Assist Associate Director with developing and executing comprehensive team strategies and operational plans to meet both short and long term business objectives. Develops, streamlines and improves workflows and oversee procedures relating to policy development involving safety sensitive and federally mandated regulations such as DOT, NRC, DFWP, FAA, Workplace Violence and Fitness for Duty processe

Assist with escalated claims to resolve complex issues for team members and internal customers Support implementation of updates to the current procedures and assist with new system training/mentoring Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim Analyze and identify trends and provide reports as necessary This is a c

For those who believe in the power of data to help write the next chapter in the history of health care, here's your opportunity. Advancement, an elite group of peers, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged at UnitedHealth Group to do your life's best work.(sm) The Senior Underwriter will analyze health benefit plan characteristics

Initiate the implementation process for Financial Protection Products Review and validate documents received during implementation Prepare onboarding employer implementation materials for senior implementation team Monitor, track and report status of case preparation and implementation Facilitate the assignment of new sold case submissions Lead and manage the implementation of new products for in

Independently conduct clinical audits and record reviews of behavioral health and substance use disorder providers in the State of Maryland Develop detailed findings reports based on findings from audits Provide education and support to providers regarding operational and treatment record documentation standards Provide analytical support and expertise when compiling report information Develop and

Manages patient placement and bed board functions Contacts insurance carrier(s) to obtain all information necessary for the successful billing of 3rd party payers (coordination of benefits, benefit coverage / limits, co pay / deductible amounts, authorization, pre certification and referral requirements etc. Re verifies insurance of recurring patients Performs financial assessments and determines

Collaborate with the Requirements, Development, Infrastructure and Release Management teams to accomplish all testing activities (including peer reviews) in an Agile environment Participate and document Scrum meetings as necessary, to discuss progress, issues and action items within Sprints Ensure that development standards and procedures are adhered to Develop data driven test automation scripts

Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing Educates member on gaps in care and assists with scheduling provider appointments Assists members with social determinants of health and links to community resources Ensures member has access to PCP Identifies gaps in care and assists in closure of gaps Outreaches members on caseload consistent with program guid

Provide training for external customers and internal technical and business staff on software products that analyze and provide reporting using different types of healthcare data Explain challenging concepts clearly to clinical, business and technical audiences Identify business use cases to drive client adoption of software products Assist internal implementation staff, product documentation team

Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future services enhancements Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Help implement training and development of exte

Completes telephonic outreach to DSNP members utilizing auto dialer and manual dialing Educates member on gaps in care and assists with scheduling provider appointments Assists members with social determinants of health and links to community resources Ensures member has access to PCP Identifies gaps in care and assists in closure of gaps Outreaches members on caseload consistent with program guid

We value innovation and ideation. We value diversity of thought. We value curiosity and eagerness. We value commitment to life long learning. We value the ability to embrace continuous learning of engineering practices to ensure industry best practices and technology adoption. We value the ability to proactively identify patterns in issues and the ability to identify the root cause to improve over

Identifies and reviews medical surgical potential quality issues (PQIs), patient safety issues, sentinel events (SEs) and serious reportable events (SREs) by applying best practice standards of care and clinical experience Conducts timely reviews of electronic medical records to meet Optum standards. Investigations include research, analysis, and preparation of written and verbal case summaries wi

Oversee performance of end to end provider claims servicing and call quality Set team direction, resolve problems and provide guidance to members of own team Adapt departmental plans and priorities to address business and operational challenges Drive the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Ensure i

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 the Technology Engagement team the Business Proce