103 Healthcare Regulations Jobs - Page 4

We are looking for a highly capable medical officer to lead our medical team and oversee the healthcare services they provide at Modern Homeopathy Pvt. Ltd. located in Nashik. As a medical officer, you will serve as a clinical advisor, manage clinical trials, and uphold exceptional standards of inpatient care. Your responsibilities will include contributing your clinical expertise to patient care, supervising junior physicians, and handling administrative duties and risk management. You will be expected to ensure that the highest standards of patient care are consistently met, verify complex diagnoses, and assist in developing treatment plans. Additionally, you will be involved in the recrui...

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services ac...

The Operations Manager (Health & Benefits) is responsible for overseeing and optimizing operations within the health and benefits sector. This role ensures that health services and benefit plans are efficiently administered, meeting quality standards and regulatory requirements. Key Responsibilities: Manage ongoing transitions, SLAs, processes, and people. Handle the transition and setup of the Contact Centre. Create Standard Operating Procedures (SOPs) and track go-live progress. Get trained and certified to assist Customer Service Representatives (CSRs) with live work. Complete assigned tasks within the agreed Turnaround Time (TAT) with 100% accuracy Lead a team to ensure client delivery. ...

The Senior Nursing Supervisor at NIMS Hospital plays a crucial role in overseeing nursing staff and ensuring the delivery of high-quality patient care. Your responsibilities will include supervising daily operations, implementing health and safety protocols, and maintaining staff efficiency and training. You will supervise nursing team operations to ensure high standards of patient care while monitoring compliance with hospital protocols and safety guidelines. Additionally, you will assist in staff development, conduct training programs, coordinate patient care services, and manage nursing schedules. In critical situations, you will handle emergency cases and guide nurses, identify workplace...

Ensure production & accuracy targets are met as per client expectation Monitoring team performance& provide training Overseeing the quality accuracy of medical record summaries Collaborate with project managers & clients goals met Required Candidate profile 4 to5 yrs in medical record review, summarization & abstraction Strong understanding of medical terminology anatomy & pathophysiology Excellent communication / interpersonal skills Perks and benefits Health Insurance Incentives/ Awards/ Gifts

Role Responsibilities: Develop treatment plans for patients with a wide range of medical conditions Ensure treatment plans align with healthcare regulations and industry best practices Collaborate with medical staff to monitor patient progress and adjust care plans as needed Maintain up-to-date knowledge of healthcare regulations and policies to ensure compliance Job Requirements: UG/PG in healthcare or related discipline Strong background in healthcare management Excellent communication skills Thorough understanding of healthcare regulations and policies

Role Responsibilities: Develop treatment plans for patients with a wide range of medical conditions Ensure treatment plans align with healthcare regulations and industry best practices Collaborate with medical staff to monitor patient progress and adjust care plans as needed Maintain up-to-date knowledge of healthcare regulations and policies to ensure compliance Job Requirements: UG/PG in healthcare or related discipline Strong background in healthcare management Excellent communication skills Thorough understanding of healthcare regulations and policies

The Medical Audit Doctor role is a full-time on-site position based in Bhopal. As a Medical Audit Doctor, your primary responsibility will be to perform detailed audits of medical records to ensure accuracy and compliance with regulatory standards. Your daily tasks will involve reviewing patient records, verifying proper documentation, identifying any discrepancies, providing recommendations for enhancements, and collaborating with healthcare providers to uphold best practices in medical documentation. To excel in this role, you should possess a strong understanding of medical auditing principles and practices. Previous experience in medical record documentation and compliance is essential. ...

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for ...

The Nurse position at Richatech Roots Private Limited in Barmer is a full-time on-site role that involves providing direct patient care. As a Nurse, your responsibilities will include administering medication, monitoring patients, and managing patient records. Additionally, you will play a crucial role in educating patients and their families on health management and disease prevention. It is essential to collaborate with doctors and other healthcare professionals to ensure comprehensive care for the patients while adhering to healthcare laws and regulations. To excel in this role, you should possess proficiency in patient care, medication administration, and monitoring patient health. Stron...

The Healthcare Analytics Specialist position based in Gurugram requires 3 to 5 years of experience. You will be responsible for developing, maintaining, and optimizing data pipelines, including ingestion, transformation, and loading of internal and external sources. Collaboration with Operations is essential to design scalable, secure, and high-performing data workflows. Best practices in data governance, version control, security, and documentation must be implemented. Analytical models for cost, quality, and utilization metrics will be built and maintained using tools like Python, R, or SQL-based BI tools. Reports will be developed to communicate findings to stakeholders across the organiz...

The ideal candidate for this position should be a Life Science Graduate with a strong attention to detail and proficiency in conducting audits of patient medical records. As a Medical Record Auditor, you will be responsible for ensuring coding accuracy and documentation compliance in both inpatient and outpatient settings. Your primary duties will include reviewing medical records, identifying errors in coding and billing, and preparing detailed audit reports with recommendations for corrective action. In addition, you will play a crucial role in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Collaboration with coding, billing, clinical,...

Role:AR Analyst( Medical Billing background) Exp: 0.6-1 year Salary: 21k Must Have : Resolve issues related to unpaid medical claims, denied claims Review and appeal unpaid and denied claims. Shift:General Location: Chennai Regards Sowmiya 9600445623

As an Occupational Therapy In-Charge, you will be responsible for conducting assessments, designing treatment plans, and supervising complex cases to ensure optimal patient care. Your role will involve leading and mentoring OT staff, assistants, and interns, assigning duties, and evaluating staff performance. Additionally, you will be expected to maintain accurate patient records, ensure compliance with medical and ethical standards, and manage department budget, equipment, and inventory. Success in this position requires a Bachelor's or Master's degree in Occupational Therapy, along with a valid license as an Occupational Therapist. A minimum of 5+ years of clinical experience is necessary,...

You are seeking fresher to gain experience in Health Claims. You will be required to go through a few days of training and will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulations, and contractual agreements. Your responsibilities will include reviewing and analyzing medical claims submitted by healthcare providers for accuracy, completeness, and compliance with insurance policies and regulatory requirements. You will need to verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Additionally, you will be assigning appropriate medical codes (e.g. ICD...

We are looking for a qualified medical officer to lead our medical team and oversee the healthcare services provided. As a medical officer at Modern Homeopathy Pvt. Ltd. in Nashik, your responsibilities will include acting as a clinical advisor, managing clinical trials, and upholding high standards of inpatient care. We welcome applications from BHMS graduates, both freshers and experienced candidates. Your role will involve applying clinical expertise to patient care, supervising junior physicians, and handling administrative tasks related to risk management. It will be crucial to ensure that the highest standards of patient care are consistently met, verify complex diagnoses, and facilita...

The role of a Nursing Superintendent in Somnath, Gujarat is pivotal for ensuring the efficient operation of healthcare facilities. As a Nursing Superintendent, you will be responsible for providing leadership and guidance to nursing staff, implementing and monitoring patient care plans, and coordinating with other healthcare professionals to ensure comprehensive patient care. Managing nursing schedules and staffing levels, ensuring compliance with healthcare regulations, and participating in quality improvement initiatives will also be part of your key responsibilities. Additionally, you will be expected to resolve patient and staff concerns, oversee the maintenance of medical records, condu...

The Accounts Receivable (AR) Analyst position in US Healthcare located at Jhandewalan, New Delhi- 110055 is a full-time role that involves managing and resolving patient accounts. As an AR Analyst, your primary responsibilities will include following up on denied or underpaid claims, handling patient billing inquiries, and maintaining accurate records to optimize cash flow. It is essential to ensure compliance with healthcare regulations and collaborate closely with internal teams to resolve billing issues and enhance collection processes. Key Responsibilities: - Aging & Reporting - Patient Billing & Communication - Compliance & Regulatory Oversight - Collaboration & Continuous Improvement T...

As a Neurologist at our medical facility in the specified location, you will play a critical role in diagnosing and treating patients with a variety of neurological disorders. Your expertise will be integral in providing high-quality care and contributing to the advancement of neurological research. Conducting thorough patient evaluations and diagnosing neurological conditions, developing and implementing customized treatment plans for patients, performing and interpreting neurological tests and procedures, collaborating with multidisciplinary healthcare teams to optimize patient care, advising patients and their families on neurological conditions and treatment options, contributing to neur...

Job Description: Deputy Manager / Assistant Manager - HR Location: MAGJ Hospital, Mookkannoor Salary: Best in the industry Qualifications: MBA in Human Resources (HR), Masters in Human Resource Management (MHRM), Masters in Hospital Administration (MHA), or equivalent qualifications. Key Responsibilities: Recruitment & Staffing: Lead recruitment processes for medical, paramedical, and administrative positions. Collaborate with department heads to assess workforce needs and ensure optimal staffing levels. Ensure recruitment strategies align with hospital goals and industry trends. Employee Relations: Address staff concerns, mediate workplace conflicts, and foster a positive working environmen...

Greetings from Shiash Info Solutions! We are looking for experienced ED Fac/Profee Coders to join our team in Chennai. The ideal candidate should have a minimum of 2 years of experience in this field and be certified. Immediate joiners are preferable for this full-time on-site role. As an ED Coder at Shiash Info Solutions, your primary responsibility will be to handle day-to-day coding tasks associated with emergency department medical records. You will play a crucial role in ensuring accurate coding practices that comply with regulations and coding guidelines. To excel in this role, you should demonstrate proficiency in medical coding and classification systems such as ICD-10-CM and CPT. A ...

Description We are seeking a skilled Product Owner with experience in the US healthcare sector to join our team in India. The ideal candidate will be responsible for defining product vision, managing the product backlog, and ensuring successful delivery of features that meet the needs of our users. Responsibilities Collaborate with stakeholders to define product vision and requirements in the US healthcare domain. Prioritize and manage the product backlog to ensure timely delivery of features and enhancements. Work closely with cross-functional teams including development, design, and quality assurance to ensure successful product implementation. Conduct market research and competitor analys...

A Medical Representative's primary role is to act as a liaison between pharmaceutical companies and healthcare professionals, promoting and selling the company's products - The ideal candidate will have 0 to 2 years of experience in the pharmaceutical industry, with excellent communication skills and a strong passion for promoting healthcare products. Roles and Responsibility Act as a liaison between pharmaceutical companies and healthcare professionals. Promote and sell company products to healthcare professionals. Build and maintain relationships with key stakeholders, including doctors and hospitals. Provide product information and support to customers. Achieve sales targets and expand cu...

As a Senior Healthcare - Business Analyst , you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - Provide analytical and consulting services in designing, delivering, and executing projects related to Business Intelligence in pharma. Define problem statements, problem definition/hypothesis, and conduct root cause analysis for business challenges provided by clients. Read data, and identify potential business challenges and opportunities. Integrate findings from competitive intelligence, market research to understand market trends and dynamics. Work with multiple datasets, in...

We are seeking a qualified Consultant General Physician (MD/DNB) to join our healthcare team. The ideal candidate will be responsible for providing high-quality medical care to patients, diagnosing illnesses, and managing treatment plans. Responsibilities Conduct thorough physical examinations of patients. Diagnose and treat a variety of medical conditions. Develop and implement patient management plans. Order and interpret diagnostic tests and procedures. Provide preventive care and health education to patients. Maintain accurate and up-to-date patient records. Collaborate with other healthcare professionals to ensure comprehensive patient care. Stay updated with the latest medical research...