malakpet hyderabad telangana corporate associate Jobs – 259 Open Jobs Today

Clinical Investigator
Optum —Hyderabad, Telangana
- Full-time
- B.Sc
- Analysis skills
- Bachelor's degree
- Health insurance
Corporate Associate
Sri Avantika Contractors (I) Limited —Banjara Hills, Hyderabad, Telangana
- ₹20,000 - ₹30,000 a month
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Food provided
Quick apply
10d
Senior Analyst - BCG Vantage
Boston Consulting Group —Hyderabad, Telangana
- Full-time
- English
- Bachelor's degree
- Agile
Associate – Controlling (Operations)
DESRI —Hyderabad, Telangana
- Bachelor's degree
- Communication skills
9d
Junior Legal Associate
Indian Institute of Patent and Trademark Education and Research —Hyderabad, Telangana
- ₹2,00,000 - ₹6,50,000 a year
- Full-time
- Master's degree
- Bachelor's degree
Purchasing Associate
Procter & Gamble —Nanakramguda, Hyderabad, Telangana
- Full-time
- Master's degree
- Bachelor's degree
2d
Business Analysis Associate II
JPMorganChase —Hyderabad, Telangana
- Full-time
- Customer service
- Data analysis skills
- Conflict management
2d
Services Support Associate, Integrated Admin, Hyderabad
Deloitte —Hyderabad, Telangana
- Rotational shift
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
11d
Visa Consultant
CIBT —Hyderabad, Telangana
- Hospitality
- Customer service
- B.Sc
Engineering Division - AppBank - Associate - Hyderabad
Goldman Sachs —Hyderabad, Telangana
- Machine learning
- Health insurance
Services Support Associate II, Administrative Assistant- Hyderabad
Deloitte —Hyderabad, Telangana
- Hybrid work
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Work from home
9d
IT Support Associate II
ASSPL - Telangana —Hyderabad, Telangana
- Full-time
- Customer service
- Windows
- AWS
1d
Core Operations-Senior Associate
State Street —Hyderabad, Telangana
- Full-time
- Bachelor's degree
Asst. General Manager (Cinema/Game zone background preferred)
Shott Amusement Limited —Hyderabad, Telangana
- ₹50,000 - ₹65,000 a month
- Full-time
- Hospitality
- Word processing
- Windows
- Paid time off
- Paid sick time
Quick apply
11d
Corporate Audit Senior Associate
Amgen —Hyderabad, Telangana
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Associate, Strategy & Analytics Support, Hyderabad
Deloitte —Hyderabad, Telangana
- Microsoft Powerpoint
- Microsoft Excel
- Data analysis skills
10d
IT Project Management - Associate Advisor - HIH - Evernorth
The Cigna Group —Hyderabad District, Telangana
- Full-time
- Project management
1d
Asset & Wealth Management - PWM Advisor and PM Engineering - Associate - Hyderabad
Goldman Sachs —Hyderabad, Telangana
- Azure
- Computer Science
- Master's degree
- Health insurance
Fund Servicing Associate
JPMorganChase —Hyderabad, Telangana
- Full-time
- Accounting
Associate-Marketing and Insights -Secondary research- Hyderabad
Deloitte —Hyderabad, Telangana
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
2d

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Clinical Investigator

Optum -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

B.Sc
BUMS
Analysis skills
Science
Medical records
Bachelor's degree
CPT coding
BAMS
Nursing
MPT

Full job description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This process works on identifying Fraud, Waste and Abuse between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve or deny claims and Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS guideline along with referring to client specific guidelines and member policies.

Fraud is intentionally misrepresenting or concealing facts to obtain something of value. The complete definition has three primary components:

Intentional dishonest action or misrepresentation of fact
Committed by a person or entity
With knowledge that dishonest action or misrepresentation could result in an inappropriate gain or benefit

This definition applies to all persons and all entities. However, there are special rules around intentional misrepresentations to Government programs such as Medicare and Medicaid, or TRICARE.

Waste includes inaccurate payments for services, such as unintentional duplicate payments, and can include inappropriate utilization and/or inefficient use of resources.

Abuse includes any practice that results in the provision of services that:

Are not medically necessary
Do not meet professionally recognized standards for health care
Are not fairly priced

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT or diagnosis codes, CMS 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
Coordinate with all team members and share recent process related updates
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+ years of corporate experience
6+ months of experience (Fresher's in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
CPC Certification Mandate.
Extensive work experience within own function
Proven attention to detail & quality focused
Proven good analytical & comprehension skills
Proven ability to work independently

Preferred Qualifications:

Claims processing experience
Health Insurance knowledge, managed care experience
Knowledge of US Healthcare and coding
Medical record familiarity

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.

Apply Now

Refine Your Search

corporate associate jobs in malakpet hyderabad telangana

Clinical Investigator

Corporate Associate

Senior Analyst - BCG Vantage

Associate – Controlling (Operations)

Junior Legal Associate

Purchasing Associate

Business Analysis Associate II

Services Support Associate, Integrated Admin, Hyderabad

Visa Consultant

Engineering Division - AppBank - Associate - Hyderabad

Services Support Associate II, Administrative Assistant- Hyderabad

IT Support Associate II

Core Operations-Senior Associate

Asst. General Manager (Cinema/Game zone background preferred)

Corporate Audit Senior Associate

Associate, Strategy & Analytics Support, Hyderabad

IT Project Management - Associate Advisor - HIH - Evernorth

Asset & Wealth Management - PWM Advisor and PM Engineering - Associate - Hyderabad

Fund Servicing Associate

Associate-Marketing and Insights -Secondary research- Hyderabad

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