136 to 150 of 170
Work with UnitedHealthcare members visiting a pharmacy retail location, regarding medical and pharmacy benefits, eligibility & claims issues and assist with plan selection and enrollment. Identify opportunities to connect members to the best resources to meet their healthcare needs and help resolve medical and benefits issues on their behalf Interact with sales, pharmacy, and HouseCalls staff in a
Posted Today
Work with UnitedHealthcare members visiting a pharmacy retail location, regarding medical and pharmacy benefits, eligibility & claims issues and assist with plan selection and enrollment. Identify opportunities to connect members to the best resources to meet their healthcare needs and help resolve medical and benefits issues on their behalf Interact with sales, pharmacy, and HouseCalls staff in a
Posted Today
Ensure all pharmacy pricing updates are handled in a timely manner. Review pharmacy pricing work performed by others and provide recommendations for improvement Provide business rules and requirements for IT development of system tools to support new processes and/or enhancements Collaborate with the data and reporting team to design and create various internal and external reporting Provide busin
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Forecasting, Budgeting & Monthly Financial Close Partners with Sr. and departmental leaders to oversee the budget creation and periodic forecasting Develops cost / benefit analyses and staffing needs for key strategies or initiatives Participates and develops company wide business plan and strategies Assists in performing monthly reporting around our financial close and variance analysis to budget
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Continuum of care planning that integrates initial assessment of the patient with appropriate post hospital discharge services. Must demonstrate excellent communication and collaboration skills. Ability to identify gaps and/or barriers in treatment planning. Provide patient, family, and/or caregiver education. Initiate and ensure completion of all necessary paperwork. Provide referrals for communi
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Responsible for identifying, recruiting, negotiating, and contracting a dental provider network in a geographic area within established guidelines to meet network needs Ensures provider database and documentation is accurate, complete, and submitted promptly Prioritize and organize own work to meet deadlines Provide explanations and information to others on topics within area of expertise You'll b
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Provide information to clients, family members, and other stakeholders about treatment options, natural supports/community resources, to aid in member recovery from substance use. Provide encouragement and motivation to members considering treatment or recently discharged from treatment. Give presentations to clients, family members and professionals as needed. Assist UM/CM staff to identify stren
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Consistently exhibit behavior and communication skills that demonstrate the company's commitment to superior customer service, including quality care and concern with internal and external customers Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Anticipate the clinician's needs an
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Perform outpatient musculoskeletal and neuromuscular pain diagnoses and treatments Develop functional assessments of pain issues including acute and chronic pain, headaches, musculoskeletal problems such as back and neck pain, tendonitis, pinched nerves, osteoarthritis, myalgia, post herpetic neuralgia, carpal tunnel and fibromyalgia Treat patients of all ages afflicted with painful and function l
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Provide intensive direct support for families Partner with and support the wraparound facilitator to do wraparound with the family, ensuring the wraparound is working for the family by individualizing the process to fit the family's strengths and culture. The FSP also ensures that the family (parents and youth) are being heard through their voice and choice. provide direct support for some famil
Posted Today
Provide intensive direct support for families Partner with and support the wraparound facilitator to do wraparound with the family, ensuring the wraparound is working for the family by individualizing the process to fit the family's strengths and culture. The FSP also ensures that the family (parents and youth) are being heard through their voice and choice. provide direct support for some familie
Posted Today
Develop and deploy predictive data models on large data sets Collaborate and communicate effectively with our broader product teams, while supporting ad hoc analytics where needed Design and run complex data programs Execute creative problem solving and critical thinking on the job Perform quantitative analysis on Actuarial, financial, utilization and costs data You'll be rewarded and recognized
Posted Today
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. Jo
Posted Today
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. Jo
Posted Today
Lead efforts to create new analytical insights and capabilities related to clinical effectiveness, quality, outcomes, performance, and other related areas Partner with analytics senior consultants to create solutions that effectively support all known requirements and effectively answer the relevant questions about performance and opportunities for optimization Support prioritization efforts of co
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