106 to 120 of 7,185
Travels to various assigned clinics to provide MA supervision, support and training in acquired clinics to support the integration process Provides supervision, support and serves as an on going consultant resource to the acquired clinic to ensure performance goals are met Engages the providers and staff as an early adopter and mentor of the changes being implemented in t
Posted 1 day ago
Requerimientos del cargo Realizar las actividades definidas para los cuidados basicos de enfermeria, promoviendo la seguridad y bienestar del paciente. Apoyar la recepcion de pacientes en conjunto con la enfermera jefe y personal de atencion al paciente. Asistir oportunamente al recibo y entrega de turno. Ejecutar el plan de cuidado de enfermeria de los pacientes asignado
Posted 1 day ago
Responsible for the daily support of the DTC sales function, including but not limited to Initial assignments will include end to end support for Telesales technology utilized by agents. Support will include understanding the "what and why" of requirements needed by our key stakeholders, partnering with technology teams on capabilities, testing support for newly developed
Posted 1 day ago
Anticipates customer needs and proactively develops solutions to meet them Serves as a key resource on complex and/or critical issues Solves complex problems and develops innovative solutions Performs complex conceptual analyses Reviews work performed by others and provides recommendations for improvement Forecasts and plans resource requirements Authorizes deviations fro
Posted 1 day ago
Engage patient, family, and caregivers telephonically to assure that a well coordinated action plan is established and continually assess health status Provide member education to assist with self management goals; disease management or acute condition and provide indicated contingency plan Identify patient needs, close health care gaps, develop action plan and prioritize
Posted 1 day ago
This position will be responsible for leading the Regional Product Team for the Central and West Regions for the IFP business. The Regional Product Team serves as the 'nucleus' for the IFP business for locally aligned markets, including coordination with Network, Actuary, and Sales counterparts. This role will manage a set of Regional Product Managers, each responsible fo
Posted 1 day ago
Create new consumer experiences focused on patients, providers, payers, and others across the health care ecosystem Design new approaches that enhance and extend the consumer experiences Gather consumer and end user requirements through in person interviews and secondary research Help clients empathize with users by creating deliverables that tell a compelling story Help
Posted 1 day ago
Create new consumer experiences focused on patients, providers, payers, and others across the health care ecosystem. Design new approaches that enhance and extend the consumer experiences. Gather consumer and end user requirements through in person interviews and secondary research. Help clients empathize with users by creating deliverables that tell a compelling story. H
Posted 1 day ago
Lead OptumRx initiatives spanning growth strategy, product strategy, and operational excellence by directly scoping, initiating, planning, executing, and controlling large complex strategy projects tied to high priority business objectives Establish objectives, define deliverables, structure work effort, and mobilize cross functional teams to deliver against multiple high
Posted 1 day ago
Perform daily, systematic reviews of unpaid, underpaid and denied accounts from the appropriate third party payer source ensuring that all assigned accounts are paid and/or resolved in a timely manner. Identifies and analyzes underpayments to determine the reasons for discrepancies and processes denials and appeals; examines claims to ensure payers are complying with cont
Posted 1 day ago
Optum Colorado Springs is seeking a Primary Care Advanced Practice Clinician to join our team in beautiful Colorado! At Optum, we are transforming healthcare nationally while providing Physician led care locally. Position Highlights Practice Primary Care to the full scope of your license Clinic hours are Monday Friday, 8am 5pm Minimal call time Patient rooms, office space
Posted 1 day ago
Adjudication of claims to quality and production standards applicable to this position. Monitor work inventory and submit non I Max sheets completed accurately by first day of each month. Analyze medical claims to ensure accurate claims adjudication. Claims processing in accordance with EOC, Benefit Schedules and Provider Contracts. Release by deadline to meet Company, st
Posted 1 day ago
Driving the mobile unit to various locations in Houston, and surrounding areas including but not limited to the Greater Texas Market Drive the mobile clinic to and from the designated areas, complying with all motor vehicle codes and regulations Complies with departmental policies regarding attendance and dress code Prepares the mobile clinic to receive staff, patients, a
Posted 1 day ago
Performs issue resolution for complex, escalated, and non standard Member Cost Share and Encounter Data related issues. Leads deep dive analysis and root cause remediation with multiple internal and external partners, to avoid future like issues. Develops implementation action plans as necessary and monitors them until completion. Performs ongoing review and analysis of d
Posted 1 day ago
Performs all nursing duties within the scope of a Licensed Vocational/Practical Nurse (procedures, injections, medication administration, EKGs, phlebotomy) as determined by the applicable State Board of Nursing Participates in implementing established education plans for patients and their families with common health problems and well defined health learning needs Coordin
Posted 1 day ago
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