Uttar Pradesh Community health Jobs – 525 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
Community Health Mobilizer
DigiSwasthya Foundation —Itaunja, Uttar Pradesh
- Weekend availability
- Bachelor's degree
- Travel
- Social Work
- Flexible schedule
Quick apply
Agronomist
Back to Village (B2V) —Saharanpur, Uttar Pradesh
- ₹30,000 a month
- B.Sc
- Microsoft Office
- Bachelor's degree
Quick apply
8d
MBBS fresher for OPD
Swastik health services —Kanpur, Uttar Pradesh
- ₹40,000 - ₹50,000 a month
- Weekend availability
- Medicine
- Bachelor's degree
- EMR systems
- Flexible schedule
Quick apply
2h
Auxiliary Nurse Midwife (ANM)
Child Survival India —Kanpur Dehat District, Uttar Pradesh
- ₹30,000 a month
- Full-time
- Bachelor's degree
- Travel
- Patient care
Quick apply
Online Tutor
Global Connection —Greater Noida, Uttar Pradesh
- ₹13,000 - ₹36,000 a month
- Part-time
- Hybrid work
- No experience needed
- English
- Math
- Health insurance
- Work from home
Quick apply
12d
Manager (Fundraising)
Epoch Consulting —Newara, Uttar Pradesh
- ₹10,00,000 a year
- Full-time
- Remote
- Master's degree
- Business development
- Mentoring
Quick apply
1d
Young Communities Advocate
Maribyrnong City Council —Nowshera Murai, Uttar Pradesh
- ₹76,576.74 a year
- Part-time
- Communication skills
5d
Principal
Noble Public School —Meerut, Uttar Pradesh
- ₹1,00,000 - ₹1,50,000 a month
- Full-time
- English
- Master's degree
- Education
- Health insurance
- Cell phone reimbursement
Quick apply
Block Program Officer
Foundation to Educate Girls Globally —Bahraich, Uttar Pradesh
- ₹18,000 - ₹21,000 a month
- Full-time
- In-person
- Health insurance
- Paid sick time
Quick apply
Human Resources Manager
Fill The Basket —Lucknow, Uttar Pradesh
- ₹15,294.50 - ₹45,000.00 a month
- Full-time
- Master's degree
- Administrative experience
- Bachelor's degree
- Health insurance
Quick apply
10d
Operations Fellowship
India Eye Hospital —Greater Noida, Uttar Pradesh
- ₹25,000 a month
- Laboratory experience
- Research
- Master's degree
Quick apply
2d
Teacher
Freedom Employability Academy —Aligarh, Uttar Pradesh
- ₹14,500 - ₹16,500 a month
- Full-time
- English
- Bachelor's degree
- In-person
- Health insurance
- Paid time off
Quick apply
11d
Intern - Quality and Testing
Convegenius —Uttar Pradesh
- Computer Science
- Analysis skills
- Bachelor's degree
- Health insurance
Quick apply
2d
Digital Marketing Associate
My Ooumph Network's Pvt. Ltd. —Lucknow, Uttar Pradesh
- ₹8,000 - ₹15,000 a month
- Full-time
- APIs
- In-person
- AI
Quick apply
8d
doctor
M.G.AUTOSALES PRIVATE LIMITED —Chinhat, Uttar Pradesh
- ₹30,000 - ₹50,000 a month
- Full-time
- Medicine
- Bachelor's degree
- Patient care
Quick apply
5d
Customer Service Assistant
UniLiv —Noida, Uttar Pradesh
- ₹25,000 - ₹35,000 a month
- Full-time
- Hospitality
- Customer service
- Microsoft Office
- Health insurance
- Food provided
Quick apply
Accountant - R2R
Optum —Noida, Uttar Pradesh
- Full-time
- Microsoft Excel
- Master's degree
- Analysis skills
- Health insurance
2d
Hospital Field Officer
ProGate Technology —Bara Banki, Uttar Pradesh
- ₹10,000 - ₹35,000 a month
- Full-time
- Microsoft Office
- Master's degree
- Business development
- Health insurance
- Cell phone reimbursement
Quick apply

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Clinical Investigator

Optum -
Noida, Uttar Pradesh

Apply Now

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.

Apply Now

Refine Your Search

community health jobs in uttar pradesh

Clinical Investigator

Claims Representative Associate

Community Health Mobilizer

Agronomist

MBBS fresher for OPD

Auxiliary Nurse Midwife (ANM)

Online Tutor

Manager (Fundraising)

Young Communities Advocate

Principal

Block Program Officer

Human Resources Manager

Operations Fellowship

Teacher

Intern - Quality and Testing

Digital Marketing Associate

doctor

Customer Service Assistant

Accountant - R2R

Hospital Field Officer

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