3.0 - 7.0 years

0 Lacs

hyderabad, telangana

On-site

As a member of the Zelis India team, you will play a crucial role in supporting various initiatives that enhance the healthcare financial experience. Our local team is dedicated to developing and implementing innovative solutions to optimize technology and processes for efficiency and effectiveness. We cultivate a collaborative work culture, provide leadership development opportunities, and offer global exposure to create a dynamic environment for your professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we strive to foster a holistic workplace experience. Your contribution to maintaining high standards ...

Posted 2 weeks ago

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Report Reviewer- CSR Bureau Veritas

3.0 - 5.0 years

0 Lacs

noida, uttar pradesh, india

On-site

Job R Job Title: CSR Report Reviewer Backup To: Report Reviewer Division/Section: CSR-Review Report To: Asst. Manager - Techincal Review Department: SCS Location: Noida Job Summary (Brief overview on the scope of job responsibility): Reviewing the audit reports of social, security and environment audits carried out by auditors, to identify and rectify the administrative and technical errors in report and finally approve the same. Interrelationships (Other key functional or communicational lines): Communicate with Asst. Manager (Review), Senior Supervisor, Regional Supervisors and Auditors - SCS for any enquiry and technical clarifications. Communicate with coordinator for non-technical issue...

Posted 3 weeks ago

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Dispute Resolution II Zelis

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensu...

Posted 3 weeks ago

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Associate Director - Vendor Control Verification Marsh McLennan

13.0 - 15.0 years

0 Lacs

gurugram, haryana, india

Remote

Mercer India is seeking candidates for the following position based in the Gurgaon office Associate Director Internal Audit (Vendor Control Verification) We are looking to hire a highly skilled and motivated Associate Director - Control Verification is responsible for both the day-to-day operations of the Vendor Control Review Program and its continued expansion to new regions throughout the globe. This position will report to the Vendor Control Review Program Director and will collaborate closely with Business Management, Vendor Management, and Technology to evaluate the control environments for vendors receiving sensitive data and providing critical services. What is in it for you Medical ...

Posted 1 month ago

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Audit Officer Aviral Finance

2.0 - 6.0 years

0 Lacs

raipur

On-site

As a Graduate with 2-3 years of experience in the Microfinance Industry, you will be responsible for carrying out financial, operational, and compliance audit duties. This includes evaluating internal controls, applying professional audit techniques, preparing audit work papers, developing solutions, and documenting findings. You will also provide assistance to senior auditors in effectively performing daily operations. Under the supervision of the director, you will be expected to provide relevant information under review, such as findings and recommendations, to the organization's management.,

Posted 1 month ago

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Compliance Testing- TRADE V Konnect

6.0 - 10.0 years

5 - 10 Lacs

Mumbai, Maharashtra, India

On-site

Role & responsibilities Assistance in preparation of Compliance Review plan to be put up to the Board. Preparation and updating of Compliance review checklists in line with the regulatory guidelines/internal policies. Undertaking field work and ensuring that the review is completed within the prescribed timelines. Preparation of Draft Compliance Review report and discuss the same with the relevant stakeholders. Obtain the responses from the stakeholders and preparation of Final Compliance Review Report. Ensure proper documentation and working papers are maintained for all the compliance reviews conducted. Preparation of Open Issue tracker for Compliance Review Reports issued. Follow up with ...

Posted 1 month ago

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Quality Check Analyst(QCA)|| Healthcare Co.(MNC) Yuva Global Services

2.0 - 7.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

The QC is accountable for managing day-to-day activities of Coding and Ensuring that associates follow project-related quality processes, Should possess good knowledge in medical coding terms and work processes. Required Candidate profile Extensive Quality experience in Audits, Coaching & trainingas per process defined. Sound knowledge of Healthcare concepts. Should have good knowledge in ICD-10, CPT, Modifiers and ETC..,

Posted 2 months ago

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IATF Auditor Quality Austria Central Asia Private Limited

6.0 - 11.0 years

2 - 4 Lacs

Chennai, Tamil Nadu, India

On-site

Key Responsibilities: Plan, organize, and execute external audits in accordance with IATF 16949:2016 standards. Ensure all audits are conducted within the defined scope, timeline, and budget. Develop detailed audit plans, including objectives, scope, and criteria. Prepare and review audit checklists and audit reports in advance of the audit. Perform on-site audits of clients to assess compliance with IATF 16949 requirements. Interview personnel, review documentation, and evaluate processes to identify non-conformities. Prepare and deliver comprehensive audit reports, summarizing findings, observations, and areas for improvement. Provide recommendations for corrective actions and follow-up on...

Posted 3 months ago

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Supplier Quality Specialist Nutrition Selligence Solutions

5.0 - 7.0 years

6 - 7 Lacs

Ahmedabad

Work from Office

Minimum of 5 years of experience in supplier quality assurance, preferably in Nutritional products being sold in the US and EU. Proficiency in quality management systems and auditing techniques.

Posted 3 months ago

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