Clinical Health Outcomes Investigator

3 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 comprehensive benefits and career development opportunities to help you grow professionally. In this role, you will:

  1. Utilize medical expertise to prevent the payment of potentially fraudulent and/or abusive claims, adhering to state and federal compliance policies and contract compliance.
  2. Assist the team with special projects and reporting, working independently and frequently completing tasks without established procedures.
  3. May act as a resource for others and coordinate their activities, while maintaining compliance with employment contract, company policies, and procedures.

Requirements:

To be successful in this role, you will need a Medical degree - BHMS/BAMS/BUMS/BPT/MPT, or B.Sc Nursing and BDS with 1+ years of corporate experience. You should also have experience in claims processing, health insurance knowledge, managed care experience, and knowledge of US Healthcare and coding.

Why UnitedHealth Group?

Our mission is to help people live healthier lives and make the health system work better for everyone. We prioritize health equity and strive to mitigate our impact on the environment. Join us to contribute to our mission and make a positive impact on the communities we serve.



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