At Optum, the mission is clear: Help people live healthier lives and help make the health system work better for everyone. LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an...

Purpose of Job We are currently seeking a talented Quality Assurance Advisor I - AML for one of the following locations: San Antonio Home Office I, Phoenix Campus, Plano Legacy, Tampa Crosstown or Remote. 100% Remote Work Environment Available Responsible for developing, implementing and sustaining quality assurance programs to ensure existing and emerging risks associated with business activities are effectively identified, measured, monitored and controlled. Ensures quality standards are established in accordance with internal practices, risk and compliance policies and procedures, and regulatory requirements. Job Requirements About USAA USAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families. This singular mission requires a dedication to innovative thinking at every level. In each of the past five years, we've been a top-40 Fortune 100 Best Companies to Work For®, and we've ranked among Victory...

Purpose of Job We are currently seeking a talented Director, Innovation for the San Antonio Home Office, Phoenix Campus, Tampa Campus, Tampa Crosstown. Colorado Springs Campus or Remote Work Environment could be considered. Supports USAA's strategic objectives by researching, testing, and deploying innovations related to strategically defined focus areas. Accountable for managing the end-to-end innovation process and determining the feasibility and viability of innovation concepts to include early stage research, ideation, design, incubation, prototyping, piloting and developing a business case and the in-market operationalization plan. Responsible for determining the business need for innovation concepts and overseeing the project progress of those concepts from idea to implementation and post-implementation evaluation. Job Requirements About USAA USAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families....

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . SM Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored and supported as you make an impact in a fast-paced career? At UnitedHealthcare , part of the UnitedHealth Group family of businesses, you can have all of the above, every day. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. As a Customer Service Advocate , you'll provide our customers with the information they need to make better decisions about their health, helping them get access to the right care the first time. Every day, you'll provide compassionate and empathetic support to 50 to 70 callers providing...

Training classes start soon - Apply today! It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealthcare , part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients This is no small opportunity. This is where you can bring your compassion for others while building your career. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 6:00pm. It may be necessary, given the business need, to...

Let's talk about diplomacy. Let's talk about accuracy. Let's talk about how UnitedHealth Group became a Fortune 10 company leader in health care. We did it by working to become an undisputed leader in creating quality service and helping to improve the lives of millions. Now, here's where you come in. You can build on your problem-solving skills by taking on responsibility for reviewing, researching, investigating and triaging claims that were denied to determine their correct status. You'll drive the action and communicate with appropriate parties regarding appeals and grievance issues. In turn, we'll provide you with the great training, support and opportunities you'd expect from a Fortune 10 company. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm EST. It may be necessary, given the business need, to work occasional overtime....

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) The Workforce Planning Analyst will coordinate and oversee the efforts of our OGS partners and support operations business leaders to ensure the business is properly staffed to accommodate anticipated work volume(s), and develop and employ mitigation strategies to address scenarios / situations where work volume(s) and/or available resources are not in alignment. The role will also identify opportunities to enhance operational effectiveness (quantitatively and qualitatively), as they relate to workforce planning. This position will also conduct and manage outcomes of various studies to include analyzing, reviewing, forecasting, trending, and...

Primary Objective:The Directorof Products primary objective is to lead the Spectrios PDLC and agile practice . The team will be focused on building, pruning, and maintaining the product backlog, consisting of user stories, defects, refactors, integration and infrastructure work, prioritized based on user value, time dependencies, risk reduction and effort. This roll up the sleeves servant leader will be focused on increasing customer value, integrating new technologies from acquisitions and continuously improving Spectrios technology solutions. Responsibilities Define and communicate the vision and strategy for the value stream in the overall Spectrio product portfolio. Lead the technical integration roadmap for new acquisitions Lead the agile development practice within Spectrios SDLC Lead and build a team of product managers. Drive strong collaboration with the technology, operations, finance, sales and marketing teams to translate strategy to actionable goals. Own the...

Summary:Hiring for a fast paced and high volume role. Provides coding expertise to Agencies assigned for ICD-10 coding, reviewing OASIS, Plan of Care review, process & outcome measures, Star Rating items and all pertinent documentation to ensure accurate coding for each patient and ensures that all applicable Federal laws are followed. Applied knowledge of medical terminology, disease processes, and pharmacology required. This individual will be required to make independent decisions regarding accurate ICD10-CM code assignments, OASIS and Plan of Care (POC) recommendations. The Coder review will play a key role in determining the reimbursement potential of Pinnacle Home Care to which they are assigned and adherence to coding standards and regulations and corporate policies developed to ensure accurate billing.Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative...