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Advocate on behalf of Joint Issue Management (JIM) to support our external customers (constituents) and Enterprise standards Advocate on behalf of the customer (internal UHG) with the development team to ensure that requirements are understood, and customer value is delivered Collaborate with the Agile Capability Owner (ACO) to conduct analysis of business requests for th
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Answer inbound calls for EAP and Behavioral Assessment and triage, short term problem resolution, authorization and referrals for routine and crisis callers Provide solution focused consultation to assist member with issue resolution Determine member eligibility and benefit coverage and triage as appropriate Update and enter clinical notes in care management database You'
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The NP or PA is expected to be able to provide care consistent with their licensure and/or certification Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The NP or PA will also treat acute conditions such as minor injuries and other acute medical conditions such as infections or exa
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Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with external and internal customers Identify and resolve operational problems using defined processes, expertise and judgment Investigate claim and / or customer service issues as identified and communicate resolution to customers Provide feedback to team mem
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Manage and lead large teams across multiple businesses in several locations, including internationally. Drive a sense of team and employee experience. Assist in the monthly and quarterly reporting activities for the Optum Rx segment, including internal management reporting and presenting to results to Optum leadership. Provide strategic business support for key Optum Rx a
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Lead and establish business aligned product architecture roadmaps and solution strategies to provide market distinction, differentiation, agility, scale and cost optimization Partner with business stakeholders for strategic planning, road mapping and prioritization. Lead, solution, deliver and drive capital investments for the assigned product families in collaboration wi
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improving the quality, cost and experience of health care. With the resources of a global health organization Optum behind us, we're at the forefront of value based care. Supported by a patient centric business model integrated care teams focus on the best patient care, rather than volume. Here, you'll contribute to an exceptional patient experience. Discover a place wher
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Act as a Scrum Master for one or more Agile teams; provide leadership, direction, and coaching to the team to encourage adoption of good agile practices Establish team level cadence and drive team level ceremonies (e.g. sprint planning, team backlog refinements, team retrospectives, etc.) in alignment with Program level cadences established Own and remove impediments for
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Assess, screen, triage and perform treatment ordered for patients Perform medical treatment as ordered by provider or established MedExpress standing orders Prepare and assist provider with dispensing prescribed medications (in states where applicable) Assists the provider with examinations, procedures and other duties Oversee and coordinate the daily patient care flow As
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Design and run complex data programs Perform quantitative analysis of actuarial, financial, and utilization data Develop, prepare, and conduct studies on pricing, utilization, and health care costs Leverage SDOH and real world data to solve business problems Build client reports and assist with project scheduling/coordination Develop strong relationships with coworkers an
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Use his/her own Recovery experience and training to assist families and consumers with defining their Recovery goals, and developing the skills and knowledge needed for the consumer's recovery Support the creation and assist with the implementation of a comprehensive Training and Education program with peers, families, providers, and staff Establish and maintain strong co
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Schedule and triage appointment requests for urgency according to approved protocols consistent with ProHealth's Appointment and Scheduling Guidelines. Consult a medical assistant or licensed clinician for clinical decision making whenever necessary Use call processing and other applicable functionality in the EHR to take messages and communicate with clinicians Greet pat
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Identify, coordinate and/or provide appropriate levels of care under the direct supervision of an RN or MD Perform clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). This includes case management, coordination of care and medical management consulting Provide hea
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The Medical Assistant supports the Care team and its patients through patient care, clinical and administrative tasks including patient intake, receiving and responding to patient phone calls, and documenting patient interactions The Medical Assistant performs duties within their scope of practice delegated by, and under the supervision of, a provider or physician Perform
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This position within the United Retiree Solutions (URS) Finance team serves a vital role in supporting many financial planning and business facing workstreams. URS is a rapidly growing business providing Medicare Advantage solutions for large employer group clients, currently covering over 1.7M members. The URS Finance team is uniquely positioned to partner closely with U
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