Utilization Review Nurse (Pune)

Penguin Ai: We're Not Just Building AI, We're Revolutionizing Healthcare. Seeking a UM Policy Review Nurse to Make Clinical Judgement Scale Your Role: Clinical Guardian. Policy Translator. Human-in-the-loop Expert. Location: Hyderabad Type: Full time. Travel: Occasional (For Epic Wins and High-Fives) Start Date: When our policy logic needs your clinical judgement

Who We Are: The Penguin Ai Rebellion We’re not your average AI company
- and we don’t want average teammates. Penguin Ai was founded by healthcare veterans who knew the system needed more than hype and half-baked algorithms. We built an AI platform that actually works in healthcare
- across Prior Auth, HCC Coding, and all those soul-crushing workflows no one brags about. Our platform is fast to implement (think: 60 days), reduces administrative costs up to 40%, and makes payers look like heroes without writing a line of code.

This is AI for the real world of healthcare. And just to put a fine point on it: powerhouses like Snowflake and AWS don't just partner with anyone. Their trust in our platform speaks volumes about our robust, scalable, and secure technology.

Our audacious vision was first ignited by our CEO Fawad Butt , whose leadership as Chief Data Officer at both Optum and Kaiser Permanente gave him oversight of healthcare data representing nearly 75% of American lives . So, he didn't just see the problem; he lived it. Fawad understood that healthcare AI couldn't be a bandage – it had to be a purpose-built, battle-ready solution , meticulously crafted for the intricate, human-first world of medicine, not some hastily retrofitted industry software. So with Fawad, who else is steering this iceberg? A dream team boasting over 150 years of combined, hard-won healthcare experience We're talking about heavy hitters like Kishore, Mark, Peter and Terry… who all bring different successes & expertise from AI & healthcare. These aren't just impressive resumes; they're the architects and masterminds behind a Apply on Kit Job: kitjob.in/job/4m2e7l