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3.0 - 7.0 years
0 Lacs
kochi, kerala
On-site
As a Reviewer of Precertification Requests for Medical Necessity, your role involves evaluating requests based on clinical policy guidelines. This includes: - Providing unbiased recommendations on medical necessity by analyzing medical records from requesting parties. - Collaborating with Medical Directors to refer cases that do not meet the established guidelines initially. - Reviewing the appropriate length of hospital stays using Milliman Care Guidelines. - Conducting efficient and timely reviews while adhering to urgent and non-urgent turnaround time standards. - Offering peer-to-peer reviews and participating in the appeals process for case denials. In addition to these responsibilities...
Posted 1 week ago
3.0 - 7.0 years
0 Lacs
kochi, kerala
On-site
As a Reviewer of Precertification Requests, your role involves evaluating requests for medical necessity based on clinical policy guidelines. Your responsibilities include: - Reviewing precertification requests to determine medical necessity according to established guidelines - Verifying the eligibility and benefits of members" coverage - Communicating effectively with network providers and members to gather additional information as needed - Providing unbiased recommendations based on the medical records provided - Collaborating with Medical Directors to refer cases that do not meet guidelines initially - Assessing the appropriate length of hospital stays using Milliman Care Guidelines - E...
Posted 2 weeks ago
10.0 - 14.0 years
0 Lacs
indore, madhya pradesh
On-site
As an HR Manager at our company, your role involves consistently recruiting excellent staff, maintaining a smooth onboarding process, and training, counseling, and coaching our staff. You will be responsible for resolving conflicts through positive and professional mediation, carrying out necessary administrative duties, and conducting performance and wage reviews. Additionally, you will develop clear policies, ensure policy awareness, and create clear and concise reports. Your role will also include giving helpful and engaging presentations, maintaining and reporting on workplace health and safety compliance, handling workplace investigations, disciplinary, and termination procedures, and m...
Posted 1 month ago
4.0 - 8.0 years
0 Lacs
kochi, kerala
On-site
Job Description: You will be joining Intellex as an Accounts & Admin Executive in Kochi. Your role will involve handling both accounting and administrative responsibilities. Role Overview: As an Accounts & Admin Executive at Intellex, you will be responsible for managing vendor relationships, maintaining accurate financial records, and assisting with the implementation of internal control procedures. Additionally, you will be managing travel itineraries, accommodations, and expense claims for staff, organizing company records, handling vendor management, and ensuring compliance with company policies & procedures. Key Responsibilities: - Manage vendor relationships and communication - Maintai...
Posted 1 month ago
5.0 - 9.0 years
0 Lacs
punjab
On-site
We are looking for an HR manager to lead our HR team. You will take ownership of all HR matters across the company from recruitment to performance reviews, wage reviews, disciplinary action, and learning and development. To perform well in this role you should have experience as an HR manager, or other senior roles in the HR team, and knowledge around all legal requirements in this role. Responsibilities: - Consistently recruiting excellent staff. - Maintaining a smooth onboarding process. - Training, counseling, and coaching our staff. - Resolving conflicts through positive and professional mediation. - Carrying out necessary administrative duties. - Conducting performance and wage reviews....
Posted 2 months ago
1.0 - 5.0 years
0 Lacs
coimbatore, tamil nadu
On-site
We are looking for an HR manager to lead our HR team. You will take ownership of all HR matters across the company from recruitment to performance reviews, wage reviews, disciplinary action, and learning and development. To perform well in this role you should have experience as an HR manager, or other senior roles in the HR team, and knowledge around all legal requirements in this role. Responsibilities: - Consistently recruiting excellent staff. - Maintaining a smooth onboarding process. - Training, counseling, and coaching our staff. - Resolving conflicts through positive and professional mediation. - Carrying out necessary administrative duties. - Conducting performance and wage reviews....
Posted 2 months ago
2.0 - 6.0 years
0 Lacs
kolkata, west bengal
On-site
You are invited to join our team as a Human Resource & Industrial Relation Executive for one of our esteemed clients, a holistic environment infrastructure and services company specializing in water, waste water, effluent & sewage management, and solid waste management. The position is based in Kolkata & rest of West Bengal, offering a salary as per industry standards. As a Human Resource & Industrial Relation Executive, your primary responsibilities will include recruiting staff and contractors for factory sites, facilitating a smooth onboarding process, providing training and coaching to employees, mediating conflicts, conducting administrative duties, performance and wage reviews, policy ...
Posted 3 months ago
3.0 - 7.0 years
0 Lacs
punjab
On-site
As an HR Manager, your responsibilities will include consistently recruiting excellent staff, maintaining a smooth onboarding process, training, counseling, and coaching our staff, resolving conflicts through positive and professional mediation, carrying out necessary administrative duties, conducting performance and wage reviews, developing clear policies and ensuring policy awareness, creating clear and concise reports, giving helpful and engaging presentations, maintaining and reporting on workplace health and safety compliance, handling workplace investigations, disciplinary, and termination procedures, maintaining employee and workplace privacy, as well as leading a team of junior human...
Posted 3 months ago
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