31 to 45 of 5,901
Picking and pulling prescriptions 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 This role is equally challenging and rewarding. You'll need to work within multiple computer syste
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Assess and interpret customer needs and requirements Identify solutions to non standard requests and problems Solve moderately complex problems and/or conduct moderately complex analyses Work with minimal guidance; seek guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Coach, provide feedback, and guide other
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Auditing contract loads for adherence to quality measures and reporting standards Researching errors by comparing Account Management documentation against multiple internal systems Analytical and Researching techniques to trend or quantify projects Preparing, processing, and maintaining new group installation and renewals Responding to member eligibility or group questions and verify enrollment s
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Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate o
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1. Ejecutar la consulta a los pacientes de todas las edades que requieran el servicio de consulta de Medicina General Prioritaria o ambulatoria de acuerdo a la asignada en su jornada laboral. 2. Garantizar una relacion de cordialidad con los usuarios, basada en las politicas de calidad y humanizacion de UMD. 3. Brindar una atencion en salud integral, oportuna y pertinente. 4. Diligenciar completam
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1. Conducir el proceso de venta en su totalidad a traves de las herramientas designadas por la compania. 2. Asesorar la venta de planes de medicina prepagada comercializados por la compania, pos cruce y planes odontologicos cumpliendo las metas comerciales establecidas por la Gerencia de Crecimiento. 3. Asegurar la consecucion de los indicadores de calidad establecidos por la compania, cumpliendo
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Communicates with all consumers of the mental health center regarding the medication services Genoa provides Recruits and enrolls consumers utilizing enrollment forms and copy the consumer's insurance card Facilitates the collection of prescriptions to be faxed to the pharmacy for dispensing Ensures all consumer insurance information is up to date in the Pharmacy system and is properly charged for
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Provides leadership and support in establishing and executing the Quality Performance Initiatives in alignment with corporate goals Supervises and coordinates the work activities of the team Monitors productivity, call center metrics, documentation and call quality to ensure established standards are met Collaborates with physicians and support staff to execute the implementation of the clinical q
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Manage performance target setting, performance reporting and associated financial models relative to provider network contracting Guide development of geographically competitive, broad access, stable networks that achieve objectives Evaluate, understand, and negotiate provider contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure th
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Travel to provide in home patient care and continuous education to patients and family members Provide skilled nursing care for expectant mothers in the home care environment Continually assess the mothers' condition to ensure they are safe in the home environment Modify the plan of care, as appropriate, based upon reassessment, change in prescriber orders, the patient's need for further care or s
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Analyze, design, develop, test, deploy, maintain, and continuously improve software Translate product concepts into project commitments (features, user stories, etc.) that deliver incremental value to our customers frequently and with high quality Create high quality software by conducting peer design/code reviews and developing automated test cases Ensure that all delivered solutions adhere to in
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Serve as a training resource/leader on cross functional major initiative projects and/or customer specific projects as assigned Conduct discovery session(s) to assess and interpret customer needs and requirements Complete moderately complex analyses; identify solutions to non standard requests and problems Create a plan/proposal based on available information Establish strong customer relationship
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Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Ability to adhere to the set schedule Focus on resolving issues on the first call, navigating through complex computer systems to identify the status
Posted Today
Communicates with all consumers of the mental health center regarding the medication services Genoa provides Recruits and enrolls consumers utilizing enrollment forms and copy the consumer's insurance card Facilitates the collection of prescriptions to be faxed to the pharmacy for dispensing Ensures all consumer insurance information is up to date in the Pharmacy system and is properly charged for
Posted Today
OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of
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