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 perks, 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 initiatives, and deliver consulting projects for healthcare payers, providers, and health system stakeholders.





The ideal candidate should possess strong 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 Rules & Product Development
- Support the design, development, testing, and validation of clinical rules used in medical claims adjudication and payment integrity programs.
- Define clinical logic for medical necessity review, coding validation, reimbursement controls, benefit interpretation, and claims editing.
- Participate in user acceptance testing (UAT) and validation of clinical rule engines and adjudication systems.

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

📌 Clinical Analyst (Gurugram)
🏢 Milliman
📍 Gurugram