Clinical Researcher

Walkin on 11th Sep to 30th Sep

Company Name

Cotiviti India Private Limited

Qualification

Graduate

Experience

1 - 5 yrs

Salary

INR 5,00,000 - 7,00,000 PA.

No of Openings

10

Work Location

Hyderabad

Job Description

Pls note : Only clinical Doctors (BPT with CPC Mandatory/ BHMS/ MBBS/ BDS/ BAMS/BUMS) are eligible for this Role .  Job Responsibilities Supports Research Medical Directors to provide oversight for the accuracy and quality of research materials originated from Medical Policy and Client Services
Supports the scheduled review process for global and specialty policies in collaboration with the Research Medical Directors
Coordinates with Research Medical Directors to manage the integrity of the Payment Policy Library and ensure the Payment Policy Library is accurate and up-to-date
Supports quarterly and annual updates in collaboration with the Research medical Directors
Ensures changes to rule sets are accurate, complete and are finished in a timely manner including documentation of notable changes
Responds to the research related queries pertaining to the medical policy raised by internal personnel or client including but not limited to:
i. Questions about claims edits that enforce medical policy
ii. Interpretation of how claims edits relate to policy statements.
iii. Recommendations regarding modifications of edits
Conducts research to explore potential opportunities to expand the current medical policy set
Coordinates interactions with our expert panel (consultant pool) on relevant clinical issues
Partners well with global research team members to advance the Research agenda
Educates Client Service MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings
Supports other departments and client teams within iHT

Required Candidate profile

RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
Medical degree (MBBS or MD / BHMS / BAMS / BUMS / BDS /BPT with CPC Certification) mandatory with clinical experience of atleast 2 years
Clearance of cognitive aptitude test (analytical, quantitative, and logical reasoning skills)
Clearance of English assessment test for both written and verbal skills
Experience working in the US strongly preferred
Experience in private sector/ Health plan operations with focus on reimbursement and/or claims processing and/or medical coding preferred
Corporate experience particularly in business analyst roles highly preferred
Consulting experience within a healthcare coding and reimbursement company is a definite plus
Knowledge of ICD-10 coding preferred

SKILLS & COMPETENCIES
Strong analytical, critical thinking and problem solving skills
Excellent verbal and written communication skills
Excel proficiency
Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads
Ability to work well independently and maintain focus on a topic for prolonged periods of time
Comfort in working with team members that are remote and located in the US, India or other geographies
Ability to work within a matrix organization

B.Pharma / M.Pharma & Pharm Dcandidates are not eligible to apply for this role.

Address

  • Walkin Time: From 9:30AM
  • Venue: Cotiviti India Private Limited Western Pearl Building, 4th & 5th Floors Survey. No. 13 Kondapur, Hyderabad - 500084 Telangana, India

Contact

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