31 to 45 of 7,108
Support the creation and maintenance of Health Services product lines Support Product Line Owners to understand the strategy, vision and roadmaps for product lines within OptumServe Health Services Contribute to product roadmaps that focus initially on minimally viable deliverables, while contemplating the near and long term future enhancements that increase that value ov
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Assess, plan and implement care management interventions that are individualized for each patient 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
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Design, develop, test, deploy, maintain, and continuously improve software Translate product concepts into project commitments that deliver incremental value to our customers frequently and with high quality Work with business partners/product owners to understand desired system functionality Understand new product capabilities and decompose the implementation into specif
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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) If you are located within commutab
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Total coordination and processing of all patient referrals for specialty services Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the computer system according to Company policy and procedure Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly. Coordinates pre
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Conducts audits following procedures. Ensures quality through established measurements. Acts as an operational resource for others. Provides explanations and information to others on difficult issues. Works on ad hoc projects and events. Documents procedures for end user completion of tasks. Extensive work experience within own function. Applies knowledge/skills to a rang
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Enter prescriptions and verify appropriate and accurate information Contact patients, pharmacists and doctor's offices to resolve claims issues Process prescriptions (from intake to order completion) Resolve customer issues; ensuring accurate information is provided What are the reasons to consider working for UnitedHealth Group? Put it all together competitive base pay,
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P r o v i d e e xc ep t i on a l c u s t o m e r s e r v i ce t o a l l c on s u m e r s a n d m e m be r s o f t h e c li n i c s t a f f F ill s p r e sc r i p t i o n o r de r s a n d m a k e s t he m a v a il a b l e f o r v e r i f i c a t i o n unde r d i r e ct s up e r v i s i o n o f t he r eg i s t e r e d ph a r m a c i s t O r de r s, r e c e i v e s a n d s t
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Provide expertise and support by conducting audits across several departments, including call, claim, eligibility, intake and system configuration Provide feedback and reports to team members on audit results Analyze information to build recommendations to reduce errors and improve process performance Responsible for all aspects of quality assurance Training team for upco
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Sound documentation skills (Process and BRD) Take client meeting minutes Internal Change and/or Maintenance request scoping sessions Program communications (internal/external) Grow to act as Subject Matter Expert (SME) for all programs You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it t
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Expert in product line landscape and market opportunities; support for growth strategy Defined solution lead for product line for all growth opportunities, new business pursuits and contract recompetes Create and maintain a solution development schedule including identifying and tracking key milestones and escalation to sales executive when key milestones are at risk Supp
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Partners with Optum sales team for commercial and long term partnership clients for an overall clinical transformation effort, including proposals, service line agreements, and financial outcomes with client alignment Creates a trusted partner relationship with client executives and is seen as a partner in the successful design and implementation of the transformation pro
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Affordability Strategic Plan Supporting crafting of a strategic plan to approach and execution of the regional/CDO specific goals based on Musts and stretch targets Program Coordination Understand the full depth and breadth of programs. Map local to national programs and ensure leading indicators to measure success align locally and nationally Decision Support Analytics P
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Engage, research, and develop category strategy in collaboration with business leaders Understand stakeholders' needs and facilitate the negotiation of requirements among multiple stakeholders Draft, review and negotiate terms of agreements with Suppliers, Risk and Legal teams to optimize commercial outcomes, drive risk mitigation and ensure compliance with internal and r
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Assesses patient needs using established triage protocol Recommends follow up as indicated by protocol Schedules same day appointments, as indicated Documents all encounters in electronic medical records system Evaluates follow up on patient condition and/or reaction to drugs and treatments Educates patients, family members and care givers on treatment and care plans Main
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