Act as an SME for payroll related questions and issues Support employee/contractor movement between Venture/NIE Companies and UHG Support acquisition initiatives related to payroll and employee integration Assist with documentation gathering via Virtual Data Rooms for potential acquisition companies Ensure compliance with company policy and various Federal, State and loca

Lead and Manage Claims Testing Supervise staff performing claims testing activities; both direct and matrixed staff Define and document testing plans, deliverables, resources, training, and strategies Develop and implement new or enhanced testing processes and capabilities Collaborate on test activities with personnel across Optum Claims, Operations, IT/Tech, Care Deliver

Perform utilization management, utilization review, or concurrent review of behavioral health admissions and continued stay Determine appropriateness of inpatient and outpatient services following evaluation of designated guidelines Ensure that health care services provided are medically necessary Ensure that health care services are provided in the most appropriate setti

Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer Represents the Company in a professional manner, following all Company policies and procedures Uses, protects, and discloses patients' protected health information (PHI)

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gad

The PCP is expected to be able to provide care consistent with their licensure and/or certification Provides diagnosis, treatment, therapy and management of patients according to current standards of care Utilizes managed care processes for cost effective and efficient use of lab, radiology and extended service providers, including specialists, hospitals, skilled nursing

Lead a team of Specialty Pharmacy Inside Sales Reps (6 10 direct reports) Set clear expectations, deliver feedback and coaching, and drive strong and consistent accountability Lead, motivate, and develop the team to exceed expectations Daily interaction on the sales floor to provide 'in the moment' coaching Hold regular coaching conversations with each team member Develop

Drive multiple Network Engineering and Optum Integration initiatives and projects consisting of design and development for Networking products and platforms, including solution design, analysis, testing, and integration. Provide feedback on project status, milestones, and risks Ability to manage multiple priorities and Enterprise projects in Optum CA Market Support data c

Practice with a multi disciplinary team of health care providers that may include, but is not limited to, Family Practice and/or Internal Medicine Physicians, RN Case Managers, social workers, and clinic staff Our model is designed to provide a comprehensive, coordinated model of care to a predominantly Medicare aged population Primarily manage care in the patient's home;

Create a positive experience and relationship with the member 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 m

Develop and implement reputation initiatives that effectively engage key stakeholders and influencers, amplifying the unique value Optum Rx pharmacy benefits deliver to the U.S. health system and the consumers, patients and partners it serves. Support an integrated team of external communications professionals in delivering on reputation and awareness building priorities

Manage IT intake and demand via a centralized set of tools, processes, and meetings cadence Partner with IT resource managers to refine and manage IT resource capacity models Engage with IT partners in technology planning, delivery and understanding business demands/requirements Provides reports and dashboards to provide transparency into IT demand backlog, metrics, and c

Perform initial review of consumer health records and current health status (e.g., health risk scores) to identify health risk and determine next steps Conduct initial and ongoing assessments utilizing nursing assessment skills in home setting Receive information from consumers about specific symptoms and questions Conduct interviews to understand cause and effect, gather

Perform all procedures offered by the Radiology Department. Participates in routine rotation between and among all radiology departments Obtain correct/current clinical history on patients Check orders and patient identity prior to exam Transport all patients to and from department safely Process all films and ensure current and correct demographic data is on films Check

Positions in this function will be responsible for researching and investigating key business problems through quantitative analyses of utilization and healthcare costs data. Develop and improve quantitative data analytics and set performance targets. The main responsibilities will include Lead projects to completion by contributing to database creation, statistical model