Non-Clinical Job at Optum, Noida
Interested in a non-clinical medical career as a Clinical Investigator in healthcare? This role at Optum focuses on fraud, waste, and abuse detection in medical claims. You will use your medical knowledge to analyze billing accuracy and ensure compliance. The candidate selected for the Non-Clinical Job at Optum Careers in Noida is responsible for reviewing complex claims and identifying irregularities. It is ideal for healthcare professionals looking to transition into the US healthcare and insurance domain.
About the Company:
Optum, part of UnitedHealth Group, is a global healthcare organization that leverages technology and data to improve health outcomes. The company focuses on connecting people with care, pharmacy benefits, and essential health resources. With a strong emphasis on inclusion, innovation, and performance, Optum aims to help millions live healthier lives while advancing global healthcare systems.
Job Details:
- Company: Optum
- Parent Organization: UnitedHealth Group
- Location: Noida
- Role: Clinical Investigator
- Job ID: 2357627
- Department: Claims
- Travel Requirement: No
- Work Type: Full-time (Overtime Exempt)
Key Responsibilities:
- Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMS guidelines, and 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 in this Non-Clinical Job at Optum Careers
- Coordinate with all team members and share recent process-related updates in this Job in Noida
- 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
Educational Requirements for this Job:
- Medical degree – MBBS/BHMS/BAMS/BUMS/BPT/MPT/BDS
- Graduate – “Results awaited” candidates will not be accepted
- Knowledge of US Healthcare and coding & experience in U.S. healthcare
- Proven attention to detail & quality-focused
- Good knowledge of MS Word & MS Excel
Preferred Qualifications:
- Flexibility – Ready to accommodate the working hours and working days depending on the Business Need
- Ready to support the business during peak volumes as & when needed
- Proven high attention to detail, which translates to 100% quality of work performed
- Proven good written and verbal communication skills
- Proven team player
- Proven ability to work independently without close supervision
- Proven good analytical skills. He should have the ability to understand the mistakes and correct them
- Ability to work 100% from office
Skills Required:
- Strong knowledge of CPT and diagnosis codes
- Understanding of CMS guidelines and the US healthcare system
- Close attention to detail and quality focus
- Good knowledge of MS Word and MS Excel
- Analytical and problem-solving skills
- Strong written and verbal communication skills
- Ability to work independently and in teams
- Flexibility to work based on business needs
Benefits of the Non-Clinical Job:
- Opportunity to work in a global healthcare organization
- Exposure to US healthcare systems and claims management
- Career growth in non-clinical medical roles
- Inclusive and diverse workplace culture
- Learning and development opportunities
- Work on impactful healthcare fraud prevention systems
- Stable career path in healthcare analytics and operations
