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Corporate Office | |||||||||
Regd.off : Plot No:19-III, Road No:71, Jubilee Hills, Opp.Bharatiya Vidya Bhavan Public School, Hyderabad - 500034, Andhra Pradesh, India. | |||||||||
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PLANT LOCATIONS | |||||||||
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Here you can find various options and opportunities to plan your career with pharmacy background. I shared my & few of my Friends experiences who are currently working in their respective sectors and also various ways to start your career with.
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Corporate Office | |||||||||
Regd.off : Plot No:19-III, Road No:71, Jubilee Hills, Opp.Bharatiya Vidya Bhavan Public School, Hyderabad - 500034, Andhra Pradesh, India. | |||||||||
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PLANT LOCATIONS | |||||||||
Title :
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Medical Officer/ Sr. Medical Officer
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Experience :
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2.0 Years
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Department :
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Medical management
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Description :
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- Medical Scrutiny Of Health
insurance Claim Documents.
- Co-ordination With Insurance companies, - Inter departmental Co-ordination - Issuance Of Cashless - Claim Investigation |
Key Skills :
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- Mbbs/bams/bhms Qualified
- Good Written And Verbal skills. - Insurance Sector Knowledge Is An Added Advantage. - Permanent registration As A Medical Practitioner Is Must. - Freshers With good Academic record will Be Considered |
Qualification :
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Mbbs/bams/bhms
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Status :
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Full Time
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Title :
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Executive
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Experience :
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1.0 Years
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Department :
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Customer Service
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Description :
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O reply To Client Queries
Regarding Tpa Processes (preauthorisation Status, Claims Status, policy
Benefits Etc.) o co-ordination With Related Departments o tele Underwriting
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Key Skills :
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-good Communication And
Interpersonal Skills. -willingness’ To Work In Shift -knowledge Of Medical
Terminolgy Will Be An Added Advantage - Freshers With Good Aptitude Will Be
Considered
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Qualification :
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Graduate / Undergrad
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Status :
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Full Time
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We are a leading IT company with more than 14000 employees. We are one of the fastest companies to attain CMM Level 5, CMMi, and PCMM Level 5. We have vast experience in software solutions for areas like retail, banking & financial services, airlines, healthcare, shipping & transportation, networking, telecommunications automobiles and manufacturing.
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Designation | Sr Claims Associate |
Job Description | We are looking candidates for the below mentioned requirement, if the JD is of your interest please share your updated resume to akila.kothandam@ust-global.com with the below mentioned details:-
CTC:
ECTC:
Exp:
NP:
CANDIDATE SHOULD BE COMFORTABLE WORKING IN SHIFTS
Benefit Analyst Responsibilities Analyze benefit requests and secure all necessary data to ensure appropriate. implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system. o Work with Client Management to implement new and maintain existing benefit plans and client pricing in the pharmacy claim adjudication system. o Work with Clinical Pharmacy to implement formulary updates and clinical programs in the pharmacy claim adjudication system. o Work with Pharmacy Network Management to implement pharmacy rate changes and network additions in the pharmacy claim adjudication system. Ensure timely communication of any issues and/or information needed to complete a plan request. Develop client specific implementation plans and manage implementation processes in accordance with department protocol. Run queries out of the RxCLAIM adjudication system to secure all necessary information to implement plan requests. Develop and run macros in RxCLAIM to implement plan requests. Perform claim testing to ensure accurate claim adjudication. Maintain acceptable and appropriate quality levels and production turn around times Adhere to all documentation standards within the department. Assist with the development of process improvements for the department. Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal department. Participate in team meetings.
May be assigned to work on special projects and business initiatives.
Performance Standard Ability to maintain an accuracy rate of 98% or better Adherence to company attendance policy Able to work independently Completes assigned projects on time. Skills Microsoft Office proficiency Word and Excel, specifically Advanced Excel skills -- must have ability to create Excel spreadsheet, macros, compile/analyze data for reporting; Strong written and verbal skills; Detail-oriented; Superior organization skills; Ability to work on multiple project simultaneously; and Excellent analytical skills. Qualifications Certified pharmacy technician preferred; Bachelor's Degree or equivalent experience; 2+ years of RxCLAIM (by SXC) experience (desired); and/or 2+ years PBM or retail pharmacy experience (required). |
Desired Profile | Please refer to the Job description above |
Experience | 1 - 3 Years |
Industry Type | BPO / Call Centre / ITES |
Role | Associate/Senior Associate -(NonTechnical) |
Functional Area | ITES, BPO, KPO, LPO, Customer Service, Operations |
Education | UG - Any Graduate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Graduation Not Required PG - Any Postgraduate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Post Graduation Not Required DOCTORATE - Any Doctorate - Any Specialization, Any Specialization, Any Specialization, Any Specialization, Doctorate Not Required |
Location | Hyderabad / Secunderabad |
Keywords | Ms Office, Clinical Pharmacy, Claims Processing, Technician Activities, Organization Skills, Network Management, Advanced Excel, Client Management, Analytical Skills |
Contact | Manoj US Technology International Pvt Ltd |
Website | http://www.ust-global.com |
Job Posted | 07 Jul |
Department: Analytical Research Laboratory (Position Code: ARL1) Location: Govandi (Mumbai) Position: Research Analyst / Sr. Research Analyst (Multiple Vacancies) Experience: 2+ years Qualification: M.Sc (Chemistry) Job profile:
Candidates should have exposure of regulatory audits like USFDA, MHRA etc. Interested applicants may send their resumes to deepti.joshi@usv.in Department: Drug Delivery and Research Laboratory (Position Code: DDRL1 ) Location: Govandi (Mumbai) Position: Research Pharmacist Experience: 2+ years Qualification: M. Pharm Position Code: DDRL Job profile:
Candidates should have exposure of regulatory audits like USFDA, MHRA etc. Exposure to the QBD methodology and experience in Solid orals or Parenterals will be highly preferred. Interested applicants may send their resumes to reena.bhole@usv.in Department: Biologics Research Laboratory – Quality Assurance (Position Code: BRL1) Location: Nerul (Navi Mumbai) Position: Officer / Executive / Sr. Executive Experience: 2+ years Qualification: Graduate or Post Graduate in Biotechnology / Biochemistry / Microbiology / Chemistry / Pharmacy. Job profile:
Knowledge of validating processes like fermentation, purification using chromatography techniques etc.
Candidates should have experience of GMP. Interested applicants may send their resumes to kajal.bhanushali@usv.in |