Jobs in Ganeshkhind Road, Pune

Identify cases eligible for medical reviews and assign these to appropriate reviewers.Reach out to the client for any problems identified in the cases for review.Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.Develop a complete understanding of the Medical management Procedures.Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.Identify missing records and information that are necessary in the completion of the medical review assessment.Adhere to Department of Labor, state and company timeframe requirements.Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results.Track status of all utilization management reviews in progress and follow up on all pending cases.Work closely with management team in the ongoing development and implementation of utilization management programs.Respond to inbound telephone calls pertaining to medical reviews in a timely manner, following client a established protocols.Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure, eg opening and closing remarks.Learn new methods and services as the job requires.Ct:HR BHAVANI9566284629

We are looking for an experienced Abroad Job (Career) Counsellor to guide candidates seeking overseas employment, especially in Gulf countries and other international destinations. The candidate should have a minimum of 1 year of experience in abroad job counselling, recruitment guidance, documentation, visa process, interview preparation, and the complete overseas employment process. Strong communication and counselling skills are essential. Full-time and Part-time positions are available. Candidates can work from home or from our Nagpur office

We are looking for a Distance & Online Education Counsellor to guide students regarding distance and online education programs and assist them with the complete admission process. Candidates should have a minimum of 1 year of experience in distance/online education counselling and admissions. Strong communication and counselling skills are essential. Full-time and Part-time positions are available. Candidates can work from home or from our Nagpur office.

We are looking for an Digital Marketing Trainer to conduct classroom training at our computer institute near Mankapur, Nagpur. Candidates should have skills in MSCIT, Digital Marketing, or both. Minimum 1 year of teaching or industry experience is preferred; however, freshers with good knowledge, practical skills, and teaching ability are also encouraged to apply. Both Full-time and Part-time positions are available. institute is at nearby Mankapur area in Nagpur

We are looking for an HR Recruiter to source, screen, and coordinate candidates for various job openings of various industries. The candidate should have at least 1 year of recruitment experience and be able to identify suitable candidates through different hiring channels. This is a Work From Home position. Preference will be given to candidates who have their own job seeker database or paid access to job portals (such as Naukri, Apna, Indeed, Shine, etc.) for faster and efficient hiring. Strong communication and candidate coordination skills are essential. can do full time , part time or as freelancing.

We are looking for a GoHighLevel (GHL) Automation & Workflow Expert to build, manage, and optimize workflows, CRM automations, funnels, forms, calendars, email/SMS campaigns, and integrations. The candidate should have hands-on experience with Go HighLevel automation, lead management, pipeline setup, and third-party integrations. Knowledge of API, webhooks, Zapier/Make/Pabbly, and AI automation is an added advantage. Strong problem-solving skills and experience in optimizing business processes are preferred. can do part time , full time . work from home

We are looking for a YouTube Marketing & Channel Manager to create, optimize, and manage YouTube channels for maximum growth. The candidate should have expertise in YouTube video marketing, viral content strategies, SEO, thumbnails, titles, tags, and audience engagement. Strong knowledge of YouTube policies, monetization guidelines, copyright rules, and channel management is required. Experience in increasing subscribers, watch time, and overall channel performance is preferred. can do full time , part time . work from home

We are looking for a creative Social Media & Video Content Creator to design engaging social media posts, graphics, Reels, Shorts, and promotional videos. The candidate should be skilled in video editing and creating attractive content for digital platforms. Basic knowledge of content planning and social media trends is preferred. not mandatory but Experience in running Meta (Facebook & Instagram) paid advertising campaigns is an added advantage . Freshers with a strong portfolio are welcome to apply. can do part time or full time

This is a full-time, on-site role in Gurgaon. Candidates must be willing to relocate to Gurgaon. Key responsibilities:1. Connect with parents or adult learners and invite them to personalized 1:1 video counseling sessions

Hello DoctorWE HAVE URGENT REQUIREMENT OF CONSULTANT RADIOLOGY FOR RENOWNED AND REPUTED CHAIN OF RADIOLOGY AND PATHOLOGY DIAGNOSTIC CENTRE.JOB DESCRIPTION -1. Evaluating patients medical histories to ensure the various medical imaging procedures will not harm them.2. Suggesting alternative medical imaging techniques, when necessary.3. Informing patients about the medical imaging process.4. Using devices such as computer tomography (CT) scanners and magnetic resonance imaging (MRI) machines.5. Performing or directing radiology staff to carry out image-guided, diagnostic procedures.6. Working with radiology lab technicians to perfect image quality.7. Interpreting the results from diagnostic imaging procedures to determine diagnoses.8. Communicating and discussing results and diagnoses with physicians.9. Compiling written reports of results and diagnoses.9. Following medical protocols for resuscitation, bleeding, infection, or other emergency situations, when necessary.Location - PUNEQualification - MD/DNB/DMRD in Radiology.Experience - Freshers and experienced upto 25 yrs. post PG both are welcome.Salary - Upto 45 LPA + INCENTIVES + MANY OTHER PERKS & BENEFITSContact - Dr Shivram 7503878618Email - snhealthzone@gmail.com

An Area Sales Manager (ASM) for medical devices drives regional revenue, manages channel partners, and builds relationships with healthcare institutions. Key duties include achieving sales targets, managing distributor networks, and conducting product demonstrations.