Monitor agents and representatives for compliance with established processes, policies, and guidelines. Utilize applicable systems/tools to maintain and document Quality metrics/outcomes Work independently; plan, prioritize, organize and complete work to meet established objectives Use critical thinking skills to determine business impact when completing an evaluation Cle

Project Management and oversight of clinical programs under the guidance of the Clinical Program Director and Designer and in collaboration of internal and external teams. Operational and financial analytics to identify opportunities for clinical programs and measure outcomes. This role will require a methodical and critical thinking mindset with the ability to handle mul

Complete clinical audits and record reviews of behavioral health and substance use disorder providers in the State of Maryland Provide education and support to providers regarding operational and treatment record documentation standards Conduct quality of care investigations of behavioral health and substance use disorder providers Provide analytical support and expertise

Complete clinical audits and record reviews of behavioral health and substance use disorder providers in the State of Virginia Provide education and support to providers regarding operational and treatment record documentation standards Conduct quality of care investigations of behavioral health and substance use disorder providers Provide analytical support and expertise

A strategic creative with solid understanding of design/advertising trends and an ability to generate excitement for new ideas Display a solid visual style with a thorough understanding of how typography, layout, color, images, and interactivity impact design Create new and original designs from scratch for the UnitedHealth Group brand based on client specification, needs

Ensures quality customer service for internal and external customers Redirects incoming customer service requests Identifies and assesses customers' needs quickly and accurately. Solves problems systematically, using sound business judgment. Partners with other department representatives to re direct complex customer service inquiries Administrative support for our Consum

Ensures quality customer service for internal and external customers Redirects incoming customer service requests Identifies and assesses customers' needs quickly and accurately. Solves problems systematically, using sound business judgment. Partners with other department representatives to re direct complex customer service inquiries Administrative support for our Consum

Work across multiple cross functional areas to aggregate perspectives and intel to inform our financial forecast and budget for key workstreams / revenue drivers within National Accounts; further streamline analyses / forecasting processes where possible Perform monthly close analysis to facilitate understanding of monthly results against the financial plan Develop or imp

Contribute in the monitoring of data interfaces supporting enterprise operations, reporting and analytics Interact with technical and non technical customers to understand requirements and implement relevant data solutions Proactively and continuously identify, evaluate, and recommend integration and delivery process improvements Provide inputs in designing, implementing,

Maintain a deep understanding of the Optum Behavioral Health business and product solutions in support of the Government segment (Medicaid and Medicare), and apply this knowledge to develop product positioning, marketing content and sales materials Partner with the product team to support the product development process from ideation to launch Work with our passionate cli

Meets with member in their home or at their providers' office, if requested, deemed appropriate, or warranted Performs the following case management skills on a daily basis Perform patient assessment of all major domains using evidence based criteria (physical, functional, financial, and psychosocial) Develop individualized care management plans that involve provider, pat

Works with all areas of leadership across the health plan to identify priorities, areas of opportunity, and health plan compliance risk Provides audit oversight and participates in audit activities for health plan Develops and executes strategies with program leaders to create work plans, corrective action plans, and internal monitoring plans for areas of opportunity and

Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Utilize both company and community based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers Identify and initiate referrals for social s

Assess, plan and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care

Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care Identify gaps in care, interpret diagnostic test and reports and refer appropriately Identify risk factors and help mitigate barriers to access care and reduce risk Develop interventions to assist members in attaining estab