1,025 Medical Management jobs in India

This role will be reporting to Head of Sales Strategy & Sales Excellence based out of Gurgaon office of Incedo. The function is responsible for growth of the firm and practices, wherein we perform sales strategy & transformation, detailed account planning for existing clients, defining market whitespaces and sweet spots for New Business Development, defining service & solutions offerings for GTM enablement, proprietary thought-leadership for business development (playbooks) and responding to RFPs and client situations.

Additionally, practice management for various BUs is aligned with this function to make sure strategic agenda for BUs, Go-to-market strategy, topics for investing in knowledge development are intact with the firm priorities.

Key responsibilities

Account Planning

• Understand the strategic priorities of existing clients by their lines of business (LoBs) and also, the $ spend by those priorities.
• Then, map the relevant priorities by horizontals & capabilities that we have within Incedo to target the buyers with our propositions.
• Develop detailed account relationship maps and align to Incedo Client Service Teams (CSTs)

Develop Propositions for Go-to-Market

• Develop our suite of offerings and develop services + products approach for winning in the market. This is critical to win proactive / sole-sourced projects and deals.
• Understand the market backed by fact-based research and map the various propositions available in the market by leading competitors and also, emerging trends in the market
• Help develop solutions needed during ‘shaping’ stage of sales process. This requires close coordination with the onsite sales and product management teams incl. design thinking, data science teams etc.

Drive Proactive Business Development for Practices

• Partner with BU / Horizontal Heads to build new business
• Identify granular opportunities on the basis of account planning and also, propositions as to where we want to target in the market and accounts
• Drive sales activities by partnering with the BU / Horizontal Heads towards solutioning stage and deal shaping

Own the Proposal and Pitch document developments for client RFPs/ RFIs and proactive sales pursuits

• Storyboard and write the Proposal / Response including clear understanding of the client needs, our value proposition & differentiation and solutioning of the problem
• Collaborate with cross-functional teams to gather inputs for complex pursuits across industry verticals and service lines
• Support the account management team in developing proactive proposals and demonstration of Incedo’s capabilities & proven solutioning experience to potential customers
• Completely own the quality of the client proposals/ responses
• Partner with various client and delivery teams to orchestrate client visits ensuring meaningful and productive conversations, focusing on potential partnership opportunities

Manage the Practice as COO of BUs while working closely with BU Heads. Specifically,

• Define the focus areas for GTM and drive the execution along with account managers.
• Understand the commercial aspects of IT services model (onsite/offshore, project methodology, etc.) including evaluation of different approaches leading to different pricing scenarios
• Drive internal initiatives like building compendium of case studies, capabilities decks and other initiatives which enhance our value proposition e.g., automation, transition to managed services model etc.

Co-Own the CRM for Incedo

• Incedo has all deals parked into the CRM system at 4-stages of the sales lifecycle.
• This is the basis for all sales discussion and also, the revenue forecasting.
• Make sure that CRM is updated with the latest information and the next-best actions.

People Management

• Manage and oversee the activities of team of presales consultants
• Coach team to enable them to effectively respond to client RFPs/ RFIs with no or minimal supervision

Primary skills

• Exceptional problem-solving skills
• Outstanding written & oral communication, presentation storyboarding skills
• Fact-based analysis of the market and other situations
• Stakeholder management including C-suite and VPs in the verticals and horizontals
• Program management for response and bids

Desired behaviors from the successful candidates

• Can deal with ambiguous situations effectively and bring consensus
• Can articulate working team’s thinking clearly in the draft documents
• Is proactive and self-starter
• Is collaborative and a team player

Desired experience

• Post-MBA experience in a similar role at a mid-sized IT firm
• Proven record of people management
• Prior experience in technology and US markets is highly desirable
• Total experience to be in the range of 11-15 years

• Analyze medical records and documentation to identify services provided during patient evaluations and management

• Assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations (e.g., CPT, ICD-10-CM, HCPCS)

• Ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels

• Stay up-to-date with relevant coding guidelines, including updates from regulatory bodies (e.g., Centers for Medicare and Medicaid Services, American Medical Association)

• Adhere to coding regulations, such as HIPAA (Health Insurance Portability and Accountability Act) guidelines, to ensure patient privacy and confidentiality

• Follow coding best practices and maintain a thorough understanding of coding conventions and principles

• Collaborate with healthcare professionals, including physicians, nurses, and other staff members, to obtain necessary information for coding purposes

• Communicate with providers to address coding-related queries and clarify documentation discrepancies

• Work closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement

• Conduct regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement

• Participate in coding compliance programs and initiatives to maintain accuracy and quality standards

To be considered for this position, applicants need to meet the following qualification criteria:

• Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC)

• In-depth knowledge of Evaluation and Management coding guidelines and principles

• Proficient in using coding software and Electronic Health Record (EHR) systems

• Familiarity with medical terminology, anatomy, and physiology

• Strong attention to detail and analytical skills

• Excellent communication and interpersonal skills

• Ability to work independently and as part of a team

• Compliance-oriented mindset and understanding of healthcare regulations

• Strong organizational and time management abilities

• Continuous learning mindset to stay updated on coding practices and changes

We are seeking an experienced and certified Medical Coding Trainer to facilitate training programs focused on Denial Management. The ideal candidate will possess strong analytical skills, expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes, and a deep understanding of the Revenue Cycle Management (RCM) cycle. The candidate must be AHIMA/AAPC certified and demonstrate the ability to communicate effectively and handle diverse groups of coders.

• Follow the training agenda and facilitate the training sessions for Coding – Denial Management

• Utilize proficient analytic skills to accurately code medical records using ICD-10-CM, CPT conventions, and HCPCS codes

• Browse payer guidelines to collate and provide the most accurate payer-specific information

• Interpret medical records across various specialties and provide appropriate denial actions based on analysis

• Handle and train diverse groups of new hires and existing coders.

• Mentor and develop coders' capabilities in denial management within the organization

• Provide Subject Matter Expert (SME) support for transitioning clients

• Conduct focus and compliance audits for all types of coders and auditors (ATA)

• Report and analyze trainees' performance to ensure client partners are ramping up to meet client and SD/SQ team standards

• Excellent communication and people skills

• Strong analytical skills and in-depth knowledge of the Revenue Cycle Management (RCM) cycle

• Minimum 5 years of work experience

  • 3 to 4 years in medical coding

  • 1 year in denial coding management

  • 1 year in trainer role

• Proven experience in a training role within Medical Coding or a related field

• Experience in training and mentoring coders

• Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations

• ·Notify or verify with physicians on all the changes and charges made

• Update changes after physician's acknowledgment

• Perform a variety of activities involving the Coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of Coding

• Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required

• Review insurance denials to analyze the causes and identify suitable solutions

• Discuss coding challenges, changes, or reimbursements with a physician

• Submit claims with appropriate documentation with OP notes and other information

• Update claims appropriately when patient data has been changed or corrected after charge posting

• Maintains a high degree of professional and ethical standards

• Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards

• Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences

To be considered for this position, applicants need to meet the following qualification criteria:

• Graduates in life sciences with 1 - 4 years experience in Medical Coding

• Prior experience in E&M coding, insurance, and posting required

• Experience in medical billing processes

• Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding

• CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

• Knowledge of HIPAA standards

• Prefer the Certified Professional Coding certificate

• Good knowledge of medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Position Summary:

Join our dynamic Revenue Cycle Case and Escalation Management (RCCEM) team, where you will play a pivotal role in tackling our most complex and sensitive client issues. As the final escalation point, our team is dedicated to researching and resolving challenges that require a keen eye for detail and a commitment to excellence. This role specifically needs to be filled by an individual with experience in Medical Coding.

In this role, you will be at the forefront of driving actionable insights across Product and Revenue Cycle Management, ensuring that our product and services not only meet but exceed athenahealth's value proposition and the expectations of our clients. Your contributions will be essential in creating visibility into case performance, fostering consistency in terminology and measurement, and championing initiatives that enhance case resolution performance.

At athenahealth, we pride ourselves on our innovative spirit and solution-oriented mindset. We thrive in a collaborative environment that embraces continual change and improvement, fueled by our rapid growth. If you are a naturally curious individual with a strong desire to learn and grow, this is the perfect opportunity for you to make a significant impact while collaborating with passionate colleagues. Join us in shaping the future of healthcare solutions!

Essential Functions (Duties and Responsibilities):

Customer Focus

Analytical Thinking

Plans and Aligns (Project Management)

Mentor Others

Education & Experience Required:

Knowledge & Skills:

About athenahealth

Here’s ourvision:  To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

What’s unique about our locations?
From an historic, 19thcentury arsenal to a converted, landmark power plant,allofathenahealth’s offices were carefully chosen to represent our innovative spirit and promote the most positive and productive work environment for our teams. Our10offices across the United States and India —plus numerous remote employees —all work to modernize the healthcare experience, together.

Our company culture might be our best feature.
We don't take ourselves too seriously. But our work? That’s another story.athenahealth develops andimplements products and services that support US healthcare: It’sour chance to create healthier futures for ourselves, for our family and friends, for everyone.

Our vibrant and talented employees — orathenistas, as we call ourselves — spark the innovation and passion needed to accomplishour goal. We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where every athenista feels comfortable bringing theirbestselves to work.

Our size makes a difference, too: We are small enoughthatyourindividual contributionswill stand out— butlarge enoughto grow your career with ourresources and established business stability.

Giving back is integral to our culture. OurathenaGivesplatform strives tosupport food security, expand access to high-quality healthcare for all, and support STEM education to develop providers and technologists who will provide access to high-quality healthcare for all in the future. As part of the evolution of athenahealth’sCorporate Social Responsibility(CSR)program, we’ve selected nonprofit partners that align with our purpose and let us foster long-term partnerships for charitable giving, employee volunteerism, insight sharing, collaboration, and cross-team engagement.

What can we do for you?
Along with health and financial benefits,athenistasenjoy perks specific to eachlocation, including commuter support, employee assistance programs, tuition assistance,employeeresource groups, and collaborative workspaces — some offices even welcome dogs.

In addition to our traditional benefits and perks, we sponsor events throughout the year, includingbook clubs, external speakers, and hackathons. And weprovideathenistaswithacompany culturebased onlearning,the support of anengaged team,andan inclusive environment where all employees are valued. 

We alsoencourage a better work-life balance forathenistaswith our flexibility. Whilewe know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation. 

We are seeking a talented individual to join our Bengaluru team at Marsh India Insurance Brokers Pvt Ltd. This is a hybrid role that has a requirement of working at least three days a week in the office.

Process Manager - Risk Management Practice

We will count on you to:

• Handling daily insurance related queries from client
• Support with internal and external co-ordination for ongoing and any future claim
• Supporting individual plant team with technical queries related to insurance or route the queries to proper channel internally for appropriate response to client
• With resource stationed at client’s office, we have added benefit in relationship management with client
• Support during routine endorsements
• Following up with client on proposals under discussion’
• Preparing weekly / monthly Dashboard on Claims
• Follow-up with Insurers for Policy Copies / Endorsements etc
• Maintaining the Portfolio Records
• Maintaining the Claim MIS for Claims and follow up:
• With the Client on the Pending Documentations
• With the Underwriter for the claim status
• With the surveyor for the inspection / survey reports

What you need to have:

Educational Background

Bachelor’s degree in Business Administration, Mathematics, Economics, Statistics or a related field.

Insurance qualification is preferred

Experience

3+ years of Proven working experience in the insurance industry (General Insurance, non-health)

Proven track record of managing multiple projects simultaneously in a fast-paced environment.

Experience in stakeholder management and cross-departmental coordination.

Technical Skills

Advanced proficiency in MS Office Suite (Excel, PowerPoint, Word).

What makes you stand out?

Strong organizational and multitasking abilities.

Exceptional communication and interpersonal skills.

Ability to work collaboratively with diverse teams and stakeholders.

High attention to detail and a proactive problem-solving approach.

Ability to handle sensitive financial data with confidentiality and integrity.

Willingness to adapt to dynamic priorities and work independently when needed.

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh , a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh , Guy Carpenter , Mercer and Oliver Wyman . With annual revenue of $23 billion and more than 85,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com , or follow on LinkedIn and X .

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people regardless of their sex/gender, marital or parental status, ethnic origin, nationality, age, background, disability, sexual orientation, caste, gender identity or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

We are seeking a talented individual to join our Bengaluru team at Marsh India Insurance Brokers Pvt Ltd. This is a hybrid role that has a requirement of working at least three days a week in the office.

Process Manager - Risk Management Practice

We will count on you to:

• Handling daily insurance related queries from client
• Support with internal and external co-ordination for ongoing and any future claim
• Supporting individual plant team with technical queries related to insurance or route the queries to proper channel internally for appropriate response to client
• With resource stationed at client’s office, we have added benefit in relationship management with client
• Support during routine endorsements
• Following up with client on proposals under discussion’
• Preparing weekly / monthly Dashboard on Claims
• Follow-up with Insurers for Policy Copies / Endorsements etc
• Maintaining the Portfolio Records
• Maintaining the Claim MIS for Claims and follow up:
• With the Client on the Pending Documentations
• With the Underwriter for the claim status
• With the surveyor for the inspection / survey reports

What you need to have:

Educational Background

Bachelor’s degree in Business Administration, Mathematics, Economics, Statistics or a related field.

Insurance qualification is preferred

Experience

3+ years of Proven working experience in the insurance industry (General Insurance, non-health)

Proven track record of managing multiple projects simultaneously in a fast-paced environment.

Experience in stakeholder management and cross-departmental coordination.

Technical Skills

Advanced proficiency in MS Office Suite (Excel, PowerPoint, Word).

What makes you stand out?

Strong organizational and multitasking abilities.

Exceptional communication and interpersonal skills.

Ability to work collaboratively with diverse teams and stakeholders.

High attention to detail and a proactive problem-solving approach.

Ability to handle sensitive financial data with confidentiality and integrity.

Willingness to adapt to dynamic priorities and work independently when needed.

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh , a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh , Guy Carpenter , Mercer and Oliver Wyman . With annual revenue of $23 billion and more than 85,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com , or follow on and X .

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people regardless of their sex/gender, marital or parental status, ethnic origin, nationality, age, background, disability, sexual orientation, caste, gender identity or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

We are seeking a talented individual to join our Bengaluru team at Marsh India Insurance Brokers Pvt Ltd. This is a hybrid role that has a requirement of working at least three days a week in the office.

Process Manager - Risk Management Practice

We will count on you to:

• Handling daily insurance related queries from client
• Support with internal and external co-ordination for ongoing and any future claim
• Supporting individual plant team with technical queries related to insurance or route the queries to proper channel internally for appropriate response to client
• With resource stationed at client’s office, we have added benefit in relationship management with client
• Support during routine endorsements
• Following up with client on proposals under discussion’
• Preparing weekly / monthly Dashboard on Claims
• Follow-up with Insurers for Policy Copies / Endorsements etc
• Maintaining the Portfolio Records
• Maintaining the Claim MIS for Claims and follow up:
• With the Client on the Pending Documentations
• With the Underwriter for the claim status
• With the surveyor for the inspection / survey reports

What you need to have:

Educational Background

Bachelor’s degree in Business Administration, Mathematics, Economics, Statistics or a related field.

Insurance qualification is preferred

Experience

3+ years of Proven working experience in the insurance industry (General Insurance, non-health)

Proven track record of managing multiple projects simultaneously in a fast-paced environment.

Experience in stakeholder management and cross-departmental coordination.

Technical Skills

Advanced proficiency in MS Office Suite (Excel, PowerPoint, Word).

What makes you stand out?

Strong organizational and multitasking abilities.

Exceptional communication and interpersonal skills.

Ability to work collaboratively with diverse teams and stakeholders.

High attention to detail and a proactive problem-solving approach.

Ability to handle sensitive financial data with confidentiality and integrity.

Willingness to adapt to dynamic priorities and work independently when needed.

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh , a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh , Guy Carpenter , Mercer and Oliver Wyman . With annual revenue of $23 billion and more than 85,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com , or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people regardless of their sex/gender, marital or parental status, ethnic origin, nationality, age, background, disability, sexual orientation, caste, gender identity or any other characteristic protected by applicable law.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.