Top Tech Jobs & Startup Jobs in Pune

The Denial Specialist IV generates and manages correspondence related to healthcare denials, provides expertise, coordinates data analysis, and ensures compliance with policies.

Perform internal audits including assessing controls, assisting in audit planning, summarizing findings, and reporting on audit status.

The Project Manager IV will oversee complex projects, manage resources, and ensure project adherence to quality standards while aligning data initiatives with business objectives.

The Denial Specialist III processes provider and member correspondence, analyzes denial issues, ensures compliance, and trains team members.

Compile and analyze financial data, create reports, identify trends, perform forecasting, and ensure accuracy in financial information.

The role involves planning, configuring, and building business solutions, conducting research and requirements gathering, and collaborating across teams to deliver effective software solutions.

The Utilization Review Clinician evaluates and reviews mental health and substance abuse treatments, conducts prior authorization reviews, interacts with healthcare providers, and educates related parties on the utilization processes.