At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Position in this function is responsible for the performance of Quality Improvement activities in the Primary Care Plus (PCP) Clinics related to clinic operations to include staff training and auditing, reporting, and the development of corrective action plans, as well as activities related to HEDIS and Star Ratings of the patient population. The Clinical Quality Improvement LPN assists with identifying opportunities to improve processes within all PCP clinics in order to produce positive trending of quality initiatives and maintain compliance with Regulatory Standards. This position...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Optum Serve is dedicated to serving our nation's military and Veterans. We have the honor to support federal agencies in their efforts to advance the United States health care system and improve the overall health and well-being of all those who serve or have served our country. Our health services are designed to help everyone live healthier lives. To support this mission, Optum Serve IT...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Positions in this function requires a North Carolina RN. This role works under the direct supervision of the NC Health Plan UM Manager. Function is responsible for performing pre-service clinical coverage review of Private Duty Nursing (PDN) and Personal Care services (PCS) that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.  If you are...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) In this role, you’ll work with both internal and external customers to identify and resolve complex problems.  You’ll assist company affiliates with initial deployment and ongoing support of systems and processes to leverage national network rates and policies. Fee schedule and contract template maintenance is also included in this function. You'll be able to work quickly and accurately to support manual claims repricing, while learning and adapting to a variety of platforms to meet aggressive performance objectives. You’ll enjoy the flexibility to work remotely* from anywhere within...

Work from Home/Remote Customer Service (Side Gig) We are looking for people who are motivated to participate in paid research across the country and local areas. Join this Work from Home USA Market Research Panel Today. You have two options when it comes to paid research : you can either take part in person or online. This is a great way for you to make extra income at home as data entry clerk. Compensation: Work from home and take surveys to earn Money. There are many payment options, including PayPal, direct checks, and online virtual gift cards codes. Opportunities to earn rewards. Responsibilities Take part with work from home surveys/studies by following written and oral instructions. Participate in research focus groups. Each panel receives a complete written study. If products or services are provided, you must actually use them. Needs You must have a working camera on your smart phone or a webcam on your...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) This Junior Provider Data Consultant position will support the UnitedHealthcare Networks (UHN) Payment Appendix, Coding and Research (PACR) team in the build and maintenance of payment appendices within PROS (Provider Reimbursement Operations & Solutions) PAL (Payment Appendix Lifecycle). You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide back-up support to PROS PAL Builder Building payment appendices in PROS PAL via clauses, variables etc. based upon MS Word Drafting and...

Flexible hours! Full or part-time positions available with the potential to earn $850 or more weekly. Apply today, start tomorrow. Our clients have increased demand for remote workers and will allow people to work from anywhere. These highly rated companies have immediate openings with flexible schedules. We are looking for people nationwide interested in working from home that are dependable and looking to make $1,200-$2,500 weekly. Earn money working from home using customer service and data entry skills you already have. We are seeking entry level applicants to work remotely from home in this new GIG economy. For more information, please read our job posting, then visit our web site to apply online. Due to the large number of candidates we process each day, we are only accepting online submissions. This is a unique opportunity for anyone looking to start working from home, or from anywhere, with their own side gig or side hustle. Work from home companies are...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Optum’s Quality Management & Performance business is an integrated team focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a...

About the Role Our NinjaOne Security Engineer is pivotal to our organization providing company-wide solutions for individual team members to executive leadership. As part of our information technology team, you will directly contribute to the user experience of our 10,000+ customers. Help own and solve challenges that include responding to security incidents, developing, and documenting incident management procedures, and investigating security vulnerabilities in our environment and applications. Impact the company by applying a multi-layered approach to data privacy and information security and engrain cybersecurity into the NinjaOne culture. Location - We are flexible on remote working from home, if you are located in the USA and in one of the following states- TX, FL, CA, NC, GA, or ME. We have physical offices in Austin, TX and Tampa, FL What You'll be Doing * Review, investigate, perform forensics, and remediate security events. * Develop and document processes,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Information is the lifeblood of the healthcare industry everything depends on it. At Optum Insight Technology, you ll help us work on streamlining the flow of information between payers, healthcare providers and various other stakeholders to deliver the right insights to the right places at the right times, driving better outcomes for patients, reducing friction in the health system and...

PeopleShare has an excellent Remote Sales Agent Position! MUST RESIDE IN TEXAS! PeopleShare is committed to providing all training, on-boarding, and state licensing ... at NO COST TO YOU as an investment in the long-term careers of our associates. If you are ready for a new career, look no further!! Job Details for a Sales Agent : Schedule: Mon-Fri 10:30am-11pm EST (Multiple shifts available) Pay Rate: $20.00 hourly w/ uncapped Commission ( WEEKLY PAY ) FULLY REMOTE SALES POSITION Full time Contract to hire Equipment is provided The Ideal Candidate for a a Sales Agent : Patient & Empathetic Sales oriented but can provide great Customer Service Someone who can educate our customers about our products in a professional manner Job Responsibilities for a a Sales Agent : Completing sales and enrollments Inbound Calls- **NO Cold-Calling** Identifying new opportunities to increase product sales Job Requirements for a a...

**Customer Experience Sales Specialist San Antonio Remote** Job ID 338195BR Position Title Customer Experience Sales Specialist San Antonio Remote ** Job Description** 769 million. Thats how many lives our products touch. At Novartis, being there when and how it matters most for our patients and customers allows us to live our purpose and help bring maximum impact to health outcomes. Furthering our commitment to transforming medicine for patients, Novartis is embarking on an ambitious and exciting journey to reinvent how we use technology, data, and customer insights to better serve our consumers needs and put them on a path to better health. This includes taking bold approaches that begin with a customer-centric mindset and harness the power of todays digital and data-driven healthcare revolution to continue to improve and extend even more peoples lives. We believe the answers are found when curious, adventurous, and collaborative people like you are brought together in an...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. If you are residing in Alaska, you will have the flexibility to work remotely* as you take on some tough challenges Primary Responsibilities: Functioning as Manager of Finance for the Alaska Behavioral Health plan, responsible for customer and management financial reporting for Alaska Behavioral Health Medicaid Development of State specific financial policies and procedures for the Alaska ASO...

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) As part of a support coordination team who will manage members enrolled in the Employment and Community First CHOICES (ECF CHOICES) program, the ECF CHOICES Support Coordinator will be the primary support coordinator for a panel of members with intellectual or developmental disabilities. Support coordination activities will focus on supporting members medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-based position with field responsibilities approximately 50 75% of the time. If you are located in Hamilton County, Chattanooga, TN or the close surrounding...

Our client is a well-known technology company, with offices outside of San Antonio, is looking to hire a remote Entry Level Office Assistant. This position will overlap duties with the Medical Biller, or Insurance Billing Specialist, and is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims. SDL2017

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Sr. Stop Loss Underwriter will underwrite new business prospects as well as existing renewal groups. This individual will underwrite effectively toward the achievement of Optum's Goals, including new business sales, renewal persistency and favorable loss ratio. The Consultant will underwrite with quality and accuracy standards set by the Stop Loss Organization with focus on rating targets. Work...

Who We Want We're looking for Insurance Agents to join our team, and we welcome both experienced professionals and entry-level candidates with a drive to succeed! Seeking those who are self-motivated, dedicated, and must have a strong work ethic. What We Provide As an Insurance Agent, you'll have the opportunity to not only grow your own career, but also to contribute to the growth and success of our team. At Symmetry Financial Group, we value collaboration and teamwork. Here is just a few things that we offer: ??The ability to work for yourself but not by yourself ??We'll provide you with the resources and tools you need to succeed ??Top of the industry mentorship ??With protect the protector, we will pay for a full year of life insurance coverage for you(must qualify) The ability to get covered under our Health, Dental and Vision plan ??This is a remote position, which means you'll have the flexibility to work from home or anywhere you have access to a computer and...

We are the world's learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people. This position will be instrumental to the success of Pearson's marketing initiatives for our Clinical Assessment products and services in Canada. We're seeking an experienced Marketing Manager who can bring to our team their knowledge and experience in demand generation leveraging content strategy and SEO to increase engagement, growth, and traffic to our site in the B2B market segment. The MM is also responsible for campaign web page development, web updates, blog management, keyword and meta-data maintenance related to campaign objectives/market, and organic social creative and execution collaborating with other CMMs as it relates to the overall product portfolio....

Looking for career oriented individuals, wanting a unique business opportunity, to book and schedule travel, activities, sporting events and concerts in a remote environment. You will interact with top suppliers to research and form a quote with clients, based on their needs and budgets. No experience necessary, we will train you. Responsibilities Promote our travel business through social media platforms like Facebook, Instagram, TicTok, Linkedin and YouTube. No Social Media experience necessary, we will train you. Reach out to the community including businesses, schools, churches, universities, wedding planners, college planners etc. Determine destinations clients wish to visit Research and quote various parts of the itinerary such as cruises, cars, hotels, activities, sporting events or concerts. Present professional style quote to client Book and collect credit card payments from clients. Monitor trip changes and adjust schedules as necessary. Attend training...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) Positions in this function are responsible for the development and/or on-going management and administration of clinical programs. Provides implementation support, measurement standards, and revisions as needed that incorporate applicable best practices with proven outcomes. Generally work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others Self-motivated Comfortable presenting and working with State officials and jail/prison leadership If you are located in Washington State, you will have the flexibility to...