Qureos Mentor

UnitedHealthcare

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As part of a care management team who will manage complex members, the Integrated Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical and/or behavioral health needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
Work Schedule: Monday through Friday 8:00 am to 5:00 pm
Location: Montgomery County, Indiana
Local travel up to 75% and mileage is reimbursed at current government rate.
If you live within the state of Indiana and can travel to Montgomery County IN, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:<ul><li>
Serve as primary care manager and service coordinator for high medical risks / needs members with comorbid behavioral health needs</li><li>
Engage members face-to-face and/or telephonically to complete comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural and socioeconomic (SDoH) needs</li><li>
Develop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/servoces aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are</li><li>
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan</li><li>
Provide referrals and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)</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>
Must Possess One of the Following:<ul><li>
Master's Degree in Social Work</li><li>
Bachelor's Degree in Social Work, Psychology, Special Education, Counseling, or relevant degree with at least 1+ years of case management experience with older adults, individuals with disabilities or those with serious mental illness</li></ul></li><li>
2+ years of experience in long-term support services or working with older adults</li><li>
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)</li><li>
1+ years of experience with MS Office, including Word, Excel and Outlook</li><li>
Ability to travel 75% of the time within assigned territory to meet with members and providers</li><li>
Reside in Indiana</li><li>
Access to reliable transportation &amp; valid US driver's license</li></ul>
Preferred Qualifications:<ul><li>
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care</li><li>
Experience working in team-based care</li><li>
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)</li><li>
Background in Managed Care</li><li>
Bilingual in Spanish or other language specific to market populations</li></ul>
Physical Requirements<ul><li>
Ability to transition from office to field locations multiple times per day</li><li>
Ability to navigate multiple locations/terrains to visit employees, members and/or providers</li><li>
Ability to remain stationary for long periods of time to complete computer or tablet work duties</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
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>

Field Based Clinical Care Coordinator- Montgomery County, Indiana

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As a Senior Pharmacy Care Technician, you will perform live telephonic outreach to UHC Medicare members and their physicians/pharmacies to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.
Schedule: Monday - Friday, 8-hour shift between the hours of 8am - 5pm. This is a hybrid-remote role. You will be required to work onsite 1 day per month and work remotely (work from home) all other days of the month.
Office Location:<ul><li>
Schaumburg, IL - 1600 McConnor Parkway, Schaumburg, IL 60173</li></ul>
Training: 100% onsite for initial 2-3 weeks of starting employment
If you reside in Schaumburg, IL, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
This position follows a hybrid schedule with 1 in-office day per month.
Primary Responsibilities:<ul><li>
Perform telephonic customer outreach to improve health quality outcomes in collaboration with Clinical Pharmacists</li><li>
Provide additional telephonic engagement with providers and pharmacies</li><li>
Assess and interpret customer needs and requirements, triaging to a Clinical Pharmacist when appropriate</li><li>
Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience and reduce barriers to adherence drugs</li><li>
Document and track member engagement</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>
High School Diploma/GED</li><li>
Active and unrestricted Pharmacy Technician license in your state of residence</li><li>
National Pharmacy Technician Certification</li><li>
3+ years of Pharmacy Technician experience</li><li>
Beginner level of proficiency with navigating Microsoft Office and a Windows-based environment</li><li>
Reside within commutable distance to Schaumburg, IL office location</li><li>
Ability to work Monday - Friday, 8-hour shift between the hours of 8am - 5pm</li></ul>
Preferred Qualifications:<ul><li>
Retail and/or mail order pharmacy experience</li><li>
Experience with Part D claims adjudication</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
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 #YELLOW</div>

Senior Pharmacy Care Technician - Hybrid in Schaumburg, IL

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
As a Senior Pharmacy Care Technician, you will perform live telephonic outreach to UHC Medicare members and their physicians/pharmacies to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.
Schedule: Monday - Friday, 8-hour shift between the hours of 8am - 5pm. This is a hybrid-remote role. You will be required to work onsite 1 day per month and work remotely (work from home) all other days of the month.
Office Location:<ul><li>
Houston, TX - 2950 North Loop West, Brookhollow Central III, Houston, TX</li></ul>
If you reside in Houston, TX, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
This position follows a hybrid schedule with 1 in-office day per month.
Primary Responsibilities:<ul><li>
Perform telephonic customer outreach to improve health quality outcomes in collaboration with Clinical Pharmacists</li><li>
Provide additional telephonic engagement with providers and pharmacies</li><li>
Assess and interpret customer needs and requirements, triaging to a Clinical Pharmacist when appropriate</li><li>
Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience and reduce barriers to adherence drugs</li><li>
Document and track member engagement</li></ul>
You'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</li><li>
Active and unrestricted Pharmacy Technician license in your state of residence</li><li>
National Pharmacy Technician Certification</li><li>
1+ years of Pharmacy Technician experience</li><li>
Beginner level of proficiency with navigating Microsoft Office and a Windows-based environment</li><li>
Reside within commutable distance to Houston, TX office location</li><li>
Ability to work Monday - Friday, 8-hour shift between the hours of 8am - 5pm</li></ul>
Preferred Qualifications:<ul><li>
Retail and/or mail order pharmacy experience</li><li>
Experience with Part D claims adjudication</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
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 #YELLOW</div>

Senior Pharmacy Care Technician - Hybrid in Houston, TX

<div>At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Business Development Analyst (BDA) provides Key Accounts (KA) new business sales support for Account Executives (AEs) handling opportunities in the 100-5,000 eligible segment. They coordinate and execute the new business presale process for both medical and specialty proposal requests and complete post-sale activities for accurate case tracking and implementation. BDAs act as the point of contact between brokers and underwriting. They establish and cultivate strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. They work closely with sales and marketing groups to translate business development strategies into specific initiatives, additional market research projects, and selling activities. This position reports to local market leadership including Sales Operations Management and Directors/Vice Presidents of Sales &amp; Account Management in the Key Accounts Line of Business.
Employees are required to be in the office one day a week and to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.
Our office is located at 1 Tower Center Blvd, East Brunswick, New Jersey.
This position is full-time. If you reside near East Brunswick, NJ, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.
This position follows a hybrid schedule with one in-office day per week.
Primary Responsibilities:
The KA Business Development Analyst is accountable for new business sales support for AE's, handling opportunities for standard/non-standard opportunities up to 5,000 eligible employees.<ul><li>
Build and sustain positive relationships with brokers/consultants through direct and indirect communication</li><li>
Review Requests for Proposals (RFPs) to ensure all required information and documentation has been received for all products requested</li><li>
Obtain missing presale information and documents from AEs and external brokers required to complete RFPs</li><li>
Submit and manage non-standard administration requests when identified in presale process</li><li>
Modify non-standard benefit summaries when required in presale process</li><li>
Enter sales opportunities in the sales system. Update the system for accurate tracking during the presale process and upon final disposition i.e., Sold, Lost</li><li>
Submit quote requests to rating and underwriting partners. Request and coordinate alternate quotes</li><li>
Quality review proposal and financial documents prior to external release to brokers/consultants</li><li>
Communicate necessary information to implementation management to ensure they have appropriate information for timely and accurate case installation</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>
High School Diploma / GED</li><li>
6+ months of customer service or administrative support experience in a fast‑paced, professional environment</li><li>
Intermediate level of proficiency in Microsoft Office and other virtual productivity tools</li><li>
Willing and able to work out of the East Brunswick, NJ office 1 day per week</li></ul>
Preferred Qualifications:<ul><li>
Bachelor's degree or equivalent experience</li><li>
New Jersey Health and Life Insurance License</li><li>
Insurance experience</li><li>
Healthcare industry experience</li><li>
Human resources or medical benefits experience</li><li>
Experience in managing customer relationships</li><li>
Proven ability to work with external customers such as employers, consumers, consultants, and brokers</li></ul>
Soft Skills:<ul><li>
Excellent oral and written communication skills</li><li>
Superior presentation skills in both small and large group settings</li><li>
Solid interpersonal skills with the ability to communicate and influence internal business partners</li><li>
Analytical and problem-solving skills</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
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<div></div><div><div> 
#RPO</div></div></div>

Business Development Analyst - East Brunswick, NJ

<div>This position is Remote in AZ. You will have the flexibility to work remotely* as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed. 
Primary Responsibilities:<ul><li>
Work within the AHCCCS Incident, Accident, and Death (IAD) Portals and internal UHCCP IAD platforms.</li><li>
Assist Behavioral Health (BH) Quality of Care (QOC) Clinical Analysis staff by gathering internal and external information and documentation, including obtaining medical records for submitted IADs, to support determinations regarding potential deviations in care.</li><li>
Effectively interface with external behavioral health provider offices and facilities by providing education and guidance on AHCCCS IAD portal requirements, ensuring compliance with timeliness standards outlined in the AMPM and contractual requirements.</li><li>
Manage administrative functions related to QOC investigations by supporting the Behavioral Health Clinical Quality Analyst team with document preparation, case setup, and triage activities.</li><li>
Collaborate with Quality Management (QM) RN Supervisors and the QM Associate Director on administrative duties related to physical health IADs.</li><li>
Collaborate internally with other QM departments and cross functional teams within UHCCP.</li><li>
Manage multiple tasks, projects, and shifting priorities while effectively organizing and prioritizing work products.</li></ul> 
This is a challenging, high impact role within a fast paced environment that requires focus, attention to detail, resilience, and adaptability. Strong performance is recognized and rewarded. Employees are provided with clear expectations, ongoing guidance, and development opportunities to support both success in the role and potential growth into other areas of interest within the organization.
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>
Bachelor's degree in Psychology, Sociology, OR Social Work</li><li>
Must be 18 years of age OR older</li><li>
2+ years of Arizona behavioral health experience, including work with providers or health plans and AHCCCS (Medicaid)</li><li>
Experience working with the AHCCCS Incident, Accident, and Death (IAD) Portal</li><li>
Experience managing competing priorities in a fast paced, deadline driven environment</li><li>
Experience working with multiple databases to efficiently retrieve, input, and maintain accurate information</li><li>
Experience working with electronic health records (EHRs), Health Information Exchanges (HIEs), and internal systems</li><li>
Intermediate proficiency with Microsoft Office applications, including: Word (creating, editing and saving documents) and Excel (creating, editing, and saving documents and spreadsheets) Outlook (email and calendar management) Microsoft Teams (Chat and creating channels)</li><li>
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. While this role offers remote flexibility, employees may be expected to report to the office for in-person meetings as needed</li></ul> 
Preferred Qualifications:<ul><li>
Master's degree in Psychology, Sociology, OR Social Work, with active licensure (LAC, LPC, LMSW, LCSW, LACT, LIAC) through the Arizona Board of Behavioral Health Examiners</li><li>
2+ years of experience in behavioral health, quality management, clinical quality investigations, or equivalent relevant experience</li><li>
Knowledge of Behavioral Health Medicaid regulations</li><li>
Understanding of quality improvement principles and practices</li></ul> 
Telecommuting Requirements:<ul><li>
Reside within the state of Arizona.</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's Telecommuter Policy</li></ul> 
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 - $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 
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</div>

Behavioral Health Clinical Triage Analyst