136 to 150 of 631
Perform research which advances the state of the art in AI and ML Implement algorithms and evaluate their performance on healthcare data Communicate results across an interdisciplinary team and explore use cases which improve real world healthcare outcomes Document research internally and externally, including publications in machine learning and other scientific conferen
Posted 4 days ago
Establish a trusting relationship with youth and family Keep youth and family actively engaged in the planning and implementation of their wraparound care Identifies and build on strengths and culture of youth, family, and support system to create individualized and integrated care plan Collaborate with youth and family's identified support team (community, providers, int
Posted 4 days ago
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
Posted 4 days ago
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
Posted 4 days ago
Interpret and analyze claims and membership data and recommend best approaches Provides management with findings, explanations, and conclusions Provides data in support of financial and utilization analyses Performs complex data validation and conceptual analyses Serves as subject matter expert to a health plan in support of value based contracting strategy Lead projects
Posted 4 days ago
Key responsibilities will include Operational Process Management and Effectiveness Establish and implement best in class tools and processes to increase visibility and utilization of our sponsorships assets and improve communication with the businesses we support Build and maintain standard operating procedure documents when appropriate to capture process flow and best pr
Posted 4 days ago
Actively participate in Portfolio team discussions, advise on process and subject matter, use experience to offer ideas Create Idea Expansion Documents by evaluating the business opportunity and clearly defining and documenting critical information Work with appropriate business partners to Understand and articulate the business strategy/opportunity Document the current s
Posted 4 days ago
Investigate medium to highly complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tr
Posted 4 days ago
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Assess members for home and community based services and ensure that those services are implemented and provided according to unique member needs Evaluate members for care management prog
Posted 4 days ago
Investigate medium to highly complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tr
Posted 4 days ago
Coach and motivate agents to achieve or exceed sales targets with a focus on quality and compliance Supervise the daily activities of the team by reviewing and analyzing calls / reports, assessing areas of opportunity, managing work assignments and assuring agents are providing a positive consumer experience Develop staff by providing one on one coaching, conducting role
Posted 4 days ago
Help member set goals and develop a care plan to achieve those goals Proactively engage the member to manage their own health and healthcare Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician As needed, help the member engage with mental health and substance use treatment Provide member educat
Posted 4 days ago
Develop a thorough understanding of the research, product, and emerging business strategy of Optum Labs Lead, inspire and set the vision and drive the culture for the Optum Labs' healthcare economic and program evaluation team that supports our mission, vision, and strategy Lead development and implementation of program evaluation strategy and governance to enhance produc
Posted 4 days ago
Develops business relationships with agents and / or brokers in order to renew existing accounts Independently decides which brokers to focus on and which products to recommend Promotes sales of health care products to small business (2 to 99 employees) customers, through brokers Educating and keeping brokers up to date on UnitedHealth Care products and pricing Evaluating
Posted 4 days ago
Proactively research and investigate key business problems through quantitative analyses of utilization and healthcare cost data Encourage and promote idea generation and best practices in support of the organizational healthcare cost reduction strategies Provide customers with unbiased advice and opinions regarding medical spend management strategies Provide data and inf
Posted 4 days ago
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