Company Detail

Nurse Practitioner or Physician Assistant - HouseCalls New York Statewide - Part-time - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Hamilton, NY

Job Description

$40,000 Student Loan Repayment or $40,000 Sign-on Bonus for individuals who have not previously participated in this program.

Optum is seeking a Nurse Practitioner to join our HouseCalls team in New York. 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 provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

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.

This role requires travel across the entire state of New York, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.

Primary Responsibilities:

  • Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam

  • Perform evidence-based practice screenings including point of care testing (as appropriate)

  • Identify diagnoses to be used in care management and active medical management in the furtherance of treatment

  • Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment

  • Communicate findings in your assessment that will be used to inform member's PCP of potential gaps in care

  • Identify urgent and emergent situations and intervene appropriately

  • Educate members on topics such as disease process, medication, and compliance

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:

  • Active NP license or ability to obtain by start date. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice

  • Active ANCC or AANP national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification, or the ability to obtain national certification and/or NP license in state of assignment by start date

  • 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

  • Reliable transportation to complete home visit assessments

Preferred Qualifications:

  • 1+ years of clinical experience in their highest level of education, clinical setting

  • May be requested to obtain additional licensure in other geographic areas

  • Experience in gerontology, cardiology, internal medicine, or endocrinology

  • Home Health care or home visit experience

  • Ability to travel throughout the state, beyond your assigned region, up to 5% of the time. Based on business needs with advanced notice, eligible for additional compensation incentives

*PLEASE NOTE* Employees must be in an active regular status. Employees must remain in role for a minimum of 12 months from the date of hire /rehire/transfer. If an employee leaves Home and Community, the student loan repayments will cease. The employee must remain in an Advanced Practice Clinician or Physician role within Home and Community for 36 months to receive the full benefit of the student loan repayments.

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

Clinical Pharmacist - Telecommute in Phoenix, AZ - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Phoenix, AZ

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.

As a Clinical Pharmacist you will perform live telephonic outreach to UHC Medicare members to improve health quality outcomes (i.e. medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.

Primary Responsibilities:

  • Perform telephonic outreach to improve health quality outcomes

  • Optimize pharmacy therapy through additional telephonic engagement with providers and pharmacies

  • Oversee pharmacy projects from inception to completion

  • Provide responses to drug information requests

  • Assess and interpret customer needs and requirements

  • Identify solutions to non-standard requests and problems

  • Coach, provide feedback, and guide others

  • Document and track member engagement

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:

  • Bachelor's degree (or higher) in Pharmacy

  • Current and unrestricted Pharmacist license in the state of Arizona

  • 3+ years of experience working as a licensed pharmacist

  • 3+ years of patient consultation experience while working as a licensed pharmacist

  • Beginner level of proficiency navigating MS Office and Windows-based environment

Preferred Qualifications :

  • Pharm D

  • Retail and/or mail order pharmacy experience

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

RN Health Care Manager Well Med at Coria - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Harlingen, TX

Job Description

$2,200. Sign on Bonus Available for External Candidates

Incentive Bonus 2 times a year

23 days of PTO & Closed on Major Holidays

401K Match

WellMed, part of the Optum family of businesses, is seeking a Registered Nurse to join our team in Brownsville, TX. 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.

The Healthcare Manager is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing.

Primary Responsibilities:

  • Works with the providers and clinic staff to identify patients at high risk

  • Supports longitudinal care of the patient with chronic care conditions by:

  • Performing assessment of health conditions

  • Performing medication reconciliation

  • Conducting Motivational Interviewing and Self-Management Goal setting

  • Providing patient education

  • Creating referrals to appropriate agencies and resources

  • Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:

  • Performing assessment of transitional needs

  • Performing medication reconciliation

  • Establishing and reviewing contingency plan

  • Providing patient education

  • Assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments

  • Coordinate with providers to establish or update plan of care

  • Performs accurate and timely documentation in the electronic medical record

  • Participates in daily huddles and Patient Care Coordination (PCC) meetings

  • Prepares accurate and timely reports, as required, for weekly meetings

  • Maintains continued competence in nursing practice and knowledge of current evidence based practices

  • May perform clinical tasks within their scope of practice

  • Performs all other related 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:

  • Bachelor's degree in Nursing or Associate's degree in Nursing with four or more years of experience as an RN

  • Registered Nurse with an active and unrestricted license to practice in the state of employment

  • Current BLS certification

  • 2+ years of experience in a physician's office, clinical or hospital setting

  • Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD

  • Excellent verbal and written skills

  • Solid interpersonal skills

  • Ability to interact productively with individuals and with multidisciplinary teams

  • Proficient computer skills to work efficiently with electronic medical records

  • Excellent organizational and prioritization skills

Preferred Qualifications:

  • Experience related to patient education and/or motivational interviewing skills and self-management goal setting

  • Fluent written and verbal skills in English and Spanish

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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

Business Process / UAT Test Analyst - National Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Phoenix, AZ

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.

Position Description: UAT tester to work within the UAT Team to help us ensure our products are tested and delivered having met the highest quality testing standards available in the organization in a timely manner. In this highly visible role, you will also have the opportunity to participate in building and establishing our policies, standards and procedures for the UAT Team

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 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks on-the-job training. The hours during training will be 8:00 am to 5:00 pm CST, Monday - Friday.

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

Primary Responsibilities:

  • Perform User Acceptance Testing (UAT) and Quality Assurance

  • Analyze and decompose business requirements to extract test requirements

  • Developing / implementing / executing effective test plans and test cases

  • Testing of system requirements and enhancements and/or fixes

  • Analyzing data, researching & troubleshooting issues to define root cause and providing results

  • Logging & tracking defects to closure

  • Monitoring, measuring and communicating test results

  • Help ensure new system requirements/enhancements/changes are tested thoroughly, accurately and delivered in a timely manner

  • Create and prepare UAT documentation, communication, and process workflow

  • Provide consistent and repeatable testing process for UAT; may work with business analyst to execute test scenarios.

  • Work closely with Project Team to identify risks early

  • Improve processes and reduce post implementation issues

  • Create and maintain documentation, communication, and process workflow

  • Other tasks may include support other project testing as needed, running reports and pulling data from the RxCLAIM system for audits on pharmacy claims data, making recommendations to the development team to improve the system and using query language to create the reports from various relational databases

  • Project management skills - manage multiple priorities

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 or older

  • 2+ year of User Acceptance testing experience for enterprise-level applications, includingwriting test cases from business requirement and executing/validating test results

  • RxCLAIM on IBM AS400 experience backed with strong understanding & knowledge of RxCLAIM MODs'

  • 2+ years of experience performing business process and data analysis

  • Intermediate level proficiency: Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint

  • Experience with developing process documentation and process improvement workflow

  • Ability to understand and clearly articulate business and system functionality requirements and/or process flows as it relates to test cases and test results

  • Experience with handling multiple projects simultaneously and in a fast-paced environment

  • Must be able to work flexible schedule during holidays & peak period (November through January)

  • Ability to work our normal business hours of 8:00am - 5:00pm CST, Monday to Friday. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

  • Medicare Part D

  • Previous automation experience

  • Healthcare insurance or claims experience

  • Intermediate proficiency level in Microsoft Access

  • Strong understanding of Claims Admin workflows and processes

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:

  • Excellent interpersonal skills at both individual and team level

  • Excellent written and verbal communication skills

  • Strong analytical and organizational skills

  • Self-driven yet team oriented

*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 $28.03 - $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.

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

Clinical Program Director, Laboratory & Genomics - Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Phoenix, AZ

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.

Purpose of Job:

  • Development of clinical programs within the Laboratory & Genomics Team, as well as in collaboration with the Oncology and Specialties Teams, leveraging a cross-disciplinary team of program managers and analysts who will support the project plan, meetings, IT build, financing, savings opportunity assessment.

  • Build Collaborative Relationships with Laboratories and Specialty Societies

  • Partner with Payment Integrity and UHNetworks Teams to navigate billing, coding, and claims complexities of the laboratory space

This role will require a strong working knowledge of laboratory-focused strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives with the support from Enterprise executive leaders to operational support teams.

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

Primary Responsibilities:

Initiative Implementation and Oversight

  • Manage resources including flexible and agile pool of Program Managers, assign projects and efficiently move it through the project lifecycle from end-to-end

  • Oversee effective implementation of programs that have a variety of approaches and requirements in partnership with internal and external partners

  • Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met.

  • Ensure Program Managers complete implementation activities needed to efficiently move programs through the project lifecycle

  • Use problem solving skills and make decisions to move implementation forward

  • Expert in reviewing, evaluating and documenting business requirements and facilitating discussions with operational and technology partners, based upon business requirements for IT-related projects.

  • Ensure compliance with financial goals are being met

Payment Integrity Partnership

  • Lead efforts to understand and solve for the complexities of coding and reimbursing laboratory services

  • Ensure alignment with published guidelines and Society recommendations

  • Use problem solving skills and negotiation skills to resolve discrepancies

  • Represent UHC Value Creation Laboratory and Genomics team in internal and external discussions

Partnership Skills

  • Develop and maintain strong relationships with executive leadership of internal teams and external vendors

  • Partner with executive leadership from all LOBs to achieve mutual success on achieving/exceeding targets

  • Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs

  • Oversee frequent cadence of communications to allow deeper understanding of shared objectives, emerging issues

Quantitative Analysis

  • Develop cost benefit analyses and business cases for clinical programs

  • Develop and analyze Key Performance Indicators for clinical program for each line of business to define timelines and documentation necessary for financial compliance and performance

  • Interacting with HCE and LOB Finance teams to verify and report out on aggregate program performance

  • Solve complex financial performance barriers

  • Work with program managers and predictive analytics teams to accurately model performance expectations to set realistic financial goals

  • Provide guidance to program managers in evaluation of data from analytic teams to correlate the expected affordability to the operational reality of the program

Research Skills

  • Ability to search for, analyze and present innovative ideas regarding implementation of clinical programs in pipeline

Presentation Skills

  • Speak clearly on complex problems across a wide range of audiences

  • Provide regular updates regarding the implementation process and clinical programs for Joint Operating Committees, Team Leadership and Executive Sessions

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:

  • 5+ years of healthcare experience with at least 3 years of laboratory/genomics experience

  • 4+ years in a leadership / management role

  • Superior data analysis skills and knowledge of Legal, Regulatory Health care requirements and Financial Performance reporting

  • Sound strategic, analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes

  • Solid history of quickly building relationships, gaining credibility and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups

  • Ability to work with Agility team to design, build and implement IT support for clinical programs

  • Ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations

  • Solid negotiation skills; the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome

  • Demonstrated ability to manage others; ability to influence in executive settings

  • Strategic thinking with proven ability to communicate a vision and drive results

  • Creative problem-solving skills

  • Self-starter, initiates work independently

*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 $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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

Pharmacy Care Coordinator - National Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Phoenix, AZ

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.

On the Provider Experience team, your role will be to manage existing Optum accounts and drive growth in those accounts by supporting providers, patients, sales and operations, and other teams such as Payer Relations, Industry Relations, Financial Assistance Department, pharmacist teams, etc.

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

Primary Responsibilities:

  • Supporting providers through inbound calls, portal chats, outreach, escalations, and/or EMR task

  • Be self-aware, compassionate, and genuine in service

  • Scheduling prescription deliveries

  • Handle difficult situations and ensure the provider experience is exceptional

  • Collect provider preferences

  • Problem-solve with decisiveness and urgency and escalate to operations partners, team leads, management and other stakeholders

  • Enters notes/information into appropriate pharmacy system or other systems to document interactions

  • Ensure patients and providers are supported by following escalation through to finish

  • Ensure communication between providers and sales is completed and issues are raised to management

  • Works as a liaison with operations partners letting them know of any patient or practice issues/concerns

  • Respond professionally and appropriately

  • Focus on patient care and quality assurance

  • Excellent communication, upselling Optum services to Providers

  • Promote and educate on Optum tools (Patient Portal, Provider Portal, Optum Connections, etc.)

  • Able to work flexible hours

  • All 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/GED (or higher)

  • 1+ years of customer service experience

Preferred Qualifications:

  • Basic knowledge of Microsoft Outlook, Excel, and Word

  • 1+ years of experience in patient services in a medical environment

  • Experience with a complex pharmacy system

  • National Pharmacy Technician Certification, current and in good standing

Soft Skills:

  • Proven your ability to manage multiple tasks and set priorities

  • Experience establishing and executing action plans; able to share your past successes

  • A strong business acumen and ability to make good judgments

  • Excellent interpersonal skills

  • Have high standards, are diplomatic when faced with conflict, and always communicate in a professional and courteous manner

  • Ability to produce quality results with a detail-oriented focus

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only : The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $16.54 to $32.55 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 #Green



Job Detail

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Phoenix, AZ

Job Description

Training classes start soon - apply today!

You've heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRx we've earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You'll take as many as 50 - 70 calls per day from members who have questions about their prescriptions and you'll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career.

This position is full-time (40 hours / week), Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 AM - 11:00 PM EST (schedules likely to be determined during training). It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 7 total weeks (5 weeks in a classroom setting and 2 weeks on-the-job) of paid training. The hours during training will be 8:30 AM - 5:00 PM CST from Monday - Friday (100% attendance is required). Training will be conducted virtually from your home.

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

To learn even more about this position and hear from our other Pharmacy Customer Service Representatives , click here to watch a short video (https://optumrx.video.uhc.com/media/Day+In+a+Life+2022/1_bmq3gitd)

Primary Responsibilities:

  • Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries

  • Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries

  • Ask appropriate questions and listen actively while documenting required information in computer systems

  • Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders

  • Make outbound calls to customers on prescription orders and payment issues

This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to member prescription and / or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.

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

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

  • Ability to work any 8-hour shift between the hours of 7:00 AM - 11:00 PM EST from Sunday - Saturday (schedules likely to be determined during training) including the flexibility to work occasional overtime and weekends based on business need

Preferred Qualifications:

  • 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools

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

*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 $16.00 - $28.27 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

Float Senior Pharmacy Technician - All Cities, OR - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Beaverton, OR

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Float Senior P harmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Hours: Pharmacies in the area you will be covering will be open Monday-Friday, 8:00am-5:30pm PST

Location : You will be a float technician that will cover all sites in OR for PTO coverage. The cities will include: Medford, Portland-Metro, Grants Pass, Roseburg, Eugene, Salem, Gresham, Sandy, Astoria, Newport, Coos Bay, Bend, St. Helens, and potentially Ontario.

Primary Responsibilities:

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • 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:

  • Active and unrestricted Pharmacy Technician license in the state of Oregon

  • National Pharmacy Technician Certification

  • 2+ years of pharmacy and prescription data entry experience

  • Access to reliable transportation

  • Valid US driver's license

Preferred Qualifications:

  • Long Term Care experience

  • Travel/Floating Pharmacy Experience

*PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or 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

Medical Assistant USMD Fort Worth Southwest - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Fort Worth, TX

Job Description

$1500 Sign on Bonus Available for External Candidates

Incentive Bonus

18 days of PTO & Closed on Major Holidays

MA Certification Fee Reimbursement - 401K Match

Opportunities at WellMed , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind *Caring. Connecting. Growing together.*

The Medical Assistant (MA) participates in providing patient care at the appropriate skill level. They have a duty to provide a standard of care that meets or exceeds that of a reasonably competent and knowledgeable Medical Assistant. The MA performs duties within their scope of practice delegated by, and under the supervision of, a provider (TX) or physician (FL)

Positions in this function organizes the clinical environment and provides support in patient care situations. Support includes but is not limited to assisting physicians and nursing personnel, including those skills listed under Job Functions below along with various other procedures under the direct supervision and responsibility of a medical provider. The MA assists in identifying patient needs or problems and communicating data to the provider or other members of the clinical team. The MA delivers quality customer service. Ensures policy and procedures are followed including infection control, privacy and confidentiality. Completes mandatory training.

Primary Responsibilities:

  • Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non-intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capillary, performs EKGs. Performs quality control checks on equipment. Prepares and sterilizes medical equipment using the autoclave

  • Rooms patients according to policy and procedures, prepares patient for examination

  • Records patient care documentation in the medical record accurately and in a timely manner

  • Coordinates patient care as directed by physicians, company standards and policies

  • Respects patient confidentiality at all times and treats patients with courtesy and respect

  • Organizes exam and treatment rooms, stocks and cleans rooms and sterilizes instruments

  • Practices standard infection control precautions

  • Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge

  • Supports and follows Standard Delegation of Orders (SDO)

  • Performs all other related 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 graduate or GED equivalent

  • Current, nationally recognized Medical Assistant certification or the ability to obtain the certification within 180 days of employment. Medical Assistants who are hired prior to receiving their certification are expected to perform at the same level as a -certified- Medical Assistant

  • Current BLS certification for healthcare providers (written exam and in-person assessment) at time of hire or within 30 days of hire

  • Knowledge of medical terminology

  • Basic computer literacy with intermediate Excel skills

  • Proven ability to react calmly and effectively in emergency situations

  • Proven good communication and customer service skills

  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

  • c

Physical & Mental Requirements:

  • Ability to lift, push or pull >35 lbs. with assistance

  • Ability to stand for extended periods of time

  • Ability to use fine motor skills to operate equipment and/or machinery

  • Ability to receive and comprehend instructions verbally and/or in writing

  • Ability to use logical reasoning for simple and complex problem solving

  • Occasionally requires exposure to communicable diseases or bodily fluids

  • Ability to discriminate shades of color when reading dipstick

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

Clinical Care Manager RN - Remote in FL - Bilingual Spanish preferred - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Jacksonville, FL

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.

This position will be the primary care manager for a panel of members with primary complex medical needs. The Care Management / coordination activities will focus on supporting member's medical, behavioral and socioeconomic needs to promote appropriate utilization of services and improved quality of care. All case management/ coordination activities will be in alignment with evidence-based guidelines. This position will liaison with the members' provider community to help reduce fragmentation within the care ecosystem. The role will provide medically oriented clinical consults/guidance within the team and to other area within the health plan. The Clinical Care Manager will approach their member work with an understanding of how inequities drive health disparities. They will promote health equity.

If you reside in Florida, you'll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

  • Serve as primary care manager for members with primary complex medical needs

  • Engage members through a variety of modalities (telephonically) to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, socioeconomic and SDOH needs

  • Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines

  • Partner and collaborate with internal care team, providers, community resources/partners and leverage expertise to implement care plan

  • Monitor and update care plan, incorporating feedback from member to monitor compliance with interventions to achieve care plan goals

  • Provide education and coaching to support:

  • Member self-management of care needs in alignment with evidence-based guidelines

  • Lifestyle changes to promote health, i.e. smoking cessation, weight management, exercise

  • Assist member in development of personal wellness plan / health crisis plan

  • Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding and verification of appointment to receive specific services

  • Monitor compliance with medication regimen and make referrals to Pharmacist for medication review and recommendations

  • Reassess and update care plan with change in condition or care needs

  • Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission

  • Access and Coordinate Medicaid Benefits to support care needs

  • Document all care management/coordination activity in clinical care management record

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, unrestricted, independent licensure as a Registered Nurse

  • 4+ years of relevant clinical work experience

  • 3+ years of experience managing needs of complex populations (e.g. Medicare, Medicaid)

  • 1+ years of community case management experience coordinating care for individuals with complex needs

  • Demonstrated knowledge of Medicare and Medicaid benefits

  • Reside in the state of Florida

Preferred Qualifications:

  • Bachelor's degree or greater

  • Certification in Case Management (CCM)

  • Experience with vulnerable subpopulations include children and youth with special health care needs, adults with serious mental illness, children with serious emotional disturbances, members with substance use disorders, children in foster care or adoption assistance, and members with other complex or multiple chronic conditions

  • Case Management experience

  • Behavioral health experience

  • Bilingual experience - Spanish

  • Home care / field-based case management

  • Experience working in Managed Care

*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.



Job Detail

Part-time Float Pharmacy Technician - Community - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Fort Smith, AR

Job Description

$3,000 Sign-on Bonus for External Candidates

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Part-time Float Pharmacy Technician to support all functions of the Genoa pharmacy, primarily through dispensing medical prescriptions, and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Schedule: Monday - Friday (24 hours per week - days will vary based on need) / 8:00am to 4:30pm CST / No weekends or holidays

Locations: Opportunity to work at multiple locations including Springdale, Arkansas, Fort Smith, Arkansas and Van Buren, Arkansas (opening soon!)

Tour a Genoa Pharmacy at the following link: Genoa Healthcare On-site Pharmacy Tour (youtube.com) (https://www.youtube.com/watch?v=wR5bzhHlT7k)

Primary Responsibilities:

  • Delivery of medications (mileage reimbursement allotted)

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • 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:

  • Licensed Pharmacy Technician in the state of Arkansas

  • Valid driver's license and reliable transportation

Preferred Qualifications:

  • National Pharmacy Technician Certification

  • Pharmacy and prescription data entry experience

  • Pharmacy Technician experience in a retail or specialty pharmacy 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.



Job Detail

Float Senior Pharmacy Technician - All Cities, OR - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Newport, OR

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Float Senior P harmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Hours: Pharmacies in the area you will be covering will be open Monday-Friday, 8:00am-5:30pm PST

Location : You will be a float technician that will cover all sites in OR for PTO coverage. The cities will include: Medford, Portland-Metro, Grants Pass, Roseburg, Eugene, Salem, Gresham, Sandy, Astoria, Newport, Coos Bay, Bend, St. Helens, and potentially Ontario.

Primary Responsibilities:

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • 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:

  • Active and unrestricted Pharmacy Technician license in the state of Oregon

  • National Pharmacy Technician Certification

  • 2+ years of pharmacy and prescription data entry experience

  • Access to reliable transportation

  • Valid US driver's license

Preferred Qualifications:

  • Long Term Care experience

  • Travel/Floating Pharmacy Experience

*PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or 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

Float Senior Pharmacy Technician - All Cities, OR - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Coos Bay, OR

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Float Senior P harmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Hours: Pharmacies in the area you will be covering will be open Monday-Friday, 8:00am-5:30pm PST

Location : You will be a float technician that will cover all sites in OR for PTO coverage. The cities will include: Medford, Portland-Metro, Grants Pass, Roseburg, Eugene, Salem, Gresham, Sandy, Astoria, Newport, Coos Bay, Bend, St. Helens, and potentially Ontario.

Primary Responsibilities:

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • 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:

  • Active and unrestricted Pharmacy Technician license in the state of Oregon

  • National Pharmacy Technician Certification

  • 2+ years of pharmacy and prescription data entry experience

  • Access to reliable transportation

  • Valid US driver's license

Preferred Qualifications:

  • Long Term Care experience

  • Travel/Floating Pharmacy Experience

*PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or 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

Part-time Float Pharmacy Technician - Community - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Van Buren, AR

Job Description

$3,000 Sign-on Bonus for External Candidates

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Part-time Float Pharmacy Technician to support all functions of the Genoa pharmacy, primarily through dispensing medical prescriptions, and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Schedule: Monday - Friday (24 hours per week - days will vary based on need) / 8:00am to 4:30pm CST / No weekends or holidays

Locations: Opportunity to work at multiple locations including Springdale, Arkansas, Fort Smith, Arkansas and Van Buren, Arkansas (opening soon!)

Tour a Genoa Pharmacy at the following link: Genoa Healthcare On-site Pharmacy Tour (youtube.com) (https://www.youtube.com/watch?v=wR5bzhHlT7k)

Primary Responsibilities:

  • Delivery of medications (mileage reimbursement allotted)

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • 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:

  • Licensed Pharmacy Technician in the state of Arkansas

  • Valid driver's license and reliable transportation

Preferred Qualifications:

  • National Pharmacy Technician Certification

  • Pharmacy and prescription data entry experience

  • Pharmacy Technician experience in a retail or specialty pharmacy 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.



Job Detail

Associate Patient Care Coordinator Per Diem - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Santa Ana, CA

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 to the Center Administrator and provides appointment scheduling, patient registration, cashiering, answers incoming calls and performs other related clerical functions. This primary role provides front office support functions.

Hours : This position is a per diem role. When business needs hours will be 8:00AM - 5:00PM; potential days Monday - Friday.

Location : Orange County, CA

Primary Responsibilities:

  • Greets patients as they arrive and manage appropriate standard wait times

  • Complete check-in and check-out tasks to include patient demographic verification, insurance verification, complete pre-authorizations and/or precertification of procedures, and copy required documents

  • Collects co-payments, co-insurance, and deductibles and issues receipts

  • Manages cashier box and daily deposits according to company policies

  • Answers phones and schedules appointments

  • Answer telephone calls, re-direct calls as appropriate, assist callers with questions or concerns, and take messages as needed

  • Manages medical records (maintains, files/scans, prepares for schedule)

  • Ensures all correspondence is scanned and/or filed, processes requests for medical records release and maintains appropriate logs, etc.

  • Establish and maintain effective working relationships with patients, employees, and the public

  • Performs all other related 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 / GED (or higher)

  • 1+ years of experience in customer service

  • Beginner level of proficiency with Microsoft Excel, Word, Outlook, and PowerPoint

Preferred Qualifications:

  • 1+ years of experience with medical office processes

  • 1+ years of related work experience including data entry

  • Prior experience with EMR computer applications

California Residents Only: The hourly range for California 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

Float Senior Pharmacy Technician - All Cities, OR - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Eugene, OR

Job Description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

"A Day in the Life" video

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.

Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.

We seek a Float Senior P harmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.

Hours: Pharmacies in the area you will be covering will be open Monday-Friday, 8:00am-5:30pm PST

Location : You will be a float technician that will cover all sites in OR for PTO coverage. The cities will include: Medford, Portland-Metro, Grants Pass, Roseburg, Eugene, Salem, Gresham, Sandy, Astoria, Newport, Coos Bay, Bend, St. Helens, and potentially Ontario.

Primary Responsibilities:

  • Provide exceptional customer service to all consumers and members of the clinic staff

  • Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist

  • Orders, receives and stores incoming pharmacy supplies

  • Receives and processes wholesaler medication orders

  • Verifies medication stock and enters data in computer to maintain inventory records

  • Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements

  • Performs various clerical duties relating to the department

  • Communicates with strong professional verbal and written communication skills

  • 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:

  • Active and unrestricted Pharmacy Technician license in the state of Oregon

  • National Pharmacy Technician Certification

  • 2+ years of pharmacy and prescription data entry experience

  • Access to reliable transportation

  • Valid US driver's license

Preferred Qualifications:

  • Long Term Care experience

  • Travel/Floating Pharmacy Experience

*PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or 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

Pharmacy Care Coordinator - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Eugene, OR

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.

Positions in this function consult with customers, members, patients, providers, internal departments and/or external third parties on any or all of the following: Consult with and coordinate on going care and treatment plans for members with clinical pharmacists and other providers.

If you live near Eugene, OR, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer

  • Documents pertinent patient information in the electronic medical record

  • Assists with data management and recording results for month-end reports

  • Assists in Pharmacy Services wellness programs (i.e. transition of care medication reconciliation) by:

  • Retrieving pertinent patient information for new patient referrals or recent hospital/SNF discharge

  • Contacting patients post hospitalization to perform medication review and information gathering

  • Performing patient follow-up procedures

  • Answering incoming phone calls and directing patient messages

  • Coordinating with other healthcare providers, healthcare professionals, and healthcare team members

  • Updates job knowledge by participating in educational opportunities and reading professional publications

  • Participates in process improvement initiatives, staff meetings and departmental meetings

  • Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

  • Adheres to Universal Precautions and safety policies and procedures at all times

  • 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)

  • Possess and maintain an active pharmacy technician license in the state of Oregon

  • 1+ years of experience as a pharmacy technician

  • 1+ years of experience in customer service

  • 1+ years of experience with medical and pharmacy terminology

  • 1+ years of experience with medication therapeutic categories

  • 1+ years of experience with identifying generic name for brand name drugs and vice versa

  • 1+ years of experience with an understanding of indication for medication

  • Basic level of proficiency in Windows and MS applications (Word, Excel)

Preferred Qualifications:

  • National Pharmacy Technician Certification

  • Possess and maintain an active pharmacy technician license in the state of Washington

  • 3+ years of experience working as a pharmacy technician

  • 1+ years of experience in hospital, ambulatory care or other healthcare setting

  • Experience in managed care setting

  • Bilingual (Spanish/English)

*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, #red



Job Detail

Clinical Program Director, Laboratory & Genomics - Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Tampa, FL

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.

Purpose of Job:

  • Development of clinical programs within the Laboratory & Genomics Team, as well as in collaboration with the Oncology and Specialties Teams, leveraging a cross-disciplinary team of program managers and analysts who will support the project plan, meetings, IT build, financing, savings opportunity assessment.

  • Build Collaborative Relationships with Laboratories and Specialty Societies

  • Partner with Payment Integrity and UHNetworks Teams to navigate billing, coding, and claims complexities of the laboratory space

This role will require a strong working knowledge of laboratory-focused strategic and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives with the support from Enterprise executive leaders to operational support teams.

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

Primary Responsibilities:

Initiative Implementation and Oversight

  • Manage resources including flexible and agile pool of Program Managers, assign projects and efficiently move it through the project lifecycle from end-to-end

  • Oversee effective implementation of programs that have a variety of approaches and requirements in partnership with internal and external partners

  • Build and develop relationships across teams to ensure effective support and feedback loops and that deliverables are met.

  • Ensure Program Managers complete implementation activities needed to efficiently move programs through the project lifecycle

  • Use problem solving skills and make decisions to move implementation forward

  • Expert in reviewing, evaluating and documenting business requirements and facilitating discussions with operational and technology partners, based upon business requirements for IT-related projects.

  • Ensure compliance with financial goals are being met

Payment Integrity Partnership

  • Lead efforts to understand and solve for the complexities of coding and reimbursing laboratory services

  • Ensure alignment with published guidelines and Society recommendations

  • Use problem solving skills and negotiation skills to resolve discrepancies

  • Represent UHC Value Creation Laboratory and Genomics team in internal and external discussions

Partnership Skills

  • Develop and maintain strong relationships with executive leadership of internal teams and external vendors

  • Partner with executive leadership from all LOBs to achieve mutual success on achieving/exceeding targets

  • Develop and maintain strong relationships with provider groups/facilities for collaboration on clinical pilots and programs

  • Oversee frequent cadence of communications to allow deeper understanding of shared objectives, emerging issues

Quantitative Analysis

  • Develop cost benefit analyses and business cases for clinical programs

  • Develop and analyze Key Performance Indicators for clinical program for each line of business to define timelines and documentation necessary for financial compliance and performance

  • Interacting with HCE and LOB Finance teams to verify and report out on aggregate program performance

  • Solve complex financial performance barriers

  • Work with program managers and predictive analytics teams to accurately model performance expectations to set realistic financial goals

  • Provide guidance to program managers in evaluation of data from analytic teams to correlate the expected affordability to the operational reality of the program

Research Skills

  • Ability to search for, analyze and present innovative ideas regarding implementation of clinical programs in pipeline

Presentation Skills

  • Speak clearly on complex problems across a wide range of audiences

  • Provide regular updates regarding the implementation process and clinical programs for Joint Operating Committees, Team Leadership and Executive Sessions

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:

  • 5+ years of healthcare experience with at least 3 years of laboratory/genomics experience

  • 4+ years in a leadership / management role

  • Superior data analysis skills and knowledge of Legal, Regulatory Health care requirements and Financial Performance reporting

  • Sound strategic, analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes

  • Solid history of quickly building relationships, gaining credibility and partnering with business leaders. Must excel at building teams and collaborating across multiple distinct business groups

  • Ability to work with Agility team to design, build and implement IT support for clinical programs

  • Ability to communicate effectively and efficiently (both verbal and written) at multiple levels of large, complex organizations

  • Solid negotiation skills; the ability to gain acceptance from others of a plan or idea and achieve a mutually beneficial outcome

  • Demonstrated ability to manage others; ability to influence in executive settings

  • Strategic thinking with proven ability to communicate a vision and drive results

  • Creative problem-solving skills

  • Self-starter, initiates work independently

*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 $122,100 to $234,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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

RN Health Care Manager Well Med at Coria - UnitedHealth Group
Posted: Sep 26, 2024 04:34
San Benito, TX

Job Description

$2,200. Sign on Bonus Available for External Candidates

Incentive Bonus 2 times a year

23 days of PTO & Closed on Major Holidays

401K Match

WellMed, part of the Optum family of businesses, is seeking a Registered Nurse to join our team in Brownsville, TX. 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.

The Healthcare Manager is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing.

Primary Responsibilities:

  • Works with the providers and clinic staff to identify patients at high risk

  • Supports longitudinal care of the patient with chronic care conditions by:

  • Performing assessment of health conditions

  • Performing medication reconciliation

  • Conducting Motivational Interviewing and Self-Management Goal setting

  • Providing patient education

  • Creating referrals to appropriate agencies and resources

  • Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:

  • Performing assessment of transitional needs

  • Performing medication reconciliation

  • Establishing and reviewing contingency plan

  • Providing patient education

  • Assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments

  • Coordinate with providers to establish or update plan of care

  • Performs accurate and timely documentation in the electronic medical record

  • Participates in daily huddles and Patient Care Coordination (PCC) meetings

  • Prepares accurate and timely reports, as required, for weekly meetings

  • Maintains continued competence in nursing practice and knowledge of current evidence based practices

  • May perform clinical tasks within their scope of practice

  • Performs all other related 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:

  • Bachelor's degree in Nursing or Associate's degree in Nursing with four or more years of experience as an RN

  • Registered Nurse with an active and unrestricted license to practice in the state of employment

  • Current BLS certification

  • 2+ years of experience in a physician's office, clinical or hospital setting

  • Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD

  • Excellent verbal and written skills

  • Solid interpersonal skills

  • Ability to interact productively with individuals and with multidisciplinary teams

  • Proficient computer skills to work efficiently with electronic medical records

  • Excellent organizational and prioritization skills

Preferred Qualifications:

  • Experience related to patient education and/or motivational interviewing skills and self-management goal setting

  • Fluent written and verbal skills in English and Spanish

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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

Clinical Care Manager RN - Remote in FL - Bilingual Spanish preferred - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Tampa, FL

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.

This position will be the primary care manager for a panel of members with primary complex medical needs. The Care Management / coordination activities will focus on supporting member's medical, behavioral and socioeconomic needs to promote appropriate utilization of services and improved quality of care. All case management/ coordination activities will be in alignment with evidence-based guidelines. This position will liaison with the members' provider community to help reduce fragmentation within the care ecosystem. The role will provide medically oriented clinical consults/guidance within the team and to other area within the health plan. The Clinical Care Manager will approach their member work with an understanding of how inequities drive health disparities. They will promote health equity.

If you reside in Florida, you'll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

  • Serve as primary care manager for members with primary complex medical needs

  • Engage members through a variety of modalities (telephonically) to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, socioeconomic and SDOH needs

  • Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines

  • Partner and collaborate with internal care team, providers, community resources/partners and leverage expertise to implement care plan

  • Monitor and update care plan, incorporating feedback from member to monitor compliance with interventions to achieve care plan goals

  • Provide education and coaching to support:

  • Member self-management of care needs in alignment with evidence-based guidelines

  • Lifestyle changes to promote health, i.e. smoking cessation, weight management, exercise

  • Assist member in development of personal wellness plan / health crisis plan

  • Perform targeted activities and provide education to support HEDIS/STAR gap closure, including scheduling, reminding and verification of appointment to receive specific services

  • Monitor compliance with medication regimen and make referrals to Pharmacist for medication review and recommendations

  • Reassess and update care plan with change in condition or care needs

  • Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission

  • Access and Coordinate Medicaid Benefits to support care needs

  • Document all care management/coordination activity in clinical care management record

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, unrestricted, independent licensure as a Registered Nurse

  • 4+ years of relevant clinical work experience

  • 3+ years of experience managing needs of complex populations (e.g. Medicare, Medicaid)

  • 1+ years of community case management experience coordinating care for individuals with complex needs

  • Demonstrated knowledge of Medicare and Medicaid benefits

  • Reside in the state of Florida

Preferred Qualifications:

  • Bachelor's degree or greater

  • Certification in Case Management (CCM)

  • Experience with vulnerable subpopulations include children and youth with special health care needs, adults with serious mental illness, children with serious emotional disturbances, members with substance use disorders, children in foster care or adoption assistance, and members with other complex or multiple chronic conditions

  • Case Management experience

  • Behavioral health experience

  • Bilingual experience - Spanish

  • Home care / field-based case management

  • Experience working in Managed Care

*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.



Job Detail

Radiation Oncology Preservice Review Nurse RN - Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Tampa, FL

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.

We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. Ready for a new path? Apply today!

This position is work at home. Work schedule is full time and offers some flexibility with a combination of day and consumer hours. Some evening, holidays and weekend hours will be required. Core schedule is normal daytime business hours. Three evenings per month will be required to work until 7pm, one weekend day will be required approximately every 3 months, ability to work 5/8's or 4/10's after training based on business need.

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

Primary Responsibilities:

  • Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial)

  • Validate that cases/requests for services require additional research

  • Identify and utilize appropriate resources to conduct non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources)

  • Prioritize cases based on appropriate criteria (e.g., date of service, urgent, expedited)

  • Ensure compliance with applicable federal/state requirements and mandates (e.g., turnaround times, medical necessity)

  • Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports)

  • Identify missing information from clinical/medical documentation, and request additional medical or clinical documentation as needed (e.g., LOI process, phone/fax)

  • Review and validate diagnostic/procedure/service codes to ensure their relevance and accuracy, as applicable (e.g., PNL list, EPAL list, state grid, LCDs, NCDs)

  • Identify and validate usage of non-standard codes, as necessary (e.g., generic codes)

  • Apply understanding of medical terminology and disease processes to interpret medical/clinical records

  • Make determinations per relevant protocols, as appropriate (e.g., approval, denial process, conduct further clinical or non-clinical research)

  • Review care coordinator assessments and clinical notes, as appropriate

  • Identify relevant information needed to make medical or clinical determinations

  • Identify and utilize medically-accepted resources and systems to conduct clinical research (e.g., clinical notes, MCG, medical

  • This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure (Application fees and filing costs paid for by UHG)

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, unrestricted RN license in your state of residence

  • Ability to obtain licensure in other states as needed

  • 2+ years of Radiation Oncology experience as a Nurse

  • Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment

  • Access to high speed internet from home (Broadband cable, Fiber or DSL)

  • Dedicated workspace for home office set up

  • Ability to work schedule listed

Preferred Qualifications:

  • OCN Certification

  • Chemo/Bio Certification

  • Certified Case Manager (CCM)

  • 7+ years of Radiation Oncology experience

  • ICD Coding experience or solid knowledge of codes

  • NCCN experience

  • Background in preservice review/utilization review/utilization 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 or 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.

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

Business Process / UAT Test Analyst - National Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Tampa, FL

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.

Position Description: UAT tester to work within the UAT Team to help us ensure our products are tested and delivered having met the highest quality testing standards available in the organization in a timely manner. In this highly visible role, you will also have the opportunity to participate in building and establishing our policies, standards and procedures for the UAT Team

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 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks on-the-job training. The hours during training will be 8:00 am to 5:00 pm CST, Monday - Friday.

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

Primary Responsibilities:

  • Perform User Acceptance Testing (UAT) and Quality Assurance

  • Analyze and decompose business requirements to extract test requirements

  • Developing / implementing / executing effective test plans and test cases

  • Testing of system requirements and enhancements and/or fixes

  • Analyzing data, researching & troubleshooting issues to define root cause and providing results

  • Logging & tracking defects to closure

  • Monitoring, measuring and communicating test results

  • Help ensure new system requirements/enhancements/changes are tested thoroughly, accurately and delivered in a timely manner

  • Create and prepare UAT documentation, communication, and process workflow

  • Provide consistent and repeatable testing process for UAT; may work with business analyst to execute test scenarios.

  • Work closely with Project Team to identify risks early

  • Improve processes and reduce post implementation issues

  • Create and maintain documentation, communication, and process workflow

  • Other tasks may include support other project testing as needed, running reports and pulling data from the RxCLAIM system for audits on pharmacy claims data, making recommendations to the development team to improve the system and using query language to create the reports from various relational databases

  • Project management skills - manage multiple priorities

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 or older

  • 2+ year of User Acceptance testing experience for enterprise-level applications, includingwriting test cases from business requirement and executing/validating test results

  • RxCLAIM on IBM AS400 experience backed with strong understanding & knowledge of RxCLAIM MODs'

  • 2+ years of experience performing business process and data analysis

  • Intermediate level proficiency: Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint

  • Experience with developing process documentation and process improvement workflow

  • Ability to understand and clearly articulate business and system functionality requirements and/or process flows as it relates to test cases and test results

  • Experience with handling multiple projects simultaneously and in a fast-paced environment

  • Must be able to work flexible schedule during holidays & peak period (November through January)

  • Ability to work our normal business hours of 8:00am - 5:00pm CST, Monday to Friday. It may be necessary, given the business need, to work occasional overtime or weekends

Preferred Qualifications:

  • Medicare Part D

  • Previous automation experience

  • Healthcare insurance or claims experience

  • Intermediate proficiency level in Microsoft Access

  • Strong understanding of Claims Admin workflows and processes

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:

  • Excellent interpersonal skills at both individual and team level

  • Excellent written and verbal communication skills

  • Strong analytical and organizational skills

  • Self-driven yet team oriented

*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 $28.03 - $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.

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

Customer Service Representative - National Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Tampa, FL

Job Description

Training classes start soon - apply today!

You've heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRx we've earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You'll take as many as 50 - 70 calls per day from members who have questions about their prescriptions and you'll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career.

This position is full-time (40 hours / week), Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 AM - 11:00 PM EST (schedules likely to be determined during training). It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 7 total weeks (5 weeks in a classroom setting and 2 weeks on-the-job) of paid training. The hours during training will be 8:30 AM - 5:00 PM CST from Monday - Friday (100% attendance is required). Training will be conducted virtually from your home.

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

To learn even more about this position and hear from our other Pharmacy Customer Service Representatives , click here to watch a short video (https://optumrx.video.uhc.com/media/Day+In+a+Life+2022/1_bmq3gitd)

Primary Responsibilities:

  • Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries

  • Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries

  • Ask appropriate questions and listen actively while documenting required information in computer systems

  • Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders

  • Make outbound calls to customers on prescription orders and payment issues

This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to member prescription and / or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.

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

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

  • Ability to work any 8-hour shift between the hours of 7:00 AM - 11:00 PM EST from Sunday - Saturday (schedules likely to be determined during training) including the flexibility to work occasional overtime and weekends based on business need

Preferred Qualifications:

  • 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.), using phones and computers as the primary job tools

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

*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 $16.00 - $28.27 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

HIM Facility Manager - Redwood City CA - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Redwood City, CA

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 HIM Facility Manager interacts with other departments within the assigned client site(s) and serves as a representative of the O360 HIM Operations department. The incumbent attends managerial meetings as required and supports the core values of Optum360, which is an integral part of this position. The HIM Manager frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations.

Primary Responsibilities:

This position is directly accountable for meeting performance metrics, key performance indicators established by both the client and Optum 360 to ensure accurate and timely patient health information management and coding. This role is also responsible for creating a patient centric culture while maintaining strong operational metrics and being financially fiscal.

  • Provides system level oversight for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas which includes:

  • SLA and MSA Compliance

  • Audit Follow-up and Compliance

  • Client Liaison (i.e., Relationship development, program coordination)

  • Client/Customer Engagement

  • Provides system level oversight for Optum360 client improvement programs and initiatives related to assigned HIM/Coding activities, working within the functional HIM/Coding and Client leadership, as warranted

  • Effectively participates in HIM/Coding Quality Assurance, Patient Satisfaction, Client Satisfaction, Employee Engagement and Process Improvement activities; ensuring associate understanding and commitment, as well as expected process improvement outcomes

  • Maintains and demonstrates expert knowledge of the application of HIM/Coding processes and best practices; drives the integration of Optum360 HIM/Coding related business objectives within the client environment

  • Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other Optum360 / client departments and services, vendors, etc. Scope of job duties, include and are not limited to:

  • Directly responsible for effectively managing the assigned HIM/Coding activities and staff members; recommend, design and implement procedures for compliance with regulations and standards

  • Maintains close business relationship with associates at the regional and local levels by ensuring onsite and virtual presence at regular intervals and during special events

  • Educates client and organizational associates regarding assigned HIM/Coding requirements:

  • Functions as a consultant to Regional and facility-based leadership, physicians, and others regarding assigned performance guidelines and standards for HIM/Coding services

  • Identifies action plans to improve the quality of services in a cost efficient manner and facilitates plan implementation.

  • Prepares required reports using statistically sound information, displaying content in easily understandable format; escalates to the Regional Manager any unfavorable trends

  • Participates in local, regional and national health care revenue activities and professionally represents Optum360 at these functions

  • Subject Matter Expert of applicable federal, state, and local laws and regulations, Optum360's Compliance, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior

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 a leadership role in an acute care setting

  • Proficiency with: Microsoft Excel, Word, Project, PowerPoint and SharePoint

  • Experience with the major HIM and/or Coding technologies currently in use, and/or other -like- systems

  • Experience managing multiple, concurrent running projects, prioritize tasks and ability to adapt to frequent changes in departmental priorities

  • Experience working with executive, managerial and staff level clientele

  • Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC).

Preferred Qualifications:

  • Certifications include RHIT or RHIA

  • Experience consulting and project management experience in revenue cycle design and optimization

  • Experience working in a union environment

  • HIM and/or Coding Department leadership experience, managing one or more functional areas of: HIM, Coding, or other management functions related to revenue cycle activities in a complex, multi-site environment

  • Experience leading or participating in HIM and/or Coding-related IT and/or Contact Center program implementation

California 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.

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

Credentialing Representative - Remote - UnitedHealth Group
Posted: Sep 26, 2024 04:34
Douglasville, GA

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.

Making this kind of impact is no easy task. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and State credentialing requirements.

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

Primary Responsibilities:

  • Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system

  • Apply knowledge/skills to a range of moderately complex activities

  • Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others

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)

  • 2+ years of healthcare provider credentialing experience

  • 1+ years of experience working with compliance workflows and processes, including NCQA policies and practices

Preferred Qualifications:

  • Intermediate level of proficiency with MS Excel and Word

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only : The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $16.54 to $32.55 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 #GREEN



Job Detail