United Health Group

This role will be responsible for development, maintenance and execution of manual / automation scripts for Contact Center applications. The  Quality Engineer  will be responsible for all phases of functional, cross functional and automation testing. This person should be able to understand and provide testing solutions for complex multi-channel programs. Should also be able to manage multiple projects simultaneously and coordinates with other teams to ensure deadlines are met and application quality and performance meets standards before production implementation.

The  Medical Receptionist  is responsible to the Center Administrator and provides appointment scheduling, patient registration, cashiering, answers incoming calls and performs other related clerical functions. This primary role provides front office support functions. 

Greet patient when entering the practice Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service File and maintain medical records Confirms and schedule appointments Answer telephone calls promptly and courteously Collects co-pays or outstanding balances on the date of service Perform referral documentation promptly Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports

The  Healthcare Services Coordinator   will work as an extension of the local Market Consultation and provider teams by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership.

Assist in the review of medical records to highlight Star opportunities for the medical staff Activities include data collection, data entry, quality monitoring, upload of images, and chart collection activities Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of Clinical data Track appointments and document information completely and accurately in all currently supported systems in a timely manner Optimize customer satisfaction, positively impact the closing of gaps in care and productivity Partner with your leadership team, the practice administrative or clinical staff to determine the best strategies to support the practice and our members ensuring that recommended preventative health screenings are completed and HEDIS gaps in care are addressed Interaction with UHC members via telephone to assist and support an appropriate level of care. This may include making outbound calls to members and/or providers to assist in scheduling appointments, closing gaps in care or chart collection activities Answer inbound calls from members and/or providers regarding appointments Communicate scheduling challenges or trends that may negatively impact quality outcomes Demonstrate sensitivity to issues and show proactive behavior in addressing customer needs Provide ongoing support and education to team members and assist in removing barriers in care Manage time effectively to ensure productivity goals are met Ability to work independently in virtual setting. Ability to problem solve, use best professional judgment and apply critical thinking techniques to resolve issues as they arise Identify and seek out opportunities within one’s own work flow to improve call efficiency Adhere to corporate requirements related to industry regulations/responsibilities Maintain confidentiality and adhere to HIPAA requirements Data analysis required for multiple system platforms to identify open quality opportunities to address on a member or provider level Appointment coordination for specialist appointments, late to refill medication outreach and scheduling members for local market clinic events Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts

Greet patient when entering the practice Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service File and maintain medical records Confirms and schedule appointments Answer telephone calls promptly and courteously Collects co-pays or outstanding balances on the date of service Perform referral documentation promptly Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports

The  Communications Specialist  is responsible for supporting internal communication for Optum Care. This individual will develop a variety of content and messaging, and is a superb writer who produces clear, concise and compelling communications for varied audiences, and leverages tools, processes, and feedback to continually improve employee communication. Other essential qualities for success in this position include a collaborative disposition, uncompromising eye for quality, comfort with change, resourcefulness, creative problem-solving, multi-tasking skills and flexibility. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

You’ll enjoy the flexibility to telecommute* from within Miami, FL as you take on some tough challenges.  The new employee will help us to be able to meet our credentialing deadlines and amount of work we have. The key responsibilities will be to conduct the Credentialing Process for initial applicants and for existing providers in the plans, who need to undergo recredentialing.  The process is to run verifications for all credentialing information pertaining to individual practitioners, as well as for facilities, including hospitals. 

Leadership and staff oversight supporting day-to-day management, operation, planning, and execution to meet departmental objectives. Responsible for daily oversight of staff engaged in load and maintenance of data supporting provider networks for medical, behavioral, physical, dental, and vision services. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

We are looking for an Angular/JS Developer to join our technical team and deliver a streamlined user experience to our patient access and engagement platform. We want a team member who is passionate about working in a high-energy startup and eager to improve designs/user interfaces to help achieve scale in the long term. If you reside in Herndon Virginia, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

Partner with staff and other leaders to develop improvements Supervise, monitor, track, and direct day to day staff operations Ensure team supports and adheres to all improvement measurements Work closely with manager for staff performance issues Work directly with customers in escalated situations Collaborate with other management on employee selection, career development, and training Maintain a positive work environment that supports a quality driven team Assume accountability for ensuring individual/team meet their performance metrics Continuous coaching of the team to ensure the individual/team performance goals are achieved Identify high potential staff for succession planning Facilitate meetings to communicate team performance goals and results; share general corporate communications; and provide a forum for surfacing opportunities and/or issues Use a balanced scoreboard to manage team performance Provide regular performance reports to the Business manager Work with other departments to promote positive customer experience and improve market share Work directly with customers in a sales and service capacity as needed Perform Human Resources duties

The Jr. Desktop Support Specialist is responsible for taking ownership of tickets from the remote help desk using superior customer service. This person also supports end-users of all skill levels via phone, email, remote access, or in person at sites throughout the Bay Area and must provide solutions in a timely manner and document all issues and resolutions.

Designing and implementing critical customer facing solutions that are highly usable, scalable, extensible, and maintainable on the Force.com platform. This person will be working in a highly Agile environment with a focus on the Salesforce Lightning technology stack.

Designs, codes, tests, debug, and documents software, and enhance existing components to ensure that software meets business needs. Writes automated unit tests for developed code through front end automation tools like Karma/Jasmine. Contribute to the design and architecture to enable secure, scalable, and maintainable software and should be able to clearly articulate the implications of. Develop reusable patterns and encourage innovation that will enable team velocity. Collaborate on the design with other team members and product owners, both inside and outside the scrum team while also able to work independently

The  Production Coordinator   is responsible for oversight and management of various products and services offered by the Communication Operations internal production team. This role will support steady-state workflow responsibilities, and will perform administrative functions such as reporting, data entry and inventory management.

This position is responsible for general clinic office functions that support efficient and effective patient care including patient registration, insurance verification, collection of applicable co-insurance and/or co-payments and scheduling of diagnostic and follow-up appointments and answering phones.

Join Optum Digital as a Senior or Principal Front End Software Engineer. You will have the role of champion for quality and engineering best practices and mentoring junior engineers while bringing a fun and energizing experience to work every day.   These positions include, but are not limited to analysis, design, coding, engineering, testing, debugging, standards, methods, tools analysis, documentation, research and development, maintenance, new development, operations and delivery. With every role in the company, each position has a requirement for building quality into every output. This also includes evaluating new tools, new techniques, strategies; Automation of common tasks; build of common utilities to drive organizational efficiency with a passion around technology and solutions and influence of thought and leadership on future capabilities and opportunities to apply technology in new and innovative ways.

Join Optum Digital as a Senior or Principal Backend Software Engineer. You will have the role of champion for quality and engineering best practices and mentoring junior engineers while bringing a fun and energizing experience to work every day.   These positions include, but are not limited to analysis, design, coding, engineering, testing, debugging, standards, methods, tools analysis, documentation, research and development, maintenance, new development, operations and delivery. With every role in the company, each position has a requirement for building quality into every output. This also includes evaluating new tools, new techniques, strategies; Automation of common tasks; build of common utilities to drive organizational efficiency with a passion around technology and solutions and influence of thought and leadership on future capabilities and opportunities to apply technology in new and innovative ways.

The Child Welfare Liaison will support strong communications and effective working relationships between the Optum Alaska Administrative Services Organization (ASO), Division of Behavioral Health, the Child Welfare and Juvenile Justice systems, Providers, target populations of Medicaid recipients and other stakeholders in Alaska’s behavioral healthcare delivery system. The Child Welfare Liaison will focus on establishing an enhanced set of benefits for target populations of Medicaid recipients, including children and adolescents who are interacting or at risk of interacting with the child welfare system or the Division of Juvenile Justice system. The Liaison will collaborate with agencies and organizations in joint efforts to bring more effective and coordinated services to Alaska Participants, and will outline available services, referral processes and exchange key contact information with social service agencies to support a coordinated approach to treatment planning and service delivery.