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Act as lead programmer on HEOR and VBC modeling projects, in conjunction with Optum Life Sciences project team and external clients Program all aspects of client facing, macro enabled health economics models, including total cost of care, budget impact, cost effectiveness, and contract simulation models Create user friendly interfaces for model inputs and to display model results Assist with model
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Complete provider orders per state and provider regulations Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read, and report over read results to providers Retrieve and archive radiographic reports Create/Burn CD's in compliance with HIPAA regulations Perform detailed and accur
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The Sr. Manager, Software Engineer position is responsible for the design and development of Dev Ops processes for full stack applications using react, angular and spring boot The position creates design plans for the micro services based architecture and structuring the back end of an application, which manages program logic and server database interaction This position is 50% managerial and 50%
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Conduct full life cycle recruitment including candidate sourcing, screening, interviewing and offer negotiation and communication Develop sourcing strategies in partnership with leadership, as well as candidate pipelines for specific positions Share market research and trends in candidate flow, market reactions and awareness to local/national branding Interview and evaluate candidates utilizing co
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You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream th
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Provide regular reporting to the Senior Manager on the current status of the information security program Evaluate processes to determine adequacy of controls, compliance with policies and procedures, and comparison to leading practices Respond to client third party assessment, RFP and audit requests to facilitate business transactions and maintain strategic business relationships Supports and mon
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Creates a great consumer and clinic partner experience and continually builds solid relationships with both groups to proactively meet their needs Serve as an expert to the clinical staff and proactively meets with their team on meeting their clinical outcomes Counsels and educates patients on the usage of medications, adverse effects, schedules and any personal questions from the consumers Ensure
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Collaborate with internal and external business partners to gain understanding of their business needs Create or adapt departmental plans and priorities to address business and operational challenges Manage and ensure compliance with IT structures/processes/technologies Manage and support Risk and Quality business applications Influence or provide input to forecasting and planning activities Under
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Mon Fri match Checks with Remittance Advise fold & insert into appropriate sized envelope Reconcile processed batches within the audit database Create Denial trailers and mail out letters Print and mail out letters on claims requirements for Covered California members Forward claims that are Health Plan responsibility Mail out all unable to process claims with the appropriate letter to providers a
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Provide preventative and primary care for patients in assigned long term care facilities Work with primary care physicians to provide the best care possible Collaborate with the nursing staff and the patients' families Work with the facility's utilization review process In this role, you'll also explore and learn more about palliative care You'll be rewarded and recognized for your performance in
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Create and implement communication programs that drive Government Programs employee engagement and business results by clearly prioritizing messaging and inspiring employees to contribute their best toward our mission to help people live healthier lives Develop and manage relationships and effectively interact with a range of stakeholders, including the M&R and C&S CEOs and other senior executives
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Participate in developing go to market priorities, tactics and materials working closely with Optum Marketing and Product representatives Develop tactics on leads and participating in sales calls as a SME on the Optum IT Performance Services portfolio. Focus upon framing opportunities for either consumption based services or smartsourcing partnership framework whenever appropriate. This includes b
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Coding for the business requirements laid down by the scope document Ensure coding standards and best practice are met Ensure architectural guidelines are adhered Peer testing Perform code reviews and responsible for technical quality of the automation Define Low level technical design and development plan for the use case implementation Design, develop and deploy UiPath based RPA solutions in col
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Maintain catalogue of up to date data extracts Assist reporting analyst in maintenance and upkeep of reporting Create scheduled cadence of reporting maintenance Create workflows and specs for existing and new reports Auditing of spreadsheets for call center/fulfillment team One pagers for staff to reference as well as creation of SOPs You'll be rewarded and recognized for your performance in
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Making inbound and outbound calls to assess members' current health status Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with Medical Directors on challenging cases Coordinating care for members Making referrals to outside sources Coordinating services as needed (home health, DME, etc.) Educating members on disease processes
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