

  • Clinical Investigator

    7 days 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,...

  • Clinic Incharge

    1 week ago

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

    KRA (Key Responsibility Areas) for a Clinic in charge/Manager **1. Operational Management** - Oversee the day-to-day operations of the clinic, ensuring smooth functioning of all departments (Reception, consultation rooms, pharmacy.) - Ensure patient flow is managed efficiently to minimize waiting times and maximize patient satisfaction. - Supervise the...

  • Clinical Dietician

    2 days ago

    Greater Noida, India KAILASH HOSPITAL Full time

    Urgent Requirement Clinical Dietician Qualification - B.Sc / M.Sc in Nutrition & Dietetics Min Exp-2 Years Location -Greater Noida **Key Skills**: Clinical Diet Planning | Patient Counselling | Nutrition Management Work Location: In person

  • Clinical Dietician

    2 days ago

    Greater Noida, Uttar Pradesh, India KAILASH HOSPITAL Full time ₹ 4,00,000 - ₹ 6,00,000 per year

    Urgent Requirement Clinical DieticianQualification- B.Sc / M.Sc in Nutrition & DieteticsMin Exp-2 YearsLocation -Greater NoidaKey Skills: Clinical Diet Planning | Patient Counselling | Nutrition ManagementJob Type: Full-timeWork Location: In person

  • Clinical Dietician

    3 days ago

    Greater Noida, India KAILASH HOSPITAL Full time

    Urgent Requirement Of Clinical Dietician Qualification - Bachelors AND Masters degree in Nutrition and Dietetics, Exp - Min 1 Year Location-Greater Noida HR Contact No - 8800301737 Work Location: In person

  • Patent Search Senior Analyst

    3 weeks ago

    Noida, Uttar Pradesh, India Clarivate Full time

    We value our talented employees and whenever possible strive to help one of our colleagues grow professionally before recruiting new talent to our open positions If you think the open position you see is right for you we encourage you to apply Our people make all the difference in our success We are looking for a Patent Search Analyst to join our IP Search...

  • Sr Investigator Payments Asst

    3 days ago

    Noida, Uttar Pradesh, India IQVIA Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Job SummaryThe role is responsible for managing the complete lifecycle of investigator and site payments within clinical trials. This includes accurate payment calculations, timely processing, purchase order creation, and ensuring compliance with contractual and regulatory requirements.Key Responsibilities•    Provide exceptional service by resolving...

  • Clinical Cardiologist(PGDCC)

    3 days ago

    uttar pradesh, india Seven Consultancy Full time

    JOB DETAILS Urgent requirement for Full time Clinical CardiologistThe doctor should be PGDCC in Cardiology with minimum 1years experience. Salary is Negotiable Ability to independently handle Cardiology Procedures FUNCTIONAL AREA Cardiologist, Clinical cardiologist, PGDCC, PGDCC cardiologist, PGDCC cardiac, Cardiologist jobs in India, cardiologist jobs in...

  • Finance/ Controller

    2 weeks ago

    Noida, Uttar Pradesh, India Sapphire Search Full time

    **Urgent required Finance/ Controller** **Job location-Noida Sector 84** - Prior experience in IFRS. - Prior experience Import and logistics. - Prior experience in working in the B2B segments. - Chartered Accountant with a minimum of 6-8 years of post-qualification experience. - Managing and supervising the accounting department. - Monitoring and analysing...