Corporate Healthcare Job at Optum
A rare chance to join Optum as a Clinical Investigator in claims review and Special Investigations Unit (SIU). This Corporate Healthcare Job is open for candidates with 0 to 4 years of experience and offers a hybrid work model from Monday to Friday across multiple locations including Gurugram, Hyderabad, and Noida.
About Optum:
Optum is a leading health services and innovation company that is part of UnitedHealth Group. It focuses on improving healthcare delivery and outcomes through advanced technology, data analytics, and clinical expertise. With a commitment to enhancing the health system, Optum operates across various sectors including pharmacy care, care delivery, and health management.
Job Details:
- Position: Clinical Investigator
- Locations: Gurugram, Hyderabad, Noida
- Work Model: Hybrid (Monday to Friday)
- Note: This is not a specialist physician post.
Job Description:
The Clinical Investigator will be responsible for reviewing claims and conducting investigations to ensure compliance and integrity within the healthcare system. The role involves collaborating with various teams to analyze data and support the operational objectives of the organization.
Key Responsibilities:
- Conduct claims reviews and investigations.
- Collaborate with cross-functional teams to ensure compliance.
- Analyze data to identify trends and anomalies in the Corporate Healthcare Job.
- Prepare reports and documentation as required at Optum Careers.
- Support operational objectives through effective communication.
- Stay updated on industry regulations and standards.
Eligibility Criteria for the Corporate Healthcare Job:
- Medical degree – BHMS/BAMS/BUMS/BPT/MPT. B.Sc Nursing and BDS
- CPC Certification
- 6+ months of experience (Fresher’s in BPT / MPT / BHMS/ BAMS/ BUMS can also apply)
- Extensive work experience within own function
- Proven attention to detail & quality focused
- Proven good analytical & comprehension skills
- Proven ability to work independently
Preferred Qualifications:
- Claims processing experience
- Health Insurance knowledge, managed care experience
- Knowledge of US Healthcare and coding
- Medical record familiarity
Why Join Optum for a Corporate Healthcare Job?
Joining Optum offers a unique opportunity to be part of a dynamic organization that is at the forefront of healthcare innovation. Employees benefit from a supportive work environment, opportunities for professional growth, and a commitment to improving health outcomes for individuals and communities.
