Utilization Management Specialist

3 days ago


All India ASI-Apex Sourcing Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Role Overview: As a Utilization Management Specialist, you play a crucial role in ensuring the efficient delivery of healthcare services while maintaining high-quality standards and adhering to organizational policies and regulatory requirements. Your responsibilities include reviewing medical records, coordinating care, and collaborating with healthcare providers to manage patient treatment plans cost-effectively. Key Responsibilities: - Evaluate the medical necessity, appropriateness, and efficiency of healthcare services through pre-certification, concurrent, and retrospective reviews. - Ensure compliance with relevant guidelines and regulations, advocate for optimal patient outcomes, and manage resource utilization effectively. - Maintain accurate documentation of reviews, authorizations, and patient information. - Prepare reports on utilization trends, compliance issues, and quality metrics. - Educate patients and providers about treatment options, insurance requirements, and care pathways. - Resolve disputes related to denied claims or coverage issues. - Work in night shifts and potentially with an insurance company or managed care setting. Qualifications Required: - Bachelor's degree in any field years of relevant experience. - Strong skills in medical terminology, clinical practices, and healthcare regulations. - Proficiency in electronic medical records (EMRs) and utilization management software. - Excellent communication, problem-solving, and decision-making abilities. Additional Details: Joining our team in Mohan Cooperative, New Delhi, you will enjoy the perks and benefits of a competitive industry package.,



  • All India Seamus Management Services LLP Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    You will be responsible for overseeing the full commercial building and three coworking hubs in Kolkata. Your role will involve ensuring smooth daily operations, managing maintenance and vendor relationships, handling budgets, optimizing space utilization, and maintaining high standards of safety and hospitality across the facilities. Key Responsibilities: -...

  • Funding Specialist

    3 days ago


    All India NFX Digital Full time ₹ 2,00,000 - ₹ 12,00,000 per year

    As a Funding Specialist at NFX Digital, you will play a crucial role in spearheading our growth strategy for our latest gaming Intellectual Property (IP). Your primary focus will be on engaging with investors and startups in the startup ecosystem. Key Responsibilities: - Utilize your background in the startup landscape to establish connections with venture...


  • All India Infosys Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    As a Network Solutions Specialist, you will collaborate with sales teams to identify customer requirements and pain points through active listening and insightful questioning. Your role will involve designing and presenting compelling network solutions that address customer challenges and business objectives. It is essential to utilize clear and concise...

  • Support Specialist

    3 days ago


    All India ClinicMind Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    As a Support Specialist at ClinicMind's PatientHub Team, you will play a crucial role in providing professional and empathetic support to clients while troubleshooting and resolving technical issues efficiently. Your expertise is essential in ensuring a seamless client experience within a fast-paced, tech-driven environment. **Key Responsibilities:** - Serve...


  • India Cybertech Systems & Software Limited Thane W Full time

    Position: ArcGIS Utility Network Engineer/Specialist Exp: 3+ Years experience on ArcGIS Utility Network Job Summary: We are seeking two highly motivated and experienced GIS Analysts to join our team. These roles are crucial for the effective operation and maintenance of our diverse portfolio of client GIS operations, built on the ArcGIS platform and...


  • All India Anushka Corporate Solutions Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    Role Overview: As a Post-Production Manager specializing in Switchgears Manufacturing, you will be responsible for overseeing the production operations at our facility located in Pune Chakan. Your role will involve utilizing your expertise in Switchgears and Production Planning to ensure the smooth functioning of the production process. Key Responsibilities:...

  • Agm - Ash Utilization

    2 weeks ago


    India GMR Infrastructure Full time

    Location: Warora, IN- Company: GMR Enterprises Pvt Ltd**JOB PURPOSE**: Strategize, develop and establish sustainable ash utilization activity complying with the statutory authority in cost effective manner. **ORGANISATION CHART**: COO - GWEL Head - TS AGM - Ash Management **KEY ACCOUNTABILITIES**: - Long term Utilization/ Disposal of Ash: - Develop...


  • All India Daily Tour and Travel Pvt. Ltd Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    As an Operations Manager at Jungle Safari India, located in Akshardham, Delhi, you will be responsible for hotel contracting and operations in the travel industry. Key Responsibilities: - Negotiate and secure hotel contracts to ensure the best rates and terms. - Manage relationships with hotel partners and maintain a diverse portfolio of accommodation...

  • Sales Manager

    3 days ago


    All India Puro Dynamics Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    As a Sales Manager at Puro Dynamics based in Pondicherry, India, you will be entrusted with the responsibility of promoting and selling advanced Solutions and custom engineered Products for various applications including Aquaculture, Industry, and Commercials in South India. Your role will involve utilizing your expertise in technical sales to cater to the...


  • All India SAPLING INFOSYSTEMS Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    As a CRM Management specialist, your role will involve setting up and maintaining contact, deal, and ticket properties. You will be responsible for configuring pipelines, managing data imports, deduplication, and segmentation. Additionally, you will establish lead scoring models and lifecycle stages to optimize customer interactions. Your responsibilities...