Clinical Investigator

2 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, 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.**

This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve/deny claims & Identify provider aberrant behavior patterns. The associates 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

**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
- 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 - Graduate or Postgraduate - BHMS/BAMS/BUMS/BPT/ BSC-Nursing only
- Experience Range - 0 to 5 years (Fresher's can apply)
- Attention to detail & Quality focused
- Good comprehension skills
- Please note that below mentioned graduates are not eligible to apply:

- BA/BBA/BBE/BCOM/ B-tech/M-Tech/B-Pharma/M-Pharma/D-Pharma
- BDS/MDS- with no previous corporate experience

**Perks and Benefits**:

- Work from Office role
- Monday to Friday working
- Saturdays & Sundays fixed off
- Free cab facility
- Competent Salary
- Quarterly Incentives
- Provident Fund
- Insurance Cover of self and family
- 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

    2 weeks 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

    2 hours 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 Investigator

    1 week 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 weeks 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,...

  • (Urgent Search) Clinical Investigator

    3 weeks 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...

  • Clinical Investigator

    2 weeks 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...

  • Assistant Clinic Incharge

    2 hours 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...

  • Scientific Writer

    2 weeks ago

    uttar pradesh, India Clinforge Clinical Research Solutions Pvt. Ltd. Full time

    About ClinforgeClinforge Clinical Research Solutions Pvt. Ltd. is a growing Contract Research Organization (CRO) dedicated to delivering high-quality services in clinical research, regulatory affairs, pharmacovigilance, and scientific/medical writing. Our mission is to bridge science and communication by transforming complex research into impactful...

  • Clinical Research Coordinator

    2 weeks 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

    2 weeks 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,...