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Welcome to one of the toughest and most fulfillingways to help people, including yourself. We offer the latest tools, mostintensive training program in the industry and nearly limitless opportunitiesfor advancement. Join us and start doing yourlife's best work. The Business Manager is responsible for providing expertise andcustomer service support to members, customers, and / or providers. Directp
Posted 1 day ago
Conduct in home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furthe
Posted 1 day ago
Conduct in home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furthe
Posted 1 day ago
Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer to peer telephone calls. Use clinical knowledge in the application and interpretation of medical policy and benefit document language in the process of clinical coverage review's guideline
Posted 1 day ago
Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer to peer telephone calls. Use clinical knowledge in the application and interpretation of medical policy and benefit document language in the process of clinical coverage review's guideline
Posted 1 day ago
Coordinates, supervises and is accountable for the daily / weekly / monthly activities of a team members Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level, UES and AHT Coordinates work activities with other supervisors, managers, departments, etc. Identifies and resolves operational problems using defined processes, expe
Posted 1 day ago
Placeoutreach calls to network provider offices, conducting between 75 to 100 callsper day, to validate current Demographic data Completedata updates while on the phone with the provider office, or via spreadsheetsof data, or returned faxes Deliverinformation and questions to provider in a positive manner to facilitate strongrelationships with providers and their office staff Completeprovider demo
Posted 1 day ago
Looking for a chance to drive measurable and meaningful improvement in the use of evidence based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 6 in
Posted 1 day ago
Design and develop software applications and application components Create high quality software by conducting peer design/code reviews and developing automated test cases Ensure that all delivered solutions adhere to industry best practices for scalability, maintainability, usability, availability, extensibility, security, and portability Work with geographically distributed teams Work closely wi
Posted 1 day ago
Distribute drugs prescribed by physicians and other health practitioners. Provide information to customers about medications and their use. Strong focus on providing a superior level of customer service. Log data into the computer. Ensure compliance with all relevant laws of the applicable State Board of Pharmacy. Administration of immunizations as allowed by state boards of pharmacy. Any other us
Posted 1 day ago
Own the service experience of customers at the field level by working with the Specialty Team and other matrix partners as required to ensure issues are resolved promptly and accurately meet the customer's expectations Develop and maintain strong relationships with internal partners within the Specialty Team to manage the customer service experience Assume accountability for supporting the SAE in
Posted 4 days ago
THIS IS A TEST REQUISITION DO NOT APPLY THIS IS A TEST REQUISITION DO NOT APPLY
Posted 7 days ago
Develops business relationships through frequent phone contact with potential clients cases. Drives sales by being first UHC contact for totally new clients, never before insured by UHC. Promotes sales customers directly. This includes managing data and marketing lists, engaging clients to learn key decision makers and driving collection of key client information. Execute on other ad hoc marketing
Posted 8 days ago
Responsible for the End to End (E2E) data integration architecture for the Optum Care Data Platform; this will include working directly with Care Delivery Organizations as well as OptumCare National teams to integrate data Work with multiple teams to define and implement architectural solutions for clinical data intake and distribution Analyze and define internal and external customer requirements
Posted 8 days ago
Incident resolution Problem management and root cause analysis Provide accuracyanalysis, documentation organization and training coordination You'll be rewarded and recognized for your performance inan environment that will challenge you and give you clear direction on what ittakes to succeed in your role as well as provide development for other rolesyou may be interested in. Required Qualificatio
Posted 12 days ago
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