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99 Ernst & Young Manager Jobs

Manager

10-15 years

Jaipur

1 vacancy

Manager

Ernst & Young

posted 22hr ago

Job Role Insights

Flexible timing

Job Description

  1. Medical Document Analysis Review medical records, treatment plans, diagnostic reports, and other relevant documents attached to health insurance claims to evaluate the medical necessity and appropriateness of services rendered.
  2. Clinical Expertise Possess a comprehensive knowledge of medical procedures, terminology, and best practices across various medical specialties, such as cardiology, orthopedics, neurology, etc.
  3. Regulatory Compliance Ensure that all claims adhere to applicable insurance policies, medical guidelines, and regulatory requirements. Identify discrepancies or violations and escalate them as necessary.
  4. Claim Review Conduct a thorough examination of claims, verifying the accuracy of coding, billing, and documentation to identify potential errors or discrepancies.
  5. Medical Necessity Assessment Determine whether the medical services provided align with established medical guidelines and standards. Assess the appropriateness of treatment plans and interventions.
  6. Communication Collaborate with healthcare providers, insurance agents, and claimants to gather additional information or clarification regarding claims. Provide clear and concise explanations for claim denials or adjustments.
  7. Documentation and Reporting Maintain detailed records of audit findings, including the reasons for approvals or denials. Generate reports summarizing audit outcomes for management and regulatory purposes.
  8. Continuous Learning Stay up-to-date with changes in medical practices, insurance regulations, and emerging healthcare trends to enhance auditing capabilities.
  • 10 or more years of experience in Public Health.
  • Love for technology and an interest in developing cutting edge products.
  • Built strong relationships at both central and state levels with various government officials.
  • Delivered projects with team size of 10 or above.
  • Led, developed, and won proposals with governments, iNGOs, and Development Partners.

Qualification
Masters in Public Health with 10+ years of experience

Employment Type: Full Time, Permanent

Read full job description

Ernst & Young Interview Questions & Tips

Prepare for Ernst & Young Manager roles with real interview advice

Top Ernst & Young Manager Interview Questions

Q1. What is your understanding of normalization, facts, and dimensions in the context of database design?
Q2. What is high availability orchestrator? When HA needed What is Orchestrator API What is process mining What is fuzzy selector
Q3. How to estimate baseline of a demand prediction model ?
View all 8 questions

What Manager at Ernst & Young are saying

3.2
 Rating based on 363 Manager reviews

Likes

Professionalism

  • Salary - Excellent
  • +3 more
Dislikes

Leadership strategy is not well thought through. They hire without even thinking and then later when they do not want people .. they will find several reasons to move out those people. MOST of the Senior Managers with whom I worked, didn't know the process at all. They are having comfortable life in ey because they been in the system..Read More

  • Job security - Bad
  • +2 more
Read 363 Manager reviews

Manager salary at Ernst & Young

reported by 7.6k employees with 4-18 years exp.
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₹16 L/yr - ₹48 L/yr
80% more than the average Manager Salary in India
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What Ernst & Young employees are saying about work life

based on 10.8k employees
73%
90%
53%
92%
Flexible timing
Monday to Friday
No travel
Day Shift
View more insights

Ernst & Young Benefits

Work From Home
Soft Skill Training
Health Insurance
Job Training
Team Outings
Cafeteria +6 more
View more benefits

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Ernst & Young Mumbai Office Locations

View all
Mumbai Office
Ernst & Young, 14th Floor, The Ruby, 29, Senapati Bapat Marg, Dadar West Mumbai
Maharashtra 400028
Mumbai Office
6th Floor, Express Towers Nariman Point Mumbai Mumbai
400021

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