DOCTOR- (BHMS, BAMS, BPT, or BDS)

JOB DESCRIPTION: DOCTOR- (BHMS, BAMS, BPT, or BDS)

Company Description

Althea.ai India Pvt Ltd (Althea.ai) is a dynamic and innovative company with a mission to revolutionize healthcare through cutting-edge AI solutions and services.

With headquarter in New Jersey, USA, and a strategic presence in Noida, India, Althea.ai is dedicated to driving improved health outcomes worldwide.

Our team of dedicated professionals is passionate about leveraging technology to transform healthcare, and we continue to expand our footprint to reach more communities.

Our Services are AI-Powered Diagnostics, Telehealth Solutions, Health Data Analytics, Remote Patient

Monitoring, Custom Healthcare AI Development, etc.

At Althea.ai, we invite partnerships, collaborations, and talent from around the world to join us in our journey to create a healthier and more equitable world. Together, we can drive better health outcomes through equitable, predictive, and personalized healthcare solutions.

Join Us in Shaping the Future of Healthcare. Do visit https://althea.ai/ for more details.

We currently have an opportunity for a Doctor- (BHMS, BAMS, BPT, or BDS) in our organization.

Responsibilities:

• We are looking for 2-3 years of experience.
• Work From Office.
• Company transport is not available.

Fraud Detection:
• Utilize data analysis techniques to identify potential fraudulent activities within the healthcare or
insurance sector.
• Develop and implement algorithms and models to detect irregular patterns and anomalies in claims
data.
• Collaborate with the fraud investigation team to provide insights and recommendations for further
action.

Claims Review:
• Analyze insurance claims to ensure accuracy and compliance with established protocols.
• Identify discrepancies and irregularities in claims data and provide recommendations for resolution.
• Work with claims adjusters to validate and adjudicate claims efficiently.

Identification of Fraud Trends:
• Monitor data trends and patterns to proactively identify emerging fraud trends.
• Develop reports and dashboards to track fraud-related KPIs.
• Collaborate with cross-functional teams to devise strategies for fraud prevention and mitigation.

Review Clinical Protocols:
• Evaluate clinical protocols and guidelines to ensure compliance and effectiveness.
• Analyze medical records and treatment plans to verify adherence to established protocols.
• Recommend improvements and adjustments to clinical protocols when necessary.

Data Analytics:
• Apply advanced data analytics techniques to extract valuable insights from complex and large
datasets.
• Develop and maintain data models, reports, and visualizations to support decision-making.
• Use statistical analysis and machine learning to enhance fraud detection and claims review processes.

What we offer:
• Competitive remuneration
• Flexible time-offs
• Opportunities for travel (client side)
• Fun events

Qualification:
• The ideal candidate should be a doctor in any of the following fields:
1. Bachelor of Homoeopathic Medicine & Surgery (BHMS)
2. Bachelor of Ayurveda, Medicine and Surgery (BAMS)
3. Bachelor in Physiotherapy (BPT), or
4. Bachelor of Dental Surgery (BDS).

Please note – This is a work-from-office (Sector-135, Noida) opportunity and company transport is
not available.