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• Account Management (7)
• Actuarial (22)
• Admin Support Services (19)
• Advanced Practice Clinicians (325)
• Aviation (1)
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• Behavioral (139)
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• Business & Data Analytics (66)
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• Claims (11)
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• Clinical Services Operations (617)
• Communications (3)
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• Healthcare Delivery (2653)
• Healthcare Economics (7)
• Integration (9)
• Legal (2)
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• Medical & Clinical Operations (285)
• Medical Screening/Clinical Lab (45)
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• Patient Services (266)
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• Vision Care Delivery (6)

Skill

• ensure compliance with company regulations 6
• ensure compliance with purchasing and contracting regulations 6
• provide advice on breaches of regulation 5
• calculate compensation payments 4
• contribute to protecting individuals from harm 4
• ensure contract termination and follow-up 4
• prevent fraudulent activities 4
• analyse claim files 3
• answer patients' questions 3
• handle incoming insurance claims 3
• manage claims process 3
• manage healthcare users' data 3
• review insurance process 3
• advise on participation in financial markets 2
• assume responsibility 2
• build trust 2
• clinical coding 2
• collect healthcare user data under supervision 2
• collect statistics on medical records 2
• comply with quality standards related to healthcare practice 2
• conduct fact finding 2
• coordinate membership work 2
• demonstrate trustworthiness 2
• ensure compliance with gaming laws 2
• ensure compliance with healthcare regulations 2
• examine healthcare facility 2
• follow ethical code of conduct in assessment situations 2
• follow up complaint reports 2
• fraud detection 2
• gather feedback from employees 2
• handle customer complaints 2
• identify preventive actions 2
• inspect government policy compliance 2
• interpret findings from medical examinations 2
• investigate forgery cases 2
• maintain records of clients' prescriptions 2
• maintain relationships with doctors 2
• manage claim files 2
• manage contracts 2
• meet commitments 2
• monitor patients' progress related to treatment 2
• observe record keeping standards in chiropractics 2
• perform clinical coding procedures 2
• provide feedback on patient's communication style 2
• review patient's medical data 2
• set payment handling strategies 2
• undertake clinical audit 2
• use clinical assessment techniques 2
• work in multidisciplinary teams related to emergency care 2
• advise on government policy compliance 1
• advise on insurance policies 1
• advise on medical records 1
• analyse call performance trends 1
• analyse reports provided by passengers 1
• analyse supply chain trends 1
• apply case management 1
• classify insurance claims 1
• develop pension schemes 1
• discuss the medical history of the healthcare user 1
• ensure compliance with legal requirements 1
• ensure compliance with radiation protection regulations 1
• ensure compliance with warranty contracts 1
• ensure conformity to specifications 1
• ensure continuous preparedness for audits 1
• ensure customer orientation 1
• ensure gambling operational standards 1
• ensure mining records are maintained 1
• ensure products meet regulatory requirements 1
• ensure regulatory compliance concerning distribution activities 1
• evaluate benefit plans 1
• follow the statutory obligations 1
• follow work procedures 1
• inspect contracts for related grounds maintenance work 1
• interact with healthcare users 1
• interpret current data 1
• interpret spoken language between two parties 1
• investigate complaints related to consumer protection 1
• lead claim examiners 1
• manage contract disputes 1
• manage financial and material resources 1
• manage financial aspects of a company 1
• manage project changes 1
• monitor policy proposals 1
• perform contract compliance audits 1
• perform debt investigation 1
• process medical insurance claims 1
• provide care for a particular patient group 1
• provide improvement strategies 1
• record healthcare users' billing information 1
• review completed contracts 1

Country

• India (6)
• Puerto Rico (2)
• United States (3)

State or region

• California (1)
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• San Juan (2)
• Telangana (2)
• Texas (2)
• Uttar Pradesh (2)

City

• Dallas (1)
• Gurgaon (2)
• Hyderabad (2)
• Noida (2)
• Pearland (1)
• San Diego (1)
• San Juan (2)

Divisions

• (11)

City

• Dallas (1)
• Gurgaon (2)
• Hyderabad (2)
• Noida (2)
• Pearland (1)
• San Diego (1)
• San Juan (2)

Country1

• India (6)
• United States (5)

State

• California (1)
• Haryana (2)
• Puerto Rico (2)
• Telangana (2)
• Texas (2)
• Uttar Pradesh (2)

ExternalIdNew

• 2347868 (1)
• 2347869 (1)
• 2347870 (1)
• 2348685 (1)
• 2353481 (1)
• 2354775 (1)
• 2355134 (1)
• 2355384 (1)
• 2357627 (1)
• 2361532 (1)
• 2362739 (1)

Grade

• 22 (3)
• 23 (5)
• 25 (2)
• 26 (1)

Schedule

• Full-time (11)

Segment

• Optum Care Delivery (1)
• Optum Global Advantage (8)
• Optum Health Services (1)
• OptumInsight (1)

JobFunction

• Claim Operations (4)
• Claim Recovery/Resol/COB/Subro (7)

Vanity

• #rpo (1)
• Aide (9)
• Clinical (2)
• Contract (9)
• epic (1)
• lead (1)
• pharma (9)
• Registered Nurse (2)
• relations (2)
• RN (1)
• SRE (2)
• Supervisor (1)

Division

• Kelsey-Seybold (1)
• OG Adv Human Capital (5)
• OG Adv Payment Integrity (3)
• OI PI Clinical Ops (1)
• Optum Behav Hlth Public Sector (1)

Company

• Optum (11)

Business

• Optum (11)

Entity

• Kelsey-Seybold Clinic (1)

Job Level

• Individual Contributor (5)

Grade Level

• 22 (3)
• 23 (5)
• 25 (2)
• 26 (1)

Referral Eligibility

• No (1)
• Yes (10)

BusinessSegment

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

FullAddress

• 3131 Camino Del Rio N, Ste 700, San Diego, United States 92108 (1)
• Arham Estate, Hyderabad, India 500081 (1)
• Dallas, United States (1)
• Gurgaon, India (2)
• Hyderabad, India (1)
• Noida, India (2)
• Pearland, United States (1)
• San Juan, United States (2)

JobCode

• CLM002 (3)
• CLM003 (1)
• CLM042 (4)
• CLM044 (2)
• CLM045 (1)

Work setting

• Core On-Site (8)
• Hybrid (2)
• Remote (1)

Brand

• Optum Care Delivery (1)
• Optum Global Advantage (8)
• Optum Health Services (1)
• OptumInsight (1)