Filters

Job category

• Claims (13)

Skill

• analyse claim files 2
• assume responsibility 2
• build trust 2
• calculate compensation payments 2
• conduct fact finding 2
• contribute to protecting individuals from harm 2
• demonstrate trustworthiness 2
• ensure compliance with company regulations 2
• ensure compliance with gaming laws 2
• ensure compliance with purchasing and contracting regulations 2
• ensure contract termination and follow-up 2
• follow ethical code of conduct in assessment situations 2
• fraud detection 2
• handle incoming insurance claims 2
• identify preventive actions 2
• investigate forgery cases 2
• manage claims process 2
• meet commitments 2
• prevent fraudulent activities 2
• provide advice on breaches of regulation 2
• review insurance process 2
• analyse customer service surveys 1
• analyse data for aeronautical publications 1
• analyse work-related written reports 1
• audit contractors 1
• collaborate with animal related professionals 1
• collect healthcare user data under supervision 1
• complete patient journey records 1
• ensure compliance with disclosure criteria of accounting information 1
• ensure compliance with environmental legislation 1
• examine healthcare facility 1
• hear legal arguments 1
• interact with healthcare users 1
• liaise with auditors 1
• listen to the stories of the disputants 1
• manage claim files 1
• participate as observer in different types of audits in the food sector 1
• participate in medical records' auditing activities 1
• review patient's medical data 1
• undertake clinical audit 1
• write inspection reports 1

Country

• India (4)
• Philippines (2)
• Puerto Rico (4)
• United States (3)

State or region

• Haryana (1)
• Massachusetts (1)
• Metro Manila (2)
• San Juan (4)
• Tamil Nadu (1)
• Telangana (1)
• Tennessee (1)
• Texas (1)
• Uttar Pradesh (1)

City

• Boston (1)
• Brentwood (1)
• Chennai (1)
• Gurgaon (1)
• Hyderabad (1)
• Makati City (2)
• Noida (1)
• Pearland (1)
• San Juan (4)

Divisions

• (13)

UHGOptumSubBrands

• Optum (7)
• OptumIndia (4)
• OptumPhil (2)

City

• Boston (1)
• Brentwood (1)
• Chennai (1)
• Gurgaon (1)
• Hyderabad (1)
• Makati (2)
• Noida (1)
• Pearland (1)
• San Juan (4)

Country1

• India (4)
• Philippines (2)
• United States (7)

State

• Haryana (1)
• Massachusetts (1)
• National Capital Region (2)
• Puerto Rico (4)
• Tamil Nadu (1)
• Telangana (1)
• Tennessee (1)
• Texas (1)
• Uttar Pradesh (1)

ExternalIdNew

• 2347870 (1)
• 2348773 (1)
• 2357627 (1)
• 2364625 (1)
• 2365465 (1)
• 2365466 (1)
• 2366592 (1)
• 2366593 (1)
• 2367513 (1)
• 2368875 (1)
• 2369206 (1)
• 2371605 (1)
• 2371727 (1)

Grade

• 23 (6)
• 24 (2)
• 25 (2)
• 26 (3)

Schedule

• Full-time (13)

Segment

• Optum Care Delivery (1)
• Optum Global Advantage (9)
• OptumInsight (3)

JobFunction

• Accounting (7)
• Accounts Payable (1)
• Actuarial Leadership Dev Prgm (2)
• Actuarial Services (11)
• Administrative Support (20)
• Advanced Practice Clinicians (422)
• AI/ML Engineering (104)
• Architecture (22)
• Behavioral Clinical Consulting (2)
• Behavioral Consumer (1)
• Behavioral Health Care Deliver (101)
• Behavioral Intake (1)
• Benefits (1)
• Billing (10)
• Billing Quality (1)
• Broker / Outside Agent Service (2)
• Bus Advisory & Tech Cnsltng (38)
• Bus Opns General Support (4)
• Business Analysis (17)
• Business Development/Sales Sup (10)
• Business Process & TQM (7)
• Business Systems Analysis (20)
• Call Center/Triage (5)
• Capability Management (7)
• Capacity/Tech Performance Mgmt (2)
• Care Advocacy (18)
• Case Management (179)
• Claim Business Process (3)
• Claim Operations (3)
• Claim Quality (1)
• Claim Recovery/Resol/COB/Subro (13)
• Clerical Support (1)
• Client Services/Sales Support (89)
• Clin Grievances-Qual of Care (2)
• Clin Pharm AM & Hlth Plan Sup (5)
• Clinical & Medical Management (64)
• Clinical Admin & Processing (42)
• Clinical Administration (9)
• Clinical Analysis & Consulting (44)
• Clinical Appeals-MCO (4)
• Clinical Appeals-NUR (3)
• Clinical Claims Review (5)
• Clinical Informatics (4)
• Clinical Management (46)
• Clinical Pharm Care Consulting (63)
• Clinical Pharm Program Mgt (4)
• Clinical Practice Consulting (14)
• Clinical Program Management (2)
• Clinical Quality Management (3)
• Clinical Research (1)
• Clinical Services Operations (641)
• Clinical Utilization Managemen (4)
• Collections (9)
• Community & State Sales (7)
• Community Outreach Sales Sup (1)
• Community Pharmacy (193)
• Community/Volunteer Services (6)
• Compensation (1)
• Complex Customer Care (1)
• Compliance (6)
• Contract Installation (2)
• Corporate Development (3)
• Credentialing (5)
• Credit Lending (1)
• Cybersecurity Defense & Invstg (6)
• Data Analytics (49)
• Data Engineering (53)
• Data Entry (1)
• Data Science (31)
• Dev Ops Engineering (15)
• Digital Product (2)
• Employee Assistance Programs (6)
• Employee Relations (2)
• Employer & Indiv Acct Mgmt (3)
• Employer & Individual Sales (8)
• Engineering (1)
• Enrollment & Eligibility (6)
• Ent Communctns Spclst & Mgmt (4)
• Enterprise Resource Planning (2)
• Environ Occ, Hlth & Safety (1)
• Facilities, Bldg & Equip Svcs (5)
• Financial Planning & Analysis (15)
• General Marketing (13)
• General Operations Management (14)
• General Project Management (8)
• Health & Human Svcs Cnsltng (7)
• Health & Social Services (44)
• Health Care Delivery (Clin Care) (935)
• Healthcare Econ & Analytics (8)
• Home Delivery Operations (5)
• Hospice (47)
• Hospice - Bereavement (11)
• Hospice & Home Health Services (99)
• Infrastructure&Ops Engineering (14)
• Infusion (15)
• Innovation and Strategy (3)
• Internal Audit & Adv Svcs (5)
• Legal Counsel (5)
• Lobbying & Gov't Affairs (1)
• Mail Services (1)
• Marketing Creative (1)
• Marketing eCommerce (1)
• Marketing/Product Database (1)
• Med & Clin Ops-General Mgmt (7)
• Medical Coding (59)
• Medical Mgmt Clinical Review (1)
• Medical Screening/Clinical Lab (73)
• Medical Transcription (1)
• Medicare & Retirement Sales (13)
• Network Engineering (2)
• Network Pricing (8)
• Network Program Mgmt (1)
• Optum Account Management (2)
• Optum Growth Office Sales (14)
• Optum Insight Client Mgmt (2)
• Optum Sales (16)
• Patient Services (293)
• Payroll/Operations (1)
• People Business Partners (1)
• People Development (5)
• People Experience Business Partner (1)
• People Team Development Progrm (5)
• Pharmacy Prior Auth/Appeals (4)
• Pharmacy Support & Management (4)
• Phone Support (36)
• Physicians (372)
• Print Production (2)
• Product Management (28)
• Proposal Development (2)
• Provider Contracting & Network Development (15)
• Provider Data Integrity (1)
• Provider Relations and Service (11)
• Quality Assurance/Engineering (24)
• Quality Management (4)
• Radiology/Healthcare Tech (167)
• Regulatory Adherence (6)
• Regulatory Affairs (1)
• Rehabilitation Services (801)
• Research (1)
• Risk Management (1)
• Sales Operations / Admin (3)
• Security Govrn, Risk, & Compli (4)
• Security Ops Engineering (17)
• Senior Leadership Team (8)
• Six Sigma (6)
• Software Engineering (217)
• Special Investigation Unit (7)
• Specialty Pharmacy (31)
• Systems Management (15)
• Talent Acquisition Fulfillment (1)
• Tax (2)
• Tech Project & Program Mgmt (14)
• Technical Product Management (19)
• Technical Writing (2)
• Technology Development Program (1)
• Technology General Management (1)
• Technology Support (16)
• Telecommunications Engineering (4)
• Training Delivery (4)
• Training Delivery-Operatnl (6)
• Training Design & Development (1)
• Training Management (2)
• Treasury (4)
• UHC Global Acct Mgmt (1)
• Underwriting (3)
• Underwriting Management (3)
• UnitedHealthcare Global Sales (1)
• User Experience Design (6)
• User Experience Engineering (6)
• Vision Care Delivery (10)
• Wellness Coach Management (5)
• Workforce Management and Plng (8)
• Writing/Editing (1)

Vanity

• AI (1)
• Aide (10)
• Clinical (4)
• Contract (11)
• epic (1)
• lead (2)
• LPN (1)
• pharma (10)
• Registered Nurse (3)
• relations (3)
• Revenue Cycle (1)
• RN (2)
• SRE (2)
• Supervisor (2)

Division

• Kelsey-Seybold (1)
• OG Adv Human Capital (4)
• OG Adv Payment Integrity (5)
• OI OptumConnect & Other Ops (1)
• OI R&Q Ops (1)
• Optum State Govt Solutions Ops (1)

Company

• Optum (13)

Entity

• Kelsey-Seybold Clinic (1)

Job Level

• Individual Contributor (5)
• Manager (2)

Grade Level

• 23 (6)
• 24 (2)
• 25 (2)
• 26 (3)

Referral Eligibility

• No (1)
• Yes (12)

BusinessSegment

• Care Delivery - Region 4 (1)
• OG Adv Bus Capability Grp 4 (5)
• OG Adv Human Capital (4)
• OI Operations (3)

FullAddress

• 12 Cadillac Dr, Brentwood, United States 37027 (1)
• Arham Estate, Hyderabad, India 500081 (1)
• Ayala Avenue, FL 18-21, Makati, Philippines 01200 (2)
• Boston, United States (1)
• Chennai, India (1)
• Gurgaon, India (1)
• Noida, India (1)
• Pearland, United States (1)
• San Juan, United States (4)

JobCode

• CLM042 (6)
• CLM043 (2)
• CLM044 (2)
• CLM045 (1)
• CLM047 (2)

Work setting

• Core On-Site (10)
• Hybrid (2)
• Remote (1)

Brand

• Optum Care Delivery (1)
• Optum Global Advantage (9)
• OptumInsight (3)