Analysis and documentation Identifies and defines business requirements Constructs workflow charts and diagrams Validates resource requirements and develops basic cost estimate models Manages complex requirement conflicts, and assists associate and intermediate level Business Analysts with moderately complex to complex requirement conflicts Implements, modifies, tests, an

Perform complex financial modeling, data analysis, and business planning in support of the Home Delivery Pharmacy's (HDP) forecast, budget, and long range plan Collaborate with key business partners across the organization to support forecast assumptions, share insights and scenario sensitivities Delivers weekly projections and variance analytics on business performance w

Lead and coordinate client communications. Focusing on providing clear and effective solutions to technical questions, while ensuring customer satisfaction Liaise with our internal stakeholders (senior leadership, legal, privacy teams, technical product teams, sales teams) to help obtain appropriate approvals and drive critical decision making Execute creative problem sol

Resolves highly complex business problems that affect clinical processes and functional requirements Participates in the development of measurable clinical business, affordability, and quality goals Identifies and prepares recommendations for cross functional/cross CDO medical management process improvements and opportunities Leverages data from multiple sources and analy

Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (Optum Health Solutions, Behavioral Health Solutions, Complex Specialty & Kidney, OptumCare) and the business plans and their corresponding FTE counts including oversight and direction provided to the vendors Collaborate with Op

Build analytics tools that utilize data to provide actionable insights into customer acquisition, operational efficiency, and other key business performance metrics Build, maintain, and production support of analytics tools in Power BI Design, build, and launch efficient and reliable data pipelines in Azure Data Factory and Snowflake Extract, Transform, and Load data from

Provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported Maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required You'll be rewarded and recognized for your performance in an environment that will

This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You'll be rewarded and recognized for your performance in an

Serve as a member of the operations senior leadership team and advise executives on external trends, problems, and activities to facilitate both short and long range strategic plans to improve operational performance and enhance growth. Set the vision and strategic plan for OptumRx PBM operations & client services and support scaled operations through solid partnership ac

Partnering with Optum Bank's leaders and subject matter experts and with Optum Financial delivery teams with focus on multiple Optum Bank strategic delivery components Assist with managing project intake and infrastructure build out to ensure project is ready to be scheduled and resourced for delivery Work closely with business, technology and PMO to resolve project sched

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability to identify the ICD 10 CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD 10 Official

Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwork Directs patient to their appointment or procedure May assist in scheduling add on appointments Verifies eligibility and benefits information for payers and interprets results Obtains signatures from patients as needed Colle

Lead a high performing, multi disciplinary global engineering team of 50+ engineers across web, mobile and portal solutions Define the digital technology strategy for the common component and Patient facing digital experiences, driving substantial reuse of code, designs, and architecture across UHG Formulate and lead both near term and long term digital product developmen