Description
We are seeking a Medical Scrutinizer to join our IP department. As a Medical Scrutinizer, you will be responsible for medically scrutinizing and justifying prescribed treatments or services, as well as finalizing assigned cases of claims and pre-authorization requests.
You will maintain IP pre-approvals and claims processing and adjudication cycles within NHS software systems, adhering to organisational policies and regulatory guidelines set by authorities such as the Ministry of Health (MoH) and the Dubai Health Authority (DHA).
The Cigna Group is committed to enhancing the lives of its clients, customers, and patients through its divisions, Cigna Healthcare and Evernorth Health Services.
Responsibilities:
- Medically scrutinize and justify prescribed treatments or services
- Finalize assigned cases of claims and pre-authorization requests
- Maintain IP pre-approvals and claims processing and adjudication cycles within NHS software systems
- Adhere to organisational policies and regulatory guidelines
Benefits:
- Opportunity to work with a global health services organisation
- Collaborative and dynamic work environment
Equal Employment Opportunity: The Cigna Group considers qualified applicants without regard to various characteristics protected by applicable equal employment opportunity laws.
For more fresh new jobs, check out yubhub.co.