Company Detail

Senior Digital Analyst - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minnetonka, MN

Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Partner with stakeholders to develop measurement frameworks that align to organization key performance indicators

  • Ensure that measurement solutions adhere to organizational priorities

  • Act as a subject matter expert on best in class digital analytics and optimization, consulting with stakeholders to enable the best possible view to member behaviors

  • Support product teams with ad hoc and recurring reporting, and deep dive analytics to answer key business questions

  • Develop learning and optimization plans collaboratively with data science, web analytics, and business stakeholders

  • Evangelize importance of analytics and optimization across organization while developing solid relationships with the business stakeholders

  • Development of measurable stakeholder goals and measurement plans that tie to business impact and ROI

  • Gain an in-depth knowledge of UHC website architecture, KPI's and customer goals

  • Manage customer expectations appropriately and keep projects on schedule and within scope

  • Lead face-to-face brainstorming session with key stakeholders on the marketing, technical and design sides of a client's business

  • Manage multiple projects, with multiple remote teams, at one time

  • Interact frequently with clients via phone, email, and in-person

  • Provide regular status updates to the leadership and quickly escalate potential issues

  • Monitor trends in web, social, digital and mobile media and exploring new tools, trends and applications that could positively impact our business

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 3+ years of digital analytics experience working with large, distributed teams

  • Demonstrated experience utilizing the Adobe suite of web analytics products, or Google Analytics

  • Demonstrated experience in managing the analytics lifecycle, including testing methodologies

  • Experience with MS Office tools (Excel, Word, PowerPoint)

Preferred Qualification:

  • Experience working with global teams

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Customer Service Representative (Payment Services Support) - Remote in CST - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minneapolis, MN

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Financial is modernizing the insurance industry by digitizing complex claims payment processes, allowing people to access their funds faster than ever before. Here, we will leverage your talents along with our technology and financial expertise to streamline claims processes across health and dental plans, auto and property insurance, worker's compensation claims, and third - party administrators. Our great products need great people like you. We invite you to take your career to the next level with our teams that work every day to improve the lives of others.

As part of our award - winning Support Center team, you will play a significant part in advising external clients, increasing program compliance, and maintaining clients' trust in our services. You will support products such as electronic payment processing, mobile - expedited payments, and same - day claim payments. Individuals in this role should have a passion for providing an outstanding customer service experience.

The purpose of this role is in providing payments to Providers (doctors, dentists, billing companies) from insurance companies who partner with us to send payments on their behalf.

The calls we receive are from the providers who may need assistance processing a payment, changing their payment method, or requesting documentation regarding a payment. We encourage providers to use electronic forms of payment instead of checks. When a provider wants checks, we educate them on the benefits of electronic forms of payment.

We place importance on quality over quantity on the calls. We want to be sure you are taking your time with the goal of providing the best customer service the caller has experienced with any company they have interacted with.

Once you are fully trained, you can expect to take about 45 - 60 calls per day. You'll be assigned to a team with a Team Lead and Manager, with the entire management team being there to help and support you.

Success in the role is defined by metrics including QA, customer satisfaction scores, adherence to schedule, and attendance.

This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid remote training. The hours during training will be 8:00 AM - 5:00 PM CST from Monday - Friday. Performance metrics are based on attendance, customer satisfaction scores, quality, and your schedule adherence.

If you are located within the Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Answer 45 - 60 incoming phone calls per day from Providers (doctors, dentists, billing companies) and identify the type of assistance the customer needs Perform research functions including making outbound calls to validate provider contact information.

  • Perform retention efforts and share benefits of our various product lines with callers.

  • Identify and resolve customer issues.

  • Follow up on customer inquiries.

  • Research billing and payment issues

  • Update database records as needed.

  • Participate in special projects, as needed, which includes outbound calling campaigns.

  • Support usage of payee portal questions.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED OR equivalent work experience

  • Must be 18 years of age OR older

  • Experience with using computers and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

  • Experience with Microsoft Office programs such as Microsoft Word, Microsoft Excel, and Microsoft Outlook

  • Experience with working in a fast - paced, high - volume call center environment

  • Ability to work any of our full-time (40 hours / week), 8-hour shift schedules during our normal business hours of 7:00 AM - 7:00 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

  • 1+ years of call center, contact center, OR support center experience

  • Customer service experience in a healthcare OR insurance setting

  • Understanding of HIPAA regulations

Telecommuting Requirements:

  • Reside within the Central Time Zone

  • Ability to keep all company sensitive documents secure (if applicable)

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

  • Demonstrated ability to listen skillfully, collect relevant information, building rapport, and respond to customers in a compassionate manner

  • Proficient conflict management skills to resolve issues in a stressful situation

  • Excellent communication skills including active listening skills

  • Comfortable with working in a structured and fast - paced environment

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

__

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment .

#RPO



Job Detail

Senior Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Minneapolis, MN

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Senior Customer Service Representative , you'll compassionately deliver an exceptional experience to between 50 to 70 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll also provide support to your team members by serving as a resource or subject matter expert. Both are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. At the end, you'll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30 AM - 8:00 PM EST. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of paid on-the-job training. The hours of training will be 9:00 AM - 5:30 PM EST from Monday - Friday.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Answer a high volume of calls from patients or their representative, regarding patient bill balances, payment plans, credit card payments, patient pricing, re - billing insurance companies, and general customer concerns

  • Process adjustments, refunds, transfer bills, mail returns and perform manual sales

  • Evaluate and respond to all aspects of written billing inquiries, including but not limited to: billing insurances, and updating invoices

  • Research, troubleshoot, and resolve complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution

  • Maintain tracking log of all escalated patient correspondence, providing status updates to leadership as needed

  • Ability to perform all aspects of billing customer service as needed

  • May be a certified Medical Coder and / or involved in medical coding

  • Thorough navigation of both Quest Billing System and the web

  • Maintain all Compliance and HIPAA regulations at all times

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED

  • Must be 18 years of age OR older

  • 2+ years of customer service experience OR 2+ years of experience in a medical office, call - center in healthcare OR office setting in healthcare with analyzing and solving customer problems

  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

  • Ability to train for the first six (6) weeks between the hours of 9:00 AM - 5:30 PM EST from Monday - Friday

  • Ability to work any 8-hour shift between the hours of 11:30 AM - 8:00 PM EST from Monday - Friday

Preferred Qualifications:

  • Prior health care experience

  • Bilingual fluency in English and Spanish

  • Medical terminology experience

  • Knowledge of billing / finance and eligibility processes, practices, and concepts

  • Proficient in translating health care - related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon

Telecommuting Requirements:

  • Ability to keep all company sensitive documents secure (if applicable)

  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy

  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

  • Demonstrated ability to listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner

  • Proficient conflict management skills including the ability to resolve stressful situations

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited tolocal labor markets, education, work experience, certifications, etc.UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*Application Deadline:* This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

__

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment .

#RPO



Job Detail

Remote Part Time 1099 Therapist Oklahoma - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Tulsa, OK

Job Description

CARE Counseling, part of the Optum family of businesses is seeking a Part Time 1099 Therapist to join our team in Oklahoma City, OK and Tulsa, OK. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

*1099 Contracts Available!

  • Manage a caseload of a minimum of 10 participants in treatment

  • Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

  • $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

  • Deliver remote care throughout an 8-week evidence-based program

  • Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

  • Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

  • Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

  • Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

  • Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • One or more of the following:

  • Current Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC)/Licensed Mental Health Counselors (LMHC) (or state equivalent)

  • Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

  • Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

  • Interest in obtaining licensure in other states

  • Proven passionate about impacting lives and the future of behavioral care

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Site Leader - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Honolulu, HI

Job Description

Refresh Center, part of the Optum family of businesses, is seeking a Site Leader to join our team in Honolulu, HI. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

The Site Leader, along with maintaining their own clinical productivity, is responsible for managing both the operational and clinical functions of their designated site or location. You will work closely with the Operations/Administrative Team and the Executive Director to ensure smooth and efficient operations.

Primary Responsibilities:

Culture:

  • Create and maintain a positive site environment: Foster positive energy, caring support, mutual trust, and respect by collaborating with the Executive Director and RVP of Operations.

  • Nurture a culture of excellence: Act as a role model of professional and ethical practice, conduct staff recognition, and promote teamwork.

  • Orientation and training: Schedule and conduct orientation to Athena and all clinic protocols/procedures for clinicians at the assigned location.

  • Morale-building activities: Implement activities to create camaraderie among site staff and foster a sense of connection with the overall practice.

  • Support clinician development: Provide consultation, mentoring, and guidance for professional growth.

  • Customer service: Address and resolve issues promptly, providing appropriate feedback to involved clinicians and staff.

Productivity:

  • Balance best practices: Integrate clinical, technological, and business best practices.

  • Communicate performance expectations: Set clear expectations for clinical quality, evidence-based treatment, documentation, and HIPAA compliance.

  • Monitor office use and schedules: Ensure optimum space utilization and assist clinicians in meeting productivity goals by monitoring schedules and offering new slots for PAC promptly.

  • Ensure compliance: Ensure clinicians adhere to the 48-hour note completion policy in Athena and support value-based contracts and clinical initiatives by communicating requirements and ensuring compliance.

  • Identify staffing needs: Routinely communicate clinical staffing needs with the Executive Director.

Problem Solving:

  • Identify and resolve issues: Address clinical, administrative, staffing, and client matters independently and creatively, consulting with the Executive Director as needed.

  • Provide support and consultation: Offer ongoing clinical case consultation, assist clinicians in meeting productivity goals, and provide technological training and troubleshooting.

  • Manage complaints and feedback: Address internal and external customer complaints, providing feedback to involved individuals.

  • Streamline processes: Seek opportunities to streamline administrative processes and work with administrative staff on implementation.

  • Manage office space: Oversee the physical office space and communicate issues with the Executive Director.

  • Other tasks: Perform additional duties as assigned.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Advanced degree (LMHC, LICSW, PsyD, PhD) in Mental Health

  • 1+ years working as a leader in a healthcare/behavioral health, growth-oriented organization

Preferred Qualifications:

  • Solid relationship skills to grow and maintain relationships with any individual, irrespective of background and type of personality

  • Solid leadership capability

  • Solid written and verbal communication skills

  • Ability to work with recent technological applications relating to daily tasks and ability to train staff on the use of the applications

  • Solid detail-orientation

  • Ability to perform multiple tasks simultaneously

  • Possess reliable problem-solving ability

  • Ability to build on the vision and be a positive force in developing the plan to get there

  • Solid ethical standards and compassion

Hawaii Residents Only : The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Senior Software Engineer - Remote in Fairfax, VA - UnitedHealth Group
Posted: Sep 25, 2024 06:36
Fairfax, VA

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

If you reside near Fairfax, Virginia, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Exceptional ability to communicate with both technical and non-technical people

  • Be able to interact with business users, I/T and customers to define application requirements

  • Be able to write the code and Review the code of the engineers

  • Involve in critical and complex technical discussions

  • Ability to prioritize and manage work to critical project timelines in a fast-paced environment

  • Detail-oriented and ability to document low to highly complex functional designs and data structures, to support business and operational requirement

  • Candidate should be confident to work independently, handle and guide the team and should be self-motivated

  • The candidate should have good analytical and self-learning skills and desire to learn new technologies

  • Candidate should have worked with microservices environment and should be fully aware of reference architectures

  • A great attitude and the passion and persistence to solve complex problems

  • Hands on working to support PATH Reporting and MDM environment

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelors Degree in Computer Science (or higher)

  • 3+ years of experience in the software engineering profession across entire SDLC

  • 3+ years of experience in support and maintenance of informatica master data management (Informatica MDM)

  • 3+ years of experience in support and maintenance of informatica power center ETL tool

  • 3+ years of experience with Informatica PowerCenter, Designer, and Repositories tools

  • 3+ years of hands-on experience in IBM mainframe applications

  • 3+ years of hands-on experience in Mainframe COBOL Programming along with JCL

  • 3+ years of hands-on experience in Mainframe CICS Programing

  • 3+ years of hands-on experience in MOBIUS Reporting

  • 3+ years of hands-on experience in Cognos Reporting

  • 3+ years of experience delivering software using an Agile / Scrum methodology

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN



Job Detail

Remote Part Time 1099 Therapist - Illinois - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Chicago, IL

Job Description

Opportunities with AbleTo, part of the Optum family of businesses, are focused on improving millions of lives through technology-enabled behavioral health care. Start a rewarding career where your work will bridge the gap between need and treatment. Join us in making care more accessible and affordable through convenient telehealth available in all 50 states. Be part of a team that's driven by the passion we share for helping people get better and stay better. Help us make a meaningful and lasting impact while Caring. Connecting. Growing together.

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

*1099 Contracts Available!

  • Manage a caseload of a minimum of 10 participants in treatment

  • Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

  • $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

  • Deliver remote care throughout an 8-week evidence-based program

  • Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

  • Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

  • Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

  • Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

  • Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) in Illinois

  • Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

  • Interest in obtaining licensure in other states

  • Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

  • Proven passionate about impacting lives and the future of behavioral care



Job Detail

Director General Management - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Chicago, IL

Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Provides leadership to and is accountable for the performance of managers and/or senior level professional staff

  • Impact of work is most often at the operational or local business unit or market level

  • Owns an end-to-end process

  • Develops functional, market level, and/or site strategy, plans, production, and/or organizational priorities

  • Identifies and resolves technical, operational, and organizational problems outside own team

  • Product, service, or process decisions are most likely to impact entire functions and/or customer accounts (internal or external)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 7+ years of experience in Prior Authorization for Medicaid and/or Medicare and/or commercial lines of business health care and insurance industry, including regulatory and compliance requirements

  • Experienced with systems development and implementations

  • Experienced working with multiple teams across the organization to achieve companies objectives

  • Solid understanding of healthcare laws, regulations, and policies, as well as significant experience in healthcare administration or related field

  • Proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Visio

Preferred Qualifications :

  • Experienced with Curo

  • Experienced with Facets

  • Demonstrated experience with affordability and cost saving initiatives including remediation strategies for savings

  • Demonstrated leadership skills in change management and implementations

  • Demonstrated operational mindset and ability to use data

  • Demonstrated problem solving and decision-making skills with the ability to operationalize strategic objectives

  • Demonstrated emotional resilience

  • Demonstrated ability to assist with focusing activities on a strategic direction as well as develop tactical plans, drive performance and achieve targets

  • Demonstrated ability to demonstrate and require integrity and ethical behaviors from self and others

  • Demonstrated excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and

  • interpret complex information from others

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Remote Part Time 1099 Therapist - Washington - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Vancouver, WA

Job Description

AbleTo, part of the Optum family of businesses is seeking a Program Therapist to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

*1099 Contracts Available!

  • Manage a caseload of a minimum of 10 participants in treatment

  • Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

  • $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

  • Deliver remote care throughout an 8-week evidence-based program

  • Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

  • Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

  • Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

  • Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

  • Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current Licensed Independent Clinical Social Worker (LICSW) or Licensed Mental Health Counselor (LMHC) in Washington

  • Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

  • Interest in obtaining licensure in other states

  • Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

  • Proven passionate about impacting lives and the future of behavioral care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Nurse Practitioner, Home Visits - Columbiana, Salem OH - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Columbiana, OH

Job Description

$ 10,000 Sign-on Bonus for External Candidates

Optum is seeking a Nurse Practitioner to join our Home-based Medical Care team in Columbiana/Salem, OH. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the patient journey.

Position Highlights & Primary Responsibilities:

  • Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants

  • Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable

  • Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable

  • Completes follow-up and post-discharge assessments according to documented standard operating procedure

  • Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions

  • Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided

  • Consults with hospital, emergency or post-acute clinical team following notification of patient transfer

  • Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness

  • Provides counsel, support and education to staff as appropriate

  • Actively participates in ongoing meetings pertaining to patient care and clinical excellence

  • Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery

  • On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis

  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews

  • Perform related duties as necessary and other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Completion of Nurse Practitioner of Physician Assistant accredited program

  • Current NP/PA license

  • Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

  • 2+ years clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care, desired, preferred

  • Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems

  • Knowledge of CPT, ICD-10 and HCPC codes

  • Knowledge of clinical standards of care

  • Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Independent Nurse Practitioner or Independent Physician Assistant, Urgent Care- Tarentum, PA - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Tarentum, PA

Job Description

MedExpress, part of the Optum family of businesses, is seeking a Full Time Independent Nurse Practitioner or Independent Physician Assistant to join our team in Tarentum, PA. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Position Highlights:

  • Open 8am- 8pm, 7 days per week

  • Providers typically work 12 hour shifts

  • Average patient load = 3-4 patients per hour

  • Full licensed medical team and support staff

  • Responsibilities include:

  • Suturing

  • Splinting

  • Initial interpretation with digital X-Rays

  • Incisions and drainage

What makes an Optum Career different?

  • As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license

  • We believe that better care for clinicians equates to better care for patients

  • We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations

  • We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here

Compensation/Benefits Highlights:

  • Competitive pay and well deserved incentive bonuses

  • CME reimbursement

  • Comprehensive health, dental, vision

  • 401k with matching

  • Short and long term disability, company paid life insurance

  • Company paid malpractice coverage

  • Flexible Scheduling

  • Holiday pay 1.5x shift rate on days worked

  • Upward career growth and professional development

  • Supportive and appreciative culture

Required Qualifications:

  • Master's degree in Nursing or Physician Assistant program

  • Certified as a Family Nurse Practitioner through the ANCC/AANP or certified as a Physician Assistant through the NCCPA

  • CPR certified or willing to obtain prior to start date

  • DOT certification or ability to obtain within the first 60 days of employment

  • Clinical experience working in at least one of the following:

  • 2+ years in FamilyMedicine

  • 1.5+ years in Urgent Care

  • 1+ years in Emergency Medicine

  • Experience treating patients across multiple age groups

  • Experience suturing, splinting, and reading x-rays within the last year

  • Willing and able to assist at other center locations in the area

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Associate Patient Care Coordinator - Mill Creek, WA - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Mill Creek, WA

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Associate Patient Care Coordinator is responsible for general clinic office functions that support efficient and effective patient care including patient registration, insurance verification, collection of applicable co-insurance and/or co-payments and scheduling of diagnostic and follow-up appointments and answering phones.

Schedule: Part-Time (25 hours) - Tuesday (7am-6pm), Friday (7am-6pm), Saturday (8am-1pm)

Location : 15418 Main Street #200, Mill Creek, WA

Primary Responsibilities:

  • Greet customers into the practice and provide instruction and/or direction as necessary both on the phone and in person

  • Schedule and coordinate all patient appointments as directed

  • Maintain an organized and clean work area, free of clutter

  • Prepare all documentation and records with accuracy as directed or necessary for the patient's care

  • Meet or exceed the performance measures established by the Practice Management Dept

  • Order and maintain the inventory, and stock in the area according to the policies and procedures established by the Practice Management Dept. and Central Supply

  • Follow establish policy and procedures related to the position

  • Participate and contribute in a team-based environment

  • Maintain a team supportive attendance record

  • Follow OSHA/WISHA (including usage of PPE) guidelines

  • Follow HIPAA regulations

  • Adapt and perform effectively in a continuously changing environment, and in occasional difficult situations

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED (or higher)

  • 1+ years of customer service experience with strong communication skills both in person and via phone

  • 1+ years of Microsoft Office experience

Preferred Qualifications:

  • Experience working in the healthcare industry

  • Knowledge of medical terminology

Washington Residents Only: The hourly range for Washington residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED



Job Detail

Account Receivable Supervisor - Saint Paul, MN - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Saint Paul, MN

Job Description

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is responsible for managing the day-to-day operations of the department; including staff supervision, issue resolution, individual productivity, and acting as a technical resource. Provides ongoing support and developmental guidance by analyzing performance metrics, providing performance feedback, and conducting training and other educational opportunities.

This position is on-site 5 days a week at 333 Smith Ave S, Saint Paul, MN 55102.

Primary Responsibilities:

  • Addresses staff turnover, education, and training

  • Provides feedback to employees through formal and informal coaching

  • Manages performance issues and reviews

  • Assess training needs and conducts training or other educational opportunities

  • Analyzes performance metrics to locate and resolve trends and issues

  • Monitors and reports staff quality and productivity by completing monthly audits

  • Interviews and hires staff

  • Manages timekeeping and attendance

  • Coordinates the day-to-day support for staff and department

  • Acts as technical resource to staff and patients

  • Identifies, addresses, and resolves workflow concerns

  • Completes monthly 1:1's and Roundings to maintain consistent engagement with employees

  • Oversees and guides the work of staff

  • Works with the manager for program development

  • Collaborates with the manager to establish policies and procedures

  • Executes and implements approved budgets and financials

  • May be responsible for communicating developed budgets and managing to the developed budget

  • Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 3+ years of experience in revenue cycle

  • 2+ years of experience in a supervisor role

  • Proven proficiency in Microsoft office applications

Preferred Qualifications:

  • Experience with Epic

  • Experience with registration in a clinic or hospital setting

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO



Job Detail

Patient Access Representative Intermediate - Saint Paul, MN - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Saint Paul, MN

Job Description

$1000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Location: 333 Smith Ave, Saint Paul, MN 55102

Job Summary: Responsible for greeting and welcoming patients in person. Provides a standard registration process by collecting demographic and financial data and enter information into a electronic medical record.

Primary Responsibilities:

  • Greets and welcomes patient in person

  • Collects demographic and insurance information

  • Checks in and interviews patient to complete appropriate paperwork

  • Directs patient to their appointment or procedure

  • May assist in scheduling add-on appointments

  • Documents any issues and resolutions in electronic medical record

  • Resolve claim issues or registration errors on patient accounts

  • Uses resources, tools and procedure to complete registration for complex accounts and in assigned work queues

  • Verifies insurance eligibility and benefits information for payers and interprets results focusing on complex billing situations

  • Obtains cost information and explains information to patient if necessary

  • Collects co-pay or deductibles and respond to questions regarding financial assistance programs available. Refers complex questions as needed

  • Screening and approving patients for financial assistance programs

  • Assists and counsel's patient with application process for available financial assistance programs

  • Provides technical or functional direction for employees

  • Assists patient in completion of request for information forms and submits to appropriate department

  • Obtains signatures from patients as needed

  • May gather medical record information from all departments for collection

  • Provide customer service for inbound and outbound telephone calls

  • May mentor other staff as needed

  • Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 2+ years of customer service experience

  • 6+ months of revenue cycle experience in a healthcare/hospital setting

  • Intermediate level of proficiency with Microsoft Office products

  • Ability to work 8 hour shifts 4-5 days per week, starting between 5:00am - 9:00am Monday-Friday

  • Ability to work every other weekend starting between 6:30am - 9:00am

  • Ability to work standard, daytime hours for first 3-4 weeks upon hire in alignment with the department's training schedule

  • Must be 18 years or older

Preferred Qualifications:

  • Epic Experience

  • Experience with electronic medical records

Physical Demands:

  • Consistent walking, standing, bending, turning, etc

  • Lifting weight Up to 10 lbs. occasionally, up to 2-5 lbs. frequently

*PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.*

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED



Job Detail

Nurse Practitioner or Physician Assistant Senior Community Care Nassau - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Hempstead, NY

Job Description

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

The Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting. The APC within SCC provides care to our highest-risk health plan members and is part of an interdisciplinary team.

In this role you will have the ability to achieve work life balance. No on-call, no weekends, and no holidays required. Optum is transforming care delivery with innovative and personal care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Primary Responsibilities:

  • Conduct comprehensive assessments

  • Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions

  • Manage members during a short term sub-acute rehabilitation episode

  • Ensure accurate and complete documentation, including ICD 10 conditions

  • Communicate and collaborate with the interdisciplinary care team

  • Conduct advanced illness and advanced care planning conversations

  • Provide patients and caregivers with counseling and education

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program

  • Active and unrestricted license in the state which you reside, or ability to obtain by start date

  • Active Nurse Practitioner certification through a national board:

  • Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:

  • Family Nurse Practitioner

  • Adult Nurse Practitioner

  • Gerontology Nurse Practitioner

  • Adult-Gerontology Acute Care Nurse Practitioner

  • Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) (SCC04)

  • Ability to gain a collaborative practice agreement, if applicable in your state

  • Ability to complete physical requirements of the job including lifting a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, and sit, stand, and kneel to perform physical assessment

  • Access to reliable transportation

Preferred Qualifications:

  • 1+ years of clinical experience in practice (long-term care setting preferred)

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs

  • Understanding of Geriatrics and Chronic Illness

  • Understanding of Advanced Illness and end of life discussions

  • Proficient computer skills including the ability to document medical information with written and electronic medical records

New York Residents Only : The salary range for this role is $109,513 to $147,146 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment



Job Detail

UHOne Sales Enablement Co-op - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Indianapolis, IN

Job Description

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.

You'll be at the core of Sales Enablement, helping to ensure that solutions for customers with insurance needs come to fruition. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. During this 5-month Co-op Early Careers internship opportunity, you'll gain insight to call center operations, insurance sales, and more. You'll be trained on the specifics of your sales enablement track, with the opportunity to gain exposure to the broader operations. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility.

Key Information Regarding the Co-op Program:

This full-time Co-op position will be available for the Summer/Fall semester, starting June 17, 2025.

The following are examples of tracks where candidates may be placed. Please note that track placement is dependent on business need and availability, and there may be opportunity to gain exposure to multiple tracks during your Co-op experience:

  • Onboarding, Licensing, and Appointments

  • Responsible for agent onboarding and ready-to-sell activities

  • Training

  • Responsible for design & delivery of agent training and assessment of knowledge, along with classroom chat facilitation and tracking responsibilities

  • Workforce Management

  • Responsible for utilizing software tools and call volume history to help manage daily staffing levels and determine effective methods for making staffing adjustments for our dynamic call center

Sponsorship is not available for this position.

You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Commitment Expectations:

  • Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op.

  • This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used)

Primary Responsibilities:

  • Identify, track, report and resolve critical dependency issues

  • Keep records and provide reports to management team on a regular & timely basis

  • Maintain and develop business relationships with internal and external partners

  • Utilize internal learning platforms and training resources to support use of software and technology

  • Generate weekly schedules

  • Schedule non-phone activities

  • Monitor attendance/schedule adherence and take appropriate action as needed

  • Proof-read and make recommendations for e-mails, reports and collateral materials

  • Special projects & ad hoc reporting as required

  • Active participation in team meetings and Co-op programming, including a culminating executive presentation

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Currently pursuing a Bachelor's degree from an accredited college/university

  • Actively enrolled in an accredited college/university during the duration of the Co-op and seeking academic credit for the experience. Co-ops are not intended for graduating seniors

  • Basic Microsoft Office skills (Outlook, Word, Excel, PowerPoint)

  • Ability to work 40 hours per week during full hours of operation, 8am - 10pm ET, based upon business need (core business is typically conducted 8am - 4:45pm ET; evening & weekends may be required for the Workforce Management track which include Saturdays, 9am - 5:30pm, and Sundays, 12pm - 4pm ET)

  • Eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered

Preferred Qualifications:

  • Pursuing a degree in Business, Communication, Mathematics, Healthcare or Insurance

  • Eagerness to learn about the healthcare system, insurance, and business operations

  • Solid communication skills (both written and verbal)

  • Good problem-solving skills with attention to detail

  • Ability to work independently with minimal supervision in a fast-paced team environment

  • Demonstrated ability to learn new technology quickly

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $16.00 to $20.05 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Medical Director Radiation Oncology - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Indianapolis, IN

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient radiation oncology care for our clients. As such, this role requires an innovative, hands-on, action-oriented clinician. This position will serve as a member of the radiation oncology team dedicated to helping ensure high levels of quality, affordability, and member and provider satisfaction.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes

  • Speak with providers by phone. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense

  • Enhance clinical expertise of the radiation oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies & stakeholders

  • Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations

  • Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes

  • Collaborate with operational and business partners on enterprise-wide research, clinical and quality initiatives to enhance Optum impact in the Radiation oncology field

  • This remote-work position will require the use of a company provided personal computer, internet access and familiarity with Microsoft Office applications

  • Rotational weekend/ holiday on-call coverage as scheduled

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • MD or DO with an active, unrestricted medical license

  • Current board certification in Radiation Oncology

  • 5+ years of clinical practice experience (inclusive of radiation oncology)

  • Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development and/or peer review

  • Proven ability to quickly gain credibility, influence and partner with staff and the clinical community

  • Participate in rotational weekend/ holiday on-call coverage as scheduled

  • Proficiency with Microsoft Office applications

Preferred Qualifications:

  • Experience in managed care, quality management or administrative leadership

  • Experience working with payer guidelines

  • Experience in client-facing customer relationship management

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 per hour/annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At

UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Nurse Practitioner, Home Visits - Columbiana, Salem OH - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Salem, OH

Job Description

$ 10,000 Sign-on Bonus for External Candidates

Optum is seeking a Nurse Practitioner to join our Home-based Medical Care team in Columbiana/Salem, OH. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you'll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

Works as a provider member within the HBMC interdisciplinary team in the direct delivery of home-based medical care of a population within an assigned geography. Dedicated to improving the health and well- being of patients, this position collaborates with the PCP, HBMC interdisciplinary teammates and consultants, and as needed, the health plan Medical Director and other health professionals, to develop and carry out patients' goals of care in all phases of the patient journey.

Position Highlights & Primary Responsibilities:

  • Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants

  • Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable

  • Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable

  • Completes follow-up and post-discharge assessments according to documented standard operating procedure

  • Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions

  • Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided

  • Consults with hospital, emergency or post-acute clinical team following notification of patient transfer

  • Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness

  • Provides counsel, support and education to staff as appropriate

  • Actively participates in ongoing meetings pertaining to patient care and clinical excellence

  • Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery

  • On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis

  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews

  • Perform related duties as necessary and other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Completion of Nurse Practitioner of Physician Assistant accredited program

  • Current NP/PA license

  • Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

  • 2+ years clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care, desired, preferred

  • Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems

  • Knowledge of CPT, ICD-10 and HCPC codes

  • Knowledge of clinical standards of care

  • Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

UHOne Sales Co-op - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Indianapolis, IN

Job Description

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.

You'll be at the intersection of sales and healthcare, about to create the next incredible solution for insurance customers primarily under the age of 65. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. Throughout your 6-month Co-op Early Careers internship experience, you'll be licensed and credentialed as an Insurance Professional. You'll be trained on the tools and products, as well as the sales and compliance techniques to serve as a trusted agent for potential customers. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on this fulfilling opportunity.

Key Information Regarding the Co-op Program:

This Co-op position will be available for the Summer/Fall semester, starting Tuesday, June 17, 2025 (unlicensed). If already licensed with an active Life and Health Insurance License when hired, the start date is Monday, July 7, 2025. The internship ends on Thursday, December 19, 2025.

  • Hours of the role:

  • Through the first week of September: 32 hours per week (4, 8-hour days)

  • September: 35 hours per week (5, 7-hour days)

  • October, November, December: 40 hours per week (5, 8-hour days)

  • Ability to work 40 hours per week during full hours of operation, 8am - 10:45pm ET, based upon business need (orientation, pre-licensing preparation, and training is typically 8:30am - 5:15pm ET for approximately the first 8 weeks; evening & weekends may be required post-training, with notice given on change of hours)

Commitment Expectations:

  • Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op.

  • This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used)

Primary Responsibilities:

  • Successfully become licensed in health & life within your resident state** within the first 30 days of Co-op, if not already licensed

  • Successfully pass FFM (Federally Facilitated Marketplace) and other potential state based exchanged certifications within first 90 days of Co-op, or pass AHIP (American Health Insurance Plans) and at least three major carrier certifications depending upon your sales focus

  • Handle leads from both a dedicated carrier leadsource (UHC) and a multi-carrier leadsource (HealthMarkets)

  • Receive inbound calls from leadsources and offer available ACA (Affordable Care Act) or Medicare products based on an established sales process that includes required scripting and highly compliant, needs-based selling

  • Conduct follow-up calls to consumers who have not yet purchased the product(s) discussed on a previous call, which may include calls made by other licensed agents, to help close the sale

  • Handle chats with prospective customers according to training and guidelines for the lines of business identified

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Currently pursuing a Bachelor's degree from an accredited college/university

  • Actively enrolled in an accredited college/university during the duration of the Co-op. Not intended for graduating seniors

  • Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered

Preferred Qualifications:

  • Pursuing a degree in Sales, Business, Communication, Healthcare, or Insurance

  • Intermediate Microsoft Office skills (Outlook, Word, Excel, PowerPoint)

  • Eagerness to learn about the healthcare system & insurance

  • Solid communication skills (both written and verbal)

  • Good problem-solving skills with attention to detail

  • Ability to work independently with minimal supervision in a fast-paced team environment

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $16.00 to $20.05 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

**While the cost of the exam and reciprocal licenses are paid for by UnitedHealthOne, there may be requirements and associated costs to you, based upon your state of residence.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Practice Assistant - Yorktown Heights, NY - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Yorktown Heights, NY

Job Description

Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together.

Internal Medicine, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Practice Assistant to join our team. The Practice Assistant is responsible for the completion of set processes and protocols, working cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes to support the teams in meeting financial, clinical and service goals.

Schedule: Monday through Friday between the hours of 8:30 am to 5:30 pm. Rotating Saturdays between the hours of 7:30 am to 5:00 pm. The schedule to be determined by the hiring manager upon hire.

Location: 355 Kear Street, Second Floor, Yorktown, NY 10598

Primary Responsibilities:

  • Obtain accurate and updated patient information, such as name, address, insurance information

  • Perform insurance verification on the date of service

  • Obtain patient signatures for required documents

  • File and maintain medical records

  • Confirm and schedule appointments

  • Follow the Cash Security policy and procedures according to Optum Medical guidelines

  • Perform referral documentation promptly

  • Perform certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments

  • Adhere to the standards identified via Sparq regarding Optum Employee Policies

  • Work cohesively with fellow employees to achieve specific team goals

  • Assure the continuity of care through scheduling and tracking systems

  • Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations

  • Comply with administrative policies to ensure quality of care

  • Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart

  • All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements

  • Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED (or higher)

  • 1+ years of customer service or Healthcare related experience

  • Intermediate computer proficiency (multi-task through multiple applications including Microsoft Outlook, Excel, and Word)

Preferred Qualifications:

  • 1+ years of experience working in medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records

  • Experience working with an electronic health record (EPIC)

  • Knowledge of Medical terms

Soft Skills:

  • Ability to work independently and maintain good judgment and accountability

  • Demonstrated ability to work well with health care providers

  • Strong organizational and time management skills

  • Ability to multi-task and prioritize tasks to meet all deadlines

  • Ability to work well under pressure in a fast-paced environment

  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

New York Residents Only: The salary range for New York residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #Red



Job Detail

Senior Compliance Analyst - Remote - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Colorado Springs, CO

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Compliance Analyst will support the Bank's Compliance Management System (-CMS-) by primarily conducting 2nd line testing and monitoring activities of consumer compliance regulations to identify and mitigate compliance risks of the Bank. This individual will also support the ongoing refinement and execution of various risk assessments and the control environment. This individual will report to the Director of the Compliance Program.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Assist with the design, development, delivery, and maintenance of a best-in-class compliance program

  • Conduct compliance testing or monitoring to detect, evaluate, and mitigate potential compliance concerns and ensure compliance with relevant consumer protection regulations, regulatory best practices, and consistency with applicable Bank policies and procedures

  • Perform and document relevant risk assessments to determine current risk levels and assist in developing the annual compliance review schedule

  • Assist in establishing, documenting, and revising applicable compliance policies and procedures

  • Engage with business partners/colleagues to receive documents to review and analyze data and processes to ensure regulatory adherence

  • Ensure timely communication throughout the compliance review process and document and share written compliance testing and monitoring results with key stakeholders

  • Prepare and present reporting to the Compliance Committee, and other governance committees as may be required

  • Participate in and support annual regulatory examinations

  • Keep abreast of changing laws and regulations relating to bank products

  • Support the Compliance Training area by providing regulatory information to assist in the development of custom training courses

  • Assist with Learning Management System Administration as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 4+ years of experience working with Federal consumer protection regulations and how those regulations apply to bank products and programs, including: UDAAP, ECOA/Fair Lending, TILA, TISA, FCRA/FACTA, Privacy (GLBA / RTFPA), SCRA, MLA, ESIGN, FDCPA, TCPA, CAN-SPAM, EFTA, EFAA, and other applicable lending and deposit regulations

  • 4+ years of experience working in a bank or other financial institution with duties focused on compliance or audit of consumer protection regulations and compliance risk management

  • Proven ability to analyze, manage, and resolve complex issues with attention to detail

  • Proven good people-management and interpersonal skills, including the ability to work well both individually and in a team (in person and virtual) environment

  • Proven skill to identify, correct, and resolve banking regulatory issues

  • Proven ability to read, analyze and interpret governmental regulations, regulatory guidance and manuals, and legal documents

  • Proven assertive self-starter, with exceptional verbal and written skills, organized and able to work independently

  • Proven ability to appropriately prioritize time, manage multiple tasks and work effectively under tight deadlines

  • Demonstrate high integrity and excellent judgment

Preferred Qualifications:

  • Certified Regulatory Compliance Manager (CRCM) designation

  • Regulatory experience or experience working with banking regulators

  • Experience working with auditors

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New York, New Jersey, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Associate Patient Care Coordinator - Everett, WA - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Everett, WA

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Compassion is the essential trait that drives superior health care performance. But it's just a start. At OptumCare innovative thinking is just as important. Our unique team of health care providers are an emerging and important part of Optum and the UnitedHealth Group family of businesses. Our approach is designed to help physicians and other providers deliver the right care at the right time in the right setting. That takes smart ideas and incredible teamwork. And that's where you come in. In this role, you'll support a clinical team that's helping patients in new and better ways while giving them a generous helping of compassion and respect.

The Associate Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service, and adhere to Lean processes. Supports the teams in meeting financial, clinical, and service goals.

Schedule: Monday - Friday, in between the hours of 6:30AM - 7:00PM (40-hour work week). Management will determine schedule.

Location: The Everett Clinic - 3901 Hoyt Avenue, Everett, WA

Primary Responsibilities:

  • First point of contact for our patients. Sets the tone for a positive experience

  • Exhibits empathy, courtesy, competence, efficiency, and care

  • Schedules appointments and procedures, following standard guidelines

  • Uses Multiple computer and phone systems to fulfill patient needs over phone

  • Verifies patient information, while documenting in their Electronic Health Record (EPIC)

  • Advises patients of their responsibilities regarding insurance and referral information

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED (or higher)

  • 1+year(s)of customer service experience

  • 1+year(s)of Microsoft Office experience

Preferred Qualifications:

  • 1+ year(s) of receptionist experience in a medical office

  • 1+year(s)of experience in a health care setting

  • Knowledge/understanding of CPT/ICD-10 coding

  • Excellent communication skills and phone etiquette

  • Independent means of transportation during work hours for job related tasks

Washington Residents Only: The hourly range for Washington residents is $16.00 to $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED



Job Detail

Remote Part Time 1099 Therapist - Washington - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Everett, WA

Job Description

AbleTo, part of the Optum family of businesses is seeking a Program Therapist to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone.

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together

You're a compassionate therapist who shares in our ambitious mission to transform behavioral health care. You want to make a difference and spend more time with patients than with paperwork. You appreciate a collaborative environment with a support system of coaches and clinical supervisors. You want to help participants focus on actionable skills and build healthy, life-long habits through structured, evidence-based protocols.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

*1099 Contracts Available!

  • Manage a caseload of a minimum of 10 participants in treatment

  • Required: 10 hours per week within the hours of 9a-8pm local time. The 10 hours may be completed during the week or on weekends. Candidate can choose the set schedule that works for them, but it needs to be consistent once chosen. (no flexibility once set)

  • $40-$60 per session hour (dependent on state of residence)

Primary Responsibilities:

  • Deliver remote care throughout an 8-week evidence-based program

  • Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes

  • Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms

  • Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols

  • Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls

  • Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current Licensed Independent Clinical Social Worker (LICSW) or Licensed Mental Health Counselor (LMHC) in Washington

  • Ability to maintain a consistent schedule for patients 10+ hours/week

Preferred Qualifications:

  • Interest in obtaining licensure in other states

  • Clinical experience conducting psychotherapy utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and other solution-focused approaches

  • Proven passionate about impacting lives and the future of behavioral care

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Medical Assistant - Bilingual - Fluent in Spanish and English - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Albuquerque, NM

Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Compassion is the essential trait that drives superior health care performance. But it's just a start. At OptumCare innovative thinking is just as important. Our unique team of health care providers are an emerging and important part of Optum and the UnitedHealth Group family of businesses. Our approach is designed to help physicians and other providers deliver the right care at the right time in the right setting. That takes smart ideas and incredible teamwork. And that's where you come in. In this role, you'll support a clinical team that's helping patients in new and better ways while giving them a generous helping of compassion and respect.

Position in this function performs clinical and administrative duties that assist in the delivery of effective patient care within assigned area. Greet patients; escort them to exam room and takes vitals and other MA related duties as assigned. Provide direct customer service and front desk assistance for assigned department to include but not limited to registering, telephones, scheduling and verifying insurance. Handles customer account transactions, provides customer assistance, and performs and/or oversees cashiering operations. Demonstrates knowledge of medical practice and patient care as it relates to the clinical setting and medical specialty. Adheres to policies, procedures and regulations to ensure compliance and patient safety. Participation in Compliance and other important training is a condition of employment.

Primary Responsibilities:

  • Greets patients and escorts them to exam room. Performs hand washing, weighs patients, takes vital signs and patient history, and documents chief complaint. May administer limited injections requested by a physician and supervised by a physician, registered nurse, nurse practitioner or physician assistant in accordance to established regulations, in conjunction with attending and passing Injection class

  • Responds effectively to incoming patient calls and communicates pertinent information to physician or designee to provide for continuity and optimal care

  • Appropriately communicates lab results, physician orders, and medication instructions to patients

  • Provides direct customer service and front desk assistance for assigned department to include but not limited to registering, scheduling and verifying insurance and arriving patients. Electronic eligibility verification, updating patient demographics, ensure required referrals and prior authorization are in place for patient visit. Manage no-show list. Schedule waits list, follow-up, x-ray, referral appointments

  • Prepares exam room for next patient and assures that supplies are stocked and available in anticipation of the provider's needs. Manages medical supply inventory and cleans equipment

  • Provides customer assistance. Obtaining -expert- level knowledge of the inter-workings of various insurance plans and staying abreast of insurance plans in the process of being added, deleted or changed. Collection of co-pays, co-insurance, self-pay, fee-for-service, and payment on account

  • Maintains patients' record/files and participates in the revenue cycle process

  • Assists patients in scheduling appointments and obtains referral when necessary

  • May be required to analyze medical records and charge entry information for financial reimbursement within the guidelines and procedures. Work TES charge entry edits

  • Completing basic Medical Assistant competencies in addition to departmental specific competencies

  • Adheres to policies, procedures and regulations to ensure patient safety and regulations. May attend departmental meetings and provide constructive recommendations for areas improvement

  • Coordinates Specialty referrals and appointments for all enrolled patients

  • Completes prior authorizations (DME, HHC, stat testing, Specialty visits, etc.)

  • Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School diploma or GED

  • Completion of a Medical Assistant program or relevant experience (EMT, Medic, CNA, etc. )

  • BLS certification required or must be able to complete certification within 30 days of hire

  • Experience utilizing excellent customer service skills

  • Knowledge and understanding of medical terminology

  • Demonstrated proficiency in Windows navigation and a variety of MS Office software applications

  • Demonstrated ability to type and enter data efficiently and accurately

Preferred Qualifications:

  • Bilingual - Fluent in Spanish and English

  • National Certified Medical Assistant (NCMA) Certification through the National Center for Competency Testing (NCCT) or active Certified Clinical Medical Assistant (CCMA) Certification through National Health career Association (NHA)

  • 1+ years of related experience

  • Demonstrated ability to work independently and willingness to learn

  • Demonstrated ability to communicate effectively

  • Demonstrated ability to multi-task and work under pressure

  • Demonstrated attention to detail

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail

Primary Care Physician Optum - Albuquerque, NM - UnitedHealth Group
Posted: Sep 25, 2024 06:35
Albuquerque, NM

Job Description

Optum NM is seeking a Primary Care Physician to join our team in Albuquerque, NM. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Primary Responsibilities:

  • In this position you will provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. You will enjoy working with our employees who work with professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Compensation & Benefits Highlights

  • Med/Den/Vis, STD, LTD, United Health stock options

  • Continuing Medical Education allowance with time off

  • Robust Relocation program

  • Professional Liability Insurance

  • Excellent PTO package

  • Generous retirement program including employer funded contributions (401K)

Albuquerque

  • 300 days a year of sun-drenched and picturesque mountain views

  • Enjoy all seasons with mild winters

  • A Top City with the Cleanest Air in America, Thrillist\

  • Top destination for hiking, biking, skiing and running

  • Diverse Culture - Art galleries, theater, concerts, shopping, music venues

  • A Top Big Best Cities for Active Families, Outdoor Magazine

  • Top 5 ranking for "Secretly Cool Cities-, Huffington Post

  • Top 10 ranking for America's Best Cities for Foodies, Travel + Leisure

Required Qualifications:

  • MD or DO

  • Medical Licensure in the State of New Mexico or ability to obtain prior to employment

  • DEA license or ability to obtain prior to employment

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Detail