telangana claims manager Jobs – 186 Open Jobs Today

Deputy Manager
Optum —Hyderabad, Telangana
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Analysis skills
- Health insurance
MANAGER – HEALTHCARE CONSULTING
oscon —Hyderabad, Telangana
- ₹30,00,000 - ₹40,00,000 a year
- Full-time
- Hybrid work
- Finance
- Master's degree
- Project management
Quick apply
5d
PRODUCT MANAGER
Dot eVentures Pvt Ltd —Ranga Reddy District, Telangana
- ₹25,000 - ₹40,000 a month
- Full-time
- Master's degree
- Project management
- APIs
Quick apply
9d
Manager - Data Science & ML Engineering
Zelis —Telangana
- Full-time
- Hybrid work
- Azure
- Management
- Computer Science
- Health insurance
GM / AGM / Manager - Contracts & Claims
Madhucon —Hyderabad, Telangana
- Master's degree
- Project management
- Bachelor's degree
Insurance Manager
Keertana Finserv Ltd —Hyderabad, Telangana
- ₹5,00,000 - ₹15,00,000 a year
- Full-time
- Microsoft Excel
- Sales
- Business development
- Flexible schedule
- Food provided
Quick apply
4d
TL-Cashless Claims (Hyderabad)
Aditya Birla Group —Telangana
- Health insurance
Manager - Data Engineering
Zelis —Telangana
- Full-time
- Hybrid work
- Azure
- Management
- Computer Science
Manager, Cash Management Operations
GCC India —Hyderabad, Telangana
- Full-time
- Finance
- Supervising experience
- Bachelor's degree
4d
Customer Relationship Manager (CRM)
MEDI ASSIST INSURANCE TPA PRIVATE LIMITED —Hyderabad, Telangana
- ₹25,000 - ₹28,000 a month
- Full-time
- Customer service
- English
- Master's degree
- Health insurance
Quick apply
6d
Operations Manager III, POE Operations - Hyderabad
ADCI HYD 16 SEZ —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Management
- SQL
10d
Manager - Software Engineering
Zelis —Telangana
- Full-time
- Hybrid work
- Azure
- PMP
- DevOps
E Commerce Accounts Manager
3G HR SERVICES —Uppal, Telangana
- ₹12,00,000 - ₹15,00,000 a year
- Full-time
- Finance
- Master's degree
- Bachelor's degree
Quick apply
Associate Manager- Trade Promotion Management
PepsiCo —Hyderabad, Telangana
- Remote
- Finance
- Master's degree
- Bachelor's degree
Project Manager
sarah vision —Khammam, Telangana
- ₹85,000 - ₹95,000 a month
- Full-time
- Project management
- Construction
- In-person
Quick apply
9d
E-Commerce Manager
Aref Abdul Sattar Textiles Private Limited —Abids, Hyderabad, Telangana
- ₹6,00,000 - ₹7,00,000 a year
- Full-time
- In-person
Quick apply
Accidental Advisor
Pride Motors —Kukatpally, Hyderabad, Telangana
- ₹15,000 - ₹20,000 an hour
- Full-time
- Computer skills
- In-person
- Diploma
- Health insurance
Quick apply
12d
Sr. Team Lead - Data Engineering
Zelis —Telangana
- Full-time
- Hybrid work
- Azure
- Management
- Computer Science
Area Sales Manager
GULAB OIL AND FOODS PVT LTD —Jadcherla, Telangana
- Up to ₹70,000 a month
- Full-time
- Sales
- Bachelor's degree
- In-person
Quick apply
Assistant Manager - TPM
PepsiCo —Hyderabad, Telangana
- Remote
- Finance
- Master's degree
- Bachelor's degree

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Deputy Manager

Optum -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Powerpoint
Microsoft Excel
Lean
Six Sigma
Analysis skills
Quality assurance
CPT coding
Root cause analysis
Communication skills

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.

Primary Responsibilities:

Ability to handle escalated calls/meetings directly with Customers, Stakeholders, etc., and provides resolution at the earliest
Be sensitive and aware of the Organizational priorities towards Change & Innovation and Cost Optimization
Driving Cost Reduction agenda in the processes with Automation Opportunities, Productivity Enhancement Opportunities and Cross utilization of resources
Takes initiative to understand the process and keeps himself updated on the important changes in the business and the Healthcare industry
Maintain data accuracy for the tasks assigned and respond within timelines defined/agreed
Build systems, controls to ensure no escalations and is prompt in responding to escalations
Own primary responsibility for the fulfillment of audit (internal and external) requests, as needed
Forecast capacity planning by analyzing work volume patterns and aligning workforce allocation accordingly
Should be a quick learner and able to perform accordingly to meet the SLAs
Collaborate with team members on special projects, as needed
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 regard 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:

5+ years of working experience in US Healthcare on Behavioral Health claim adjudication / Audit
Data-Driven Quality Assurance, Innovation and Process Optimization
Good understanding of Six Sigma methodology
Logical and Analytical Ability
Proven ability to handle multiple tasks
Lean certified preferrable
Probing skills
Solid verbal and written communication skills
Solid US healthcare knowledge, especially on the behavioral health claims (Copay, Coins, Deductible, Coordination of benefit, out of pocket, in network/ out of network, CPT/HCPC Code etc.)
Good understanding of Quality metrics and Audit sample strategies
Good knowledge of root cause analysis techniques and tools used for problem-solving
Excellent proficiency in using MS Excel and PowerPoint

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

claims manager jobs in telangana

Deputy Manager

MANAGER – HEALTHCARE CONSULTING

PRODUCT MANAGER

Manager - Data Science & ML Engineering

GM / AGM / Manager - Contracts & Claims

Insurance Manager

TL-Cashless Claims (Hyderabad)

Manager - Data Engineering

Manager, Cash Management Operations

Customer Relationship Manager (CRM)

Operations Manager III, POE Operations - Hyderabad

Manager - Software Engineering

E Commerce Accounts Manager

Associate Manager- Trade Promotion Management

Project Manager

E-Commerce Manager

Accidental Advisor

Sr. Team Lead - Data Engineering

Area Sales Manager

Assistant Manager - TPM

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