UnitedHealth Group Hiring for Clinical Investigator Job at Gurgaon

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.(sm)

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.
• Adhere to state and federal compliance policies and contract compliance.
• Assist the prospective team with special projects and reporting.
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives.

Required Qualifications:

• Medical degree – BHMS/BAMS/BUMS/BPT/MPT/ BDS.
• Experience Range – 1 – 3 years (Fresher’s can also apply).
• Attention to detail & Quality focused.
• Good Analytical & comprehension skills.

Preferred Qualifications:

• Claims processing experience.
• Health Insurance knowledge, managed care experience.
• Knowledge of US Healthcare and coding.
• Medical record familiarity.

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility.