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0.0 - 3.0 years
1 - 3 Lacs
Gurugram
Work from Office
Role & responsibilities 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 Preferred candidate profile Required Qualifications: • Medical degree - BHMS/BAMS/BUMS/BPT/MPT ' • B.Sc. Nursing and BDS with 1 year of corporate experience • Experience Range - 06 months - 3 years • Extensive work experience within own function. • Proven attention to detail & Quality focused • Proven good Analytical & comprehension skills Preferred Qualifications: • Claims processing experience • Health Insurance knowledge, managed care experience • Knowledge of US Healthcare and coding • Medical record familiarit
Posted 1 week ago
1.0 - 6.0 years
1 - 2 Lacs
Gondiya
Work from Office
Exciting Job Opportunity for a Dentist in Gondia/Gondiya, Maharashtra! Interested? DM me directly: https://wa.me/8956988631 Warm Regards, Kauser - TL MediRecruiters 8956988631
Posted 1 week ago
1.0 - 6.0 years
3 - 8 Lacs
Kochi, Mumbai (All Areas)
Work from Office
Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon , Kochi, Bangalore & MumbaiRole & responsibilities Preferred candidate profile
Posted 1 week ago
2.0 - 7.0 years
3 - 8 Lacs
Gurugram, Bengaluru
Work from Office
Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon Chennai (Tamil) Kochi (Malayalam) Interested candidates can directly share their resumes on simranbagga@policybazaar.com or 9311501270
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Should have knowledge in clinical research studies Monitoring of Clinical studies conducted at various CROs located globally as per ICH/GCP, applicable regulatory requirements, protocols and SOPs. Perform Site visits (i.e. Site Selection Visit) Required Candidate profile Strong understanding of clinical trial processes and regulatory requirements. Excellent clinical assessment skills and a commitment to patient safety and ethical research practices.
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Should have knowledge in clinical research studies Monitoring of Clinical studies conducted at various CROs located globally as per ICH/GCP, applicable regulatory requirements, protocols and SOPs. Perform Site visits (i.e. Site Selection Visit) Required Candidate profile Strong understanding of clinical trial processes and regulatory requirements. Excellent clinical assessment skills and a commitment to patient safety and ethical research practices.
Posted 1 week ago
0.0 - 1.0 years
1 - 2 Lacs
Bangalore/Bengaluru
Work from Office
This position requires a sound knowledge of medical coding and the denial management process for multiple specialties. Applicants must be proficient in ICD-10 and CPT medical coding and have obtained a Certified Professional Coder (CPC) credential Required Candidate profile Should have strong knowledge In Medical Coding Anatomy Physiology and Medical Terminology Should have Good Communication Skills
Posted 1 week ago
0.0 - 1.0 years
2 - 3 Lacs
Hyderabad
Work from Office
Walk-In Interview for BDS/BHMS/BAMS/ BPT/ BSC/MSC( Nursing) Fresh Graduates For Medical Coding Non Certified Freshers Only Applicants should have good knowledge in Medical Coding Anatomy and Medical Terminology Required Candidate profile Candidates Should have good knowledge in Medical Coding ICD 10, Anatomy Medical terminology and CPT Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Should have knowledge in clinical research studies Monitoring of Clinical studies conducted at various CROs located globally as per ICH/GCP, applicable regulatory requirements, protocols and SOPs. Perform Site visits (i.e. Site Selection Visit) Required Candidate profile Strong understanding of clinical trial processes and regulatory requirements. Excellent clinical assessment skills and a commitment to patient safety and ethical research practices.
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Should have knowledge in Clinical Data Management Should have good knowledge in edit checks crf design SAE Reconcilation crf annotation Good knowledge in Startup conduct phase and close out phase Required Candidate profile Strong understanding of clinical data management and E2b Guidelines Excellent clinical assessment and Communication Skills
Posted 1 week ago
0.0 - 1.0 years
3 - 4 Lacs
Hyderabad, Pune, Bengaluru
Work from Office
Medical Writer / Technical Content Writer - Internship This internship is ideal for someone passionate about simplifying medical or technical information into clear, structured documents and engaging content. Good Knowledge of Medical terminology. Required Candidate profile Preparation of protocol for Clinical trials Preparation writing CSR (Clinical Study Report) BDS and MBBS With medical writing for clinical trials Knowledge are Applicable
Posted 1 week ago
0.0 - 1.0 years
2 - 5 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Job description Should have knowledge in clinical research studies Perform Site visits (i.e. Site Selection Visit, Site Initiation Visits, Site monitoring visits and site close-out visits) should have knowledge in ICH GCP Guidelines Required Candidate profile Minimum Bachelor's or Masters degree in related field, such as Biology, Chemistry, Nursing, Pharmacy, or Public Health and/or Post-graduate Diploma in Clinical Research Are Applicable to Apply
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
ranchi, jharkhand
On-site
As a Clinical Success Manager at Laxmi Dental Limited, you will play a crucial role in providing product training and clinical education to dental professionals. Your primary objective will be to ensure successful product adoption and usage while driving business growth through the development of strong customer relationships and market initiatives. Your responsibilities will include delivering clinical training and product demonstrations to dentists, clinics, and institutions. You will educate clients on the best practices for utilizing Laxmi Dental's products and services, conduct workshops and seminars to enhance product knowledge, and collaborate with the sales team to support business development and customer retention. Additionally, you will provide after-sales clinical support, collect customer feedback for product enhancement, and establish professional relationships with key opinion leaders and practitioners. To excel in this role, you should possess strong clinical knowledge in dentistry, excellent communication and presentation skills, and the ability to build trust with dental professionals. Your willingness to travel for on-site training, goal-oriented mindset, and self-motivation will be key assets. A bachelor's degree and previous sales experience, preferably in the pharmaceutical or healthcare industry, are desired qualifications. Joining Laxmi Dental Limited offers you the opportunity to work with a leading brand in dental products and services, grow your career in the intersection of clinical excellence and business, and thrive in a dynamic, collaborative, and growth-driven environment. For more information about Laxmi Dental Limited, please visit our website: http://www.laxmidental.com/,
Posted 1 week ago
0.0 - 2.0 years
2 - 4 Lacs
Bengaluru
Work from Office
Looking for someone who can handle Business Development reaching various clients across the Globe on the telephone and introducing our company. Need to have exceptional communication in English and must be interested in talking on the phone. Sales incentives Performance bonus Annual bonus Referral bonus Leave encashment Gratuity
Posted 1 week ago
0.0 - 2.0 years
3 - 4 Lacs
Mumbai, Pune
Work from Office
About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and responding to mails accordingly. Work from Office only Pune address: C-Wing, First Floor, Manikchand Icon, Balkrishna Sakharam Dhole Patil Rd, Sangamvadi, Pune, Maharashtra 411001 Mumbai address: 4th floor, AARPEE Chambers, Off Andheri-Kurla Road Industrail Estate Marol, Andheri East, , Marol Cooperative Next To Times Square, Shagbaug, Gamdevi, Marol, Mumbai, Maharashtra 400059 Interested candidates can share their resumes to WhatsApp to 9632777628
Posted 1 week ago
0.0 - 2.0 years
2 - 3 Lacs
Thane
Work from Office
Responsibilities: Provide exceptional patient care Maintain accurate records & documentation Collaborate with dental team on treatment plans Adhere to safety protocols at all times Sales incentives Performance bonus Job/soft skill training
Posted 1 week ago
0.0 - 3.0 years
0 - 3 Lacs
Sonitpur, Cachar, Sibsagar
Work from Office
Role & responsibilities Field medical officer - Audit Preferred candidate profile BDS,BHMS & BAMS
Posted 1 week ago
3.0 - 8.0 years
1 - 5 Lacs
Bangalore Rural
Work from Office
Job Title : Network Engineer Location : Bangalore Experience : 3+ Years Job Description : We are hiring a Network Engineer with strong expertise in Data Center Networking , especially working with Cisco Nexus and Cisco ACI technologies. The role demands hands-on configuration, monitoring, and troubleshooting of enterprise-level network infrastructure. You will work in a high-performance environment with exposure to complex network setups and modern monitoring tools. Key Responsibilities : Provide designated customer support at network level Hands-on with Cisco Nexus (vPC, vDC, STP, vRF, BGP, EIGRP, OSPF) Experience working on Cisco ACI (Tenants, EPGs, BDs, vRFs) Manage Nexus 9000 switches Utilize monitoring tools such as SolarWinds and Cisco DCNM Support ACI complex troubleshooting (added advantage) Maintain entire data center network stack (LAN, WAN, Server, Firewall) Analyze and respond to network alarms; manage incident resolution Collaborate with multi-functional teams to resolve issues Participate in planned changes, migrations, and network upgrades Provide high-level technical support for critical issues Work in a 24x7 rotational environment Desired Skills : #CiscoNexus (vPC, vDC, STP, vRF, BGP, EIGRP, OSPF) #CiscoACI (Tenants, EPGs, BDs, vRFs) #Nexus9000 switches #SolarWinds and #CiscoDCNM Strong understanding of #DataCenterInfrastructure Network Monitoring and Troubleshooting Certifications : #CCNA (Cisco Certified Network Associate) #CCNP (Cisco Certified Network Professional) Relevant Experience : 3+ years of experience in Data Center Networking, Nexus & ACI environment Interested Candidates Please share your updated resume on: Anurag.yadav@softenger.com WhatsApp: 7385556898 Along with the following details: Total Experience Relevant Experience Current CTC Expected CTC Notice Period Current Location Willingness to Relocate
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
You will be responsible for providing dental care services as a BDS/MDS professional, whether you are a fresher or an experienced candidate. The job can be either full-time or part-time based on your preference. Ideally, you should have a total work experience of 1 year, though this is preferred and not mandatory. The work location for this position will be in person.,
Posted 1 week ago
0.0 - 5.0 years
1 - 4 Lacs
Vadodara
Work from Office
Responsibilities: Provide dental care services Maintain patient records & communicate findings Collaborate with specialists when necessary Perform root canal treatments Adhere to professional standards & ethics Desired Candidate Profile : 0-5 years of experience in general dentistry or related field. Strong knowledge of dental anatomy, physiology, and pathology. Proficiency in performing root canal treatments, capping procedures, etc.
Posted 1 week ago
0.0 - 1.0 years
2 - 3 Lacs
Hyderabad/Secunderabad, Pune, Bengaluru
Work from Office
Should have knowledge in Clinical Data Management Should have good knowledge in edit checks crf design SAE Reconcilation crf annotation Clinical Data Management Trained Candidates Only Eligible Required Candidate profile Strong understanding of clinical data management and E2b Guidelines Excellent clinical assessment and Communication Skills
Posted 1 week ago
3.0 - 8.0 years
0 Lacs
kolkata, west bengal
On-site
We are looking for a highly skilled and experienced Head Dentist to lead our dental clinic in Kolkata. The ideal candidate should have exceptional clinical abilities and a strong background in administrative responsibilities. As a Head Dentist, you will be responsible for managing a team, ensuring clinic maintenance, spearheading marketing activities, and driving revenue generation. In terms of clinical management, you will perform a wide range of dental procedures while maintaining high standards of patient care. You will oversee patient diagnosis, treatment planning, and follow-ups, ensuring strict adherence to Health Chakra Protocols and record maintenance. As a team leader, you will manage a team of dentists and support staff, providing training, mentorship, and performance evaluations. Creating a positive and collaborative working environment will be essential to foster teamwork and productivity. Clinic maintenance will be a crucial aspect of your role, where you will ensure that clinics are well-maintained, clean, and equipped with the latest dental technology. Additionally, overseeing inventory management, procurement of dental supplies, and implementing health and safety protocols will be part of your responsibilities. On the administrative front, you will handle scheduling, patient appointments, and clinic operational workflows. Monitoring the work of associate doctors across all clinics, managing financial aspects, including budgeting, billing, and financial reporting, and implementing strategies to improve clinic performance metrics will be key duties. In terms of marketing and outreach, you will develop and execute strategies to attract new patients and retain existing ones. Collaborating with organizations to set up dental camps and community outreach programs, as well as conducting and supervising dental camps to ensure quality service and patient satisfaction, will be part of your role. You will also be responsible for implementing strategies to increase clinic revenue and profitability, monitoring patient satisfaction and retention rates, and exploring opportunities for expanding clinic services and offerings. Qualifications for this position include a BDS or MDS degree, a minimum of 8 years of clinical dental experience with at least 3 years in a leadership role, a strong understanding of dental clinic operations and administrative processes, excellent communication, interpersonal, and organizational skills, proven ability to manage a team and drive performance, experience in marketing and community outreach preferred, and proficiency in using dental software and technology. We offer a competitive salary and incentives, opportunities for professional development and continuing education, a supportive and dynamic work environment, and the chance to make a significant impact on the community's oral health. If you are a dedicated and proactive dental professional with a passion for clinical excellence and administrative leadership, we encourage you to apply for this exciting opportunity.,
Posted 1 week ago
2.0 - 6.0 years
3 - 5 Lacs
Pune
Work from Office
Walk-in drive on 26th July 2025 for Clinical Doctors at Cotiviti - Pune Walk-in Date: Saturday, 26th July 2025 Timing: 10:00AM - 01:00 PM Venue Podium Floor, Plot C Binarius Building 190 / 192 Plot C, Deepak Complex, National Games Road Off Golf Course, Yerwada, Pune, Maharashtra 411006. Position Requirements: Education: BHMS, BAMS, BUMS, MBBS, BPT, BDS, BSC (Nursing) Candidates with prior US Healthcare or Clinical experience will be preferred. Good communication skills. Good team player with strong interpersonal skills & high integrity. Should be ready to work from office. Must be flexible with shifts Immediate joiners preferred Interested candidates with required experience can Walk-in for the interview referring the above Walk-in details. Thanks. Regards, Talent Acquisition Team - Cotiviti About Cotiviti: Cotiviti is a leading healthcare solutions and analytics company headquartered in the United States, with more than 10,000 employees in offices across the U.S., Canada, Australia, India, Philippines & Mexico. Cotiviti has been in business for more than two decades (including predecessor companies), and our solutions have been well proven and tested. Our clients are primarily health insurance companies, including U.S. government payers, although healthcare providers, employers, and insurance brokers also use our solutions. In fact, we support almost every major health plan in the U.S. and more than 180 healthcare payers in total. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and helping our clients discover ways they can improve efficiency and quality. In addition to healthcare, we support the largest and most influential retailers in the industry, including mass merchandisers, across the U.S., Canada, United Kingdom, Europe and Latin America. Our data management recovery audit services have helped them save hundreds of millions of dollars.
Posted 1 week ago
0.0 - 5.0 years
1 - 4 Lacs
Vadodara
Work from Office
Responsibilities: * Provide dental care services * Maintain patient records & communicate findings * Collaborate with specialists when necessary * Perform root canal treatments * Adhere to professional standards & ethics Accessible workspace
Posted 1 week ago
0.0 - 2.0 years
2 - 3 Lacs
Thane, Hyderabad
Work from Office
Job Summary: As a Telemedical Underwriter, you will play a crucial role in our underwriting process by assessing and evaluating insurance applications using telemedical technologies. You will work closely with our team of underwriters, medical professionals, and technology experts to ensure accurate risk assessment and efficient decision-making. Responsibilities: Telemedical Verification: Conduct telemedical verifications for insured members using audio, chat, and video communication channels to create comprehensive Medical Examination Reports (MER). Analyse medical records, test results, and other relevant documentation to assess the insurability and risk level of applicants. Profile Analysis and Documentation: Analyze the health profiles of insured members, create detailed Medical Examination Reports (MER), and maintain records in the prescribed format. Interactive Health Assessment: Initiate and facilitate calls or video sessions with insured members to assess their health conditions and gather essential medical information. Medical Expertise: Demonstrate advanced knowledge of medical terminology, human anatomy, physiology, disease processes, signs and symptoms, medications, and laboratory values to ensure accurate assessments and reports. Medical Underwriting: Evaluate and analyze the medical risks associated with insured members to contribute to the medical underwriting process. Multilingual Advantage: Proficiency in vernacular language is an added advantage, enabling effective communication with insured members who prefer to converse in their native language. Qualification: Medical Degree: BHMS, BAMS, BDS, MBBS Valid medical license and certification. Strong medical knowledge encompassing terminology, anatomy, physiology, disease processes, medications, and laboratory values. Excellent communication and interpersonal skills. Strong analytical and critical thinking skills to assess and evaluate complex medical information, familiarity with telemedical technologies and platforms, with the ability to adapt quickly to new systems. Multilingual skills(an advantage). Excellent communication skills, both verbal and written, to conduct telemedical interviews and prepare comprehensive reports. Prior experience in telemedicine or health insurance(preferred). How to Apply: If you are a dedicated medical professional with the expertise to contribute to our mission of revolutionizing health insurance through telemedicine, please submit your resume and cover letter detailing your qualifications and relevant experience letter to aishwaryac@nu10.co with the subject: "Telemedical Underwriter Application-[Your Name]." We appreciate your interest in joining our team and will carefully review all applications received. Shortlisted candidates will be contacted for further steps in the selection process. Thank you for considering this opportunity with Nu10. We look forward to receiving your application.
Posted 1 week ago
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