47 government jobs found in San Jose, CA

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.  This position will lead our State Government Business Process Operations (BPO) team.  This includes managing the existing BPO functions and the creation of BPO teams to support contracts including Medicaid provider enrollment functions, claims processing functions, call center and utilization management.  This role is accountable for end-to-end operational delivery, operational procedures 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.  This position will lead our State Government Business Process Operations (BPO) team.  This includes managing the existing BPO functions and the creation of BPO teams to support contracts including Medicaid provider enrollment functions, claims processing functions, call center and utilization management.  This role is accountable for end-to-end operational delivery, operational procedures 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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Business Analysis Consultant will be part of the Product team driving business requirements and acceptance criteria for system functionality, defining and executing user acceptance test cases, monitoring production processes and supporting resolution of production issues, supporting implementations of new clients on supported products, and creating and maintaining user documentation and training materials.  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.  Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team.  Managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.   Responsible for providing high-quality client-focused service by using knowledge of local, state, and federal program requirements to efficiently maintain and update general applicant information, financial, medical, and personal information to support client applications. This position is full-time....

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. Join us and help people live healthier lives while doing your life's best work.(sm)  Positions in this function are responsible for all activities associated with provider credentialing and re-credentialing. Includes processing provider applications, completing payer enrollment, maintenance of credentials and accurate loading into the credentialing database system, ensuring high quality standards are maintained. Conducts audits and provides feedback to reduce errors and improve processes. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Processes and reviews provider application materials and supporting documents  Tracks and maintains all provider credentials and updates provider database 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.  Position in this function is under limited supervision by the Manager, Revenue Integrity, this position is responsible for compliant Charge Description Master (CDM) functions including, but not limited to, reimbursement analysis with monitoring of Revenue compliance across multi-disciplinary teams to evaluate charge capture process. Responsible for the implementation of negotiated payer rates...

Careers at Solutran , part of the Optum and UnitedHealth Group family of businesses. 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) Solutran is a leading FinTech company committed to creating game-changing, customer-friendly solutions. We serve health-seeking populations by partnering with the nation’s largest health...

If you are located within Pacific OR Arizona Time Zone, you will have the flexibility to telecommute * (work from home) as you take on some tough challenges. 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. This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 5:00pm Pacific Standard Time. It may be necessary, given...

If you are located within De Pere, WI, Eden Prairie, MN, OR Louisville, KY, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. 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. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May...

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.  During a time of unprecedented crisis in our nation’s history, federal health agencies are experiencing significant demands for services. There is mounting pressure to quickly modernize their systems, reduce costs and increase quality and value to citizens. America’s health care system transforming simultaneously adds complexity. Agencies need trusted partners with the capabilities,...

Careers at Solutran , part of the Optum and UnitedHealth Group family of businesses. 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) Solutran is a leading FinTech company committed to creating game-changing, customer-friendly solutions. We serve health-seeking populations by partnering with the nation’s largest health...

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) We have an opportunity for a Senior Demand Planner to work with our Workforce Effectiveness team to maintain and execute on the Workforce Vision of “Enabling UnitedHealth Group contact centers to become a Competitive Advantage for our company." As a Senior Demand Planner, you will grow and develop as you conduct and manage outcomes of various studies. You will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the health care system through the analysis and interpretation of data, and...

Careers at Solutran , part of the Optum and UnitedHealth Group family of businesses. 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) Solutran is a leading FinTech company committed to creating game-changing, customer-friendly solutions. We serve health-seeking populations by partnering with the nation’s largest health...

Careers at Solutran, part of the Optum and UnitedHealth Group family of businesses. 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)   Solutran is a leading FinTech company committed to creating game-changing, customer-friendly solutions. We serve health-seeking populations by partnering with the nation’s largest health...

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...

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 Optum Financial proposal team manages customer proposals from end to end. The team fosters partnerships with subject matter experts (SMEs), solution sales representatives, writing colleagues, and others involved in the proposal process. Proposal consultants are skilled project managers, adept at using our content database and proposal governance methods to produce high quality, accurate,...

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) You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing...

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) The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This leadership role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader....

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) Join us to conduct, manage and drive projects and resources that result in successful implementation of a variety of Government Operations global risk capitation, PCP capitation or other value based arrangements, including claims and clinical delegation between UHC and OptumCare or other external entities.   Develop your business knowledge of Medicare and Medicaid products, contracting practices, and Federal or State regulations while coordinating activities across more than 20 departments involved in a common purpose to serve our Community and State beneficiaries. The selected candidate...