Urwah Admin

Optum

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 
If you are located in Washington, you will have the flexibility to work remotely* as you take on some tough challenges 
Primary Responsibilities:
<ul>
<li>Telecommute position</li>
<li>Person will work Pacific Standard Time (PST) or slightly modified schedule to work primarily with Washington State behavioral health provider community during their business hours 8 am to 5 pm PST</li>
<li>Serve as contracting leader and subject matter expert for Washington State Medicaid Special Programs, including Community Behavioral Health Support Services (CBHSS)/1915i Waiver, 1115 Waiver/ Jail Re-Entry Program and other Medicaid special services</li>
<li>Activities include recruitment and contracting functions for the building and ongoing maintenance of a high quality, competitive Washington State Medicaid network that meets all access &amp; availability and regulatory standard/requirements</li>
<li>Handling all Washington State Health Care Authority State Reporting requirements for Special State Programs</li>
<li>Accountable for all system updates associated with Washington State Medicaid contract negotiations/network changes/addition of new providers and programs</li>
<li>Attendance at the various internal and extern meetings with State, Provider and Health Plan stakeholders in Washington State</li>
<li>Support annual Washington State HCA TEAMonitor preparations for CBHSS Program</li>
<li>Partners on Washington State Medicaid Network Strategy development</li>
<li>Washington State Medicaid, Medicare and commercial outpatient behavioral health and facility recruitment and contracting; this includes end-to-end contracting processes for new programs and products and serving as a contracting subject matter expert</li>
<li>Might include responsibilities in other states too</li>
<li>Regular interface and leadership role with UHC health plan leadership, internal behavioral health functional leadership including finance and underwriting, provider leadership, and state regulators</li>
<li>Work with behavioral health economics, legal, finance and underwriting in development, maintenance and monitoring of provider payment arrangements</li>
<li>Presents and reports verbally and in writing to state regulators (examples in WA State include Health Care Authority, Department of Social and Health Services, Department of Corrections, Department of Health, Department of Commerce) via conference calls about Medicaid contracting, provider contracting, network adequacy, recruitment development and related topics</li>
<li>Meets with, presents to, and negotiates on behalf of Medicaid Health Plan with Behavioral Health - Administrative Service Organizations (BH-ASOs) regarding reimbursement, service, delegation or other revisions to Crisis Administrative Service Agreement and delegation and related exhibits</li>
<li>Develops new, unique base behavioral health (outpatient and facility) contract templates, statements of work and payment appendices for Washington Medicaid programs for discussion, review and approval within organization and eventual submission for approval by WA Office of Insurance Commission and WA
</li><li>Health Care Authority</li>
<li>Understands standard behavioral health provider reimbursement, such as fee for service and per diem. Has working knowledge of behavioral health CPT codes and Washington State SERI (Service Encounter Reporting Instructions)</li>
<li>Understands alternative reimbursement methods used for Washington Medicaid including Population-Based Payment, Capitation, Case Rates, and Per Member Per Month (PMPM)</li>
<li>Uses higher-level discernment and decision-making abilities that enable someone to support and work with upper level-management and state regulators</li>
<li>When interacting with providers, manages clear provider expectations about timelines for contracting, credentialing, reimbursement levels and methodology, site audits, and the like</li>
<li>Develops and maintains primary network contracting relationships with external (e.g., behavioral health providers, behavioral health groups, behavioral health agencies/community mental health agencies/federally qualified health clinics, facilities, provider associations, tribal government and other tribal organizations, government agencies) and internal customers; these relationships will be positive and productive</li>
<li>Issues provider applications, agreements and related documents to providers</li>
<li>Gathers completed provider applications and other documents that accompany the application, other documents required by state law and/or company policy; review these documents for completeness, accuracy, organize, and submit documents for credentialing</li>
<li>Assembles provider agreements consisting of base agreements, appendices and addendums, fee schedules and related documents</li>
<li>Coordinates and follows-up with provider relations advocates to ensure timeliness of submission of applications and related documents</li>
<li>Is continually engaged; promptly responds to external and internal customer inquiries; responsible for remaining engaged with external and internal customers until tasks are complete; responsible for proactively keep external and internal customers updated about status of requests; communicates with external and internal customers via phone and email and using each appropriately to develop strong working relationships, this includes being prepared for scheduled calls with customers and writing professional communications</li>
<li>Understands our provider contracts and contract language, terms and conditions and occasionally review provider&rsquo;s proposed language changes and occasionally draft counter language for review by supervisor and legal counsel)</li>
<li>Models: personal responsibility, dependability, reliability and flexibility in being able to meet the needs of the team and business; accepts responsibility and accountability for actions; continually learns and retains/absorbs knowledge, information and skills to perform the position as you work independently</li>
<li>Models integrity and honesty; behaves in an honest, fair, and ethical manner; if says work is complete, it truly is complete and accurate according to standards. Takes the &ldquo;higher road&rdquo; when it comes to conflict</li>
<li>Models stewardship of recourse and documents; is efficient and effective with use of work time; archives and saves fully executed agreements, current fee schedules and related documents in appropriate locations; responsible with public (Medicaid and Medicare) and private funds when negotiating reimbursement in provider agreements</li>
<li>Reports to the Director of Outpatient Behavioral Health Contracting of the Western U.S.; Keep Director updated on timely basis about provider network development, contracting developments, rate negotiations, rate increase requests, emerging issues and the like; actively participates in Western U.S. Outpatient
</li><li>Behavioral Health Contracting Team Meetings and collaborates with peers</li>
<li>Use proprietary and other software programs for sending, updating and storage of provider/agency/group/facility contracts and numerous fee schedules and related contractual documents</li>
<li>Develops, updates and maintains numerous fee schedules</li>
<li>Actively participates in scheduled and ad hoc joint Provider Relations - Outpatient Behavioral Health Contracting Meetings to ensure continuity of communication and coordination between; proactively copies provider relations colleagues on provider communications to keep them in the loop about provider communications</li>
<li>Actively participates on a regular basis with a variety of internal meetings with various functional areas including but not limited to provider services/provider relations, network strategy, legal, other contracting teams, project managers, health care economics, finance, underwriting, clinical, clinical operations, compliance, claims, consumer affairs, information technology, and sales</li>
<li>Communicates throughout each workday via emails and phone communication with internal and external customers</li>
<li>Works in a fast-paced work environment with multiple competing priorities</li>
<li>Required to work office hours of 8:00 am to 5:00 pm PST as a telecommuter in order to respond to internal and external customers; this is a salaried position and will require more than 40 hours per week at times to keep up with work or complete work assignments</li></ul> 
You&rsquo;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:
<ul>
<li>Experience contracting with providers for Washington State Medicaid Special Programs</li>
<li>Experience interacting with Washington State Health Care Authority, Washington State Department of Social and Health Services, Washington State Department of Corrections and other State agencies</li>
<li>Experience submitting reports to Washington State Health Care Authority</li>
<li>3+ years of health care/managed care experience that includes the following:
<ul><li>Working at a health plan / managed care organization contracting with medical and/or behavioral health outpatient and facility providers</li>
<li>Negotiating behavioral health contracts between behavioral providers and health plans / managed care providers for commercial, medicare and/or medicaid lines of business</li>
<li>Working with cpt codes</li>
<li>Interacting with behavioral health professionals and/or behavioral health organizational leaders when working with prospective providers</li>
<li>Significant hands-on experience with medical / facility and/or behavioral health provider contracting in the WA State market</li>
<li>Solid working knowledge of Washington State geography, counties, cities and provides (hospitals, clinics and other providers by location)</li>
<li>Proficiency using Excel to develop and analyzing behavioral health fee schedules using Excel</li>
<li>Proficiency with MS Word, Excel, PowerPoint and Access</li>
<li>Understanding and experience with health plan reimbursement, finance and underwriting principles</li>
<li>Ability to: use tact and diplomacy; use superior discernment in stakeholder and provider communications; communicate effectively, professionally and comfortably with staff at multiple levels and from multiple functional areas and from various professional fields within provider/agency/group/facility organizations</li></ul></li> 
</ul>
Preferred Qualifications:
<ul>
<li>2 + years experience with two or more of the following: 
<ul><li>Washington State provider contracting experience</li>
<li>High level of proficiency working with Excel spreadsheets, analyzing fee schedules, developing and maintaining fee schedules, and analyzing provider reimbursement increase requests</li>
<li>Experience working with health plan finance and/or underwriting staff developing provider payment strategies, reimbursement amounts, fee schedules and payment tables</li>
<li>Behavioral health contracting experience in with states contiguous to Washington State</li>
<li>Experience working with health plan legal counsel reviewing contract language modifications</li>
<li>Basic understanding of role of Washington State Department of Health, Washington State Health Care Authority, Washington Department of Insurance Commissioner and Washington Department of Social and Health Services, and Washington Department of Children, Youth and Families as they related to Medicaid
</li><li>insurance plans and provider services; understanding of similar systems in Arizona, California and/or other Western U.S. States</li>
<li>Working knowledge of Washington State: behavioral health providers and their major locations and key services, provider community; geography and understanding of urban, suburban, rural and tribal communities-including name of counties, tribal nations, cities, towns and their location to one another; Medicaid
</li><li>MCOs and regional service areas; Commercial and Medicare health plans</li>
<li>Knowledge of Medicare and CMS</li>
<li>Prior experience working for State of Washington in a relevant position</li>
</ul></li><li>Exceptional verbal and written communications 
<ul><li>Use appropriate demeanor, wear business appropriate dress, body language during interpersonal communications via video conference calls and in-person meetings</li>
<li>Use appropriate business language in written communications (emails, memos and letters) that are tailored to the to the situation and immediate audience / personalities</li>
<li>Foresee potential distribution and use of written (especially email) communications to audiences if later shared elsewhere by the recipient (e.g., executives, providers, regulators and media)</li>
<li>Ability to use tact and diplomacy when applicable, and use superior discernment in both internal and external stakeholder in both verbal and written communications on topics when communicating on a sensitive topic</li>
<li>Ability to confidently interact and communicate with individuals-internally and externally-in a variety of organizations levels and roles</li>
<li>Ability to always be courteous and professional (&ldquo;taking the higher road&rdquo;) when interacting internal or external stakeholders regardless of how they behave or act</li>
<li>Ability to work with providers/agencies/groups and tell them &ldquo;no&rdquo; to various contract and reimbursement requests with respect and tact and confidence</li>
<li>Always treat external and internal stakeholders with dignity and respect</li>
<li>Solid internal and external customer service skills</li>
<li>Demonstrated track record of successful behavioral health contracting negotiation skills</li>
</ul></li><li>Solid internal resource negotiation skills</li>
<li>Exceptionally well-organized self-starter who is able to learn quickly and often on own, work with minimal supervision and keep up with workload</li>
<li>Ability to: work in a very fast-paced work environment with multiple, competing priorities; follow-through with assignments and tasks is a MUST with both internal and external customers; keep up with heavy workload; learn the position and begin performing the work quickly; navigate complex, challenging external and internal stakeholder relationships without it interfering with ability to accomplish job duties and work directives in effective and efficient manner; negotiate contract language modifications with providers and work with legal counsel; manage multiple projects and assignments while juggling various internal and external conference calls and respond to providers, internal customers via email and phone on a timely basis and update fee schedules, and process rate increase requests, and issue contacts and amendments on timely basis</li></ul> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</div>

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WA Outpatient Behavioral Health Contract Manager

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 
The Supervisor of Quality Operations is responsible for management of the CEQ National Remote Data Mining and Provider Contact Center teams. This role leads a team of LPNs through year-round provider outreach for HEDIS&reg; data collection. The supervisor will act as a systems, call center, and HEDIS&reg; SME for their staff, assisting with call and technical specification questions. Through quality reviews, call monitoring, and quality and productivity reporting, the supervisor will ensure all data submitted to the health plan meets HEDIS&reg;/STAR technical specifications for medical records and provide actionable feedback to their staff to promote continued success. This role assists the Manager of Quality Operations with communication of prioritization, strategy, and best practices. 
You&rsquo;ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:
<ul>
<li>Serve as subject matter expert to clinical staff</li>
<li>Coordinate and account for daily business activities</li>
<li>Perform quality assurance on remote data mining</li>
<li>Perform quality assurance on provider calls</li>
<li>Perform quality assurance on the data entry and over read of non-standard supplemental data obtained from medical record review</li>
<li>Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS&reg;/Star measures</li>
<li>Review scanned records and data entry into supplemental data applications</li>
<li>Support chart chase process by requesting records from provider&rsquo;s offices as needed</li>
<li>Maintain education/knowledge base of HEDIS&reg;/STARs standards and guidelines</li>
<li>Pull and review quality and productivity reporting</li>
<li>Conduct training on HEDIS&reg;/STAR measures, HEDIS&reg;/STAR data collection software, and data collection strategies</li>
<li>Assist with team coordination of system changes, and system upgrades</li>
<li>Participate in debrief activities and continual process improvement exercises</li>
<li>Perform all other related duties as assigned</li></ul> 
 
You&rsquo;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:
<ul>
<li>Active and unrestricted licensure as a Registered Nurse (RN) in the state(s) of practice
</li><li>3+ years of HEDIS&reg; experience</li>
<li>2+ years of experience acting as a team leader or SME</li>
<li>Experience using Microsoft office applications, including databases, word-processing, Visio&reg; and Excel&reg; spreadsheets</li>
<li>Proven excellent training and presentation skills with solid communication capabilities and practices, both oral and written</li>
<li>Access to high-speed Internet</li></ul> 
 
Preferred Qualifications:
<ul>
<li>Bachelor&rsquo;s Degree</li>
<li>Certified Professional Coder</li>
<li>2+ years of call center experience</li>
<li>1+ years of supervisory or management experience</li>
<li>Proven ability to be flexible in a continuously changing environment</li></ul> 


Physical &amp; Mental Requirements:
<ul>
<li>Ability to lift up to 25 pounds</li>
<li>Ability to sit for extended periods of time</li>
<li>Ability to use fine motor skills to operate office equipment and/or machinery</li>
<li>Ability to receive and comprehend instructions verbally and/or in writing</li>
<li>Ability to use logical reasoning for simple and complex problem solving</li></ul> 
<div> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul></div> 
The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

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

Job Id: Dj+lmTyR4TNPi8+vTn9+QkxOycu4972bnXdKQoS14ebhd3+O6uxYR/iyXO00yWbemK8MJsSKOrRl+sI2+AISNhK9QrN5fW2CUu45lTlqBO1pyfF35pTDrz6RPlMQ/pZ0I3KxR5f2s2HMrHNMu/ad9ipfZV/jnzFuKsLE0sPThJv7ftuGgVkeFdNTOal/Asw59orq3H3LqYXLqOjTFM5YtSvKSQr4

Supervisor of Quality Operations CEQ National Data Mining Team - Remote

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 

Company:

Optum, part of UnitedHealth Group (NYSE: UNH), is a leading information, technology-enabled health services, and software business dedicated to helping make the health system work better for everyone. We work with governments, employers, partners, and providers to care for over 146 million people and share a vision of a value-based system of care that provides compassionate and equitable care. With more than 190,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health. 
At Optum Insight (OI), we champion continuous innovation to provide software, network, and data analytics, technology-enabled services, advisory, and revenue cycle management offerings to help make health care work better for everyone. 

Team:

Within OI&rsquo;s Product Organization, the Product Strategy and Innovation team is responsible for overseeing OI&rsquo;s portfolio of software and services products, coordinating investments and innovation across market teams. We help our product teams bring new ideas to market faster via prioritized investment, supported market activation, external and internal partnerships, and acquisitions. 
OI Product Portfolio Strategy is a new team that will oversee the health and performance of OI&rsquo;s full portfolio of services and software products. The team will ensure alignment between the product portfolio and OI&rsquo;s strategic objectives, prioritize product initiatives, monitor product performance, and recommend adjustments to the portfolio, including innovation, acquisition, and sunset decisions. 
The Strategy Associate will support the Product Portfolio Strategy team by providing critical analysis and insights to optimize the product portfolio. This role involves monitoring product performance, assisting in investment strategy, and ensuring alignment with strategic objectives. The analyst will work closely with cross-functional teams to compile and analyze data, support decision-making processes, and contribute to the overall success of the portfolio. 
Success requires enthusiasm for ambiguous projects, independence, and an investigative mindset to find solutions in a complex environment. 
This person should be relentless in their pursuit of data, someone who won't be discouraged by obstacles and will persist until they find the necessary information. You should be adept at gathering relevant data and transforming it into meaningful insights for presentations shared with leadership. 
You&rsquo;ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:
<ul>
<li>Collect and analyze data on financial performance, client performance, market potential, strategic value, investment performance, and risk for each product</li>
<li>Develop and maintain dashboards and reports to track key performance metrics</li>
<li>Assist in defining product lifecycle stages and making recommendations for product staging decisions</li>
<li>Monitor and report on capital investment performance, including allocation, utilization, program delivery, and ROI</li>
<li>Aggregate product metrics into portfolio analytics to monitor portfolio health</li>
<li>Prepare regular reports and presentations for senior management and stakeholders</li>
<li>Identify trends and insights to inform strategic decisions and guide future investments</li>
<li>Experience dealing with ambiguous complex products and technologies</li>
<li>Ability to independently take steps to define customer use cases across a variety of customer personas and product categories to produce meaningful insights</li></ul> 
 
You&rsquo;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:
<ul>
<li>6+ years collecting data analysis on financial performance, client performance, market potential, strategic value, investment performance, and risk for each product</li>
<li>6+ years with analytical skills with proficiency in data analysis tools and software (e.g., Excel, SQL, Tableau)</li>
<li>Experience working through ambiguous projects, successfully, in a heavily matrixed healthcare environment</li>
<li>Quantitative analysis and experience building complex data models</li>
<li>Experience aggregating product metrics into portfolio analytics to monitor portfolio health, presenting reports/presentations for senior management and stakeholders</li>
<li>Experience identifying trends and insights to inform strategic decisions and guide future investments</li>
<li>Experience developing investment grading criteria and prioritizing investment requests</li>
<li>Experience monitoring and reporting on capital investment performance, including allocation, utilization, program delivery, and ROI</li></ul> 
 
Preferred Qualification:
Experience with Payer and Provider related strategic issues 
<ul><li>
</li></ul><div> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul></div> 
The salary range for this role is $106,800 to $194,200 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

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

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Strategy and Analysis - Associate Director - OI Portfolio Products - Remote

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 
Have you been working with Utilization Management systems and/or Claims Payment systems and their associated HIPAA X12 EDI 278 Authorization transactions? Are you looking for an opportunity to expand your experience working with EDI 278 integrations in the health care industry? We have a terrific opportunity for an individual to lead trading partner integrations from end to end working with our proprietary Medical Management system (MMS) and connecting it to a variety of Claims systems (FACETS, IDX, Xcelys and IKA, just to name a few). The Sr. EDI Solutions Analyst ensures that the technical integration between the MMS and Claims systems is seamless to our end users for all Authorization Data using an EDI 278 transaction. Our technical environment includes an Azure cloud-based database solution where we talk to a PostGres SQL databases for our core application database technology along with leveraging Snowflake SQL to interact with our reporting data warehouse for conducting EDI 278 statistical analysis on the health of our EDI 278 integrations as well as conducting deep dive transaction research for troubleshooting integration issues. You will use your existing database SQL skills to broaden your understanding of the required data mapping necessary to stand up the EDI 278 transaction for our trading partners. Can you articulate and interpret business requirements and compare them against the industry standard technical implementation guide of the X12 278 transaction giving trading partners real-world scenario variances of the allowed usage for the specific loop-segment-element of the EDI 278 transaction? If this sounds like what you have been doing and something you want to continue to build upon your existing in-depth knowledge of how the EDI 278 (Authorization/Referral) transaction works in health care, please read on and apply as we have an opening on our team and would like to hear from you about your existing specialized experience in this space. 
Primary Responsibilities:
<ul>
<li>Monitor Daily EDI Transaction Processing</li>
<li>Troubleshoot and resolve any EDI processing issues</li>
<li>Implementation Team Resource for EDI Mapping, Validation and Testing as required</li>
<li>Prepare and update program documentation, job aids, and other artifacts as requested</li>
<li>Scheduled and ad hoc auditing of various systems and databases to support prior authorization transactions</li>
<li>Process review, data analysis and measurement for various programs related to prior authorizations, claims and member eligibility</li>
<li>Create process and data flow diagrams for the various programs/projects as assigned</li>
<li>Preparation of reports as needed by management</li>
<li>Identification and communication of processing issues to leadership</li>
<li>Prepares and coordinates presentations, training, etc.; used as an educational resource</li>
<li>Implementation of innovative technologies and processes (including testing and follow-up)</li>
<li>May involve some interfacing with clients, managed care customers, IT resources and others when needed</li>
<li>Assignment of special projects as needed</li></ul> 
You will be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
<ul>
<li>5+ Years of Experience in each of the following:
<ul><li>Experience within the healthcare data environment - eligibility, provider, claims, etc.</li>
<li>Experience with data mapping and workflow documentation</li>
</ul></li><li>Healthcare EDI Transaction Knowledge and Expertise</li>
<li>Specific EDI X12 ANSI 278 Transaction Expertise</li>
<li>EDI transaction mapping experience</li>
<li>EDI Production Support and Maintenance Experience</li>
<li>EDI testing and validation experience</li>
<li>Healthcare IT MMS (Medical Management Systems) experience</li>
<li>Experience with SQL (manipulating data and queries) - Relational databases like MySQL, MS SQL, DB2</li>
<li>Experience using Microsoft Word (creating and editing documents), Microsoft Outlook (email and calendar), Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc..) and Microsoft Visio (process/data flow diagrams)</li>
<li>Experience using Microsoft Viso (creating and editing documents) to illustrate process or data flow diagrams</li></ul> 
Preferred Qualifications:
<ul>
<li>Ability to write clear technical and functional specs for authorization data integration services</li>
<li>Experience building both EDI 278 real-time and batch mode integration services</li>
<li>Experience with ETL (Extract Transfer Load) File Management and Archive Processes</li>
<li>Experience working with cloud-based solutions and services</li>
<li>Knowledgeable about claims billing practices and process management concepts &ndash; this may include knowledge of CPT coding or reimbursement processes, third party provider enrollments, claims submissions, EDI and HIPAA transactions and/or accounts receivables</li></ul> 
Soft Skills:
<ul>
<li>Solid organization skills and attention to detail</li>
<li>Excellent communication skills, both verbal and written, with the ability to interact with various levels of resources internally and externally</li></ul> 
Telecommuting Requirements:
<ul>
<li>Required to have a dedicated work area established that is separated from other living areas and provides information privacy</li>
<li>Ability to keep all company sensitive documents secure (if applicable)</li>
<li>Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</li></ul> 
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Job Id: XaDbw9SMvMis47FrtaOoGy48YTfAP9EIPELDldIMtGEUNxkV1kaq/zF8EMpm1b2PNRkME511BjeMceNX2dgjOZcv2nnVFve8//E7aCRYMD1eYPLFclyFjqNuaCejmlYNb/g8fPFQlKZYeSUb2vuG0RTTEUG3QRLl

Sr. EDI Solutions Analyst

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


The Senior Information Security Engineer will address all government and client security inquiries related to security and compliance. This position entails coordinating, developing, updating, and maintaining security documentation for CMMC Level 2 Certification, including the ATO package (SSP, CP, CMP, IRP, POAM, etc.) and its annual updates. The role also involves managing and reporting system risks and vulnerabilities, coordinating third-party audits, and overseeing annual penetration tests. Positions in this function are involved in monitoring, evaluating, and maintaining systems and procedures to safeguard internal information systems, networks, databases, and Web-based security. Conduct vulnerability assessments and monitor systems, network, databases and Web for potential system breaches. Respond to alerts from information security tools. Report, investigate, and resolve security incidents. Recommend and implement changes to enhance systems security and prevent unauthorized access. Research security trends, new methods, and techniques used in unauthorized access of data in order to preemptively eliminate the possibility of system breach. May oversee internal or external systems security (i.e., cloud services). Ensure that customers and users have the right access to the right systems at the right times. 

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


Primary Responsibilities:
<ul>
<li>Use cloud computing models, management of cloud-based environments, and cloud providers</li>
<li>Work with security architecture, operating systems, databases, networks, applications, and security tools</li>
<li>Utilize the following regulatory frameworks such as NIST 800-53, NIST 800-171, CMMC, FedRAMP and DoD Risk Management Framework (RMF)</li>
<li>Work with security control compliance/implementation with Security Technical Implementation Guides (STIGs) and the Authorization To Operate (ATO) process to include Plan of Action and Milestones (POAM) management</li> 
</ul>
You&rsquo;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:
<ul>
<li>7+ years of information security experience</li>
<li>3+ years of experience working with the Department of Defense (DoD) for Assessment and Authorization (A&amp;A) and Independent Verification &amp; Validation (IV&amp;V)</li>
<li>United States citizenship is required for this position</li>
<li>Must be able to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top-Secret security clearance</li></ul> 


Preferred Qualifications:
<ul>
<li>Bachelor&rsquo;s degree in information security, Cybersecurity, Computer Science, or equivalent</li>
<li>Certified Information Systems Security Professional (CISSP)</li>
<li>Certified Information Systems Manager (CISM)</li></ul> 

<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul> 


The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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

Job Id: W2ebb1zuXGqGwYjCQnMFJjGLeA/b5P2IrF1bh5lXW/mIt+JW3mYPuarhWskgEpFMGsxWCPNE18CZx6r7AUGkYcvMSVXRKO04RaD+1fCqFpCNVkYbzNaZroSGv5ZxCdoyivdiBxmRLscaaKc4NADumEKkiJVaJ1o9fbOrXCksftLMRfEGH0fnVA==

Senior Information Security Engineer - Remote

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Financial is one of UHG&rsquo;s five strategic pillars. We&rsquo;re highly profitable and growing fast &ndash; and that&rsquo;s a great place to be from a career standpoint. We are leading the charge on being the most consumer-centric part of this whole of the company. We&rsquo;re also a true innovator: we&rsquo;re creating an entirely new experience for consumers for health and wellness benefits at point of service that&rsquo;s launching soon; we&rsquo;re rapidly growing new lending products for doctors and hospitals that&rsquo;s not been seen before in the market. Our aspirations are big. And we need a leader to match.

We need marketers who are hungry, smart, and conscientious. Functional passion and expertise matters &ndash; we want people who know how to do &ldquo;their thing&rdquo; really, really well. Experience and the desire to look outside of healthcare is a essential&hellip;we want to elevate healthcare to a whole new level and that means you know what greatness looks like in your domain.

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

Primary Responsibilities:
<ul>
<li>Lead marketing strategy for the Optum Financial Commercial team &ndash; responsible for $500B(!) of payer to provider payment flow</li>
<li>Manage the leaders who own product marketing, sales enablement, performance marketing, thought-leadership, brand positioning and value props</li>
<li>Influence the Optum Financial Commercial business as the representative on business CEO&rsquo;s leadership team</li>
<li>Support the launch and scaling of several innovative new customer-centric products that the business is bringing to market</li>
<li>Own and influence internal partners that support marketing efforts, like market insights, brand, SEO/website and more</li>
<li>Own the digital marketing motion for digital-to-provider lending products</li>
<li>Explore testing and measuring net new channels</li>
</ul>
You&rsquo;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: 
Before applying, please ensure each of these experiences are stated clearly on your resume under each applicable employer entry.
<ul>
<li>10+ years in a B2B-first marketing organization</li>
<li>Experience leading managers and not just direct reports, building their skills and capabilities</li>
<li>Have experience working with complex and technically sophisticated products</li>
<li>Proven to led and owned functional marketing areas like those listed in the responsibilities above</li>
<li>Proven to know how to partner effectively and collaboratively with the P&amp;L owners to drive measurable, aggressive results</li>
<li>Proven to influence and work collaboratively across a range of other disciplines: tech, sales, operations and more to &ldquo;get it done&rdquo; without excuse</li>
<li>Proven unapologetic attention to detail: you see inconsistencies in creative where others don&rsquo;t</li>
</ul>
Preferred Qualifications:
<ul>
<li>Experience with health care payments</li>
<li>Experience in high growth and/or multi-platform environments</li>
<li>MBA, consulting, or investment banking experience: somewhere where you&rsquo;ve had to push yourself hard</li>
</ul>
Total Compensation. As part of your total compensation package, which includes base, bonus opportunity, PTO and holiday pay, you will also receive these benefits at these rates, not to mention a remote work opportunity and healthy work/life balance.

UHG Benefits

Benefits pricing

<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul>

The salary range for this role is $150,200 to $288,500 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

Job Id: qGoyGsvrnqRac2/TBSdwv/m2kqGYxmGYyUuE3SB8fQOCK25W0uUVBja4ryC2Q3vyAKBXiR5aRCraKvp7BxejB47NBIxSxFh49dGGZzOlVZzhpmG7PNWFDj/qX/XPLuX9gF7//C2l6sV6wHbUXcExb4CwPm8YRFDlfLbk+lkHXtM=

Senior Director Marketing - Remote

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position supports management in producing innovative solutions driven by exploratory data analysis from diverse data sets and knowledge of statistics, and data modeling to identify opportunities to present valuable discoveries leading to prototype development and product improvement to management to ensure minimal risk to HEDIS/Star ratings.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
<ul>
<li>Support management with data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
</li><li>Support management by practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business</li>
<li>Support management with developing an audit process to measure quality assurance and ensure data integrity, conformity and accessibility, on performed deliverables conducted within department</li>
<li>Analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers</li>
<li>Provides team support with interpretation, analysis and technical guidance for implementation of HEDIS/Star Specifications</li>
<li>Stays current on all CMS, NCQA and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits and overall scores
</li><li>Work on data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
</li><li>Practicing conflict resolutions and presenting solutions to leadership to support unique and complex problems that directly impact the business
</li><li>Develop, review and analyze on-going customer requests (for new data elements to be brought into the existing model, for customizations or cross-walking of existing data elements, for computation of new fields based on customer-provided business logic, combinations of existing data elements, etc.)</li>
<li>Functions as a primary contributor in designing, coding, testing, debugging, documenting and supporting all types of applications consistent with established specifications and business requirements to deliver business value</li>
<li>Solves unique and complex problems with the broad impact of business to translate highly complex concepts in ways that can be understood by a variety of business users</li>
<li>Devises data verification and quality methods and standard systems procedures that will be used to support Enterprise Data Warehouse and Business Intelligence platforms</li>
<li>Knowledge of HEDIS/Star technical specifications Measure builds out requirements in accordance with annual specifications</li>
<li>Performs all other related duties as assigned</li>
</ul>
You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>3+ years of strong understanding of SQL Server (Version 2005 and higher)</li>
<li>3+ years of experience working with inter-departmental teams</li>
<li>3+years of experience supporting executive management with department budgeting and strategic planning</li>
<li>2+ years of knowledge with CMS Star and NCQA HEDIS</li>
</ul>
Preferred Qualifications:
<ul>
<li>Bachelor&rsquo;s Degree in related field of technology</li>
<li>Healthcare industry experience</li>
<li>3+ years of ETL Experience/SQL and Informatics</li>
<li>Experience supporting management with leading a business and technical team</li>
<li>Knowledge of HEDIS/Star regulatory requirements</li>
<li>Strong verbal and written communication skills
</li><li>Excellent analytical and problem-solving abilities</li>
</ul>
<ul><li>All Telecommuters will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 


The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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 the 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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #GREEN</div>

Job Id: GUk2zpF8JqLZgUCF+s+ftx1oPX+HUQdO4Ik8BbtysZYUgcnxJ0CWbAk+Dd8xyaE2DhvPweCghl98ctLZld8F42iWdgNlmFTsrIFzKc8L+XUvm7hR6fFtzSCahFhyiCAfQKsl/RV1C7Zb5hlYsBNBEWlj1XX72wpegipyJNdjoKz8b308jFj3

Senior Data Scientist - Remote Nationwide

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

The Senior Data Scientist supports management in producing innovative solutions driven by exploratory data analysis from diverse data sets and knowledge of statistics, and data modeling to identify opportunities to present valuable discoveries leading to prototype development and product improvement to management to ensure minimal risk to HEDIS/Star ratings.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
<ul>
<li>Support management with data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
</li><li>Support management with practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business</li>
<li>Support management with developing an audit process to measure quality assurance and ensure data integrity, conformity and accessibility, on performed deliverables conducted within department</li>
<li>Analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers</li>
<li>Provides team support with interpretation, analysis and technical guidance for implementation of HEDIS/Star Specifications</li>
<li>Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores</li>
<li>Work on data verification, identifying and implementation of quality methods and standards of system procedures used to support department deliverables
</li><li>Practicing conflict resolutions and presenting solutions to leadership to support with unique and complex problems that directly impact the business</li>
<li>Develop, reviews and analyzes on-going customer requests (for new data elements to be brought into the existing model, for customizations or cross-walking of existing data elements, for computation of new fields based on customer-provided business logic, combinations of existing data elements, etc.)</li>
<li>Functions as a primary contributor in designing, coding, testing, debugging, documenting and supporting all types of applications consistent with established specifications and business requirements to deliver business value</li>
<li>Solves unique and complex problems with broad impact of business to translates highly complex concepts in ways that can be understood by a variety of business users</li>
<li>Devises data verification and quality methods and standard systems procedures that will be used to support Enterprise Data Warehouse and Business Intelligence platforms</li>
<li>Knowledge of HEDIS/Star technical specifications Measure build out requirements in accordance to annual specifications</li>
<li>Performs all other related duties as assigned</li>
</ul>
You&rsquo;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:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>3+ years of experience in strong understanding of SQL Server (Version 2005 and Higher)</li>
<li>3+ years of experience working with inter-departmental teams</li>
<li>3+years of experience supporting executive management with department budgeting and strategic planning</li>
<li>2+ years of experience in CMS Star and NCQA HEDIS knowledge</li>
</ul>
Preferred Qualifications:
<ul>
<li>Bachelor&rsquo;s degree in related field of technology
</li><li>3+ years of ETL Experience/SQL and Informatics</li>
<li>Healthcare industry experience</li>
<li>Experience supporting management with leading a business and technical team</li>
<li>Knowledge of HEDIS/Star regulatory requirements</li>
<li>Strong verbal and written communication skills
</li><li>Excellent analytical and problem solving abilities</li>
</ul>
<ul><li>All Telecommuters will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 


The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #GREEN</div>

Job Id: JYh6kSxTQBtfBlni/2wJirMbTDLwXZE91fGEGUy1WN6LB5xKTdyrDy7yjxQfrHAh7XYPntBYBgtj5Q8Px7m3sLETwhZ7E6RS/KWYhjkvnBiDkjq1UXZtdeL91VSpXLC2m5VpoJ6GN6OHqnnmKkaq8RBTYX6z4/DP6lhMHsTMH9tfzdlzzw==

Senior Data Scientist - National Remote

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 
As a Senior Data Analyst in the Quality Performance Analytics team in Optum, you will be working with data that contributes to clinical quality gap closures, and the improvement of Medicare Stars &amp; HEDIS measures. 
This position will design, develop, implement, test, deploy, monitor and maintain the delivery of data in a systematic method. The roles in this function will cover all primary development and maintenance activities across all technology functions to ensure that we deliver data with high quality for our users, applications, and services and to understand customer needs. The capabilities include, but are not limited to analysis, design, development, testing, debugging, following standards &amp; best practice methods, documentation, maintenance, new development, facilitating data delivery and operations. 
This position will design, develop, implement, test, deploy, monitor and maintain the delivery of data in a systematic method that will support our drive to 5-star performance for Optum Health Clinical Performance. 
You&rsquo;ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 
Primary Responsibilities:
<ul>
<li>Maintain, optimize, document, and manage data processes in primarily Cloud based environment (APIs, Kafka, Azure Databricks (Terraforms), Snowflake, GitHub) to ensure solution meets business needs in terms of security, scalability, reliability and feasibility</li>
<li>Create and maintain processes to collect, cleanse and enrich data coming into our data platform</li>
<li>Build best practice data quality monitoring to ensure all data/report products exceed customer expectations. Incorporate quality into the planning/design phases; build quality assurance activities; utilize data audits; identify and fix root causes vs short term solutions</li>
<li>Design and review data structures for data management purposes with team</li>
<li>Create best practice and use best practice in deliverables</li>
<li>Support team members by leading projects, sharing ideas and reviewing work of others</li>
<li>Anticipate end user data needs, be curious and proactively communicate ideas to stakeholders</li>
<li>Utilize critical thinking and problem-solving skills. Pro-actively identifies patterns in issues and research root-cause to improve overall quality</li>
<li>Use technical skills to manipulate data using SQL, Snowflake, Excel, or other tools to provide actionable information to internal customers in support of their business goals by business &amp; product line</li>
<li>Ensure completion of yearly projects in support of team specific roadmap items that support business goals</li>
<li>Keep a full load and manage multiple projects being able to report out on progress and present analyses and findings to various stakeholders</li>
<li>Responsible for issue management to track defects and production issues through to completion</li>
<li>Perform all other related duties as assigned</li></ul> 
You&rsquo;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:
<ul>
<li>4+ years of experience as a Data Analyst utilizing SQL, Python or similar</li>
<li>4+ years ETL (Extract, Transform and Load) experience in tools such as Alteryx, Streamlit or Python</li>
<li>1+ years of Cloud experience using Snowflake, APIs, Kafka, Azure Databricks (Terraforms), GitHub</li>
<li>Use of source control tools such as GitHub, Bitbucket or similar</li>
<li>Ability to prioritize and multi-task in high volume workload situations</li></ul> 
Telecommuting Requirements 
<ul>
<li>Have a dedicated work area established that is separated from other living areas and provides information privacy 
</li>
<li>Ability to keep all company sensitive documents secure (if applicable) 
</li>
<li>Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</li></ul> 
Preferred Qualifications:
<ul>
<li>Knowledge of and experience using Stars / HEDIS data</li>
<li>Working with healthcare data to support end user data requirements</li>
<li>Experience using large, diverse healthcare data for analytic purposes</li>
<li>Understands Star Rating, PQA, HEDIS and NCQA technical specifications to apply measure criteria</li>
<li>Ability to mentor and support team members</li>
<li>Excellent communication skills, both written and verbal</li>
<li>Excellent analytical and problem-solving capabilities with special attention to accuracy and detail</li>
<li>Self-starter with a proven ability to take ownership of job responsibilities and ensure successful completion of all projects and requests</li></ul> 
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Job Id: /bJzQ0VgUQKJ1d1pAfb7i2fzT4jKXFK1gTlzrW3LOsNHiyUyTozYpLssVRbHJrRIIiMvUmsAya8RxsEK2e9VIAKpS9ASiLrM+jj1Ne6Ty0OsVSAhW1n2ylMpX2UwaOtMb1sMlZAUynq2s7t8k7vVHU+57bOkQRN/ipE=

Senior Data Analyst-Remote

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position supports management with interpretation, execution, and report of HEDIS Retrospective data for submission reporting of primary measures data as an effort to deliver a 4+ HEDIS/Star Performance rating with our Health Plans. Position works to conduct analysis, reviews, forecasting, trending, and presents information to management on system and data source capabilities for operational planning and business use cases. Additionally, it supports producing innovative solutions driven by advanced analytics to provide predictive and prescriptive analytics to the leadership, to ensure minimal risk to HEDIS/Star ratings.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
<ul>
<li>Perform business needs, documents requirements and translates needs into functional, nonfunctional and/or technical specifications</li>
<li>Delivers requirements, performs analysis, and evaluates downstream business, systems, process, and/or organizational impacts</li>
<li>Plans and assists team with oversight of testing processes and activities including defect identification and resolution</li>
<li>Works with team to conduct required healthcare analytics to distinguish patterns and recognize trends, perform normalization operations and assure data quality through Code Review
</li><li>Meets with team and analyzes data with build out of simple queries
</li><li>Works with team to analyze charts and/or diagrams of the problem to be programmed and defines system requirements in terms of system capabilities</li>
<li>Works with team to manage understanding and team knowledge of HEDIS/Star technical specifications Measure builds out requirements in accordance with annual specifications</li>
<li>Works with teams to analyze and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers</li>
<li>Provides management with analysis and technical guidance for implementation of HEDIS/Star Specifications</li>
<li>Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores
</li><li>Develop or assist in the development of stakeholder dashboards, data visualizations, decisions aids and business case analysis
</li><li>Supports with planning work plans, time schedules, and project task items and schedules and assists with estimating needs for analysts, programmers, user personnel, consultants, equipment, and prepares routine project status reports</li>
<li>Checks, validates and verifies assigned work directed performed by technical staff to achieve desired end-results for customer</li>
<li>Performs all other related duties as assigned</li>
</ul>
You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>3+ years of experience in writing and developing requirements and performing system analysis; includes drafting of both Business &amp; Functional Requirements</li>
<li>3+ years of SQL experience, writing queries and of major software systems implementation experience</li>
<li>4+ years of combined experience with analysis, development and UAT</li>
</ul>
<div>Preferred Qualifications:</div>
<ul>
<li>Bachelor&rsquo;s Degree in Business, Computer Science or related field</li>
<li>Masters Degree in Computer Science or Health Administration related field
</li><li>Knowledge of healthcare industry and related business functions</li>
<li>Knowledge of HEDIS Submission Reporting</li>
<li>Advanced courses of study in information technology, business or other related fields</li>
<li>Experience of working in project management and project control methodologies</li>
<li>Experience process re-engineering and best practice implementations</li>
<li>Ability to analyze and document process and data flow</li>
<li>Ability to clearly communicate ideas and solutions with both business and technical teams</li>
<li>Ability to effectively report daily progress on assigned deliverables in a timely manner</li>
<li>Ability to effectively work with both internal and external clients</li>
</ul>
<ul><li>All Telecommuters will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 


The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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 the 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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #GREEN</div>

Job Id: lV8dBSvXycSpzLiRV99ODvpIVtrXyzGk4iQuR31mFtnqSD63Q9hbWk+Fx/DpWiYKI8IyfFeHkhBdJDdjGtSEB7c2CEjPuiyNdhK8SGhRQoHyUPvrsLdauIxTKMYgWjxXVipfPQZvso7ETBSZK5QRWqrosTKVfRCQB5q24w6TX1Q5TzjgBg==

Senior Data Analyst - Remote Nationwide

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

The Senior Data Analyst position supports management with interpretation, execution, and report of HEDIS Retrospective data for submission reporting of primary measures data as an effort to deliver a 4+ HEDIS/Star Performance rating with our Health Plans. Position works to conduct analysis, reviews, forecasting, trending, and presents information to management on system and data source capabilities for operational planning and business use case. Additionally, supports to produce innovative solutions driven by advanced analytics to provide predictive and prescriptive analytics to the leadership, to ensure minimal risk to HEDIS/Star ratings.

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

Primary Responsibilities:
<ul>
<li>Perform business needs, documents requirements and translates needs into functional, nonfunctional and/or technical specifications</li>
<li>Delivers requirements, performs analysis, and evaluates downstream business, systems, process, and/or organizational impacts</li>
<li>Plans and assists team with oversight of testing processes and activities including defect identification and resolution</li>
<li>Works with team to conduct required healthcare analytics to distinguish patterns and recognize trends, perform normalization operations and assure data quality through Code Review.</li>
<li>Meets with team and analyzes data with build out of simple queries
</li><li>Works with team to analyzes charts and/or diagrams of the problem to be programmed and defines system requirements in terms of system capabilities</li>
<li>Works with team to manage understanding and team knowledge of HEDIS/Star technical specifications Measure build out requirements in accordance to annual specifications</li>
<li>Works with team to analyzes and trends HEDIS rates, identifies barriers to improve rates and collaborates with cross-functional teams to resolve barriers</li>
<li>Provides management with analysis and technical guidance for implementation of HEDIS/Star Specifications</li>
<li>Stays current on all CMS, NCQA, and HEDIS/Star communications to align WellMed data submissions strategies to minimize risk to data submissions, audits, and overall scores.</li>
<li>Develops or assists in the development of stakeholder dashboards, data visualizations, decisions aids and business case analysis
</li><li>Supports with planning work plans, time schedules, and project task items and schedules and assists with estimating needs for analysts, programmers, user personnel, consultants, equipment, and prepares routine project status reports</li>
<li>Checks, validates and verifies assigned work directed performed by technical staff in order to achieve desired end-results for customer</li>
<li>Performs all other related duties as assigned</li>
</ul>
You&rsquo;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:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>4+ years of combined experience with analysis, development, and UAT</li>
<li>3+ years of experience in writing and developing requirements and performing system analysis; includes drafting of both Business &amp; Functional Requirements</li>
<li>3+ years of experience in SQL, writing queries, and of major software systems implementation</li>
</ul>
Preferred Qualifications:
<ul>
<li>Bachelor&rsquo;s degree in Business, Computer Science or related field</li>
<li>Masters degree in Computer Science or Health Administration related field required</li>
<li>Knowledge of Health Care Industry and related business functions</li>
<li>Knowledge of HEDIS Submission Reporting</li>
<li>Advanced course of study in information technology, business or other field</li>
<li>Experience with working in project management and project control methodologies</li>
<li>Experience process re-engineering and best practice implementations</li>
<li>Ability to analyze and document process and data flow</li>
<li>Ability to clearly communicate ideas and solutions with both Business and Technical Teams</li>
<li>Ability to effectively report up daily progress on assigned deliverables in a timely manner</li>
<li>Ability to effectively work with both internal and external clients</li>
</ul>
<ul><li>All Telecommuters will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 


The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #GREEN</div>

Job Id: CD1KM5+M7KX3ZckE8+1RcSGqXV98oQRI47kHKjMcMymQF9+nztc9YFBgZG4PoEF0RSkTrhO52SFn/Py82xvXCXoIvUtvOwZGuuyl0lKpttDKVm8f1KDD2vu2QVdlYiPGcgQ0MH1xf0DcSsIx23bKKZkWFLgRQmBvZVPhDaqGyZULgjg=

Senior Data Analyst - National Remote

<div>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.

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

Primary Responsibilities:
<ul>
<li>Monitoring incoming work assignments and tracking who will be working on those assignments</li>
<li>Creating reports that will track the assignments including receipt date, due date, and actual completion date. These reports will be provided to management for tracking purposes</li>
<li>Coordinate and communicate these assignments with other teams. and participate in frequent meetings</li>
<li>Coordinates proposal development activities including drafting proposals for new and existing clients (e.g., employers, government), gathering related statistical and system-related reports, and directing the preparation of supporting documents and analyses</li>
<li>Works closely with sales, product, legal, pricing, and other functions to tailor contractual provisions to reflect prospect's needs, company interests, and appropriate resources and timelines</li>
<li>This function includes jobs responsible for network analysis and disruption projections related to new business cases, which may require expertise in software used for modeling and geographic impact analysis</li>
<li>Supports initial contract admin and client service in clarifying requirements and ensuring fulfillment of obligations</li>
</ul>
You&rsquo;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:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>1+ years of experience working with Data Entry</li>
<li>Advanced level of proficiency in Microsoft Office products</li>
<li>Must be available to work an 8-hour shift between the hours of 8:00 am and 4:30 pm, Monday through Friday</li>
</ul>
Preferred Qualifications:
<ul>
<li>Intermediate experience working with CRM&rsquo;s (Salesforce)</li>
<li>Expert experience working with Microsoft Outlook</li>
<li>Detail oriented and comfortable working in a fast - paced office environment</li>
<li>Exceptional communication skills</li>
<li>Superior organization skills and dedication to completing projects in a timely manner</li>
</ul>
<ul><li>All Telecommuters will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy.</li></ul> 


The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #GREEN</div>

Job Id: ChrFBbL8a/2iZvJyMgyIFXuk6ZwyMo8CiGKHPLDl4Y+E394iHLTR2UuwjE0EMcpdhsh0MTOUOBmu40nNBroroRqrPi3Rx0ZZDhs9npjjPBaaYSZ3S/UkZQGjPgSDvHkRkwgGnLovk1fwSlJjsB3cAKgOj1lFDO/oVNcuIGmox8RtN/q5Mz53k30n1xbk

Proposal Development Specialist - National Remote

<div><div>Optum NJ, (formerly Optum Tri-State NJ) is seeking a Family Medicine or Internal Medicine Physician to join our team in Cherry Hill, NJ. Optum is a clinician-led care organization that is changing the way clinicians work and live.</div>
<div></div><div>As a member of the Optum Care Delivery team, you&rsquo;ll be an integral part of our vision to make healthcare better for everyone.</div>
<div></div><div>At Optum, you&rsquo;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&rsquo;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.</div>
<div></div>
<div> Position Highlights:
<ul>
<li>Physician-led, patient centered team-based environment.</li>
<li>Providing full spectrum Family/Internal Medicine and Adult Primary Care, focusing on value-based care, and supported by a robust team of specialists.</li>
<li>Full-time; Work-Life Balance; Flexible Scheduling</li>
<li>Local office hours are:
<ul><li>Monday: 8:00 AM to 4:00 PM, Tuesday: 8:00 AM to 5:00 PM, Wednesday-Friday: 8:00am &ndash; 4:00pm, Friday 9:00am-4:00pm</li>
<li>Saturday: Closed (future need may arise) flexibility required</li>
<li>You will not exceed 40 hours a week</li>
</ul></li><li>Team based care; Evidence-based Medicine.</li>
<li>Autonomy to practice at the peak of your license.</li>
<li>Supported to grow your practice and patient panel.</li>
<li>Fully integrated and actively using EPIC for electronic medical record system</li>
</ul>
 Primary Responsibilities:
<ul>
<li>Direct and manage a complete continuum of high-quality care within the care team.</li>
<li>Treat chronic diseases and disorders</li>
<li>Reviews patient file/record, including allergies, problems, medications, and immunization status.</li>
<li>Elicits and records information about patient&rsquo;s medical history.</li>
<li>Orders or executes various tests, analyses, and diagnostic images to provide information on patient&rsquo;s condition.</li>
<li>Analyzes reports and findings of tests and examination and diagnoses condition of patient.</li>
<li>Oversees and provides collaborative support to Advanced Practice Clinicians.</li>
</ul>
What makes an Optum Career different?
<ul>
<li>Be part of a best-in-class employee experience that enables you to practice at the top of your license.</li>
<li>We believe that better care for clinicians equates to better care for patients.</li>
<li>We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations.</li>
<li>Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization.</li>
</ul>
Compensation &amp; Benefits Highlights:
<ul>
<li>Guaranteed, competitive compensation model based on quality, not quantity, with significant earning potential, annual increases, and bonus eligibility.</li>
<li>Financial stability and support of a Fortune 5 Company</li>
<li>Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan (ESPP for UHG Stock)</li>
<li>APC Partnership opportunities and incentives</li>
<li>Comprehensive benefits plan inclusive of medical, dental, vision, STD/LTD, CME and malpractice coverage.</li>
<li>Robust clinician learning and development programs.</li>
</ul>
Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum &ndash; from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone.

You&rsquo;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.
</div>
Required Qualifications:
<ul>
<li>Unrestricted medical license in the State of New Jersey or has New Jersey medical license application in process.</li>
<li>Board certification or board eligibility in Family Medicine and/or Internal Medicine</li>
<li>Active and unrestricted DEA License (or ability to obtain prior to start).</li>
<li>Active New Jersey CDS license (or ability to obtain prior to start).</li>
<li>Active Basic Life Support (BLS) certification (or ability to obtain prior to start).</li>
<li>Bilingual Spanish language skills highly preferred (but not required).</li>
</ul>
The salary range for this role is $226,000 to $366,000 annually based on full time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you&rsquo;ll find a far-reaching choice of benefits and incentives.

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

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

Job Id: 8vje27gr0p0AcJNE0MtetQyrMDhgyi4dImXptVXlYxHxD+K69KZxzvtv2MrS3DnSmqHgjD+K88PClLN6s3y8LY15C8Ah5bOEYiGCtojh0Sx/d+eW8bPUhrQwDmDGprUfiYjVZCbcPW43iqH/4Aw0NlfKJ6jxNTB8AAB/nj9l

Primary Care Physician, Optum - NJ

<div>American Health Network, part of the Optum family of businesses, is seeking a Primary Care Physician to join our team in Delaware, OH area. Optum is a clinician-led care organization that is changing the way clinicians work and live. 
<div></div>
<div>
As a member of the Optum Care Delivery team, you&rsquo;ll be an integral part of our vision to make healthcare better for everyone.</div> 
<div></div>
<div>
At Optum, you&rsquo;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&rsquo;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.</div> 
<div></div>

 Position Highlights:
<ul>
<li>Physician-led, patient centered team-based environment</li>
<li>Provide care across the continuum, focusing on value-based care and supported by a robust team of specialists</li>
<li>Procedures can include, but not limited to: simple skin surgery, fracture care, joint injections, maternity care, IUD&rsquo;s, etc.</li>
<li>Full-time, schedule can be 4 or 4.5 workdays per week</li>
<li>Must be comfortable working with advanced providers</li>
</ul>
 What makes an Optum organization different?
<ul>
<li>Providers are supported to practice at the peak of their license</li>
<li>We recognize that if you want to provide good care and do it well, you can&rsquo;t do it alone &ndash; this is the foundation of the team-based care model</li>
<li>The culture is one of clinical innovation and transformation</li>
<li>We are influencing change on a national scale while still maintaining the culture and community of our local care organizations</li>
</ul>
Compensation &amp; Benefits Highlights:
<ul>
<li>Compensation based on quality, not quantity - including incoming guarantee with bonus incentives</li>
<li>Dedicated CME Time &amp; Allowance</li>
<li>Excellent PTO package</li>
<li>Robust retirement package including employer funded contributions</li>
<li>ESPP (Employee Stock Purchase Plan)</li>
<li>Company paid malpractice insurance and tail coverage</li>
<li>Physician partnership opportunities with Optum</li></ul> 
<div></div>
<div>
At American Health Network, a part of Optum, transforming the delivery of health care across our region is our passion. Founded in 1994, we are an established multi-specialty, physician-led, integrated healthcare delivery system that cares for over 325,000 patients throughout our locations. Together, we're making health care work better for everyone.</div> 
<div></div>
<div>
You&rsquo;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.</div>
Required Qualifications:
<ul>
<li>Unrestricted medical licensure in the state of Ohio or able to obtain prior to start</li>
<li>Board certified or board eligible in Family Medicine or Internal Medicine or Med-Peds</li>
<li>Active and unrestricted DEA License or ability to obtain prior to start</li></ul> 
<div></div>

The salary range for this role is $226,000 to $366,000 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you&rsquo;ll find a far-reaching choice of benefits and incentives. 
<div></div>
<div>
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</div> 
<div></div>
<div>
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div></div>

Job Id: /D8dik1Svz714XXq7dkSCMj4NkG28vZGKQpJOQyyMHURLbW3y2+vrjD8cxGUHgyRMGTA3xiC5YThjzn4WCCvIGnvNWfYip3+WbjVJw+MAnazZQdixgD9v1gSzGfphzkDj75s3PXf2m0q/hSUscRdp5Jyyx7KZ9FQlzYqAqumaRgRr/X12eFtSx+m5ftVfPZIX7bfA3It

Primary Care Physician | American Health Network- Delaware, OH

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

In this position, you will be responsible for managing a large number of inbound calls in a timely manner. Your primary goal is to provide excellent customer service, resolve customer inquiries, and ensure customer satisfaction.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 AM - 4:30 PM CST. Our office is located at 2925 Chicago Ave, Minneapolis, MN, 55407 to pick up equipment on day one.

We offer 6 weeks of paid on-the-job training. The hours of training will be aligned with your schedule during normal business hours.

If you are located within the state of Minnesota OR Wisconsin, you will have the flexibility to work remotely* as you take on some tough challenges. 


Primary Responsibilities:
<ul>
<li>Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies</li>
<li>Educate customers regarding the availability of receiving invoices and remitting payments through online applications</li>
<li>Resolved concerns related to patient balances on their accounts</li>
<li>Handles inbound calls</li>
<li>Routes accounts for review and resolution</li>
<li>Provides accurate information and facilitates resolution to customer and third - party inquiries while representing the organization</li>
<li>Reviews and analyzes account activity and payers explanations of benefits to verify payments and adjustments have been received and applied accurately</li>
<li>Processes patient mail</li>
<li>Other duties as assigned</li></ul> 


You&rsquo;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:
<ul>
<li>High School Diploma / GED</li>
<li>Must be 18 years of age OR older</li>
<li>1+ years of call center experience in a healthcare billing OR medical insurance setting</li>
<li>1+ years of working with EOB (explanation of benefits) experience</li>
<li>Knowledge of CPT (Current Procedural Terminology) and / OR medical claims processing</li>
<li>Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications</li>
<li>Ability to travel to 2925 Chicago Ave, Minneapolis, MN, 55407 to pick up equipment on day one</li>
<li>Ability to work any of our shift schedules during our normal business hours of 8:00 AM - 4:30 PM CST from Monday - Friday</li></ul> 


Preferred Qualifications:
<ul>
<li>2+ years of medical insurance experience</li>
<li>Epic OR other EMR experience</li>
<li>Experience in healthcare billing</li>
<li>Experience in working with various insurance companies</li></ul> 


Telecommuting Requirements:
<ul>
<li>Reside within the state of Minnesota OR Wisconsin</li>
<li>Ability to keep all company sensitive documents secure (if applicable)</li>
<li>Required to have a dedicated work area established that is separated from other living areas and provides information privacy</li>
<li>Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</li></ul> 

<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul> 


The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #RED</div>

Job Id: Pi8dc8FiYxspwg60o7rdHbjzxkeRHs8oPSl0ucV1jX3bfdoY8p8pWCXvGGn9gXZXj90pg/zlQk1PyofE7IFDQztkvn0et0aDHnbcTjRnv57hJ5+sXjh/EmH/+201mn6Ax+UJSCZunAFBVhmDkpykBl4x7R0oBjGtiZLiQHDusm+Cq4ait6XptuLoZ8Rv5l3QTer2YYu1YqLm/ZWr

Patient Accounts Resolution Representative - Remote in MN or WI

<div>$2,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together.

Location: 725 American Avenue, Waukesha, WI, 53188

We offer 6-8 weeks of paid training. The hours of the training will be based on 1st shift hours.

Primary Responsibilities:
<ul>
<li>Greets visitors and patients in person</li>
<li>Communicates by telephone or video conferencing, upholding excellent customer service</li>
<li>Handles confidential information appropriately by protecting and disclosing information to only those authorized</li>
<li>Prioritizes by assessing and analyzing information to identify immediate emergency needs</li>
<li>Demonstrates technical knowledge and competence in departmental procedures</li>
<li>Enters and updates patient demographic and financial information, ensuring the patient is fully registered as early in the process as possible</li>
<li>Obtains appropriate applications and forms, confirming signatures are on file. Photocopies/scans documents as needed</li>
<li>Provides patients with financial responsibility information and collects patient liabilities, documents amount in the appropriate fields, and balances the cash box daily</li>
<li>Works with partnering departments (Financial Counseling, Scheduling, Financial Clearance, and clinical areas) to ensure all aspects of the patient's encounter are completed as needed</li>
<li>Provides wayfinding instructions and assists with hospital information as requested</li>
<li>Coordinates patient admission needs, bed assignments, and tracking boards where applicable</li>
<li>Meets or exceeds audit accuracy standards. Works worklists and error reports timely, and proactively seeks assistance to resolve as needed</li>
<li>May perform other duties upon request</li>
</ul>
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:
<ul>
<li>Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li>
<li>Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li>
<li>Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li>
<li>401(k) Savings Plan, Employee Stock Purchase Plan</li>
<li>Education Reimbursement</li>
<li>Employee Discounts</li>
<li>Employee Assistance Program</li>
<li>Employee Referral Bonus Program</li>
<li>Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li>
<li>More information can be downloaded at: http://uhg.hr/uhgbenefits</li>
</ul>
You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
<ul>
<li>High School Diploma/GED (or higher)</li>
<li>1+ years of customer service experience in an office setting or professional work environment</li>
<li>1+ years of experience with Microsoft Office products</li>
<li>Ability to work rotating holidays</li>
<li>Ability to complete 6-8 weeks of training during 1st shift hours</li>
<li>Ability to work the following 2-week rotational schedule
</li><li><ul><li>Week 1: Tuesday, Wednesday &amp; Saturday from 6:30am &ndash; 3:00pm</li>
<li>Week 2: Sunday &amp; Wednesday from 6:30am &ndash; 3:00pm</li>
</ul></li><li>Must be 18 years of age or older</li>
</ul>
Preferred Qualifications:
<ul>
<li>Knowledge of medical terminology</li>
<li>Experience with electronic medical records system</li>
<li>Experience in a medical office or hospital admitting/registration office</li>
</ul>
Soft Skills:
<ul>
<li>Excellent customer service skills</li>
<li>Excellent written and verbal communication skills</li>
<li>Demonstrated ability to work in fast paced environments</li></ul> 


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


The salary range for this role is $16.00 to $28.85 per hour based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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


#RPO #RED</div>

Job Id: uwddh/HF9H3CP+tRGHG/e/ZTkPIKL8JZ166P7aM0uob8chqqiRcVuQVm1vwgDd3HBSuQ0oph/PILhwlMS7frIH1BHWePPs69FCQ+ubQZ+Wop6z57/o+83a7TJCW23djTmAe0KrvB0MQQS+5i+nH9HHZyHNHr/YlZO0am7kl7ss0m5RdRY4DoxbAnY5CqmdlPNGl6cw==

Part Time Associate Patient Care Coordinator - Waukesha, WI

<div><div>$30,000 Sign-on Bonus for External Candidates 


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


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


We&rsquo;re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.</div> 


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


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


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

Primary Responsibilities:
<ul>
<li>Conduct comprehensive assessments</li>
<li>Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions</li>
<li>Manage members during a short term sub-acute rehabilitation episode</li>
<li>Ensure accurate and complete documentation, including ICD 10 conditions</li>
<li>Communicate and collaborate with the interdisciplinary care team</li>
<li>Conduct advanced illness and advanced care planning conversations</li>
<li>Provide patients and caregivers with counseling and education</li></ul> 
 
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:
<ul>
<li>Education:
<ul><li>NP: Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program</li>
<li>PA: Graduate of an accredited Physician Assistant degree program</li>
</ul></li><li>Active and unrestricted license in the state which you reside, or ability to obtain by start date</li>
<li>Active Nurse Practitioner or Physician Assistant certification through a national board:
<ul><li>NP: Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:
<ul><li>Family Nurse Practitioner</li>
<li>Adult Nurse Practitioner</li>
<li>Gerontology Nurse Practitioner</li>
<li>Adult-Gerontology Acute Care Nurse Practitioner</li>
</ul></li><li>PA: Board certified by the National Commission on Certification of Physician Assistants</li>
</ul></li><li>Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)</li>
<li>Ability to gain a collaborative practice agreement, if applicable in your state</li>
<li>Ability to complete physical requirements of the job including moving a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, remain in a stationary position and position self to perform physical assessment</li>
<li>Driver&rsquo;s license and access to reliable transportation</li></ul> 


Preferred Qualifications:
<ul>
<li>1+ years of clinical experience in practice (long-term care setting preferred)</li>
<li>Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs</li>
<li>Understanding of Geriatrics and Chronic Illness</li>
<li>Understanding of Advanced Illness and end of life discussions</li>
<li>Proficient computer skills including the ability to document medical information with written and electronic medical records</li></ul> 


The salary range for this role is $104,500 to $156,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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

Job Id: 9l8ONVljaljfGDodB9tgA3lycL/nu18iW3MfuX6VQ5wil3Y6Yy7ajDctJUaTLpgfV40aSj+gbA3g/FZUARu6PJS+NgcYwSFvV9qVe48t8KFqAspv7V+eG0jSm2bUhSY3Tb0G44Z0jGKJu2NX8aiS4yeqeU4C4jWLTRGnPUpHe5KE/69fGyDUop0wiw==

NP or PA Senior Community Care in Oneida County, NY

<div>Sherman Counseling, part of the Optum family of businesses, is seeking a Licensed Clinician to join our team in De Pere, WI. As a member of the Optum Behavioral Care Team, you&rsquo;ll be an integral part of our vision to make healthcare better for everyone. 


As a Licensed Clinician, you will treat a wide variety of mental health conditions that reflect the needs of our diverse patient population. We offer a variety of solutions that meet the unique needs of our workforce and the patients they serve. From clinical operations such as credentialing to business operations such as contracting, we provide organizational support that allows our providers to focus on what matters &ndash; providing care. 


You will have the flexibility to create your schedule and see patients in person at our office in De Pere, WI and via telehealth at home. Candidates must reside within commuting distance of De Pere. 


Primary Responsibilities:
<ul>
<li>Screen and assess patients for common mental health and substance abuse disorders</li>
<li>Provide treatment for mental health conditions using various approaches including cognitive behavioral therapy, dialectical behavioral therapy, and other evidence-based methods</li>
<li>Systematically track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications</li>
<li>Maintain accurate and up-to-date electronic medical records and clinical documentation, ensuring compliance with all regulatory requirements</li></ul> 


We are committed to your well-being and growth, offering a comprehensive package of perks and benefits with varying eligibility based on role, including:
<ul>
<li>Competitive salary &amp; eligibility for quarterly incentive bonuses</li>
<li>Flexible work models &amp; paid time off when you need it</li>
<li>Health and well-being benefits like health insurance, 401k matching, and other family support and wellness resources</li>
<li>Professional development with tuition reimbursement and dedicated learning time to advance your career</li></ul> 


You&rsquo;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:
<ul>
<li>Master&rsquo;s degree in Psychology, Social Work, or a related counseling field</li>
<li>Active, unrestricted, independent license that allows you to practice without supervision in Wisconsin: LPC, LMFT or LCSW</li>
<li>Currently eligible to be enrolled as a provider in the Medicare program or able to terminate opt-out (if applicable) prior to starting a new position</li>
<li>Reside within commuting distance of De Pere, WI</li></ul> 


Preferred Qualifications:
<ul>
<li>2+ years of professional experience providing behavioral health services post master&rsquo;s degree</li>
<li>Experience providing direct psychotherapy services to individuals and families</li>
<li>Experience working with computers for professional communication and medical documentation - Excel, Outlook, Athena RMS or other Electronic Health Record system (EHR)</li>
<li>Demonstrated ability to work both independently and collaboratively with equal effectiveness</li></ul> 


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


The salary range for this role is $59,500 to $116,600 annually based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 


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

Job Id: xSEnEa24tVnkqdoGeomwTgj70dNBRFI4HliLpxGehMrvyGN4rU+ZKV5OhdVq0oz3EeuClORgytSxQgqoS5clC8DE8czEmzYELm4cg5nZNJ+fIKTvQR7bRJiJ5YDqd6dW0N4IGTi5KcOkKaa5dNJ2YbbISocPfBLCHc/q7a+qtWRm1J49eBOUqw==

Licensed Clinician - LPC, LMFT, LCSW - De Pere WI

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00am - 7:00pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at St. Mary&rsquo;s Hospital, 56 Franklin St. Waterbury, CT.

We offer 4 to 6 weeks of paid training. The hours during training will be 8:00am to 4:30pm, Monday - Friday. 


Primary Responsibilities:
<ul>
<li>Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage</li>
<li>Complete applications for state and federal programs</li>
<li>Review medical records and take all necessary actions to expedite benefit approval</li>
<li>Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)</li>
<li>Maintain ongoing communication with government agencies regarding the status of claims</li>
<li>Provide updates and assistance to hospital personnel and other Optum staff as needed</li>
<li>Maintain documentation of status of claims and client contract on Optum and/or hospital computer systems</li>
<li>Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.</li>
<li>Willing to work in a fast-paced hospital or healthcare environment</li></ul> 


You&rsquo;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:
<ul>
<li>High School Diploma / GED OR equivalent work experience</li>
<li>Must be 18 years of age OR older</li>
<li>1+ years of Customer Service experience</li>
<li>Experience working in a group or office space setting</li>
<li>Experience with Microsoft Office products</li>
<li>Ability to travel up to 10% to local healthcare facilities</li>
<li>Ability to rotate onsite : St. Mary&rsquo;s Hospital, 56 Franklin St. Waterbury, CT (Emergency Dept)</li>
<li>Ability to work full time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00am - 7:00pm EST. It may be necessary, given the business need, to work occasional overtime.</li></ul> 


Preferred Qualifications:
<ul>
<li>Knowledge of federal and state programs that will benefit coverage for clients</li>
<li>1+ years of Customer Service experience within a hospital or healthcare environment</li>
<li>Knowledge of medical terminology</li>
<li>Experience in communicating with patients &amp; staff with various educational &amp; socio-economic backgrounds</li>
<li>Bilingual fluency in English and Spanish</li>
<li>EPIC experience</li></ul> 


The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. 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&rsquo;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&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations 


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


#RPO #RED</div>

Job Id: Z5xo8erVKyaFFWca3jAmNCfYJjR6l5zFHmDQ7tVghte6tMV14l4HHCFUjC9s9V5nN2Dt2y4lo3LYrfgtSN+0KdWnpvDjO1fL/Tr2/96pzMU8wiZnVphg2R/KhpbInyoE70MK2CusjzNC73/wedYupXnL16NQEyW0pf6wYhlDDrbVvk0=

Healthcare Representative - Waterbury, CT

<div>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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full time, Tuesday &ndash; Saturday . Employees are required to have flexibility to work our normal business hours of 8:30 am &ndash; 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 43 New Scotland Ave Albany, NY 12208, Albany Medical Center.

We offer 4-6 weeks of paid training. The hours during training will be 8:00am to 4:30pm, Monday &ndash; Friday. 


Primary Responsibilities:
<ul>
<li>Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage</li>
<li>Complete applications for state and federal programs</li>
<li>Review medical records and take all necessary actions to expedite benefit approval</li>
<li>Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)</li>
<li>Maintain ongoing communication with government agencies regarding the status of claims</li>
<li>Provide updates and assistance to hospital personnel and other Optum staff as needed</li>
<li>Maintain documentation of status of claims and client contract on Optum and/or hospital computer systems</li>
<li>Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records</li>
<li>Willing to work in a fast-paced hospital or healthcare environment</li></ul> 


You&rsquo;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:
<ul>
<li>High School Diploma / GED OR equivalent experience</li>
<li>Must be 18 years of age OR older</li>
<li>1+ years of Customer Service experience</li>
<li>Experience working in a group or office space setting</li>
<li>Experience with Microsoft Office products</li>
<li>Ability to travel up to 10% to local healthcare facilities</li>
<li>During training schedule will be 8:00am to 4:30pm, Monday &ndash; Friday</li>
<li>Ability to rotate onsite: Albany Medical Center, 43 New Scotland Ave Albany, NY 12208</li>
<li>Ability to work, Tuesday &ndash; Saturday &ndash; 8:30 AM &ndash; 5:00 PM EST after training</li></ul> 


Preferred Qualifications:
<ul>
<li>1+ years of Customer Service experience within a hospital or healthcare environment</li>
<li>Knowledge of federal and state programs that will benefit coverage for clients</li>
<li>Knowledge of medical terminology</li>
<li>Experience in communicating with patients &amp; staff with various educational &amp; socio-economic backgrounds</li>
<li>Bilingual Fluency in English and Spanish</li>
<li>EPIC experience</li></ul> 

<div>
The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. 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&rsquo;ll find a far-reaching choice of benefits and incentives.</div> 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone&ndash;of every race, gender, sexuality, age, location, and income&ndash;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 &mdash; an enterprise priority reflected in our mission. 

<div>
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</div> 
<div></div>
<div>
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</div> 


#RPO #RED</div>

Job Id: Il3q1aawY/eNRVxkLSEqdlgaz5AHyUtkS3kGygE6qhECmIfY3gMGKIGJZg1WpmzGcUVoflt4DaUL2LmT0TVhjCxNuHBojGMX+mjCFAmHW77aUxmD1JSaDJWoHp3WlWxROONBmWH+4dg9uxkgsnLg2LY5fRFv4AF0yvpDDjQ=

Healthcare Representative - Albany, NY

Join Optum and explore 49 exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.