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...

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...

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) 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...

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 Revenue Cycle Analytics Transformation Lead is responsible for supporting the analytics team in the initial engagement of new client implementations. This position will be responsible for engaging with both internal and external stakeholders related to the development and validation of performance measurements for new clients. The qualified candidate for this position is a naturally...

Remote/Virtual Role Benefits Representative Job Description: We are in search of a dedicated individual to serve as a Benefits Representative for our customers. You will organize and issue benefit materials, participate in virtual sales meetings, as well as answer all questions and issues related to benefits in a timely and professional manner. The ideal candidate should be detail-orientated, extremely professional and have excellent communication skills (written and verbal). Responsibilities: Conduct virtual benefits meetings to educate consumers on options offered Oversee customer support and sale of benefit programs such as medical, disability, retirement and other supplement benefits the company has to offer. Help consumers resolve all benefit-related issues in an effective and timely manner. Ensure individuals are always kept up-to-date and educated on all available benefits and wellness programs. Maintain a well-informed knowledge of...

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. Responsible for transforming new clients to Optum’s Global Operating Model (OGOM) by serving as a change agent for the middle revenue cycle Transformation team.  The position will lead key initiatives in transformation to deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are implemented and stabilized. This position is key in...

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...

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...

Teach English Online! Stable Class Hours = Stable Income Fixed Student & Teacher pairing Long-term employment only! (1 year+) About YiYiEnglish: Since 2017, YiYiEnglish has been providing high quality English lessons to students in China. Our goal is to provide an excellent, accessible educational opportunity to our students. If you're a qualified teacher who has a passion for teaching, you've found the perfect place! Working With YiYiEnglish: YiYiEnglish puts the upmost care and attention to our teachers. We will be alongside you every step of the way from the application process to our boot camp to your very first student and beyond. Our business practice requires close collaboration with teachers, so you'll have your own dedicated associate to ask questions to, receive feedback from, and to discuss student related topics. All of our students subscribe to a regular schedule. This means that our teachers will have a consistent schedule that...

Job Description At Orphagen, our passion is to discover and develop first-in-class small molecule drugs for the treatment of cancer, neurodegeneration, and inflammatory disease. Our sweet spot is a family of drug targets already known for major drugs in cancer, inflammation, and metabolic disease. We focus on discovery of new classes of drugs and on taking these drugs into clinical trials. Why Work with Us: We are an enthusiastic team that recognizes each employee as a vital member. Integrity and respect are fundamental to our working relationships. We are looking for a highly motivated candidate for the role of Part-Time, Remote Executive Assistant. This position is responsible for providing primary support to the CEO and VP of Drug Discovery, both of whom are located in San Diego, CA. The ideal candidate will have extensive experience providing efficient administrative support to executives with strong attention to detail and project management skills. This position...

Payroll Title: HR GENERALIST 3 Department: HEALTH HUMAN RESOURCES Hiring Pay Scale $75,000 - $95,000 / Year Worksite: Mission Valley Appointment Type: Career Appointment Percent: 100% Union: Uncovered Total Openings: 1 Work Schedule: Days, 8 hrs/day, Monday- Friday #123353 Sr. HR Shared Services Advisor - Hybrid/Remote Filing Deadline: Thu 6/8/2023 Apply Now UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine...

[Office Assistant / Entry Level / Remote] - California Residents Welcome / Full-Time / up to $30k-yr. + Benefits - As an Administrative Assistant you'll: Grow in the position through continued learning and revitalization of skillsets in related duties while learning the loan process; Work with loan officers to complete tasks such as sending disclosures- ordering title- ordering evidence of insurance; Answer the phone and assist with ohter administrative tasks...Hiring Fast >>

Job Description Gpac houses a team of professional Recruiters who specialize in the Public Accounting industry! The reputable clients we partner with are looking to add dedicated talent to their team! Work remotely, enjoy flexibility, career growth, and other great perks. Apply right away! Tax Manager Responsibilities: Oversee a team of highly motivated Tax staff Provide tax compliance and consulting to a diverse base of clients Meet regularly with business and community contacts to maintain and grow a network within the local market Tax Manager Qualifications: Bachelor's Degree in Accounting CPA Certified, Testing, or Studying 5+ years of proven experience in public accounting Must have the ability to utilize firm technology to enhance client services Job Type : Full-time Pay :$85,000-125,000 Benefits : 401(k), Dental Insurance, Disability Insurance, Flexible schedule, Health Insurance, Life Insurance, Paid time off, Vision Insurance, Work from...

About Path Path is a national behavioral health network that makes it easy for individuals, couples, and families to find the right provider covered by their health insurance. We are deeply committed to providing high-quality care that improves the lives of our clients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner. We are hiring licensed therapists to join our diverse network of providers. At Path, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for clients. Minimum Qualifications Must be a Licensed Marriage & Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or a Licensed Psychologist Must be licensed in California Must be able to provide telehealth Compensation Details Providers typically reach 90% of desired...

Description American Specialty Health Incorporated is seeking a Verification Examiner to complete verification of practitioner credentials according to department standards, accreditation standards, regulatory requirements, and health plan expectations. Remote Worker Considerations Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed). Responsibilities Performs verification and updates PROMIS according to standards and health plan expectations. Verifies with the appropriate agencies that the applicant has a current and valid license. Checks with the appropriate agencies to determine...

Payroll Title: RSCH ADM 2 Department: PEDIATRICS Hiring Pay Scale $59,00 - $80,000 / Year Worksite: La Jolla Appointment Type: Career Appointment Percent: 100% Union: Uncovered Total Openings: 12 Work Schedule: Days, 8 hour shifts, Monday - Friday #122615 Research Admin/Fund Manager- Hybrid/Remote Filing Deadline: Tue 6/6/2023 Apply Now UC San Diego values equity, diversity, and inclusion. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply. For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine...

Description A thriving midsized defense firm is seeking a Litigation Attorney to join their team of litigators and support staff with personal injury defense matters. The ideal Litigation Attorney candidate will have at least 4 full years of California civil litigation experience, with some of that experience in personal injury litigation. Once hired, the Attorney will handle litigation matters from inception with the opportunity to second chair trials and manage her/his caseload of about 20 to 35 cases. Duties will include but are not limited to independently handling court appearances, taking and defending depositions, discovery, drafting motions, trial preparation, and attending trials. Previous trial experience is a plus but not required. The firm is looking for an attorney who is willing and wants to gain trial experience. This firm offers its attorneys hybrid remote flexibility, working onsite 3 days a week and from home 2 days a week. The firm boasts a friendly,...

The customer service representative will be responsible for answering client inquiries, provide product information, and help the customer by being informative, empathetic, and eager to quickly solve a customer's problem. Must be willing to listen, learn, and resolve any customer inquiry. Customer Service Job Duties and Responsibilities Excellent customer care and focus; ability to assess customers' needs and provide the correct answer, path, troubleshooting, or method for a positive customer experience Answer and manage incoming calls, emails, chats, and/or interactive voice response systems Ability to learn and follow all customer service procedures and policies Strive to meet and go above personal and team target goals Record, organize and file customer interactions and account changes Able to up-sell if needed Able to schedule call back and appoints to resolve customer needs Requirements Previous experience in customer support, client services, sales, or a...

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's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing **your life's best work.(sm)** You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. As a Behavioral...