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Found 10 jobs

Jobs 1-10 of 10

Field-Based Nurse Practitioner, AppleCare Medical - Downey, CA (784991)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/19/2019

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving ...

Internal Medicine Physician, AppleCare Medical - Downey, CA (790810)

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

01/18/2019

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)   Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board - certified private - practice, independ...

Medical Claims Examiner - La Palma, CA (791741)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/18/2019

This is an opportunity that's all about where you've been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look for your experience and expertise to help keep our service levels and accuracy extremely high. We'll also look for your ideas on how to constantly evolve our claims processes. We'll back you with the great training, support and opportunities you'd...

Clinical Quality Analyst, Sr. - La Palma, CA (803853)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/15/2019

For you, quality counts. For UnitedHealthcare, part of the UnitedHealth Group family of businesses, delivering quality care starts with processes and documentation standards that are the best in our industry. As a Senior Clinical Quality Analyst, you'll be a force for positive change, guiding the development of comprehensive care plans that will help others live healthier lives. Join us and help guide our efforts to improve the patient experience. Responsible for Clinical Performance Improvement related programs for provider offices, including but not limited to, P4P & HEDIS improvement, Qua...

Claims Compliance Analyst - La Palma, CA (810720)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/19/2019

The Claims Compliance Analyst is responsible for monitoring claims compliance by generating and reviewing various reports.  Prepare and review claims for health plan audits. Generate all required reports for health plan submission. This person is the liaison with various health plans in regards to claim audits and monthly and quarterly reporting. Review member denial letters prior to being finalized and sent out. Responsible for claims recovery and overpayment functions which will include tracking and generating recovery letters.   Primary Responsibilities: Generate reports to monitor claims...

Pharmacist - La Palma, CA (808279)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/15/2019

At OptumRx, a part of the UnitedHealth Group family of businesses, we're reinventing Pharmacy Benefit Management by taking Pharmacists out of a retail or hospital setting and letting them care for our members over the phone. It's a chance to work in a non-traditional setting as you consult with physicians regarding medications and overall wellness. Even better, you'll enjoy greater freedom and still have an opportunity to positively impact our members' lives. Primary Responsibilities: Review requests for prescription prior authorizations Oversee the activities of pharmacy technicians, pharm...

Supervisor, Utilization Management - La Palma, CA (805240)

Full-time | Optum Local Care Delivery | LA PALMA, CA

01/22/2019

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) Positions in this family require a current, unrestricted nursing license (i.e. RN, LPN, LVN) in the applicable state, as indicated in the function description and/or job title. Positions in this function require various nurse licensure and certification based on role and grade level. Licensure includes RN or LPN/LVN, depending on gra...

RN Auditing Training Specialist - La Palma, CA (779727)

Full-time | Optum Local Care Delivery | LA PALMA, CA

12/06/2018

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 Services Auditing and Training Specialist is an experienced clinician that will act as a teacher and mentor to other clinical staff.   Primary Responsibilities: This position provides education and coaching on patient assessment, patient care, and computer documentation Perform regular audits of all disciplines and ...

Data Analyst (Healthcare Financials) - La Palma, CA (792664)

Full-time | Optum Local Care Delivery | LA PALMA, CA

02/12/2019

Sure you could find a career that satisfies you, but what about one that inspires you? We’re in the business of helping make the health care system work better for everyone. That means we need people who know how to bring it every single day. As a Senior Financial Analyst, you’ll collaborate with an elite team of accounting and finance professionals who impact decisions that help millions live healthier lives. The Senior Financial Analyst is responsible for assist leaders in making strategic and operational data - based decisions by delivering timely, accurate and relevant financial informatio...

Manager, Care Management - Multiple Locations (803924)

Full-time | Optum Local Care Delivery | LA PALMA, CA

01/18/2019

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) Responsible for the supervision of all care management staff including, but not limited to, direct supervision, counseling and corrective actions, education, training, and audits.   Primary Responsibilities: Provides direct day to day supervision of care management staff including licensed and unlicensed staff Develops and implement...

Jobs 1-10 of 10