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Jobs: 1 - 10 of 307

Promotional Healthcare Business Development Executive (Los Angeles, San...

Staples Inc. - Los Angeles, California

Promotional Healthcare Business Development Executive This highly visible Business Development Executive position will be focused ... on prospecting and closing promotional products and incentive & recognition business within the Healthcare vertical market ... office products Healthcare Strategic Account Leaders and Business Development Directors, as well as other Staples LOB sales teams

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)

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 living it up.

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.


Primary Responsibilities:

  • Providing expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of claims and complaints / grievances
  • Coordinating efforts with other areas as necessary
  • Communicating issues, implications and decisions with appropriate parties
  • Analyzing and identifying trends for complaints / grievances
  • Ensuring optimal performance re: timely, accurate, effective and complete responses
  • Verifying that all documentation, letters and attachments meet customer, regulatory and internal requirements
  • Preparing for and participating in audits
  • Organizing, checking, pulling, reviewing and saving files
  • Maintaining positive working relationships with internal and external customers including regulators
  • Other duties as assigned
Location:

California: 425 MARKET ST FLOORS 14-15, SAN FRANCISCO, CA 94105

-31941024']);" rel="nofollow" target="_blank">, SAN FRANCISCO, CA 94105...

UnitedHealth Group Inc.

within a commutable distance of San Francisco, CA Preferred Qualifications: Previous Appeals and/or Complaints/Grievances experience ... health, San Francisco, CA, California, ... Previous Claims experience Bachelor's Degree in Healthcare, Behavioral Health, Business, Psychology or English Careers with Optum

.(sm) *Telecommuting Role - Seeking candidates in the San Francisco, CA...

UnitedHealth Group Inc.

beginning employment. Job Keywords: EAP Counselor, Flex Shift, San Francisco, CA, California, Telecommute, Telecommuting ... Required Qualifications: Master's Degree in Psychology, Social Work, Counseling or Marriage & Family Counseling Current ... , unrestricted Behavioral Health license (LP, LCSW, MFT, LPCC, or LPC) Basic Microsoft Word, Outlook, and Internet 3 years post graduate

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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)

OptumHealth Behavioral Solutions has multiple opportunities for Employee Assistance Program Counselors. The EAP Counselor is responsible for taking inbound calls to provide telephonic assessment and solution focused consultation to clients calling regarding their behavioral health benefits. In addition to assessment and triage, the successful candidate will engage in short-term problem resolution, authorization and referrals for routine and crisis callers.

Primary Responsibilities:

  • Answer inbound calls for EAP and Behavioral
  • Assessment and triage, short-term problem resolution, authorization and referrals for routine and crisis callers
  • Provide solution focused consultation to assist member with issue resolution
  • Determine member eligibility and benefit coverage and triage as appropriate
  • Update and enter clinical notes in care management database
-31938992']);" rel="nofollow" target="_blank">For those who want to invent the future of health care, here's your...

UnitedHealth Group Inc. - San Francisco, California

, California, San Francisco ... , Therapist, Counselor, Marriage and Family Therapist, Licensed Professional Counselor, Employee Assistance Program, San Diego, CA ... Required Qualifications: Master's Degree in Counseling, Psychology, Social Work or related field 3 years of clinical experience

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. Be a leader that is shaping our incredible team culture and be a part of a clinical and business collaboration that is learning and evolving every day.

Work at home!

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include:

- Perform individual case review for appeals and grievances for various healthplan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies.

- Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses.

- Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations.

- Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.

-Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results.

- Provide clinical and strategic input when participating in organizational committees, projects, and task forces.

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

-31940960']);" rel="nofollow" target="_blank">. - Perform Department of Insurance/Department of Managed Healthcare, and CMS...

UnitedHealth Group Inc. - -San Francisco, US-AZ-Phoenix, US-UT-Salt...

Qualifications: -MD or DO with an active, unrestricted license -Board Certified in an ABMS or AOBMS specialty -5 years clinical ... practice experience -Intermediate or higher level of proficiency with managed care -2 years Quality Management experience ... - Excellent telephonic communication skills; excellent interpersonal communication skills. - Excellent project management skills. - Data

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 living it up.

This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.

The Provider Relations Advocate is responsible for the full range of Provider relations and Service interactions within UnitedHealth Group, including working on end - to - end Provider Claim and Call quality, ease - of - use of Physician portal and future service enhancements, and Training & Development of External Provider Education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the Health plan, Providers (physician, hospital, ancillary, etc.), and Practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a Provider network, identifying gaps in Network composition and services to assist the Network Contracting and Development staff in prioritizing contracting needs, and active involvement in identifying and remediating operational short-falls, and researching and remediating claims.

Primary Responsibilities:

  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigate non - standard requests and problems, with some assistance from others
  • Work exclusively within a specific knowledge area
  • Prioritize and organize own work to meet deadlines
  • Provide explanations and information to others on topics within area of expertise
  • Analyze and investigate
  • Provide explanations and interpretations within area of expertise
  • Field-based; Frequent on - site visits and meetings with Physician groups or Hospital systems

-31941648']);" rel="nofollow" target="_blank">that definitely can come true. Already one of the world’s leading Healthcare...

UnitedHealth Group Inc. - San Francisco, US-CA-San Diego, US...

: Provider Relations, Provider Network, Claims Statuses, Credentialing Providers, Medicare regulations, San Diego, CA, San Francisco ... Required Qualifications: Bachelor's Degree or equivalent years of experience 2 years of Provider Relations and / or Provider ... Network experience 1 year of experience using Microsoft Word, Excel, and PowerPoint 1 experience working with Claims statuses

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)


We are currently recruiting for a VP Business Development ACE (Advanced Communication Engine): This development position focuses specifically in the healthcare payer space including the Commercial, Medicaid and Medicare markets to expand market opportunities within this newly created pre claims editing space. The innovative role will encompass significant cross - functional work with the product, sales and marketing teams for the development of blended Optum solutions that promote payer and provider collaboration. The VP will be responsible for meeting directly with and presenting to healthcare payers including at the C - suite level. Key skills for the position include relationship development, communications, pipeline management, and creative curiosity.

Primary Responsibilities:
  • Responsible for planning and directing all aspects of a potentially new go to market strategy
  • Serves as executive relationship owner for the market strategy
  • Partners with Sales and Account Management to generate new business opportunities
  • Understand the client's unique business environment and challenges, incorporating those into solution development
  • Lead the development of new ideas for expansion to new markets or new offerings
  • Manage cross - functional communication (including senior executive communication) on status of development efforts
-31941482']);" rel="nofollow" target="_blank">position focuses specifically in the healthcare payer space including...

UnitedHealth Group Inc. - -CA-San Francisco, Arkansas...

Required Qualifications: Minimum of 5 years Healthcare payer sales or business development experience 7 years of professional ... healthcare experience Willingness to travel up to 50% Capable to work across multiple corporate departments that represent multiple ... but related products and services Excellent communication, presentation, organization, and prioritization skills Demonstrated

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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)

OptumHealth Behavioral Solutions has multiple opportunities for Employee Assistance Program Counselors. The EAP Counselor is responsible for taking inbound calls to provide telephonic assessment and solution focused consultation to clients calling regarding their behavioral health benefits. In addition to assessment and triage, the successful candidate will engage in short-term problem resolution, authorization and referrals for routine and crisis callers.

Primary Responsibilities:

  • Answer inbound calls for EAP and Behavioral
  • Assessment and triage, short-term problem resolution, authorization and referrals for routine and crisis callers
  • Provide solution focused consultation to assist member with issue resolution
  • Determine member eligibility and benefit coverage and triage as appropriate
  • Update and enter clinical notes in care management database
-31941168']);" rel="nofollow" target="_blank">For those who want to invent the future of health care, here's your...

UnitedHealth Group Inc. - San Francisco, California

, California, San Francisco ... , Therapist, Counselor, Marriage and Family Therapist, Licensed Professional Counselor, Employee Assistance Program, San Diego, CA ... Required Qualifications: Master's Degree in Counseling, Psychology, Social Work or related field 3 years of clinical experience

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

We are currently recruiting for a VP Business Development for our LINK Portal: This development position focuses specifically in the healthcare payer space including the Commercial, Medicaid and Medicare markets to launch new market opportunities within the healthcare portal space. The innovative role will encompass significant cross-functional work with the product, sales and marketing teams for the development of blended Optum solutions that promote payer and provider collaboration. The VP will be responsible for meeting directly and presenting to healthcare payers including at the C-suite level. Key skills for the position include relationship development, communications, pipeline management, and creative curiosity.

Primary Responsibilities:

  • Responsible for planning and directing all aspects of a potentially new go to market strategy
  • Serves as executive relationship owner for the market strategy
  • Partners with Sales and Account Management to generate new business opportunities
  • Understand the client's unique business environment and challenges, incorporating those into solution development
  • Lead the development of new ideas for expansion to new markets or new offerings
  • Manage cross-functional communication (including senior executive communication) on status of development efforts
-31941097']);" rel="nofollow" target="_blank">specifically in the healthcare payer space including the Commercial, Medicaid...

UnitedHealth Group Inc. - -San Francisco, Colorado...

Required Qualifications: Minimum of 5 years Healthcare payer sales or business development experience Network Management ... experience 7 years of professional healthcare experience Willingness to travel up to 50% Capable to work across multiple corporate ... departments that represent multiple but related products and services Excellent communication, presentation, organization

would cover San Francisco Bay Area, Alameda County, Contra Costa County, Santa...

UnitedHealth Group Inc. - Francisco, US-CA-Contra Costa, US-CA-San Diego...

Coast, Inland Empire, San Francisco Bay Area, Alameda County, Contra Costa County, Santa Clara, Tulare County ... , CCA, CDIP, RHIT, chart audit, ICD10, California, CA, Los Angeles, San Diego, Riverside, San Bernadino, Ventura County, Central ... Required Qualifications: Undergraduate degree or equivalent experience Must have completed coding certification course, AAPC

 
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