Tamil Nadu Investigator Jobs – 27 Open Jobs Today

Clinical Investigator
Optum —Chennai, Tamil Nadu
- Full-time
- Nursing
- B.Sc
- Analysis skills
- Health insurance
9d
Research Assistant
M S Swaminathan Research Foundation —Perungudi, Chennai, Tamil Nadu
- Email
- Master's degree
- Data entry
AML EDD CDD Expert
Tata Consultancy Services —Chennai, Tamil Nadu
- Weekend availability
- English
- Analysis skills
- Bachelor's degree
9d
Clinical Research Assistant
Mediscan system —Chennai, Tamil Nadu
- Full-time
- Nursing
- Vital signs
- Microsoft Office
- Food provided
Quick apply
Project Technical Support-III
M S Swaminathan Research Foundation —Chennai, Tamil Nadu
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Clinical Trials Administrator
Apollo Research and Innovation —Chennai, Tamil Nadu
- ₹30,000 - ₹35,000 a month
- Full-time
- English
- Master's degree
- Bachelor's degree
Quick apply
Vice President, Compliance & Control
The Bank of New York Mellon Corporation —Chennai, Tamil Nadu
- Full-time
- Writing skills
- Bachelor's degree
- Training & development
Senior Clinical Research Coordinator
Apollo Research and Innovation —Chennai, Tamil Nadu
- ₹26,000 - ₹30,000 a month
- Full-time
- English
- Master's degree
- In-person
Quick apply
Freelance Medical & Regulatory Writer
Pepgra —Ambattur, Chennai, Tamil Nadu
- Doctoral degree
- English
- Master's degree
Project Coordinator –Diabetes & AI Care Coordination Study
M S Swaminathan Research Foundation —Chennai, Tamil Nadu
- Email
- Master's degree
- Project management
- Business Administration
Senior Associate – Aggregate Report Analyst
Pfizer —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Microsoft Powerpoint
- Medicine
- Doctoral degree
1d
Non Clinical Job - BAMS / BHMS Doctors
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Chennai, Tamil Nadu
- ₹20,000 - ₹22,000 a month
- Full-time
- Bachelor's degree
- In-person
- Medical terminology
- Health insurance
Quick apply
Fulltime Medical & Regulatory Writer
Pepgra —Ambattur, Chennai, Tamil Nadu
- Full-time
- Doctoral degree
- English
- Master's degree
Project Technical Support-III
Desirous Global Consulting —Chennai, Tamil Nadu
- ₹3.00 - ₹8.50 an hour
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Project Manager
M S Swaminathan Research Foundation —Chennai, Tamil Nadu
- Email
- PMP
- Engineering
- English
Senior Finance Associate - Post Payment
McKinsey & Company —Chennai, Tamil Nadu
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
11d
HSSEQ Officer
V.Group —Chennai, Tamil Nadu
- Analysis skills
- Communication skills
Senior Research Fellow
Amrita University —Coimbatore, Tamil Nadu
- Master's degree
- C++
- Project management
10d
Sr Manager, Product Management
paypal —Chennai, Tamil Nadu
- Full-time
- Hybrid work
- Bachelor's degree
- Travel
- AI
- Health insurance
- Paid time off
Manager – Clinical Trial
Voxtur Clinical Research —Chennai, Tamil Nadu
- Medicine
- Doctoral degree
- B.Sc

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Clinical Investigator

Optum -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time
9 days ago

Benefits

Health insurance

Qualifications

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

Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases.

Primary Responsibilities:

Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC 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
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate others' activities
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:

Graduation - Any Graduate, BHMS/BAMS/BUMS/BPT/MPT (preferred)
B.Sc. Nursing and BDS with 1+ years of corporate experience
Certified coder through AAPC
Certifications accepted - CPC Only
1+ years of experience (if not medical graduate) - specialty coding such as E&M, surgery, anesthesia etc., but not only HCC
Extensive work experience within own function
Proven attention to detail & Quality focused
Proven excellent analytical & comprehension skills

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

investigator jobs in tamil nadu

Clinical Investigator

Research Assistant

AML EDD CDD Expert

Clinical Research Assistant

Project Technical Support-III

Clinical Trials Administrator

Vice President, Compliance & Control

Senior Clinical Research Coordinator

Freelance Medical & Regulatory Writer

Project Coordinator –Diabetes & AI Care Coordination Study

Senior Associate – Aggregate Report Analyst

Non Clinical Job - BAMS / BHMS Doctors

Fulltime Medical & Regulatory Writer

Project Technical Support-III

Project Manager

Senior Finance Associate - Post Payment

HSSEQ Officer

Senior Research Fellow

Sr Manager, Product Management

Manager – Clinical Trial

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