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If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) OptumRx is on a transformational journey to create an exceptional experience for consumers enabled by new processes, capabilities and technology all cent
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Assist in development of marketing collateral, supporting operations and account management team as appropriate, including requests from the field Collaborate and work with news media to get our amazing story out to the public Coordinating outreach to consumer and trade media relations, including story development, pitching and interview coordination Coordinate and assist with materials for develo
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include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family. We focus on helping patients get in, get healthy, and get back to what's really important We are influencing change on a national scale while still maintaining
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Assist physicians and nursing personnel with injections, EKGs, phlebotomy and other patient care procedures Maintain established quality control standards Record and process patient care documentation quickly and accurately Coordinate patient care as directed by physicians, company standards and policies Organize, stock and clean exam and treatment rooms and sterilize instruments Maintain quality
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Accountable for driving the branch to achieve and surpass productivity, profitability, cash flow and business goals & objectives. Understands and assumes ownership of the P & L for branch location(s) Thru partnership with DON & DOP in the branch location(s), analyzes and organizes clinical operations to meet or exceed the needs of the patients & providers we serve thru best practice deployment of
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Provide exceptional customer service to all patients and members of the clinic staff Fill new prescriptions and refills of medications using various forms of compliance packaging. Medication ordering and maintenance of appropriate inventory controls within the pharmacy. Within the guidelines of the authorized protocol, manage the storage and designation of sample medications, and patient assistanc
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Schedule and triage appointment requests for urgency according to approved protocols consistent with ProHealth's Appointment and Scheduling Guidelines. Consult a medical assistant or licensed clinician for clinical decision making whenever necessary Use call processing and other applicable functionality in the EHR to take messages and communicate with clinicians Greet patients and conduct check in
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Work at the highest levels of the organization to support Member needs for our Mobile App Strategy. Providing the 'Voice of the User' in critical contexts. This includes support across all channels. This role will be supported by UX and UI Designers across the Product teams, with additional dedicated UX and UI resources as needed Share ideas on potential new enhancements to meet Business and Membe
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Analyze and apply denials to third party carriers in all media types Comply with departmental Business Rules and Standard Operating Procedures Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt Interpret explanation of benefits for appropriate follow up action Utilize automation tools to verify eligibility, claim status and / or to obtain better billin
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Provides case management and support for both direct referrals and data identified referrals. This requires clinical expertise in child and family systems with focus on helping the family negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and any severe mental illness outside of Autism related ser
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Draft, review and negotiate terms of agreements with Suppliers to optimize commercial outcomes, drive risk mitigation and ensure compliance with internal and regulatory protocols Coach and develop team members as they draft and negotiate their own contracts Understand stakeholders' needs and facilitate the negotiation of requirements among multiple stakeholders Analyze current market trends, forec
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Guide enrollees in understanding and accessing the benefits they are entitled to under Medi Cal Assist with coordination of enrollee's health care and social service needs both within and outside of the medical group and CalOptima Assist enrollee in meeting preventive care goals Maintain accurate records and documentation You'll be rewarded and recognized for your performance in an environment
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Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. (sm) Primary Responsibilities Transportation Specialists are responsible for providing a positive experience to members while providing safe and timely transportation to and from their homes and
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Schedule patients directly from physician offices Special Projects such as onsite clinical testing Handle resolution / inquiries from members and / or providers Customer service interaction with patients, physicians, nurses and clinical staff This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also
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Great sales are the result of strong purpose, conviction and pride pride in your ability and your product. UnitedHealthcare offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) Reporting to the National VP of Sales for the UnitedHealthcare Individual Exchange Business, the Regional VP of Sales (RVP) will hold respo
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