Medical Auditor

3 days ago

New Delhi, India NISG (National Institute for Smart Government) Full time

From 3 to 8 year(s) of experience

₹ Not Disclosed by Recruiter
- New Delhi

**Roles and Responsibilities**

**About NHA**:
**National Health Authority (NHA)**is the apex body responsible for implementing India’s flagship public health insurance/assurance scheme called “Ayushman Bharat Pradhan Mantri Jan Arogya Yojana” & has been entrusted with the role of designing strategy, building technological infrastructure and implementation of “National Digital Health Mission” to create a National Digital Health Eco-system.**About**
**Ayushman Bharat Pradhan Mantri-Jan Arogya Yojana**
**(**
**AB PM-JAY**
**)**:
The Ayushman Bharat Pradhan Mantri-Jan Arogya Yojana (AB PM-JAY) aims to to achieve the vision of Universal Health Coverage (UHC). This initiative has been designed to meet Sustainable Development Goals (SDGs) and its underlining commitment, which is to "leave no one behind."
- PM-JAY was announced by the Hon’ble Prime Minister on 23rd September, 2018. It is currently being implemented in 36 States/UT’s.- **Qualification and experience**:
MBBS with 3-5 years of clinical or health insurance experience.Conduct medical audits of hospitals to review clinical/operative notes of suspect claims, inspect hospital infrastructure and personnel to establish if the procedure could be performed, conduct beneficiary audits (in hospital premises and home visits) for flagged cases. Record findings and submit to the competent authority with supporting evidences in timely manner, to enable them to take corrective actions.- Role:_Other
- Salary:_ Not Disclosed by Recruiter
- Industry:_Medical Services / Hospital
- Functional Area_Other
- Role Category_Other
- Employment Type:_Full Time, Temporary/Contractual
- Key Skills
- Public HealthMBBSmedical auditsHealth Insurance

Education
- UG:_MBBS in Any Specialization

**Company Profile**:
National Institute for Smart Government (NISG)
- Company Info
- Contact Company:_National Institute for Smart Government (NISG)

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