Positions in this function drive clinical relationships and engagement with physician practices, members, and pharmacies while partnering internally (with areas such as Network contract ACO mgrs, Health Care Economics and Analytics, Medical Directors, Reporting, Health Plan market leaders) with a goal of improving health, well-being, quality and practice performance while reducing medical costs. Positions are accountable for the full range of clinical practice performance which may include but is not limited to improvement on HEDIS and STARs gap closure, coding accuracy, facilitating effective education and reporting, effective super utilizer engagement (e.g., members with complex and/or chronic conditions), and proactively identifying performance improvement opportunities through the use of data analytics, technology, workflow changes and clinical support. These roles develop comprehensive, provider-specific plans to increase their physician practice performance, reduce readmissions and improve their outcomes.

This position is full time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am – 5pm. It may be necessary, given the business need, to work occasional overtime. Our office is located in Chesterfield, MO.

We offer 4 weeks of paid training. The hours during training will be 8am to 5pm, Monday – Friday.  Training will be conducted virtually from your home.

Apply today! - https://uhg.hr/Chesterfield2024

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As a Healthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting.

This position is full time, Sunday through Thursday. Employees are required to have flexibility to work our normal business hours of 8:00am – 4:30pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at MUSC Medical University of SC, 169 Ashley Ave, EH 691 Charleston, SC 29425. We offer 4 weeks of on-the-job training. The hours of the training will be during our normal business hours of 8:00am – 4:30pm.

Apply today! - https://uhg.hr/CharlestonSC2024

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 7:55 am – 4:25 pm. Our office is located at 210 Westwood Pl Ste 300, Brentwood, TN 37027.

We offer 4 weeks of paid on-the-job training. The hours of the training will be aligned with your schedule.

Apply today! - https://uhg.hr/BrentwoodTN2024

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One Patient Outreach Coordinator is required to support an Advanced Practice Clinician. Currently, our LANE team includes five APCs and one being recruited but only two POCs to support their scheduling needs.

Call center environment – making outbound calls to senior population. Some inbound but mostly outbound duties as assigned

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 440 E Huntington Drive, Suite 200, Arcadia, CA.

We offer 2-3 weeks of paid training. The hours during training will be 8:00am to 5:00pm, Monday – Friday. Training will be conducted onsite.

Apply today! - https://uhg.hr/Arcadia2024

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Optum is a global leader in health care, utilizing technology to improve the well-being of millions. They are seeking Customer Service Representatives throughout the nation. The work done in this role will directly contribute to better health outcomes by connecting people with essential care, pharmacy benefits, and resources.

Job Summary:

This role involves providing exceptional customer service by responding to complex inquiries, including benefit and eligibility information, billing issues, and authorization for treatment. The position requires consistently meeting productivity, schedule adherence, and quality standards while effectively resolving a wide range of customer service requests.

Compensation: $16.00 – $28.27/hr (depends on experience, location, skills, etc.)

How to Apply:

You can search for all REMOTE, hybrid and in-person jobs right here on our UHG Clinical and Customer-Facing hubs! Click on the links below to search and apply:

• Click here to view all Customer-facing positions, including Customer Service Reps
• Click here to view all Clinical positions

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Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you’re fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast – growing environment.

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting – edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

We offer 8 weeks of paid training. The hours of training will be during our normal business hours.

Apply today! - https://uhg.hr/MiamiFL2024

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UnitedHealth Group, with a global team of 340,000 colleagues across Optum and UnitedHealthcare, is dedicated to advancing health outcomes worldwide. Join them to make a meaningful impact in healthcare, and receive robust support for your professional growth and personal well-being.

How to Apply:

You can search for all REMOTE, hybrid and in-person jobs right here on our UHG Clinical and Customer-Facing hubs! Click on the links below to search and apply:

UnitedHealth Group Customer Facing Jobs:

• Call Center Rep, $22/hr est.
• REMOTE Account Executive, $45K-$100K/yr
• Click here to view all Customer-facing positions

Optum Clinical Jobs:

• Associate Patient Care Coordinator, $16.00 - $28.27/hr
• Patient Care Coordinator, $19+/hr
• Click here to view all Clinical positions

Why Work for UnitedHealth Group:

UnitedHealth Group offers a comprehensive benefits package, including incentive programs, equity stock purchase, and 401k contributions, ensuring a wide range of benefits and incentives no matter where or when you begin your career (subject to eligibility requirements).

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The Senior Claims Examiner is responsible for providing claims support to our teams in reviewing, analyzing, and researching complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will ensure timely processing of the member’s claim.

The Clinical Administrative Coordinator is responsible for processing Utilization Management (UM) Inventory. MCR Coordinator is responsible for handling customer service or provider calls as needed. Coordinates UM processes with WellMed Medical Directors, UM Nurses, hospitals, physicians and other various departments. MCR Coordinator is responsible for providing clerical support to WellMed clinical staff for their medical necessity review process. MCR Coordinator is expected to maintain production and quality standards.

The Clinical Programs Consultant is responsible for the management and supervision of all Homecare Dimensions Clinical Programs. They will implement and maintain performance improvement activities and maintains regulatory standards for the clinical programs across the branches. This Manager indirectly supervises all members of the branch staff and performs all functions in professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care.

Apply today! - https://uhg.hr/SanAntonioTX2024

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. UnitedHealth Group is hiring Inside Sales Associates - National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Position Overview:

As an Inside Sales Associate, you will provide sales coverage for vacant territories by building and strengthening relationships with physician offices that manage complex chronic diseases. You will effectively communicate with customers through various channels to promote the use of Optum Specialty Pharmacy, while collaborating with Regional Sales Directors and pharmacy personnel to develop strategies and ensure customer satisfaction. Utilizing Salesforce and other sales tools, you will track patients, grow your business, and achieve sales goals while upholding the highest ethical standards and compliance with regulations.

How to Apply:

You can search for all REMOTE, hybrid and in-person jobs right here on our UHG Clinical and Customer-Facing hubs! Click on the links below to search and apply:

• Inside Sales Associates - National Remote, $23.22 to $45.43/hr
• Click here to view all Customer-facing positions
• Click here to view all Clinical positions

Required Qualifications:

• High School Diploma/GED (or higher)
• 1+ years Business to Business (B2B) sales experience with documented success
• Intermediate level of proficiency with Salesforce.com
• Intermediate level of proficiency with phone presence and ability to communicate effectively over the phone

Join Optum today! You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Focuses on treating and preventing financial toxicity by guiding patients through our complex healthcare system to help them gain access to care by reducing financial barriers.

Provides evaluation and coordination of patient assistance programs, coordination and scheduling of patients for financial interviews and financial counseling. Interfaces with insurance plans for benefit limits and patient’ s estimated out of pocket expense. Serves as a liaison related to patient billing disputes; charity care applications and eligibility; and departmental policies and procedures. Works closing with billing team to ensure timely claim and account follow-up for patient assistance sources.

Apply today! - https://uhg.hr/BilMcoWorcester2024

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