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Found 2997 Jobs
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Provider Data Specialist - Westerville, OH (602823)
Full-time Westerville, OH
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: OH City: Westerville
Position Description:
Position Description:Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Provider Data Specialist is responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provi...

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Associate Director of Network Program Implementation - Telecommute (610509)
Full-time Richardson, TX or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: TX City: Richardson
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Associate Director of Network Program Implementation is responsible for delivering national consistency and oversight for network implementations and configurations. Ensures that multiple teams deliver consistent results for network programs impacting multiple functions across UnitedHealthcare and on b...

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Network Program Consultant - Telecommute (610506)
Full-time Richardson, TX or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: TX City: Richardson
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Program Expansion and Management team is responsible for successful program design and network program/product implementations across our markets and lines of business. This includes network expansion programs, global contracting efforts and provider impact analysis for key policy and process changes. ...

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Provider Relations Advocate - Washington Telecommute (609653)
Full-time Seattle, WA or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: WA City: Seattle
Position Description:
Position Description: 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 that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference ...

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Practice Performance Manager - Milwaukee, WI (609572)
Full-time Wauwatosa, WI
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: WI City: Wauwatosa
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Practice Performance Manager role is responsible for provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships, ensure ef...

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Network Associate-Phoenix, AZ (606382)
Full-time Phoenix, AZ
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: AZ City: Phoenix
Position Description:
Position Description:Optum Behavioral Solutions, a UnitedHealth Group company, is a leading provider of emotional wellness services. Our innovative solutions include behavioral health, employee assistance, work/life and pharmacy management services, as well as a unique disability support program. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at Optum. Our Network Services Department is looking for a decisive, energetic Network Associate to join the West...

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Associate Networking Contractor - Cypress, CA (608726)
Full-time Cypress, CA
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: CA City: Cypress
Position Description:
Position Description:Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)This position supports the CA Network Management team including contract loads, troubleshooting contract discrepancies, respond to regulatory and legal requests, coordinating one statewide response to various spreadsheet and reporting requests from various departments.  The Associate Ne...

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Associate Director, ACO Network Contracting - Northeast Region (609722)
Full-time Richmond, VA
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: VA City: Richmond
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Associate Director Network Contracting will contribute to the acceleration of contracting initiatives targeted at establishing and enhancing Accountable Care Organizations (ACO). This position will operate within an assigned region and work closely with the Contracting Director focused on ACOs. This po...

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Network Contract Account Manager - Multiple Locations in NY (607077)
Full-time Cattaraugus, NY
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Cattaraugus
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Network Contract Account Manager develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable...

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Sr. Hospital Network Contract Manager - One Penn Plaza, NYC (597196)
Full-time New York, NY
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: New York
Position Description:
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Senior Network Contract Manager develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable ...

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Bilingual LVN Float WellMed Northern Hills Clinic - San Antonio, TX (607727)
Full-time San Antonio, TX
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: TX City: San Antonio
Position Description:
WellMed provides concierge-level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health.  WellMed's proactive approach focuses on prevention and the complete coordination of care for patients.  WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. Do you have compassion and a passion to help others?  Transforming healthcare and millions of lives as a result starts with the values you embrace and t...

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Physician Documentation Improvement Specialist - Newtown Square, PA or US Telecommute (609371)
Full-time NEWTOWN SQUARE, PA
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: PA City: NEWTOWN SQUARE
Position Description:
Position Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.SMThe Physician Documentation Improvement Specialist performs medical record reviews, examining and assessing all patient documentation to ensure that all information including the diagnosis is accurate. This is accomplished by a concurrent and retrospective review of medical recor...

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Clinical RN Relationship Manager - Brookfield WI (610407)
Full-time Brookfield, WI
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: WI City: Brookfield
Position Description:
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 and help people live healthier lives while doing your life's best work.(sm)  This position will be located onsite in a health system office; overseeing the care of Medicare and Retirement members ensuring that recommended preventative health screenings are completed and gaps in care are addressed. Travel to other local physician practices and health systems may be required.  Primary Responsibilities:Work collab...

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Per Diem RN - Home Visit OB RN - Orlando, FL (610690)
Full-time Orlando, FL
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: FL City: Orlando
Position Description:
Join us in our mission to provide exceptional care to high risk expectant Mothers.  You will be literally making a positive impact on their lives and the lives on their unborn children!  Primary Responsibilities:Provides skilled nursing care for assigned patients in home care environment Assesses, plans, evaluates, and documents the home care nursing process as needed Assesses the patient's condition and the home environment Provides health care instruction to patient and family members

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Clinical RN Documentation Specialist RN – CDI RN – Multiple Locations in NY (608486)
Full-time Manhasset, NY
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Manhasset
Position Description:
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 and help people live healthier lives while doing your life's best work.(sm) The Clinical RN Document Improvement Specialist - (CDS) is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients.  The goal of the CDS oversight and practice is to assess ...

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Sr Clinical Quality RN - Bronx, New York City (593808)
Full-time Bronx, NY or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Bronx
Position Description:
Senior Clinical Quality RN - Bronx, New York City, New YorkThere's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)  Position is responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. This role will be responsible for ongoing mana...

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Sr Clinical Quality RN - Queens, Long Island, NY (593801)
Full-time Queens, NY or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Queens
Position Description:
Senior Clinical Quality RN - Queens, Long Island, NYThere's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)  Position is responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. This role will be responsible for ongoing management ...

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Sr Clinical Quality RN - Brooklyn, Staten Island, NY (593805)
Full-time Brooklyn, NY or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Brooklyn
Position Description:
Senior Clinical Quality RN - Brooklyn, Staten Island, NYThere's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)  Position is responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. This role will be responsible for ongoing managem...

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Sr Clinical Quality RN - Multiple NY Locations (593803)
Full-time Oswego, NY or Telecommute Considered
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: NY City: Oswego
Position Description:
Senior Clinical Quality RN - Central West region of New York:Oswego, Elmira, Norwich, and WaterlooThere's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)  Position is responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. This ro...

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CDI Service Area Manager - San Francisco, CA (597163)
Full-time San Francisco, CA
Job Posting: 7/7/2015
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Region: North America Country: United States
State/Province: CA City: San Francisco
Position Description:
The CDI Service Area Manager is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients.  The goal of the CDS oversight and practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.  This position collaborates with providers and other healthcare team me...

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