Clinical Investigator - CPC Certified

Optum
Full Time
₹4.6 Lakhs - ₹5.1 Lakhs
Hyderabad
Posted Yesterday

Clinical Investigator - CPC Certified

Optum

Job description

Looking to build a career in medical claims investigation? Explore this Clinical Investigator role at Optum, part of UnitedHealth Group, in Hyderabad.

Company Description  

Optum is a company that operates all around the world and is hiring for the Clinical Investigator position. It provides care using technology to help many people stay healthy. The company brings people care, pharmacy benefits, data, and tools they need to feel good. Driven by values like honesty, kindness, and being open to everyone, Optum tries to improve health for people. As part of UnitedHealth Group, the company continues shaping a stronger health system.

 Job Summary  

This Clinical Investigator role focuses on investigating, recovering, and resolving kinds of medical claims. As a Clinical Investigator, you will review claims for health plans, commercial customers, and government entities using expertise and coding knowledge. Your work will include reviewing history, monitoring large claims, and pursuing recoveries on subrogation cases. The role also involves working while following state and federal compliance policies.

 Key Responsibilities 

  • As a Clinical Investigator, you will prevent payment of potentially fraudulent or abusive claims using medical and coding expertise.

  • Apply CPT and diagnosis code knowledge, along with CMS and client-specific guidelines.

  • Follow state and federal compliance policies, along with contract requirements.

  • Support the prospective team with special projects and reporting tasks.

  • Work independently, often without established step-by-step procedures.

  • Act as a resource for colleagues when needed.

  • Help coordinate activities across the wider team.

  • Investigate and pursue recoveries and payables on subrogation claims.

  • Review medical history during contestable claim investigations, when required.

  • Monitor large or complex claims, including transplant-related cases.

 Educational Qualification 

  • A degree in BHMS, BAMS, BUMS, BPT, or MPT is preferred for the Clinical Investigator role.

  • B. Sc Nursing or BDS graduates need at least 1 year of corporate experience.

  • A Certified Professional Coder (CPC) credential through AAPC is required.

 Skills Required 

  • More than 1 year of experience in specialty coding, such as E&M, surgery, or anesthesia, if not a medical graduate.

  • As a Clinical Investigator, you should have strong, extensive work experience within your specific function.

  • Strong attention to detail and a quality-focused mindset.

  • Having experience with processing claims.

  • Knowing about health insurance and managed care is useful.

  • Being familiar with the US healthcare system and medical coding is a bonus.

  • Comfort reviewing and understanding medical records.

 Salary Structure 

The average salary for a Clinical Investigator at Optum (Optum Global Solutions) in India typically ranges from ₹4.6 Lakhs to ₹5.1 Lakhs per year.

 Career Development  

This Clinical Investigator role gives you hands-on experience in medical claims investigation at a globally connected healthcare company. Optum also supports long-term growth by offering ongoing training, mentorship, and clear paths for career advancement.

 How to Apply 

  • Visit our job portal and search for the Clinical Investigator role at Optum.

  • Click the job posting to review all details.

  • Enter your information and add your resume.

  • Send your application.

Employment Type: Full Time
Industry: Healthcare
Role Category: Non Clinical Jobs
Application: External (Company Site)

Education

Bachelor's Degree

Key Skills

Non Clinical Jobs
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Market insights & trends

Salary Insights

The amount of money that gets paid can be different depending on how they have been working, where they live and what kind of job they are doing. Some places pay more than others. Most good jobs include extra money for doing a good job, health insurance and flexible hours. Companies pay high salary to make sure they can get the people they want.

Hiring Trends

The number of jobs for this profile is going up every year. Hospitals and other healthcare companies are looking for people who're good, at their job and can also figure out new problems. They want who can do the work and also think on their feet to deal with the challenges of working in healthcare today.

Frequently Asked Questions

Everything you need to know about the process

Jobslly curates specialized corporate healthcare listings tailored for medical graduates seeking a career pivot. Instead of sifting through general medical job boards, doctors can use our platform to directly access high-paying non-clinical opportunities in Pharmacovigilance, Medical Writing, and Clinical Trial Management with top pharmaceutical companies and CROs. Most MBBS/BDS grads don't realise — clinical background is already enough to get into pharma. The problem is nobody explains this clearly. On Jobslly each listing shows salary range, fresher eligibility, and certifications worth getting before applying. Pharmacovigilance roles for example keep asking for RQAP-GCP. All this is on the listing itself, no separate research needed.
Yes. Jobslly features dedicated filtering for remote and hybrid healthcare roles, which are highly sought after by medical professionals looking for better work-life balance. Doctors can easily track and apply for verified work from home positions, such as Telehealth Consultants, Medical Chart Reviewers, and Drug Safety Associates, directly through the platform Real problem with remote medical jobs — half are fake, half are badly described. You join and realise it's a night shift for a US team nobody mentioned. Jobslly listings show shift timings, contract type, whether company gives equipment or WFH allowance. All upfront before you apply.
Generic job portals often bury specialized clinical roles under thousands of unrelated listings. Jobslly is purpose-built exclusively for the healthcare and health-tech sectors. We provide doctors with targeted career alerts for niche specialties, direct application routes to premium employers in major hubs like Mumbai and Bangalore, and real-time insights into medical salary benchmarks. Salary benchmark is something doctors switching careers genuinely need. No idea what number to quote, quote low, stuck with it forever. Jobslly shows pay ranges — by role, city, experience level. Career alerts are filtered by specialty and location so inbox isn't flooded with irrelevant stuff daily.
To protect medical professionals from recruitment fraud and unverified agencies, Jobslly operates a strictly vetted ecosystem. We exclusively partner with verified employers, prioritizing NABH-accredited hospitals, established health-tech innovators, and recognized multinational pharma brands so you can apply with complete confidence. Fake agencies, ghost listings, upfront fee scams — very common in medical recruitment, especially pharma and international roles. Jobslly doesn't allow unregistered agents on platform at all. Each listing shows actual audit date, not just an old generic verified badge. Suspicious listing — report button is there, compliance checks within 24 hours.
Yes. Backed by the Academically Global network, Jobslly goes beyond domestic job listings by providing access to structured International Placement Programs. We connect ambitious doctors, nurses, and clinical staff with credible, high-paying healthcare contracts in global markets like the UK, Australia, and the UAE, while outlining the necessary credentialing steps. UK needs PLAB, Australia needs AMC, UAE needs DHA or HAAD depending on emirate. Most doctors know this but the full picture — exam pattern, timeline, cost, official links — is scattered everywhere. Jobslly puts the credentialing roadmap directly on each international listing. Academically Global counsellors also available — people who've actually placed Indian doctors in these countries, know exactly where candidates get stuck.
Forget the assumption that only senior doctors make the big money. That's outdated. Right now, some of the best packages in Indian healthcare are going to people you wouldn't expect — Senior Medical Writers, Clinical Data Managers, Pharmacovigilance Specialists working with global pharma firms or CROs. These aren't rare unicorn jobs. They exist, they hire regularly, and the salaries are negotiable in ways hospital jobs rarely are. Most candidates just don't know to look for them.
Not all cities are equal on this front, and applying blindly wastes time. Bangalore is where health-tech and clinical research hiring is concentrated. Hyderabad is pharma country – manufacturing, QC, formulation, R&D. Mumbai and Navi Mumbai handle specialized hospital care, advanced nursing roles, and pharmacovigilance admin, medical writing, policy work all coexist there without one dominating the other. If you're open to relocating, knowing this upfront changes which jobs you even bother applying for.
Both. That's the honest answer. Legitimate remote roles in healthcare have existed long before anyone started calling things "hybrid." Medical Coders, Pharmacovigilance Associates, Telehealth Coordinators, Freelance Medical Writers — these positions have been hiring remotely for years through companies that are very much real. The fake ones almost always have one thing in common: they ask for money. Registration fees, document processing charges, security deposits — whatever the label, it's a scam. No actual employer takes money from a candidate before they join. That rule holds without exception.
EMR platforms, digital documentation tools, data tracking systems, AI-assisted reporting software. These aren’t “nice to have” anymore. They’re baseline. Clinical Knowledge is still the foundation but walking into an interview unable to navigate the systems the team uses daily is a problem. Candidates who are already familiar with these tools don’t need to be trained from scratch, and that matters when hiring managers are comparing two otherwise similar profiles.
Short answer: yes, and it's happening constantly. Long answer: it depends on what you want. If structured hours, no emergency calls, and a salary that doesn't plateau after three years sound appealing — corporate healthcare is worth your attention. Medical Writing, Drug Safety Review, Insurance Auditing, Health-tech Program Management — these roles specifically want people who understand clinical realities. A nursing degree or MBBS isn't a handicap here. It's often the reason you get the interview.