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, c

This is a remote position you may sit anywhere in the US 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 cul

Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (Optum Rx, Optum Insight, Optum Financial Services) and the business plans and their corresponding FTE counts including oversight and direction provided to the vendors Collaborate with Operations and Finance on the budgetary pro

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

Leading a team of OptumHealth client executive responsible for managing existing Oputm National Employer and Public Sector clients to retain and grow those accounts Accountable for driving OptumHealth's growth objectives for team to achieve sales quota and incremental growth through representing all OptumHealth capabilities Enhance the client experience and overall client

Offer insight on contract negotiations under the broader UHG contracts for transportation carriers Carrier Reporting and service level tracking Setup of new carrier/couriers within opportune lanes across assigned business units Vendor Support (KPI's, escalations, forecasting) Ownership and execution over key strategic initiatives across multiple business units Serve as in

Assist in the development and preparation of regulatory reports Perform quantitative analysis on healthcare membership and claims data Design, support, and enhance comprehensive data cleaning, standardization, and validation programs Maintain and improve robust quality assurance process to ensure accuracy Design and support ad hoc analytics where needed Collaborate and co

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Work independently to resolve standard and non standard requests Consult with your supervisor on complex issues and problems Collaborate with others

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Epic Beacon and EpicCare Ambulatory , or outpatient clinical applications Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Lead small to medium complexity

Partner with subject matter experts (SMEs) and customer leadership to identify learning needs Design and develop instructor led and self paced learning solutions Deliver classroom (virtual) learning experiences Coach employees towards enhanced performance of role specific skills Collaborate with peers across the training organization to evaluate and improve learning solut

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Onsite EAP Counselor is a professional position responsible for providing onsite services to either a dedicated customer or custo

Reviews medical records and supporting documentation in correlation with charges billed Identifies incomplete /inconsistent medical records and reports these to pertinent departments Interact with leadership, department managers and regional facility staff members regarding alignment and adherence to client standards, regulatory compliance, and reimbursement issues Respon

Organizes and maintains health information records. Reviews electronic chart documentation ensuring correct patient, location, and no duplicate information. Processes release of information (ROI) requests. Manages requests for documentation and information. Scans and edits documents in the electronic medical record. Locates, logs, retrieves, files, and delivers medical re

Follow established departmental policies, procedures and objectives Notify Provider Enrollment Manager of non compliance issues May involve travel to meet with providers to ensure complete and accurate forms are completed Completion of PIN form for submission to Excellian, track payer data in Symed Follow up on outstanding enrollment issues to ensure timely reimbursement

Use workforce management software and call volume history to help manage daily staffing levels and to determine the most effective methods for staffing adjustments Utilize call center tools to observe agents' actual state compared to scheduled state Manage real time inbound call traffic to help ensure that service levels are met Gain an understanding of the technical and