noida sector 62 noida uttar pradesh health process Jobs – 1246 Open Jobs Today

Clinical Investigator
Optum —Noida, Uttar Pradesh
- Full-time
- Microsoft Word
- Medicine
- Microsoft Excel
- Health insurance
Claims Representative Associate
Optum —Noida, Uttar Pradesh
- Full-time
- English
- Research
- Microsoft Office
- Health insurance
13d
Junior Software Tester
PrimaFelicitas Private Limited —Noida, Uttar Pradesh
- ₹22,995.58 - ₹50,977.11 a month
- Full-time
- Oracle
- ERP systems
- Databases
- Health insurance
- Paid time off
Quick apply
Medical Officer
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Noida, Uttar Pradesh
- ₹2,80,000 - ₹3,50,000 a year
- Full-time
- Walk-in
- Medicine
- Bachelor's degree
- In-person
- Health insurance
Quick apply
Health Process Trainer
Alight —Noida, Uttar Pradesh
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Health insurance
Business Analyst (B-Tech/BCA)
PrimaFelicitas Private Limited —Noida, Uttar Pradesh
- ₹2,53,796.98 - ₹5,95,078.09 a year
- Full-time
- Computer Science
- Analysis skills
- Bachelor's degree
- Health insurance
- Paid time off
Quick apply
Senior Quality Analyst - UAT Testing, Quadient, Martech
Optum —Noida, Uttar Pradesh
- Full-time
- Oracle
- DevOps
- Master's degree
- Health insurance
Collection Coordinator
Drinkprime —Okhla, Delhi, Delhi
- ₹4,00,000 a year
- Full-time
- English
- In-person
- Health insurance
Quick apply
3d
Process Engineer
Winone Precision Technology India Private Limited —Greater Noida, Uttar Pradesh
- ₹25,000 - ₹40,000 a month
- Full-time
- English
- Microsoft Office
- In-person
- Health insurance
- Food provided
Quick apply
Logistics Specialist
4PL Consultancy —Noida Sector 62, Noida, Uttar Pradesh
- ₹4,00,000 - ₹6,00,000 a year
- Full-time
- ERP systems
- Microsoft Office
- Master's degree
- Cell phone reimbursement
- Food provided
Quick apply
Refrigeration Executive
Sukhna Foods —Noida, Uttar Pradesh
- ₹20,000 - ₹35,000 a month
- Full-time
- Schematics
- English
- Programmable logic controllers
- Health insurance
- Food provided
Quick apply
Join CloudSufi as an ABM Specialist | Noida (Hybrid)
CloudSufi —Noida, Uttar Pradesh
- ₹20,00,000 - ₹30,00,000 a year
- Full-time
- Hybrid work
- Microsoft Access
- Sales
- Business development
- Work from home
- Flexible schedule
Quick apply
8h
PMO Associate
AURITAS —Noida, Uttar Pradesh
- Full-time
- PMP
- Project management
- SharePoint
Email Support Hiring || Noida
Ebix Payment Services Pvt Ltd —Noida, Uttar Pradesh
- ₹15,000 - ₹35,000 a month
- Full-time
- Customer service
- English
- Master's degree
- Health insurance
Quick apply
6d
Senior Data Analyst
Optum —Noida, Uttar Pradesh
- Full-time
- Azure
- Databases
- SQL
- Health insurance
Indigo Customer Support
Career Crox —Noida Sector 62, Noida, Uttar Pradesh
- From ₹25,000 a month
- Full-time
- Walk-in
- English
- 12th Pass
- Bachelor's degree
- Commuter assistance
- Health insurance
Quick apply
Health & General Insurance Operations Associate
Jain Capital Investment —Preet Vihar, Delhi, Delhi
- ₹15,000 - ₹30,000 a month
- Full-time
- Microsoft Excel
- Sales
- Bachelor's degree
- Paid time off
Quick apply
Urgent Hiring-Billing Executive_Medical billing _RCM
Talisman Solutions —Noida, Uttar Pradesh
- ₹18,000 - ₹25,000 a month
- Urgently hiring
- Microsoft Excel
- Microsoft Office
- Bachelor's degree
- Commuter assistance
- Health insurance
Quick apply
7d
Travel Process Hiring || Noida
Ebix Payment Services Pvt Ltd —Noida, Uttar Pradesh
- ₹25,000 - ₹40,000 a month
- Full-time
- English
- Bachelor's degree
- Travel
- Health insurance
Quick apply
3d
Manager - People Operations
Language and Learning Foundation —Kalkaji Devi, Delhi
- ₹1,00,000 - ₹1,25,000 a month
- Full-time
- Master's degree
- Travel
- Human resources
- Health insurance
- Paid time off
Quick apply
4d

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Clinical Investigator

Optum -
Noida, Uttar Pradesh

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Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Word
Medicine
Microsoft Excel
MBBS
BUMS
Analysis skills
Bachelor's degree
CPT coding
BAMS
Communication skills
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/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, 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 & 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/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 - MBBS/BHMS/BAMS/BUMS/BPT/MPT/BDS
Graduate - "Results awaited" candidates will not be accepted
Knowledge of US Healthcare and coding & experience in U.S. healthcare
Proven attention to detail & quality focused
Good knowledge of MS Word & MS Excel

Preferred Qualifications:

Flexibility - Ready to accommodate the working hours and working days depending on the Business Need
Ready to support the business during peak volumes as & when needed
Proven high attention to detail which translates to 100% quality of work performed
Proven good written and verbal communication skills
Proven team player
Proven ability to work independently without close supervision
Proven good analytical skills. He should have the ability to understand the mistakes and correct the same
Ability to work 100% from office

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.

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Refine Your Search

health process jobs in noida sector 62 noida uttar pradesh

Clinical Investigator

Claims Representative Associate

Junior Software Tester

Medical Officer

Health Process Trainer

Business Analyst (B-Tech/BCA)

Senior Quality Analyst - UAT Testing, Quadient, Martech

Collection Coordinator

Process Engineer

Logistics Specialist

Refrigeration Executive

Join CloudSufi as an ABM Specialist | Noida (Hybrid)

PMO Associate

Email Support Hiring || Noida

Senior Data Analyst

Indigo Customer Support

Health & General Insurance Operations Associate

Urgent Hiring-Billing Executive_Medical billing _RCM

Travel Process Hiring || Noida

Manager - People Operations

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