Discover a career that is challenging, impactful, and mission-critical. Join our team as an IT Project Manager and make an impact to our clients by facilitating requirements gathering, documenting requirements into user stories, and developing acceptance criteria during design, gathering, testing, and launching of IT applications. Serve as a Proxy Product Owner to conduct meetings with business users and development teams to facilitate requirements gathering, document requirements into user stories, and develop acceptance criteria. Translate user needs and explain requirements to a technical team. Ensure Product Owners understand business needs and proposed solutions. Represent end users to explain and clarify requirements and provide feedback on user stories. Establish acceptance criteria and sign off on all developed products prior to launch. Participate in the Daily Scrums, Design Meetings, Sprint Planning Meetings, Sprint Reviews, and coordinates with the users during...

Are you interested in a REMOTE job opportunity? SNI is currently recruiting for 30 healthcare customer service patient representatives that will have FULL training provided and a permanent job opportunity after 90 days of training. Health care customer service representatives supply individuals with details about the extent of their health insurance coverage. Health care customer service representatives typically work in call centers owned by or affiliated with health insurance providers. We are searching for patient and attentive health care customer service representatives to join our bustling organization. You will be required to field scheme-related queries from customers, provide pre-authorization for medical treatment, and outline information regarding co-payments. You should also advise current and prospective members about the most suitable plans based on their needs. To ensure success as a health care customer service representative, you should be able to process and...

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)  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...

Cherry Bekaert  is a Top 25 Accounting and Advisory that has been providing outstanding service to our clients for over 70 years. Our shared values, including uncompromising integrity, a passion for excellence and mutual respect have helped us get here. If these values align with yours, we’d like to hear from you. Help us continue in our success as an  Audit Manager  supporting our our  Coral Gables or Ft. Lauderdale  office. What your day looks like:                                                                 Communicating between clients and the firm to ensure engagement objectives are met by all parties. Oversee firm objectives (engagement economics) and manage firm resources to ensure that established goals are met. Provides guidance and experience to ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. Mentor and develop associates by providing timely on-site reviews and providing feedback on...

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 has...

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)  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...

Job Description HGV now offers Day One Team Member Benefits Hilton Grand Vacations is seeking an organized self-starter to join our dynamic Collections team! As an Entry Level Collector, you will be responsible for handling calls on any past due mortgage and/or maintenance accounts, to include third-party servicing and collecting, via phone and mail. The position will emphasize the handling/collecting calls, while following all State and Federal Laws, assist owners with a general understanding of the terms and conditions related to their ownership and contracts, and perform all collection activity in accordance with company and Federal regulations. Additional responsibilities include: Collection activity that facilitates the maintenance of acceptable delinquency percentages as provided by financial management. Maintain required levels of phone activity, contact percentages and other key performance indicators. Legally, ethically and confidentially handle any...

Job Description HGV now offers Day One Team Member Benefits and Daily Pay * Hilton Grand Vacations is seeking an organized self-starter to join our dynamic Collections team! As a Mid Level Collector, you will be responsible for servicing/collecting, via phone and mail, any current or past due mortgage and/or maintenance accounts. This position will primarily emphasize the handling/collecting of the 60+ day’s delinquent accounts. This position also assists owners with the general understanding of the terms and conditions related to their ownership and contract(s). The Mid Level Collector will also be expected to provide additional leadership support in the department to assist the Supervisors and Leads. Perform all collection activity in accordance with company and Federal regulations. Collection activity that facilitates the maintenance of acceptable delinquency percentages as provided by financial management. Maintain required levels of phone activity, contact...

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...

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...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.  As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing  your life’s best work.SM The Central Support Operations Coordinator serves as the main point of contact for...

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...

Remote Substation Electrical Design Engineer (3,4 &5) Remote/Virtual  System One is currently seeking a  Remote Substation Electrical Design Engineer (3,4 & 5)  on a 12 month contract position.  Substation Engineer Responsibilities:  Functions as a technical specialist or in a lead substation design role encompassing distribution, subtransmission and transmission level voltage classes. Under general direction, develops and applies advanced engineering techniques, concepts and approaches to complex engineering problems. Will provide technical guidance over a group or supervise engineering staff on substation design projects. May be responsible for developing, validating, and presenting specialist/technical output.  Will lead other engineers and interface directly with clients.  Responsible for the overall execution and quality of substation projects as a leader within a team environment.   Utilize Bluebeam to QA check and design high voltage substation...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.  As a team member of our  naviHealth  product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home . We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing  your life’s best work. ℠ Positions in this function require various professional clinical education, certification...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our normal business hours of 7:00am - 7:00pm within your time zone. It may be necessary, given the business need, to work occasional overtime.  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 *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities: Research and resolve written complaints submitted by consumers and physicians/providers Ensure...

$2,000 Sign On Bonus For External Candidates You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. 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. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties...

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 Training...