Company Detail

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

Job Description

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

Position Overview:

Under the direction of the Radiology Director, and/or designee, the Radiology Manager assumes clinical and operational responsibility as well as fiscal responsibility for his/her assigned Department(s) incorporating CareMount Medical policies, goals and long-range plan. The Radiology Manager works collaboratively with the Radiology Director, the VP of Radiology, Department Heads, and other administrators to provide leadership, direction and management for clinical and non-clinical staff to ensure quality patient care and services in all clinical areas.

Primary Responsibilities:

• Responsible for excellence in the clinical practice and the delivery of patient care

• Provide patient care coverage in any location that may be in need of assistance

• Assesses and identifies the needs for and assists with program development, as needed

• Develops and maintains an environment that supports excellence in clinical practice

• Maintains a high level of clinical excellence in his/her specialty

• Functions effectively with other health care providers during emergency situations

• Acts as a resource and role model for clinical staff in the delivery of patient care

• Collaborates with the Radiology Director, other Managers, Department Heads and Physicians to support excellence in the patient care delivery system throughout CAREMOUNT MEDICAL

• Reviews and implements policies, procedures and standards of care to assure excellence in patient care, and compliance with any applicable regulatory or accrediting agencies

• Defines and implements a patient care service systems for his/her designated department(s) that ensures quality care and optimal patient outcomes

• Oversee all Equipment maintenance to ensure proper functioning and routine maintenance is being performed

Fiscal Responsibilities:

• Participates in the preparation, monitoring, analyzing and maintenance of annual salaries for all assigned departments

• Participate and maintain in the organization of the current and future staffing needs of the department by staying up to date with job postings, backfill requests and the interview processes

• Establishes yearly goals for assigned department and develops a plan for meeting departmental goals considering human and material resources

• Evaluates the impact of proposed new programs on department and develops a plan to implement new programs accordingly

• Evaluates the impact of new programs that have been implemented

• Maintains and approves all supply ordering for locations throughout their region to ensure the proper quantity is maintained without going over budget

• Maintains communication with Radiology Director regarding any budgetary issues

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

Required Qualifications:

• Graduate of an accredited Radiology Program with current licensure as a Technologist with the ARRT or ARDMS

• Current NYS licensure (if applicable) in good standing, and/or BS in related field, i.e. Health Care/Business Administration

Preferred Qualifications:

• 2+ years of recent pertinent and professional clinical management experience in a hospital, medical office, or other clinical setting

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

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

• Company:
  UnitedHealth Group

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 : Inland Empire, 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

• Company:
  UnitedHealth Group

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 : Inland Empire, 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

• Company:
  UnitedHealth Group

Job Description

Optum CA is seeking an Associate Clinical Administrative Coordinator to join our team in Arcadia, CA. 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.

This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at 440 E Huntington Dr, Suite 200, Arcadia, CA. Employees are required to work Monday, Tuesday, and Friday onsite and Wednesday to Thursday from home.

We offer 2 weeks of on-the-job training. The hours during training will be 8:00am - 5:00pm, Monday - Friday.

If you are within commutable distance to the office at 440 E Huntington Dr, Suite 200, Arcadia, CA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Performs effective prospective and concurrent review of requested services according to established guidelines and timeframes

• Documents members' service benefits by contacting the appropriate health plans as needed

• Directs providers/members to contracted provider network and facilities

• Processes appropriate authorizations for HMO/PPO clients as specified in the Optum Care procedures

• Prints and mails authorizations to providers, patients, HMOs and facilities as needed

• Assists and monitors in the processing of referrals. Enters, updates and closes referrals daily while assuring that appropriate internal/external referral providers are utilized, members are eligible and have benefits coverage, correct CPT/ICD codes have been entered, accurate records of all dates and other required fields are entered, supporting clinical data for the referrals is entered, and all urgent referrals are processed within the designated timeframe

• Processes referrals for durable medical equipment and coordinates home health services according to established policies, procedures and guidelines

• Processes elective surgical requests including the coordination of surgery dates and notification of inpatient team, Hospitalist or Care Manager when appropriate

• Coordinates, identifies and routes referrals that require review to licensed Care Management staff who arranges outside physician medical review as appropriate

• Acts as a resource to other coordinators, staff and providers by resolving issues and responding to requests in a timely and effective manner

• Works with Patient Services regarding member concerns

• Processes referrals for inter-facility transfers using pre-established guidelines

• Processes after-hours emergency/urgent care logs/lists as needed

• Collects and prepares medical records for review when appropriate or as requested

• Assists with answering telephones and maintaining files, logs or other reports

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

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

Required Qualifications:

• High School Diploma / GED

• Must be 18 years of age OR older

• 1+ years of customer service experience analyzing and solving customer problems

• Must be able to create, edit, save and send documents utilizing Microsoft Word and Microsoft Excel

• Must be able to type and talk at the same time and navigate through multiple screens

• Ability to travel up to 25% of the time

• Ability to work Monday - Friday, during our normal business hours of 8:00am - 5:00pm, including the flexibility to work occasional overtime and weekends, based on the business need

Preferred Qualifications:

• Experience working within the health care Industry and with health care insurance

• Experience working with Medicare and/or Medicaid Services

• Experience working in a metric-driven work environment

• Call Center experience

• Clerical or administrative support background

• Knowledge of ICD-9 and CPT codes

Telecommuting Requirements:

• Reside within a commutable distance to the office at 440 E Huntington Dr, Suite 200, Arcadia, CA

• 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

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

California Residents Only: The hourly range for this is $16.00 - $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

Job Detail

• Company:
  UnitedHealth Group

Job Description

$5,000 Sign-on Bonus For External Candidates

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 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

Work Hours: 8 AM - 5 PM

Work Location: Lakeland, FL

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

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 4+ years of experience

• 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

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

• Proficient computer skills to work efficiently with electronic medical records

• 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:

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

• Proven excellent verbal and written skills

• Proven excellent organizational and prioritization skills

• Proven solid interpersonal skills

• Proven ability to interact productively with individuals and with multidisciplinary teams

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

Job Description

The Clinical Supervisor will direct, supervise and coordinate staff and activities at assigned clinics to ensure the delivery of quality patient service. This position ensures staff complies with all regulatory initiatives and policies and procedures and works with senior management to support effective clinic operations. This position will also provide support to clinic staff in the absence of the Clinic Administrator. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Location: This position will be based primarily out of our Fairlawn office but will also oversee multi-specialty offices in Streetsboro and Hudson.

Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.

Primary Responsibilities:

• Supervises assigned personnel to ensure quality patient care, including forms and procedures as required

• Monitors clinic workflow and schedule to ensure productivity standards are met

• Administers clinic policies and procedures in a consistent and timely manner

• Evaluates performance and recommends merit increases, promotions, and disciplinary actions, assists in interviews, trains, and orients staff

• Ensures that office space, supplies, assistance are provided and maintained appropriately for medical staff and patient care

• Works with senior management to ensure operations and relations are effective

• Attends required meetings and participates in committees as requested

• Ensures personnel forms and/or records are kept updated and submitted to other departments in a timely manner

• Ensures that offices for new and incoming physicians are ready and equipped

• Coordinates staff work activities and serves as resource to medical management staff in various market(s)

• Collects clinic performance and quality metrics and produces reports for management

• Orders office and medical supplies and ensures sufficient quantities are maintained at all times. Assists the Clinic Administrator in budget preparation and adherence

• Coordinates conference calls and assist with preparation for meetings for medical management staff in market

• 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 or GED

• Professional healthcare license or certification

• 2+ years of clinic operations or healthcare experience, including 1+ years of supervisory experience (Comparable leadership/internship experience may be substituted in lieu of supervisory experience)

• Knowledge of organization policies and procedures and ability to apply principles to solve everyday problems in a variety of situations

• Knowledge of fiscal management and human resource management techniques

• Knowledge of office management techniques and practices

• Working knowledge of Microsoft Office applications, including Excel

• Computer literacy

• Proven ability to exercise initiative, problem solving, decision-making

• Proven ability to establish priorities and coordinate work activities

• Proven skill in gathering, analyzing, and evaluating data

• Proven skill in written and verbal communication

• 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

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

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

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

Job Detail

• Company:
  UnitedHealth Group

Job Description

The government services support team at Optum has earned the trust of organizations that our entire country relies on; from the Department of Defense and Veteran's Administration to the teams at Health & Human Services and the Centers for Medicare and Medicaid Services. We're repaying that trust with hard work, new ideas and a commitment to finding better solutions every day. Join us and help create ways for our government services agencies to be more efficient and effective. This will be the next huge step to start Caring. Connecting. Growing together.

We are seeking a Project Manager with expertise in SaaS/PaaS Delivery within an agile environment. This role will be responsible for leading strategic engagements across a portfolio of client projects. The ideal candidate will possess a blend of technology application knowledge, domain expertise, and exceptional project management skills. Operating in a fast-paced and deadline-focused environment, the Project Manager will maintain composure, demonstrate leadership, and focus relentlessly on client satisfaction and team success.

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

Primary Responsibilities:

• Be directly accountable for the successful delivery of client projects

• Coordinate cross-functional resources to fulfill the Statement of Work (SOW) commitments

• Manage client relationships, ensuring open communication and progress on a daily basis

• Lead decision-making processes for technology projects, maximizing the use of platform features and minimizing custom coding

• Analyze project scope, manage client expectations, and communicate any changes or adjustments

• Develop project schedules and status reports as required by the client and organizational standards

• Identify and escalate project risks and issues, engaging with the appropriate team members and stakeholders

• Monitor project team utilization and project hours, adjusting forecasts as necessary

• Track project budgets against actual costs, providing regular financial updates

• Travel minimally as required to maintain high levels of client satisfaction

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:

• Shall have a minimum of:

• Associate's degree plus a minimum of 4 years' experience or

• Bachelor's degree plus a minimum of 2 years' experience or

• In lieu of a degree, 5 years' experience of, relevant project management experience in managing multiple concurrent LCNC product and platform focused projects across various and asynchronous delivery lifecycle phases with individual project value over $5 million dollars each.

• 3+ years of project management experience

• One entry level industry recognized cloud/cyber certification is required, such as Certificate of Cloud Security Knowledge (CCSK), Security+, Systems Security Certified Practitioner (SSCP), etc.

• Written communication skills to provide actionable project plans, roadmaps, executive briefings focusing on outcome and impact

• Verbal communication skills to clearly articulate project deliverables, timeline constraints, action items, next steps, escalation levers, and blockers to customers, support members, and third-party participants

• Strong background in writing communications for actionable project plans, roadmaps, executive briefings focusing on outcome and impact

• Expertise in deploying DevOps toolsets

• Proficient in project planning, resource scheduling, risk management, and quality assurance

Preferred Qualifications:

• Industry-recognized certifications in project management or specific technology platforms.

• Experience with Salesforce is a plus

• Experience working in healthcare related agency

• Background in a particular industry, such as healthcare or government, is advantageous but not mandatory

• Experience with both declarative and programmatic solutions within technology platforms

• Excellent presentation and communication skills with diverse audiences, from technical experts to executive-level clients

• Proficiency with Microsoft Office suite, including Project, Word, Excel, and PowerPoint

• Must have reliable internet service that allows for effective telecommuting

• Must be eligible to work in the United States

• Must be able to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top Secret security clearance

• All work must be conducted in the United States

• Must be able to communicate both verbally and in written form

• Must be able to conduct work and be available in VA communication channels during (EST business hours)

*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 $104,700 to $190,400 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

Job Description

$3,500 Sign-on Bonus for External Candidates

Optum is seeking a Nurse Practitioner HouseCalls, Per Assessment to join our HouseCalls team in Fremont County, Wyoming . 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.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required.

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

• NPs: APCs working in jurisdictions that authorize APCs to practice autonomously or without formal supervision must have obtained approval to practice autonomously or without formal supervision from their licensing board, if applicable. New hires who are eligible and have not applied prior to hire date, must apply to practice autonomously or without supervision within 1 month of hire. If not eligible to practice autonomously or without formal supervision at hire, the APC must begin working towards meeting the requirement within 1 month of hire, if applicable, and apply for approval to practice autonomously or without formal supervision within 3 months of becoming eligible; or PAs: Ability to work under a Collaborative Agreement in applicable states

• 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:

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

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

• 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

• Fluency in Spanish, Cantonese, Korean, Vietnamese, Polish, or other language

Colorado Residents Only: The hourly range for this role is $42.31 to $83.27 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.

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

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

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

Job Detail

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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 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. You will work in the Optum division of UnitedHealth Group. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience, and delivering access to high-quality care.

Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth and opportunities.

Reporting to the Senior Manager Operation risk, the Operation Risk Analyst supports the Second line of Defense risk management department in accordance with US regulations, bank policies and industry practices for Risk Management.

This role assesses, identifies, controls, manages, and mitigates risks to operational processes and additional operational categories that could impede strategic, reputational, security, or financial success of the bank. The Analyst will be responsible for supporting execution of the various Operational Risk programs across multiple businesses and functions of the bank. This role requires a self-starter that can liaise with stakeholders across business units and support functions in the bank. Familiarity with the concepts of operational risk, the bank's process flows, and control environment, combined with solid interpersonal and analytical skills are necessary for this role.

Primary Responsibilities:

• Assist in managing the Risk and Control Self-Assessment (RCSA) Program by working with first and second-line participants to identify and assess risks

• Work with different teams within the bank to implement a process diagram for each function and design key operation risks and mitigants associated with design and implementation of the process

• Develop reporting for internal use and governance committees on both a regular and ad-hoc basis

• Participate in the collection of Key Performance indicators (KPIs) related to key operation risks

• Manage the quality of data reported/identified via RCSAs and KPIs including alignment to taxonomies (i.e., process, control, risk, etc.)

• Facilitate the RCSA review and challenge process on a quarterly basis

• Assist with special projects, when necessary, intended to enhance the Operational Risk Management Framework

• Review and evaluate new business and product initiatives and acquisitions to identify changes to the operation risk profile of the bank

• Maintain a complete risk mapping of operational processes and system maps, which include change management assessments

• Work with 1st line and different support functions to develop day to day risk management metrics, which quantify the divisions exposure to various types of operational risk

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 direct work experience preferably within Operational Risk Management

• 3+ years of foundational knowledge of enterprise Operational Risk Management

• 3+ years of second-line frameworks related to Operational Risk Management

• Ability to be on-site (Draper, Utah)

Preferred Qualifications:

• Bachelor's degree or 5+ years of Operational Risk Management experience

• 2+ years of eGRC experience (Archer)

• Experience contributing to development of materials and reports for senior and executive level management (e.g., Board and Management Level Committee)

• Thorough understanding of policies and best practices of risk management (certifications)

• Proven relationship management skills including managing and engaging stakeholders, customers, and vendors, and building relationship networks

• Proven solid organizational skills, with proven ability to successfully manage multiple, concurrent priorities

• Proven detail oriented with proven ability to question the status quo and apply effective challenge as appropriate

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

Job Description

$1200 Sign on Bonus 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)

Position 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

• Basic computer literacy, with intermediate Excel skills

• Knowledge of medical terminology

• 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:

• 1+ years of experience as a Medical Assistant

• Knowledge of ICD-10 and CPT coding

• Bilingual

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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

• Company:
  UnitedHealth Group

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.

Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.

If you reside within a commutable distance of Kings County (Bensonhurst, East New York, Midwood, Brighton Beach, Sheepshead Bay, and Bay Ridge area) you'll enjoy the flexibility to work remotely * as you take on some tough challenges. The specific zip codes are 11209, 11214, 11226, 11229, 11218, 11235, 11214, 11234, and 11220.

Primary Responsibilities:

• Enroll eligible members in UHC Essential Plan

• Build and foster relationships with key accounts (provider offices, CBOs, housings, etc.)

• The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales

• Serve as point of contact for member to provide excellent service and enrollment experience

• Lead pipeline management

• Responsible for meeting or exceeding sales and enrollment expectations within assigned territory

• Conduct product information presentations in multiple settings, including in-home consultations

• Function independently and responsibly with minimal need for supervision

• Track and measures various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems

• Provide input, support and feedback on promotional opportunities, benefits, and other issues

• Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate

• Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion

• Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner

• Input consumer demographics and interactions into company systems as appropriate

• Performs other duties as required

Demonstrated Skills:

• Execute excellent communication, interpersonal, time management and organizational skills

• Excellent relationship building skills

• Ability to be compassionate while selling

• Function independently and responsibly with minimal need for supervision

• Ability to manage multiple priorities as it relates to meeting enrollment goals

• Ability to communicate complex healthcare information to potential clients

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

• 2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience

• Proficient in MS Office (Outlook, Word, Excel, Power Point)

• Valid driver's license, good driving history, reliable transportation, and current automobile insurance

• Insured, dependable vehicle with current driver's license

• Ability to travel locally up to 100% of time within assigned sales territories in this NY market area

• Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required

• Reside within/commutable distance of their target geography

• Health & Accident Insurance license required. If you do not already have one, you must be willing to obtain a (company-sponsored) state health/life insurance license within 30 days of hire

Preferred Qualifications:

• Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities

• Outside sales and territory management experience

• Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided

• Bilingual (Russian, Spanish, English, Arabic, French, etc.)

• Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory

• Proven to act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect

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

New York Residents Only: The hourly range for this role is $19.23 to $38.46 per hour. Role is also eligible to receive bonuses based on sales performance. 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

• Company:
  UnitedHealth Group