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6 Job openings at Rx Consultants
Assistant Manager - Claims

Mumbai

5 - 10 years

INR 8.0 - 15.0 Lacs P.A.

Work from Office

Full Time

Experienced and licensed medical professional (MBBS/MD) with a strong background in medical claims assessment and clinical evaluation within the health insurance or TPA industry. Skilled in reviewing pre-authorization requests, hospitalization claims, and medical documentation to ensure medical necessity, policy compliance, and regulatory standards (IRDAI). Proficient in ICD-10 coding, claims adjudication, and fraud detection, with a focus on accuracy, ethical judgment, and collaborative decision-making. Adept at coordinating with hospitals, TPAs, and internal teams to streamline claim processing and maintain service quality.

PAP Lead (Patient Assistance Program) Lead

Mumbai

4 - 9 years

INR 6.0 - 9.0 Lacs P.A.

Work from Office

Full Time

We are hiring a PAP Lead to manage and oversee our Patient Assistance Program (PAP) operations in Mumbai. The role involves coordinating with patients, healthcare providers, internal teams, and third-party vendors to ensure timely support and service delivery. The ideal candidate will have strong leadership abilities, healthcare operations experience, and a compassionate, patient-centric approach. This role is critical in driving program efficiency, maintaining compliance, and ensuring a seamless patient experience.

Field Counsellor / Kevat

Mumbai, Vijayawada, Calicut

2 - 7 years

INR 0.5 - 0.6 Lacs P.A.

Work from Office

Full Time

Field Counsellor Patient Assistance Program (PAP) Support Position : Field Counsellor Department : Backend Support Location : Mumbai, Vijayawada (Andhra Pradesh), Calicut (Kerala) Reports to : Patient Support Lead Role Overview The Field Counsellor is a pivotal, field-based role responsible for assisting patients and their families in navigating and enrolling in Patient Assistance Programs (PAPs). This position involves direct interaction with patients at hospitals and homes, ensuring they receive the necessary support and resources throughout their treatment journey. Key Responsibilities Patient Enrollment : Engage with patients and their families to provide clear information about the enrollment process in assistance programs. Eligibility Verification & Documentation : Assess patient eligibility, manage documentation, and input details into the CRM system. Follow-Up & Monitoring : Ensure patients receive the intended benefits and monitor their satisfaction with the programs. Audit Participation : Assist in audits conducted by pharmaceutical companies to ensure compliance and quality standards. Field Visits : Conduct visits to hospitals and patients' homes as required, providing personalized support. Qualifications & Experience Bachelors degree in Science, Pharmacy, Social Work, Psychology, Counseling, Nursing, or a related field; Masters degree or equivalent experience preferred. Proven experience in a counseling or social work role, ideally within the healthcare sector. Strong interpersonal and communication skills, with the ability to build rapport and trust with patients and their families. Compassionate and empathetic approach to patient care and support. Ability to work independently and manage a flexible schedule to accommodate patient needs. Knowledge of cancer and critical care treatments, support services, and community resources. Proficiency in using computer systems and patient management software. Valid driver’s license and reliable transportation for field visits. Desired Traits Strong problem-solving skills and the ability to address complex patient needs. Resilience and the ability to handle emotional and challenging situations with professionalism. Team-oriented with a collaborative approach to working with healthcare professionals and community organizations. This role is essential in delivering personalized care and ensuring that patients receive the necessary resources and assistance throughout their treatment.

QA and Compliance Executive

Mumbai

2 - 5 years

INR 3.0 - 6.0 Lacs P.A.

Work from Office

Full Time

Job Description Summary We are looking for a detail-oriented and compliance-focused QA and Compliance Executive to join our Commercials Department in Mumbai . This role is vital to ensuring that all pharmacovigilance (PV) processes, data documentation, and reporting meet global regulatory standards and internal quality benchmarks. You will play a central role in managing safety data, identifying adverse events, ensuring timely and accurate reporting, and supporting inspection readiness through audits and continuous process improvement. The ideal candidate will have strong knowledge of healthcare regulations such as EMA, FDA, HIPAA, and Good Pharmacovigilance Practices (GVP), along with hands-on experience in PV documentation, quality reviews, and compliance operations within the healthcare or pharmaceutical industry. Key Roles and Responsibilities 1. Pharmacovigilance Reporting & Documentation Ensure accurate and timely collection, documentation, and submission of pharmacovigilance data. Identify, assess, and document Adverse Events (AEs), Serious Suspected (SS) cases, and Special Situation Reports (SSRs). Maintain detailed case records including intake forms, investigation notes, follow-ups, and regulatory submissions. 2. Quality Assurance & Compliance Monitoring Conduct internal quality audits of PV data and processes to ensure alignment with SOPs, GVP guidelines, and international regulatory standards (EMA, FDA). Perform quality checks on safety documentation for completeness, accuracy, and consistency. Identify deviations and implement Corrective and Preventive Actions (CAPA) accordingly. 3. Regulatory Readiness & Reporting Contribute to audit summaries, compliance reports, and documentation needed for regulatory inspections. Support internal and external audit preparation and responses to regulatory queries. Ensure that all case management activities are in compliance with local and global safety reporting obligations. 4. SOP Development & Process Improvement Assist in the creation, review, and refinement of Standard Operating Procedures (SOPs), work instructions, and quality manuals in collaboration with the QA team. Monitor and suggest enhancements to improve quality metrics and operational efficiency. 5. Data Security & Confidentiality Ensure secure handling of all patient and safety data in line with HIPAA, GDPR, and company-specific data protection policies. 6. Cross-Functional Collaboration Liaise with internal teams (Medical Affairs, Operations, Regulatory, and IT) to maintain effective quality and compliance standards. Present audit findings, trends, and improvement opportunities to stakeholders. Qualifications and Skills Required Education: Bachelors degree in Healthcare Administration, Life Sciences, Quality Management, or a related field. Certifications: Certified Quality Auditor (CQA) or similar certification is a plus. Experience: 2–5 years in QA, compliance, or pharmacovigilance within the healthcare/pharma industry. Regulatory Knowledge: Familiarity with GVP, EMA, FDA, HIPAA, and other healthcare compliance frameworks. Skills: Strong analytical and problem-solving skills Excellent attention to detail and documentation accuracy Proficient in compliance and QA software tools Strong verbal and written communication skills Ability to multitask and work independently Why Join Us? Be part of a mission-driven organization committed to healthcare safety and regulatory excellence. Work in a collaborative and growth-oriented environment. Competitive salary and professional development opportunities.

Manager -Underwriting and Credit Evaluations

Mumbai

5 - 9 years

INR 7.0 - 15.0 Lacs P.A.

Work from Office

Full Time

Role Overview: We are looking for a qualified Chartered Accountant (CA) with a minimum of 5 years experience in underwriting and credit evaluation in the banking or NBFC sector. The ideal candidate will have hands-on experience in assessing creditworthiness for secured or unsecured loan products, strong financial analytical skills, and a deep understanding of lending policies and regulatory guidelines. Key Responsibilities: Assess creditworthiness of individual and business loan applicants by evaluating financial documents, credit reports, and other supporting information. Conduct detailed financial statement analysis, cash flow analysis, and ratio analysis for risk assessment. Evaluate and approve/recommend credit proposals for secured (loan against property, mortgage, etc.) and/or unsecured loans (personal loan, business loan, etc.) as per defined credit policies. Collaborate with sales and operations teams to ensure quality underwriting within defined turnaround times (TAT). Ensure adherence to internal credit risk guidelines and regulatory frameworks (RBI, NBFC norms). Monitor portfolio performance and assist in developing early warning systems for risk mitigation. Recommend policy changes or improvements based on market trends, portfolio behavior, and risk appetite. Participate in audits, compliance reviews, and risk committee discussions when required. Train and guide junior underwriters and credit analysts. Key Requirements: Chartered Accountant (CA) mandatory. Minimum 5 years of experience in underwriting and credit evaluation within a bank or NBFC. Strong understanding of secured/unsecured lending products, credit policies, and risk management frameworks. Proficient in financial analysis, ratio analysis, and interpreting credit reports (CIBIL, CRIF, etc.). Hands-on experience with loan management systems and underwriting platforms. Strong interpersonal skills with the ability to work in a fast-paced environment. Attention to detail and sound judgment in decision-making. Preferred Experience: Exposure to MSME, SME, or LAP underwriting is a plus. Experience in a fintech or digital lending platform will be an added advantage. Knowledge of regulatory reporting and compliance norms (RBI/NBFC guidelines). Let me know if you'd like this tailored further to a specific loan product, company type (fintech vs traditional NBFC), or industry sector.

Subject Matter Expert

Mumbai

2 - 5 years

INR 5.0 - 10.0 Lacs P.A.

Work from Office

Full Time

Job Title: Subject Matter Expert Fintech Department: Fintech Location: Mumbai Reporting To: Lead – Fintech Solutions Employment Type: Full-Time Job Summary: We are seeking a dedicated, empathetic, and detail-oriented Call Centre Agent to join our Fintech team in Mumbai. The ideal candidate will be responsible for managing client communications, handling documentation, and assisting in successful lead conversions. This role is pivotal in ensuring an excellent client experience, from initial interaction to resolution and closure. Key Responsibilities: 1. Client Communication: Handle both inbound and outbound calls with professionalism and courtesy. Understand client needs through active listening and provide effective resolutions. Establish rapport with clients by empathizing with their situations and offering tailored solutions. 2. Documentation Management: Collect and validate client documents as required by internal policies and regulatory guidelines. Maintain accurate, up-to-date, and confidential client records in the system. 3. Lead Management and Closure: Engage with leads to understand their financial service requirements. Follow up regularly to drive lead conversion and ensure a smooth customer journey. Collaborate with sales and operations teams to ensure efficient handover and closure of leads. 4. Customer Support: Serve as the first point of contact for client inquiries, complaints, or service requests. Provide prompt, accurate, and empathetic support to ensure customer satisfaction. 5. Reporting and Feedback: Maintain detailed logs of all customer interactions, issues raised, and outcomes. Provide insights and feedback to the team for process improvements and service enhancements. Qualifications & Skills: Education: Inter CA (Freshers welcome). Experience: Previous experience in customer service, call centers, or a similar client-facing role is preferred. Language Proficiency: Excellent verbal and written communication skills in English and [insert local language, e.g., Hindi/Marathi]. Empathy & Interpersonal Skills: Strong ability to empathize with clients, especially in sensitive financial scenarios. Organizational Skills: High attention to detail for managing documents and tracking leads. Tech Proficiency: Comfortable using CRM tools, telephony systems, and digital platforms for lead and documentation management. What We Offer: A collaborative and inclusive work environment. Exposure to the dynamic and fast-growing fintech sector. Career growth opportunities within the organization. Training and mentorship for skill enhancement.

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