Health Operations Associate

Overview

Health Operations Associate in Healthcare Management (Utilization Management), evaluating the necessity, appropriateness and efficiency of healthcare services.

What you'll do

• Evaluate the necessity, appropriateness and efficiency of healthcare services.
• Review medical records.
• Coordinate with healthcare providers.
• Make coverage decisions.
• Solve routine problems, largely through precedent and referral to general guidelines.
• Work as an individual contributor within a team, with a predetermined, focused scope of work.

What you'll need

• Any graduation.
• 1 to 3 years of experience.
• Advanced English (domestic).
• Ability to perform under pressure.
• Adaptable and flexible.
• Ability to meet deadlines.
• Ability to handle disputes.
• Healthcare utilization management.
• Health insurance data requests and referrals.

Details

• Location: Bengaluru.
• May require working in rotational shifts.
• Interactions are within own team and direct supervisor.
• Receives detailed to moderate level of instruction on daily tasks.