170 jobs found

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Enjoy great training, a supportive team environment and regional travel!  *This position will require 75% travel including overnights weekly in the Pacific and Western time zones.* Optum, a UnitedHealth Group company, is a leading provider of emotional wellness services. By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing...

Optum Labs is the research and development arm of UnitedHealth Group. We're a diverse team of curious thinkers and experts in big data, artificial intelligence and machine learning, and scientific and clinical research searching for new ways to help people live healthier lives. We partner with world leaders in health care delivery, research, and technology to create disruptive solutions that serve patients, caregivers, providers, and commercial and government payers. More equitable, effective, and affordable health care - that's our goal. We aren't just trying to improve the care an individual receives. We're building a future where the health care system works better for everyone. Make yourself at home with us and start doing your life’s best work.(sm) Optum Labs is seeking a dynamic and passionate Senior Director, Quality and Regulatory to develop and own processes and systems for quality assurance, quality control, and the quality management systems that are...

Optum Labs is the research and development arm of UnitedHealth Group. We're a diverse team of curious thinkers and experts in big data, artificial intelligence and machine learning, and scientific and clinical research searching for new ways to help people live healthier lives. We partner with world leaders in health care delivery, research, and technology to create disruptive solutions that serve patients, caregivers, providers, and commercial and government payers. More equitable, effective, and affordable health care - that's our goal. We aren't just trying to improve the care an individual receives. We're building a future where the health care system works better for everyone. Make yourself at home with us and start doing your life’s best work.(sm) Optum Labs is seeking a dynamic and passionate Senior Director, Quality and Regulatory to develop and own processes and systems for quality assurance, quality control, and the quality management systems that are fit for...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) This position will analyze dental claims, radiographs, patient histories and other records to ensure consistent application of and compliance with dental benefit policies and guidelines. If you are located in Pacific Standard time zone - CA, WA, OR or AZ, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:  Reviews and analyzes dental claims, member history, radiographs and other supporting documents Makes independent decisions regarding benefit eligibility according to established guidelines, including exceptions to policy as warranted Reconsiders previously rendered...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 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 that are member centric and part of a master hierarchy based on best practices.  As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 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 that are member centric and part of a master hierarchy based on best practices.  As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

At Optum Financial, Consumer Payments division, we create direct spending solutions driven by our extensive financial tech experience to help those we serve be healthier, happier, and more productive. Our platform helps members manage their health plans, supplemental benefits, and rewards all in one place. You’ll have the opportunity to make it easier for consumers to manage their own health by making healthier products more affordable and their purchases streamlined. If you are a driven individual that thrives in fast-paced environments, values diversity, and wants meaningful work that impacts the lives of many, then this is the team for you. Being part of an organization that makes healthier living easier for others leads to your life's best work.(sm)   In this role, you will have a unique and exciting opportunity to create large impact, market leading payments and financial technology innovations while delivering on the mission of improving the health...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve  your life’s best work.(sm) The Clinical Quality Consultant II (CQC) will drive consistency, efficient processes and share best practices, in a collaborative effort with the providers, designed to facilitate a minimum 4 STAR performance. The CQC will participate in quality improvement initiatives, attend monthly or joint operating committee meetings, develop recommendations for quality remediation plans and create tools and databases to capture relevant data for each region. This position will work collaboratively with each regional/market team and their leadership in a matrix relationship. Primary Responsibilities: Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting,...

Optum Labs is the research and development arm of UnitedHealth Group. We're a diverse team of curious thinkers and experts in big data, artificial intelligence and machine learning, and scientific and clinical research searching for new ways to help people live healthier lives. We partner with world leaders in health care delivery, research, and technology to create disruptive solutions that serve patients, caregivers, providers, and commercial and government payers. More equitable, effective, and affordable health care - that's our goal. We aren't just trying to improve the care an individual receives. We're building a future where the health care system works better for everyone. Make yourself at home with us and start doing your life’s best work.(sm) Optum Labs is seeking a dynamic and passionate Senior Director, Quality and Regulatory to develop and own processes and systems for quality assurance, quality control, and the quality management systems that are...

Optum Labs is the research and development arm of UnitedHealth Group. We're a diverse team of curious thinkers and experts in big data, artificial intelligence and machine learning, and scientific and clinical research searching for new ways to help people live healthier lives. We partner with world leaders in health care delivery, research, and technology to create disruptive solutions that serve patients, caregivers, providers, and commercial and government payers. More equitable, effective, and affordable health care - that's our goal. We aren't just trying to improve the care an individual receives. We're building a future where the health care system works better for everyone. Make yourself at home with us and start doing your life’s best work.(sm) Optum Labs is seeking a dynamic and passionate Senior Director, Quality and Regulatory to develop and own processes and systems for quality assurance, quality control, and the quality management systems that are...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) This position will analyze dental claims, radiographs, patient histories and other records to ensure consistent application of and compliance with dental benefit policies and guidelines. If you are located in Pacific Standard time zone - CA, WA, OR or AZ, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:  Reviews and analyzes dental claims, member history, radiographs and other supporting documents Makes independent decisions regarding benefit eligibility according to established guidelines, including exceptions to policy as warranted Reconsiders...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This position is responsible for the coordination of HEDIS and STARs data gathering process.  This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS / Star technical specifications for medical records. *This is a field role that is located in the Waco, TX market. * Primary Responsibilities: Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan /...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This position is responsible for the coordination of HEDIS and STARs data gathering process.  This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS / Star technical specifications for medical records. *This is a field role that is located in the Waco, TX market. * Primary Responsibilities: Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff Review medical records for data collection, data entry, and quality monitoring including health plan /...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 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 that are member centric and part of a master hierarchy based on best practices.  As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform audits of designated workers compensation and auto medical bills to ensure accurate coding/billing practices by the provider Monitors bill aging for bills held to specified queue to ensure held age does not exceed 4 days Stays updated in state regulated rule changes Handles and assists in reconsideration issues, discusses payment disputes with provider when necessary Maintains professional knowledge by attending educational workshops, reviewing professional publications, maintains...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform audits of designated workers compensation and auto medical bills to ensure accurate coding/billing practices by the provider Monitors bill aging for bills held to specified queue to ensure held age does not exceed 4 days Stays updated in state regulated rule changes Handles and assists in reconsideration issues, discusses payment disputes with provider when necessary Maintains professional knowledge by attending educational workshops, reviewing professional publications, maintains...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 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 that are member centric and part of a master hierarchy based on best practices.  As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

Opportunities with American Health Network, part of Optum. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We’re a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We’re also part of Optum, in the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That’s an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of AHN supports work-life flexibility for employees and places a high value on their...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 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 that are member centric and part of a master hierarchy based on best practices.  As a clinical quality consultant, you will be challenged to manage programs that require you to locate, request, follow-up, obtain and deliver information to our C&S Health Plans. As a key resource, you must maintain a high degree of accuracy along with attention to detail, an aptitude for persistence, consistence & perseverance, excellent oral and written communication skills,...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Enjoy great training, a supportive team environment and regional travel!  *This position will require 75% travel including overnights weekly in the Pacific and Mountain time zones.* Likely states for travel would be California, Oregon, Washington and occasionally Wyoming and Montana. Optum, a UnitedHealth Group company, is a leading provider of emotional wellness services. By providing 60 million Americans with...