15284 jobs in UnitedHealth Group
Per diem RN II Medical Imaging
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Customer Service Representative
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**Job category:** Customer Services
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._
**Optum Insight** is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? 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 shift schedules during our normal business hours of 8:00 am - 5:00 pm MST.
This will be on the job training and the hours during training will be during normal business hours.
**Primary Responsibilities:**
+ Answer calls from medical providers, regarding patient claim inquires, prior authorization, member eligibility, portal support and explanation of benefits
+ Focus on resolving issues on the first call. Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
+ Complete the system documentation necessary to track provider issues and facilitate reporting
+ Constantly meet established productivity, schedule adherence, and quality standards
+ Maintain all Compliance and HIPAA regulations at all times
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR older
+ 1+ years of customer service experience
+ 1+ years of call center experience
+ Knowledge and experience working in Microsoft applications (Microsoft Word, Microsoft Excel and Microsoft Outlook)
+ Ability to work Monday - Friday, 8:00 am - 5:00 pm MST
**Preferred Qualifications:**
+ Experience working with Microsoft Teams
+ Healthcare customer service experience
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills:**
+ Demonstrated problem solving and analytical skills
+ Proven ability to handle multiple tasks and meet deadlines within standards
+ Adaptable and flexible with the ability to accept, create and manage change
+ Excellent interpersonal and communication (including excellent verbal and writing skills)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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Account Manager Client Services - Remote
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**Job category:** Sales Support
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.**
We are seeking a Healthcare Strategic Partner Relationship Manager to establish, maintain, and enhance relationships with healthcare trading partners, including providers, payers, and vendors. This role ensures smooth electronic data interchange (EDI) transactions, facilitates onboarding, and resolves technical and operational issues. The ideal candidate has expertise in healthcare EDI transactions (837, 835, 270/271), regulatory compliance (HIPAA, HITECH), and a solid ability to manage partnerships effectively.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
Strategic Partnership Development:
+ Develop and maintain solid relationships with healthcare providers, payers, and third-party vendors to facilitate seamless data exchange
+ Develop and execute partnership strategies to maximize the value of partnerships and drive mutual success
+ Negotiate and structure partnership agreements, ensuring alignment with organizational goals and objectives
Relationship Management:
+ Serve as the primary point of contact for all partner relationships, ensuring ongoing communication, satisfaction, and alignment of interests
+ Regularly meet with partners to assess the health of the partnership, gather feedback, and identify areas for improvement
+ Monitor partnership performance, track key performance indicators (KPIs), and implement actions to enhance outcomes
Collaboration and Cross-Functional Alignment:
+ Work closely with internal teams, including sales, marketing, product development, and customer service, to ensure alignment on strategic initiatives and deliverables
+ Collaborate with business leaders to align partner strategies with the organization's overall business goals and objectives
+ Support internal teams with partner-specific knowledge, industry insights, and market intelligence to foster effective decision-making
Market Analysis and Trend Monitoring:
+ Stay up-to-date with industry trends, emerging technologies, and regulatory changes in healthcare to provide informed advice to partners
+ Conduct competitive analysis to identify new opportunities for partnerships and growth within the healthcare space
Problem Solving and Issue Resolution:
+ Proactively identify and resolve issues or challenges that may arise within partner relationships, working quickly to address concerns and maintain solid, trust-based partnerships
+ Escalate critical issues when necessary and ensure that they are resolved in a timely manner
Reporting and Performance Tracking:
+ Prepare and deliver regular reports on partnership performance, including key metrics, growth opportunities, and outcomes to senior management
+ Ensure effective tracking of partnership milestones and deadlines, providing visibility on progress
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 5+ years of experience in healthcare management, strategic partnerships, or business development, with a proven track record of managing complex healthcare relationships
+ Proven solid understanding of the healthcare ecosystem, including providers, payers, technology, and regulatory aspects
+ Proven excellent communication, negotiation, and interpersonal skills
+ Ability to think strategically and work collaboratively across various teams
+ Experience in managing large, multi-stakeholder projects and partnerships
+ Proven solid problem-solving skills and ability to manage conflict effectively
+ Ability to analyze data, generate reports, and drive process improvements
+ Ability to travel 10%
**Preferred Qualifications:**
+ Experience in healthcare, IT, digital health, or value-based care
+ Familiarity with healthcare regulations, compliance, and standards such as HIPAA
+ Knowledge of CRM software, project management tools, and other partnership management platforms
+ Experience with healthcare clearinghouses, TPAs, or claim processing systems
+ Knowledge of claim adjudication workflows and payer-provider interactions
+ Project management experience in a healthcare IT environment
+ Solid interpersonal skills, including verbal and non-verbal communication skills, active listening skills and the ability to work with others towards a common goal
+ Understands how businesses operate, how they create strategies and how to manage a business' operation effectively
+ Ability to analyze data, company expectations and goals and other factors that contribute to the partnership. This requires solid analytical and critical thinking skills to translate complex data into viable insights
+ Understands the market each business operates in, how to market to the target audience and have advanced knowledge of modern marketing tactics
+ Solid organizational skills, being able to organize information, strategic insights, documents and time to do their job effectively
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Clinical Quality Consultant I Hybrid in Tampa Bay Market
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**Job category:** Medical & Clinical Operations
**Explore opportunities with WellMed** , part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind **Caring. Connecting. Growing together.**
The Clinical Quality Consultant I will drive consistency through data mining; efficient processes reporting, CAHPs/HOS action planning and shared trend analysis - in a collaborative effort within the quality department- designed to facilitate a minimum 4 STAR rating. CQCI will participate in quality improvement initiatives while data mining for quality remediation plans and create tools and databases to capture relevant data for each assigned group. This position will work collaboratively with the Education Consultant for each region for education/ outliers and barrier discussions. This role will also work collaboratively with the Corporate Quality team on enterprise initiatives and activities in a matrix relationship.
**This position follows a hybrid schedule with three in-office days per week and 75% travel in Tampa and surrounding areas.**
**Primary Responsibilities:**
+ Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher
+ Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups
+ Be the primary go-to-person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations.
+ Review provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
+ Focus communications and efforts accordingly
+ Identify solution-based, user-friendly initiatives to support practice success
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 1+ years of experience Healthcare/Health Plan
+ 1+ years of HEDIS experience and/or knowledge
+ Professional experience persuading changes in behavior
+ Solid knowledge of managed care requirements related to clinical quality
+ Solid knowledge of the Medicare market, products and competitors
+ Experience in managed care working with network and provider relations
+ Microsoft Office specialist with exceptional attention to detail
**Preferred Qualifications:**
+ Clinical and/or Health Education experience
+ Knowledge base of clinical standards of care, preventative health, and Star measures
+ Demonstrated ability to interact with medical staff, peers, and internal company staff at all levels
+ Demonstrated ability to solve process problems crossing multiple functional areas and business units
+ Proven solid communication and presentation skills
+ Proven solid relationship building skills with clinical and non-clinical personnel
+ Proven solid problem-solving skills; the ability to analyze problems, draw relevant conclusions and devise and implement an appropriate plan of action
+ Proven good business acumen, especially as it relates to Medicare
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Trainer
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**Job category:** Training
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week._
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 optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together**
In this role, you will support the development of training curriculum for the United Health One Sales Enablement team. The Sales Enablement team supports multiple business partners within the UHOne direct sales and brokerage distribution channels, as well as other internal teams. The individual hired to this position will support the design and development of innovative learning solutions supporting Sales Enablement operations and organizational goals. This role will also support the development of content to drive sales performance. You will consult and collaborate with subject matter experts (SMEs) within operations as well as peers across the organization. This role requires expertise in instructional design models, adult learning theory, and modern learning technologies, including virtual training to create impactful training experiences that drive performance and compliance.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
**Primary Responsibilities:**
+ **Learning Needs Analysis**
+ Collaborate with SMEs, managers, trainers, and stakeholders to identify business goals and performance gaps.
+ Conduct surveys, interviews, and focus groups to gather data on learning needs.
+ Perform task and skills analysis to define required competencies.
+ Recommend training and non-training interventions based on gap analysis.
+ **Instructional Design & Development**
+ Define learning objectives and design course structures using ADDIE or similar models.
+ Develop engaging eLearning (Articulate Storyline, Rise), virtual instructor-led training (vILT), and hybrid learning solutions.
+ Create assessments, job aids, facilitation guides, and multimedia content.
+ Apply accessibility standards (ADA Section 508, WCAG compliance).
+ Integrate courses into LMS (SCORM packaging, navigation rules, progress tracking).
+ **Virtual Training Expertise**
+ Development of virtual learning experiences using platforms like Zoom, Teams, or similar.
+ Incorporate interactive elements such as breakout rooms, polls, and simulations to enhance engagement.
+ Develop strategies for blended learning and virtual onboarding programs.
+ **Quality Assurance & Evaluation**
+ Conduct alpha/beta testing of courses and pathways.
+ Gather user feedback and revise content for accuracy and engagement.
+ Use LMS analytics and learner data to measure effectiveness and business impact.
+ **Collaboration & Consulting**
+ Partner with trainers and cross-functional teams to align learning solutions with operational goals.
+ Support revision/redesign of existing training programs.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR older
+ 2+ years of experience working in an instructional design role
+ Experience with LMS platforms and SCORM integration
+ Expertise in virtual training design and delivery
+ Understanding of adult learning theory and instructional design models
+ Proficiency in eLearning tools (Articulate Storyline, Rise, Replay, Peek)
+ Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm local time zone. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Healthcare or pharmacy operations experience
+ Familiarity with compliance and regulatory training
+ Graphic design or multimedia development skills
+ Time management, organizational, and prioritization skills to manage multiple projects in a fast-paced environment
+ Effective interpersonal, influence, collaboration and listening skills and drives for results individually and in a team setting
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
**Soft Skills:**
+ Excellent analytical and communication skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Customer Care Advocate
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**Job category:** Customer Services
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._
**Optum Insight** is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.**
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 5:30 pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ Answer 60 - 90 incoming phone calls per day and identify the type of assistance needed
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Research complex issues across multiple databases and work with support resources to resolve caller issues and / or partner with others to resolve escalated issues
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR equivalent work experience
+ Must be 18 years of age OR older
+ Customer service experience analyzing and solving customer problems OR experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
+ Ability in customer service problem resolution and relationship building
+ Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
+ Ability to work Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 5:30 pm CST. It may be necessary, given the business need, to work occasional overtime
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
**Soft Skills:**
+ Ability to multi-task including ability to understand multiple products and multiple levels of benefits within each product
+ Ability to demonstrate compassion in support of patient satisfaction
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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Part-time Registered Nurse - St. Lucie and Indian River - FL
Posted today
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**Job category:** Nursing
**$2,500 Sign On Bonus For External Candidates**
**Part-time, 20 hours per week, NO weekends, NO holidays, NO call requirements**
**Optum Home & Community Care, part of the Optum 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 Senior Community Care (SCC) team, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
You will be part of the primary care team collaborating with all interdisciplinary team members and will support multiple providers. The RN is a flexible team member who works alongside nurse practitioners (NPs) and physician assistants (PAs).
**Standard Hours:** 20 hours per week within normal operations, which is Monday-Friday, 8:00 a.m. to 5:00 p.m. EST
**Primary Responsibilities:**
+ Responsible for collaborating with all members of the interdisciplinary care team around changes in condition and/or care coordination
+ Triage member needs to the appropriate care team member and level of care
+ Assist with transitions in care: outpatient and inpatient
+ Assist in assuring complete and accurate documentation, medication reconciliation, nursing rounds, and risk assessments
**What Makes an Optum Career different?**
+ Nurses are supported to practice at the peak of their license
+ We believe that better care for nurses equates to better care for patients
+ We influence change nationally while maintaining the culture and community of local care organizations
+ We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here
**Compensation & Benefits Highlights:**
+ Guaranteed, competitive compensation model based on quality, not quantity, with bonus opportunities
+ Financial stability and support of a Fortune 5 Company
+ Robust retirement offerings including employer funded contributions and Employee Stock Purchase Plan (ESPP for UHG Stock)
+ Comprehensive benefits plan inclusive of medical, dental, vision, STD/LTD, CE & equipment allowances
+ Robust nursing learning and development programs
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Associate degree or higher in Nursing (RN)
+ Active unrestricted Registered Nurse license in your state of residence or ability to obtain within 60 days of hire
+ Certified in Basic Life Support
+ Driver's license and access to reliable transportation that will enable you to travel up to 100% to visit clients and/or patient sites within a designated area
**Preferred Qualification:**
+ BSN degree
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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Caregiver - Holmes Beach (Suncrest)
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**Job category:** Healthcare Delivery, Clinical Services Operations
Explore opportunities with SuncrestOMNI, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Home Caregiver, you will provide support, assistance with personal hygiene and household functions for an individual to be able to remain in their own home. We are hiring for Holmes Beach and the surrounding area.
**Primary Responsibilities:**
+ Provide personal care and assist with daily living activities such as bathing, grooming, dressing, ambulation, and medication reminders
+ Support household tasks, meal preparation, and accompany clients to appointments or errands as needed
+ Monitor and document client condition, vital signs, and incidents; maintain confidentiality and use EVV system
+ Ensure a safe environment, operate medical equipment properly, and respond promptly to client needs
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current driver's license, vehicle insurance, and reliable transportation or access to public transit
**State-Specific Requirement**
+ FL: 40-hour AHCA-required training or passing AHCA competency test
**Preferred Qualifications:**
+ 6 months+ of home care experience
+ Current CPR certification or ability to complete within 90 days of hire
+ Ability to work flexible hours
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $19.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
\#LHCJobs
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
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Pharmacy Clerk Full Time
Posted today
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**Job category:** Pharmacy
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a Pharmacy Clerk, you will provide friendly, timely, and professional support to pharmacy customers while ensuring smooth daily operations within the pharmacy. You will assist with customer service, order lookups, billing issue resolution, supply management, courier coordination, and general administrative tasks to help maintain an efficient and compliant pharmacy environment.
**Pharmacy Location:** Located within Lee Health Specialty Pharmacy in Estero, FL
**Schedule:** Monday through Friday 8:30am-5:00pm, 40 hours per week
**Primary Responsibilities:**
+ Greet and assist pharmacy customers in person and by phone, providing timely and professional service
+ Look up customer information and order status using pharmacy systems, escalating issues to pharmacy liaisons as needed
+ Operate the pharmacy POS system and assist customers with basic billing concerns over the phone
+ Manage daily administrative tasks, including sorting/distributing mail and maintaining pharmacy and office supply inventories
+ Coordinate mailing, shipping, and courier services, maintaining records and resolving service issues when needed
+ Support compliance activities such as temperature monitoring and shipping verification
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High school diploma or equivalent
+ Recent work experience in customer service role
+ Proficient computer skills
**Preferred Qualification:**
+ Experience in healthcare, pharmacy, or medical office setting
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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Credentialing Specialist - Remote in Florida
Posted today
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Job Description
**Job category:** Network Management
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 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 to start **Caring. Connecting. Growing together.**
This position will be telecommute with residence in the Central Florida vicinity. The goals of our LTC network team are to manage and carry out the provider network requirements and all functions related to credentialing and re-credentialing. Provider Relations experience is a plus, Microsoft Excel intermediate to advanced level is required due to the needs of network reporting. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.
**Schedule:** An assigned 8-hour shift between the hours of 8:00am to 6:00pm. Monday to Friday. Potential for overtime as business needs determine.
If you reside in Florida, you will enjoy the flexibility to telecommute* as you take on some tough challenges.
**Primary Responsibilities:**
+ Communicate with providers and office administrators regarding credentialing/re-credentialing, licensure and demographics, contracting efforts, etc. for the Medicaid Long Term Care business
+ Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers
+ Includes processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained
+ Conducts audits and provides feedback to reduce errors and improve processes and performance
+ Responsible for the development of credentialing policies and procedures
+ May oversee primary source verification activities
+ Key contributor to establishing and maintaining strong business relationships with Ancillary providers, ensuring the network composition includes an appropriate distribution of provider specialties
+ Assist network team with tasks related to ancillary groups & facilities yielding a geographically competitive, broad access, stable network (Medicaid/Long Term Care)
+ Review and submit contracts for system loading to include verification and accuracy of base agreements and payment appendices
+ Distribute pertinent information to providers via FAX and EMAIL blasts such as Alerts from our State Agency, network requirement changes and/or updates, and other information related to Medicaid Long Term Care provider network management
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ 3+ years of experience/knowledge in the Agency for Healthcare Administration Statewide Medicaid Managed Care (SMMC) Medicaid/Long Term Care business
+ 3+ years of experience working in a network management-related role, such as provider services, credentialing, contract processing
+ 3+ years of experience and/or certification in ancillary credentialing, to include knowledge of credentialing requirements for the state of Florida
+ 1+ years of experience in fee schedule management
+ 1+ years of experience in network adequacy analysis
+ Intermediate level of proficiency in Microsoft Word, Excel, PowerPoint, Databases (user-end)
+ Intermediate level of proficiency with email and Internet programs such as Outlook and Teams, Chrome, Edge
+ Advanced level of written and verbal English language proficiency
+ Must reside in the state of Florida
**Preferred Qualifications:**
+ Associate's degree or higher in Business and/or Healthcare Administration
+ Experience working with Health Services staff (Care Managers) regarding authorizations and identifying in-network providers to provide services to Long Term Care members
+ English/Spanish Bilingual is a plus (English being the primary language)
**Soft Skills:**
+ Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
+ Strong interpersonal skills, establishing rapport and working well with others
+ Strong customer service skills as this role serves as managing the incoming and outgoing communications for the Long-Term Care provider network department
+ High level of organizational skills with capability to prioritize and adapt to frequently changing tasks and objectives
+ Ability to work independently in a fast-paced environment with minimal support and guidance
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO, #GREEN
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