About Milliman:

Independent for over 75 years, Milliman delivers market-leading services and
solutions to clients worldwide. Today, we are helping companies take on some of
the world’s most critical and complex issues, including retirement funding and
healthcare financing, risk management and regulatory compliance, data analytics
and business transformation. Through a team of professionals ranging from
actuaries to clinicians, technology specialists to plan administrators, we offer
unparalleled expertise in employee benefits, investment consulting, healthcare,
life insurance, and financial services, and property and casualty insurance.

Role Summary

We are seeking a Clinical Coding & Claims Analytics Consultant with experience
in clinical coding, medical claims analysis, reimbursement methodologies, and
healthcare consulting. The role will support the development of clinical rules
for claims adjudication, conduct coding and reimbursement analytics, contribute
to DRG and grouper mapping initiatives, and support consulting projects for
healthcare payers, providers,



and health system stakeholders.

The ideal candidate should possess robust knowledge of clinical coding systems,
health insurance operations, claims adjudication workflows, reimbursement
frameworks, and healthcare data analytics, with exposure to healthcare markets
across the Middle East.

Key Responsibilities

Clinical Coding & Classification

* Perform clinical coding reviews and code mapping across healthcare coding and
classification systems - ICD-10-AM, ACHI, SBS and ADRG / AR-DRG
* Ensure coding consistency and compliance with applicable coding standards,
reimbursement guidelines, and payer policies.
* Support coding validation exercises, reimbursement reviews, and clinical
classification projects.

Data Quality & Insights

* Conduct healthcare data quality assessments and identify opportunities for
process improvement.
* Interpret payer policies, reimbursement guidelines, and regulatory
requirement

📌 Clinical Analyst (Gurugram)
🏢 Milliman
📍 Gurugram