uttar pradesh project associate Jobs – 481 Open Jobs Today

Clinical Investigator
Optum —Noida, Uttar Pradesh
- Full-time
- Microsoft Word
- Medicine
- Microsoft Excel
- Health insurance
Associate
Physicswallah —Noida, Uttar Pradesh
- Remote
- Master's degree
9d
Field Activation Associate
Gopratle —Muzaffarnagar, Uttar Pradesh
- ₹25,000 - ₹35,000 a month
- Part-time
- Travel
- Smartphone
Quick apply
Associate - Project Manager
EXL Service —Noida, Uttar Pradesh
- Full-time
- Master's degree
- Project management
- Bachelor's degree
12d
Product Associate
Hack2skill —Noida, Uttar Pradesh
- ₹20,000 - ₹25,000 a month
- Bachelor's degree
- Product management
14d
Associate Director/Senior Lead- Lucknow (Livelihood)
Indus Action —Lucknow, Uttar Pradesh
- ₹15,00,000 - ₹27,00,000 a year
- Full-time
- Microsoft Excel
- Laboratory experience
- Master's degree
Associate Manager
Physicswallah —Noida, Uttar Pradesh
- ₹4 - ₹9 an hour
- Machine learning
Architect
Dhiraj Kapoor Associates —Sigra, Varanasi, Uttar Pradesh
- ₹35,000 - ₹1,00,000 a month
- Full-time
- AutoCAD
- Hospitality
- Bachelor's degree
Quick apply
6h
PMO Associate
AURITAS —Noida, Uttar Pradesh
- Full-time
- PMP
- Project management
- SharePoint
Project Associate-I
Amity University —Noida, Uttar Pradesh
- ₹25,000 a month
- Email
- Master's degree
- Bachelor's degree
Associate Consultant- Analytics
MetLife —Noida, Uttar Pradesh
- Full-time
8d
Founders Team Intern
The 10X Agency —Kanpur, Uttar Pradesh
- ₹6,000 - ₹10,000 a month
- In-person
- Internship
- Communication skills
Quick apply
12d
Community Growth Associate
Hack2skill —Noida, Uttar Pradesh
- ₹20,000 - ₹25,000 a month
- Bachelor's degree
- Team management
- Internship
14d
Architect / Interior Designer
PAWAN BHATT ASSOCIATES —Bareilly, Bareilly, Uttar Pradesh
- ₹20,000 - ₹30,000 a month
- Full-time
- AutoCAD
- CAD
- Project management
Quick apply
5d
Associate Manager – Government Affairs & Education Partnerships
Physicswallah —Noida, Uttar Pradesh
- ₹6,00,000 - ₹8,00,000 a year
6d
Legal Associate (Non-Litigation)
KAY & PARTNERS —Noida, Uttar Pradesh
- ₹20,000 - ₹35,000 a month
- Full-time
- Microsoft Excel
- Bachelor's degree
- In-person
Quick apply
2d
freelancing for real estate
OM SHREE REALTECH GROUP —Noida, Uttar Pradesh
- ₹25,000 - ₹50,000 a month
- Full-time
- In-person
Quick apply
AutoCAD Draftsman/woman
PAWAN BHATT ASSOCIATES —Bareilly, Bareilly, Uttar Pradesh
- ₹10,000 - ₹25,000 a month
- Full-time
- AutoCAD
- Schematics
- CAD
Quick apply
5d
Assistant Manager - Accounting & Advisory(US) Work From Office
MYCPE ONE —Sonepura, Uttar Pradesh
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Research Associate
TERI —Teri, Uttar Pradesh
- Doctoral degree
- Master's degree
6d

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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.

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Refine Your Search

project associate jobs in uttar pradesh

Clinical Investigator

Associate

Field Activation Associate

Associate - Project Manager

Product Associate

Associate Director/Senior Lead- Lucknow (Livelihood)

Associate Manager

Architect

PMO Associate

Project Associate-I

Associate Consultant- Analytics

Founders Team Intern

Community Growth Associate

Architect / Interior Designer

Associate Manager – Government Affairs & Education Partnerships

Legal Associate (Non-Litigation)

freelancing for real estate

AutoCAD Draftsman/woman

Assistant Manager - Accounting & Advisory(US) Work From Office

Research Associate

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