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Found 11 jobs

Jobs 1-10 of 11

IPA Manager - Pasadena, CA (747224)

Full-time | Optum Local Care Delivery | Pasadena, CA

01/16/2018

You are performance driven and have built up your provider experience. If you are ready to move forward, let's talk about where you can do more in this consultative role with our leading, global health care organization. UnitedHealth Group is driving higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. In this role, you’ll use your strong customer service and consultative skills to enhance the experience and performance of providers in our networks. As you do, you’ll discover the res...

Care Coordinator - Field Based - Ontario, CA (734629)

Full-time | Optum Local Care Delivery | Ontario, CA

01/10/2018

North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in ...

Provider Reimbursement Representative - Ontario, CA (738188)

Full-time | Optum Local Care Delivery | Ontario, CA

01/03/2018

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 and right now, we are l...

Customer Service Representative (Healthcare) - Palm Desert, CA (743043)

Full-time | Optum Local Care Delivery | PALM DESERT, CA

12/22/2017

Responsible for representing the organization and functioning as a key communicator for the organizations members and providers.  Educates and informs customers of organizations programs and services.  Promotes company’s commitment to superior customer service.  Proactively and reactively seeks appropriate solutions to potential and existing service issues.  Identifies root cause issues and works diligently and cooperatively to minimize or eliminate issues. Primary Responsibilities: Receives and records customer concerns via phone. Acts to resolve concerns in accordance for corporate guidel...

Healthcare EDI Coordinator - Ontario, CA (742049)

Full-time | Optum Local Care Delivery | Ontario, CA

12/22/2017

Primary Responsibilities: Identify and resolve new or unusual EDI claims errors / issues as they arise, using established procedures Achieve applicable performance metrics (e.g., productivity, quality, TAT) Use appropriate documentation, reference materials and/or websites to ensure that EDI claims are processed accurately and efficiently Collaborate with operational partners to help complete claims processing workflows Generate and distribute reports as required Learn and use new systems / applications / resources as needed Comply with Applicable Laws, Regulations and Policies Ability to ap...

Senior Provider Relations Advocate - Palm Desert, CA (745057)

Full-time | Optum Local Care Delivery | PALM DESERT, CA

12/15/2017

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd ...

Supervisor of UM - $5000 Sign-On Bonus for External Candidates! (744385)

Full-time | Optum Local Care Delivery | Redlands, CA

12/14/2017

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 Supervisor of Utilization Management functions as first line management for the Utilization Management Department and provides oversight for the clinical Utilization Management staff. Responsibilities entail Utilization Management activities within the department that may include: staffing issues, Utilization Management audits, ...

Primary Care Physician - Banning & Moreno Valley, CA (729629)

Full-time | Optum Local Care Delivery | Ontario, CA

12/10/2017

The Primary Care Physician (PCP) is responsible for the day to day clinical care of patients. The PCP manages the health of patients by providing preventive evaluations and wellness education, and treatment of acute and chronic illnesses/conditions. The PCP is responsible for the coordination of care with specialists and appropriate ancillary services.   Primary Responsibilities: Observe patients (e.g., body language; interactions with others; behaviors) in order to evaluate their complaints Listen critically to and ask clarifying questions of patients regarding their complaints Perform app...

RN Case Manager - $1500 Sign-On Bonus for External Candidates! (734352)

Full-time | Optum Local Care Delivery | Ontario, CA or Telecommute Considered

11/30/2017

North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in ...

RN Case Manager - $1500 Sign-On Bonus for External Candidates! (736371)

Full-time | Optum Local Care Delivery | Ontario, CA

11/30/2017

Are you ready for your next challenge? Discover it here at OptumCare and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as a RN Nurseline Case Manager, you'll be making a difference in peoples' lives by offering telephonic support and assistance to members seeking health education, program referrals or general health services. You will work with patients to manage their health conditions for ultimate outcomes by taking in-...

Jobs 1-10 of 11