As an Inbound Sales Representative at A Place for Mom, you'll be the trusted first point of contact for families searching for senior care solutions. In this high-impact sales role, you'll use empathy, insight, and strategic guidance to help caregivers as they explore the best care options for their loved ones.
Responsibilities:
What you will do
* Work in a growing, fast-paced industry as an expert resource for families on senior care options, delivering an exceptional experience aligned to our company mission
* Take inbound, pre-screened leads working remotely from your home office as an inside sales representative, working an assigned shift with strong schedule adherence
* Conduct in-depth initial consultation calls with families
* Educate families on customized senior care options, and work to find the senior living communities and home care providers that best match their needs
* Act as the liaison between families and senior housing communities or care providers once you successfully complete the 4 week new hire training program
What will make you successful:
Success is measured by reaching daily production benchmarks (inbound calls and outbound return calls), which consists of referring families out to communities and scheduling tours for them to ultimately drive move-ins. As a Welcome Advisor you will be the company's first interaction with a family with the goal of being empathetic to their situation and delivering a great family experience.
Qualifications
* Two or more years of experience in inside sales/inbound call center
* History of exceeding sales targets
* Ability to multitask; simultaneously talk on the phone and take notes on the computer
* Strong computer and typing skills necessary, including Word and Excel and ability to learn and navigate internal CRM system
Schedule
You will work a 40-hour work schedule on an hourly, non-exempt basis. Schedules are set based on business needs, and may include regularly scheduled evenings and weekends, along with some holiday shifts during the year.
Compensation
* Base Salary: $45,760 ($22.00 an hour)
* On Target Earnings: $74,000 ($28,240 variable bonus (Uncapped)
* Benefits:
* 401(k) plus match
* Dental Insurance
* Health Insurance
* Vision Insurance
* Paid Time Off
#LI-JR1
About A Place for Mom
A Place for Mom is the leading platform guiding families through every stage of the aging journey. Together, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies.
Since 2000, our teams have helped millions of families find care that fits their needs. Behind every referral and resource is a shared goal: to help families focus on what matters most - their love for each other.
We're proud to be a mission-driven company where every role contributes to improving lives. Caring isn't just a core value - it's who we are. Whether you're supporting families directly or driving innovation behind the scenes, your work at A Place for Mom makes a real difference.
Our employees live the company values every day:
* Mission Over Me: We find purpose in helping caregivers and their senior loved ones while approaching our work with empathy.\
* Do Hard Things: We are energized by solving challenging problems and see it as an opportunity to grow.
* Drive Outcomes as a Team: We each own the outcome but can only achieve it as a team.
* Win The Right Way: We see organizational integrity as the foundation for how we operate.
* Embrace Change: We innovate and constantly evolve.
Additional Information:
A Place for Mom has recently become aware of the fraudulent use of our name on job postings and via recruiting emails that are illegitimate and not in any way associated with us. APFM will never ask you to provide sensitive personal information as part of the recruiting process, such as your social security number; send you any unsolicited job offers or employment contracts; require any fees, payments, or access to financial accounts; and/or extend an offer without conducting an interview.
If you suspect you are being scammed or have been scammed online, you may report the crime to the Federal Bureau of Investigation and obtain more information regarding online scams at the Federal Trade Commission.
All your information will be kept confidential according to EEO guidelines.
A Place for Mom uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit *********************
$45.8k-74k yearly 46d ago
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Direct Support Professional (DSP)/ Caregiver
A Place 3.8
A Place job in Vacaville, CA
Benefits:
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Vision insurance
Opportunity for advancement
Training & development
Why Join Us?
A Place of Grace, Inc. has been serving adults with developmental disabilities in Solano County since 2002 and in San Diego since 2010. With over 20 years of impact in the community and plans for 50% growth in the coming year, we are investing in compassionate, skilled professionals who want to grow their careers while making a lasting difference.
This is not just another caregiving role; it's the opportunity to work in a supportive, structured residential environment where your work truly transforms lives.
What Makes Us Different
At A Place of Grace, we believe in more than just filling shifts; we build lasting relationships. As a DSP, you'll work with a consistent team of staff and residents in one home, not constantly rotating between locations. This allows you to truly get to know your clients, support their progress, and celebrate their growth over time.
Our approach is personal, not corporate. We invest in your success just as much as we invest in the success of those we serve. Here, you're not just coming to work; you're helping create a home.
We welcome motivated and compassionate candidates of all experience levels. If you're new to the field, no problem, our experienced team will train you. Together, we focus on helping residents build independence, access their community, lead healthy lives, and develop their daily living skills.
Compensation & Benefits
Pay: $20-$23/hr
Paid Time Off (PTO)
Health, Dental, and Vision insurance
CalSavers Retirement Program
Employee Referral Bonus Program
Growth and advancement opportunities
Schedule
Full-time: Sun, Mon, Thurs: 3 pm - 11 pm, Tues-Wed: 7 am - 3 pm.
8-hour shifts
Key Responsibilities
Support residents with daily living needs (grooming, bathing, hygiene, communication, mobility)
Assist with medication administration, following the Seven Rights for verification
Supervise and participate in community and recreational outings
Prepare meals and ensure home cleanliness and sanitation
Complete daily documentation in compliance with Title 17, Title 22, and program design
Use Nonviolent Crisis Intervention techniques to manage challenging behaviors (assaultive, SIB, property destruction, PICA, etc.)
Safely drive residents in 6-10 passenger vehicles
Advocate for residents and maintain respectful, professional communication
Attend required trainings and staff meetings
Required Qualifications
Minimum age 18
Valid CA Driver's License with a clean driving record
DOJ/FBI fingerprint clearance
First Aid certification (must be current prior to starting)
Physical & Environmental Requirements This position requires the ability to perform the following essential functions in a dynamic behavioral health environment:
Assist residents during community outings or facility navigation, which may involve walking or moving quickly up to 1-2 miles per shift.
Stand or walk for extended periods, including at least 1 continuous hour, to monitor and engage with residents.
Lift, carry, or transfer up to 25 lbs., such as resident assistance aids or supplies, as needed for daily care.
Apply approved Crisis Prevention Institute (CPI) techniques to manage behavioral incidents, which may involve physical redirection or restraint.
Respond quickly in emergencies, including running short distances or assisting with resident transfers, to ensure safety.
Use a computer or tablet for documentation and care plan updates for up to 1 hour at a time.
Safely operate a 6-8 passenger van to transport residents to appointments or community outings, requiring a valid driver's license and compliance with state driving regulations.
Compensation: $20.00 - $23.00 per hour
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
A Place of Grace is a compassionate and mission-driven company focused on providing exceptional care and support to individuals with intellectual and developmental disabilities. Our team of caring professionals provide high-quality support and resources to meet the diverse needs of our residents, ensuring their health and wellness are top priority. We are committed to fostering a culture where respect, dignity, and compassion are integral values, and where every individual has access to opportunities for personal and professional growth. We invite you to join us in making a meaningful impact in the lives of those we serve.
$20-23 hourly Auto-Apply 60d+ ago
Mental Health Clinical Wellbeing Specialist - Remote in CA
Unitedhealth Group 4.6
Remote or Cypress, CA job
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support.
The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed.
Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety
Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families
"Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications"
Anticipates member needs and proactively identifies solutions
Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support
Coordinate follow-up care and services to individuals and organizations, as appropriate
Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model
Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services
Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted
EWS and behavioral health network providers
Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries
Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement
Fosters a service-oriented environment and participates in human centered experience development
Identifies solutions to non-standard requests and problems
Solves moderately complex problems and/or conducts moderately complex analyses
Works with minimal guidance; seeks guidance on only the most complex tasks
Translates concepts in practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback and guides others, acting as a resource for others with less experience
Participate in staff meetings, case consultations, and training opportunities
Consult as required with other licensed staff and supervisors
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:
Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health
Active, unrestricted independent clinical license in the state of California
Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime
Designated workspace and access to secure high-speed internet via cable/DSL in home
Permanent residence in the state of California
Preferred Qualifications:
2+ years of child and family experience
Experience supporting members in an inbound call center
Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members
Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online
Ability to work with a culturally and geographically diverse population
Ability to address a variety of problems and issues as presented by members
Ability to work flexibly and creatively with other professional team members
*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 $28.27 to $50.48 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.
$28.3-50.5 hourly 21h ago
Underwriting Consultant National Accounts West Region
Unitedhealth Group 4.6
Remote or Cypress, CA job
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
The Underwriting Consultant will analyze health benefit plan characteristics and assess risks as to frequency and potential severity of losses of clients. This individual will analyze health benefit plan characteristics and assess risks as to frequency and potential severity of losses of clients. Will utilize established underwriting criteria and policies to provide proper rating methodologies. Will build and maintain models to assist in the economic analysis of market alternatives. The Underwriting Consultant will evaluate and recommend alternative pricing options and plan design changes based on economic analysis and trends. This individual will also prepare financial modeling for reserve calculation, budget calculation, and other ongoing reviews that directly aligns with client strategies. They will validate renewals and request for proposals for accuracy including utilization & experience reporting.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Primary focus will be on a National Accounts book of business
Intricate focus on product integration to maximize company financials
Work closely with underwriting and National Accounts account management to derive competitive financial responses
Meets quarterly reporting requirements
Anticipates customer needs and proactively develops solutions to meet them
Serves as a key resource on complex and/or critical issues
Solves complex problems, develops innovative solutions, and performs complex analyses
Reviews work performed by others and provides recommendations for improvement
Forecasts and plans resource requirements
Authorizes deviations from standards
May lead functional or segment teams or projects
Provides explanations and information to others on the most complex issues
Motivates and inspires other team members
Develops innovative approaches
Sought out as an expert and serves as a leader/ mentor
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:
3+ years of experience in the healthcare industry underwriting/managing financials for a defined book of business for any variety of products: PPO, HMO, Stop Loss, Pharmacy, Dental, Vision, Ancillary, Self-Funded, ASO/Fully-Insured for group or individual clients
1+ years of experience with Risk Management
Intermediate level of proficiency with MS Office suite (including Word, Excel and PowerPoint)
Proven excellent communication skills, both orally and in writing
Preferred Qualification:
Ability to understand and calculate revenue, expense, risk and profit
*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 $71,200 to $127,200 annually 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.
$71.2k-127.2k yearly 2d ago
Telephonic Case Manager RN Medical Oncology
Unitedhealth Group 4.6
Remote or Dallas, TX job
The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems.
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.
We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!
The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.
This is a full-time, Monday - Friday, 8am-5pm position in your time zone.
You'll enjoy the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Make outbound calls and receive inbound calls to assess members current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Make referrals to outside sources
Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
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, unrestricted RN license in state of residence
Active Compact RN License or ability to obtain upon hire
3+ years of experience in a hospital, acute care or direct care setting
Proven ability to type and have the ability to navigate a Windows based environment
Have access to high-speed internet (DSL or Cable)
Dedicated work area established that is separated from other living areas and provides information privacy
Preferred Qualifications
BSN
Certified Case Manager (CCM)
1+ years of experience within Medical/Oncology
Case management experience
Experience or exposure to discharge planning
Experience in a telephonic role
Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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.
Keywords:
telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license
$45k-52k yearly est. 6d ago
Actuarial Analyst Intern
Unitedhealth Group 4.6
Cypress, CA job
Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.
Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare.
This position will be supporting UnitedHealthcare's Employer & Individual (E&I) line of business and be located on-site in Cypress, CA with a hybrid work arrangement model of four days in office and one day remote.
Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare.
The Actuarial Summer Internship Program offers:
Focused career development opportunities
Networking with senior leadership
Formal mentorship program
Sponsored social and volunteer activities
Meaningful, relevant, and current project work critical to managing our business
Potential areas of focus may include but are not limited to:
Healthcare Economics
Pricing
Reserving
Forecasting
Data Analytics
Consulting
Primary Responsibilities:
Providing moderately complex analytical support to actuaries in the development and implementation of recommendations
Conducting and documenting moderately complex analysis and research
Preparing, forecasting, and analyzing trends
Initiating, compiling and preparing analytical models, tools and databases
Assisting in developing innovative strategies, policies, and procedures
Providing detailed summaries, reports, and recommendations to assist in managerial decision making
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 Qualification:
Must be actively enrolled in an accredited college/university pursuing a bachelor's or master's degree throughout the duration of the internship -
internships are not intended for graduating seniors
Pursuing a major in Actuarial Science, Mathematics, Statistics, Accounting, Finance, Economics, or another related technical field
Preferred Qualifications:
Minimum 3.00 cumulative GPA
1 or more actuarial exams passed
Demonstrated knowledge or interest in a career as an Actuary
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 $27.00 to $37.00 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.
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.
$27-37 hourly 4d ago
Healthcare Economics Consultant - Remote
Unitedhealth Group 4.6
Remote or Minnetonka, MN job
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 to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Support internal clinical, financial and quality data analysis to support value-based care agreements with various provider types at a national and local level
Create and support standard financial, utilization and quality reporting in accordance with contracting guidelines
Support ad-hoc analysis through gathering claims, financial, or membership data and summarizing key findings clearly with limited guidance
Support internal data analysis and other deliverables through data troubleshooting and data validation with guidance
Understand conceptual strategies and be able to present key deliverables, answer questions, participate in discussions, and make recommendations via meetings and emails
Lead projects to completion by contributing to the analysis and creation of financial reporting or the automation of reporting
Proactively manage routine processes and anticipating customer needs through independent prioritization
Serve as a resource to executive leadership in support of value based contracting strategy
Solve complex and ambiguous problems with broad impact on the business through critical thinking and resourcefulness
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:
3+ years of experience in an analytics capacity with evidence of proactive critical thinking and creative problem solving
Experience in the healthcare insurance industry with exposure to medical claims data
Intermediate or higher level of proficiency in MS Excel and Pivot Tables
Beginner or higher level of proficiency with coding in Snowflake, Toad, Snowsight, SQL, or SAS
Demonstrated highly effective verbal and written communication skills for a variety of audiences
Demonstrated ability to effectively manage multiple priorities
Preferred Qualification:
Demonstrated familiarity with SMART or other claims platform
*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.
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.
$72.8k-130k yearly 2d ago
Inpatient Utilization Management Nurse, RN - Remote in PST or MST
Unitedhealth Group 4.6
Remote or Sacramento, CA job
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and setting by following evidence based clinical guidelines, medical necessity criteria and health plan guidelines. Reviews and applies hierarchy of criteria to all inpatient admission and preauthorization requests from providers that require a medical necessity determination. Is involved in assuring that the patient receives high-quality cost-effective care. Uses sound clinical judgement and managed care principles in the coordination of care. Prepares any case that does not meet medical necessity guidelines for medical appropriateness of procedure, service or treatment for review with the Medical Director for a decision.
The shift is Monday through Friday 8am-5pm in Pacific or Mountain Time Zone. Occasional participation in weekend rotation is required.
If you are located in PST or MST, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Maintains clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporates this information into the clinical review and care coordination processes
Performs clinical review for appropriate utilization of medical services by applying appropriate medical necessity criteria guidelines
Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria
Documents clinical reviews in care management system. Provide accurate and timely documentation and supporting rational of decision in care management system
Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes and quality indicators
Research and prepares clinical information for case review with Physician Leadership for patient treatment and care planning
Utilizes knowledge of resources available in the health care system to assist the physician and patient effectively
Identifies members who are appropriate for care coordination programs and collaborates with the Medical Management team for care coordination of the member's needs along the continuum of care
Successfully completes the Interrater Reliability Testing to ensure consistency of review and application of criteria
Meets timeliness standards for decision, notification, and prior authorization activities
Serves as an advocate for all providers and their patients
Demonstrates a positive attitude and respect for self and others and responds in a courteous manner to all customers, internal and external
Maintains the confidentiality of all company procedures, results, and information about patients, contracts, and all other proprietary information regarding Optum business
Performs other duties as required or requested in a positive and helpful manner to enable the department to achieve its goals
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 unrestricted Registered Nurse (RN) license in state of residence
Ability to obtain Registered Nurse license in the state of California within 90 days of hire
3+ years clinical nursing experience in acute care hospital or LTAC setting
1+ years Utilization Management experience in hospital or insurance setting
Experience applying Medicare and/or Medicaid guidelines
Experience with Milliman (MCG) or InterQual guidelines
Experience researching and preparing clinical information for case review with Physician Leadership for patient treatment and care planning
Experience providing accurate and timely documentation of clinical review and supporting rational of decision in care management systems
Experience employing analytical skills necessary for quality case management, utilization review, and quality improvement to meet organizational objectives
Experience using various computer software applications with an intermediate level of competence, including Microsoft Word and Excel
Primary residence in Pacific or Mountain time zone and ability to work required hours in PST or MST
Preferred Qualifications:
Inpatient Utilization Management experience
Utilization Management experience for insurance or managed care organization
Prior Authorization experience
*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 $60,200 to $107,400 annually 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.
$60.2k-107.4k yearly 2d ago
Sales Executive
Athenahealth 4.5
Remote job
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
This job posting requires fluency in the Spanish language, including speaking, reading and writing.
Drive growth in our crucial small practice market by selling athenahealth's core healthcare technology solutions to independent medical practices with 1-5 providers in the Miami, Florida area. As a Sales Executive on our Small Group team, you'll manage the full sales cycle from lead generation to close, building relationships with healthcare providers and demonstrating how our solutions can transform their practice operations. This role offers the opportunity to make a direct impact on athenahealth's expansion in a key market segment while developing your sales expertise in the dynamic healthcare technology industry.
About the Team:
The Small Group Sales team is dedicated to bringing athenahealth's innovative solutions to medical practices with 1-5 physicians, a vital and expansive market segment for our company's growth strategy. Our team partners closely with Marketing, Onboarding, and Customer Success to deliver a seamless experience for prospects and new clients.
Essential Job Responsibilities:
Manage the full sales cycle from lead generation to close, including discovery, demonstrations, negotiations, and contract execution
Build and maintain a strong pipeline by developing relationships with potential clients and attending industry events
Conduct compelling product demonstrations that address the specific needs of small medical practices
Collaborate with cross-functional teams to ensure successful client onboarding and implementation
Maintain accurate records in Salesforce to support pipeline management and forecasting
Stay current on healthcare industry trends to effectively position athenahealth solutions against competitors
Additional Job Responsibilities:
Provide market feedback to product teams to inform future solution development
Participate in regular team meetings and training sessions to enhance product knowledge
Represent athenahealth at local healthcare events and conferences
Contribute to the development of sales strategies for the Small Group segment
Support marketing initiatives targeted at the small practice market
Expected Education & Experience:
Bachelor's degree required
2+ years of sales experience in a corporate or client-facing environment (may include inside sales, telesales, or quota-carrying roles)
Bilingual in English and Spanish highly preferred
Must live in or within driving distance of Miami, Florida
Strong presentation and communication skills (both in person and on the phone)
Working knowledge of CRM systems, preferably Salesforce
Healthcare industry experience a plus, but not required
Expected Compensation
$55,000 - $93,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision:
In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture:
Our talented
employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:
Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative
workspaces
-
some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,
full-time. With consistent communication and digital collaboration tools, athenahealth
enables
employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
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$55k-93k yearly Auto-Apply 6d ago
Director of Experience Design
Athenahealth 4.5
Remote job
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Director of Experience Design
We are looking for a Director of Experience Design to join the Brand and Performance team within our Marketing division here at athenahealth. In this role, the Director of Experience Design will lead the design, research, and optimization of digital marketing experiences across athenahealth's owned and paid ecosystems.
This role sits at the intersection of user insight, business strategy, and marketing performance seamlessly bridging the gap between user needs and business objectives. The Director of Experience Design will lead efforts to understand user behaviors and motivations, turn those insights into high performing, and connected digital journeys that span athenahealth.com, paid media, and partner channels.
This individual will combine UX strategy, research expertise, and data fluency, bringing together human-centered design with measurable impact. This is both a strategic and executional leadership role: the Director of Experience Design will lead by doing, collaborating across marketing, MarTech, analytics and IT to ensure experiences reflect a deep understanding of our users & drives business growth.
Job Responsibilities
Lead the end-to-end experience design across owned (athenahealth.com) and paid ecosystems (search, display, social, syndication).
Develop and evolve a UX strategy that aligns user needs and business goals into a cohesive experience framework.
Map and optimize cross-channel journeys, ensuring continuity of message, design, and experience from initial awareness through conversion.
Translate audience and behavioral research into actionable experience strategies that guide users seamlessly between media and web environments.
Create journey maps, prototypes, wireframes, and experience blueprints that define the ideal user path and guide key cross-functional teams (e.g., creative, content) in delivering connected experiences.
Lead the user research function within marketing, setting the strategy for discovery and validation research (e.g., interviews, usability testing, behavioral analysis, surveys, and A/B testing).
Partner with analytics teams to integrate qualitative insights with quantitative performance data.
Build and maintain an overarching digital experience journey with optimized journey maps, and behavioral models that serve as foundational tools across teams.
Develop and manage a testing and optimization roadmap that spans both paid and owned experiences-prioritizing not only conversion, but also experience quality, engagement depth, usability, and content effectiveness.
Partner with analytics and MarTech teams to define experience performance metrics that capture how well each journey delivers against user intent, brand perception, and business goals.
Lead by example through hands-on journey design, testing, and research synthesis.
Establish repeatable processes for experience intake, prioritization, and delivery that balance agility and creative excellence.
Present insights, hypotheses, and design outcomes to marketing and executive leadership with clarity and influence.
Typical Qualifications
Bachelor's degree in Marketing, or a related field; Master's degree preferred.
10+ years of experience in digital experience design, UX strategy, or digital marketing, with emphasis on user research and journey optimization.
Proven track record of turning user research and data into actionable digital experiences that drive measurable business outcomes.
Deep expertise in UX research methodologies (usability testing, interviews, behavioral analytics, surveys).
Proficiency in UX and analytics tools (e.g., Figma, Lucid, Hotjar, Adobe Analytics).
Ability to influence senior stakeholders with research-backed recommendations.
Experience in complex, multi-segment B2B or healthcare environments preferred.
Strong ability to navigate ambiguity and define problems before solving them.
Expected Compensation
$137,000 - $233,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision:
In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture:
Our talented
employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:
Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative
workspaces
-
some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,
full-time. With consistent communication and digital collaboration tools, athenahealth
enables
employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
******************************************************
$137k-233k yearly Auto-Apply 30d ago
Behavioral Health Care Advocate - After Hours Crisis - Remote CA
Unitedhealth Group 4.6
Remote or Los Angeles, CA job
**Premium pay offered for evenings, overnights, weekends, and holidays**
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.
You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.
For this role you must have an active and unrestricted license in your state of residence and you must be able to work nights, weekends and holidays.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Field inbound calls in a queue from members and providers for purpose of assessment and triage
Focus on initial inpatient admission for psychiatric and chemical dependency patients
Assess patients and determining appropriate levels of care based on medical necessity
Assess and manage member crisis calls
Determine if additional clinical treatment sessions are needed
Manage inpatient mental health cases throughout the entire treatment plan
Identify ways to add value to treatment plans and consulting with facility staff
Attend compliance training and team meeting
You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population.
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:
Independent, Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in behavioral health
Residence and licenses must be independent, active and unrestricted in the State of California
Proficient Microsoft skills (Word, Excel, Outlook)
Proven ability to talk and type at the same time and have the ability to navigate between multiple screens
Proven ability to work nights, weekends and holidays according to your schedule
Preferred Qualifications:
Inpatient experience
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
*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 $60,200 to $107,400 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.
$37k-43k yearly est. 2d ago
Director of Automation & Operational Excellence (Remote)
Unitedhealth Group 4.6
Remote or Wausau, WI job
A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S.
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$97k-116k yearly est. 3d ago
Software Engineer - Remote
Unitedhealth Group 4.6
Remote or Irvine, CA job
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Enterprise Information Security (EIS) team is responsible for cybersecurity across our organization. We support our business and members by reducing risk, rapidly responding to threats, focusing on business resiliency and securing new acquisitions.
Hiring a Quality Engineer who has a passion for learning, is a solid problem solver, and a critical thinker with broad technical experience. We need someone who has a background and experience with both legacy and new product development utilizing DevOps delivery. This role is for an individual contributor on an Agile team requiring hands-on technical skill and problem-solving for a large, complex Microsoft .NET full stack application development project. This is a Software Development Engineer in Test (SDET) role and requires skills with solid Microsoft .NET, C# Software Engineering to design and build advanced automated test suites using object-oriented methodologies. The role will cover development and testing (manual and automated) activity across all technology functions that ensure we deliver code with high quality for our application, product and services and to understand customer needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
The role includes, but is not limited to: Analyze User Stories / Bugs, Design / Design Review, Document, Code / Code Review, Test (Unit, Assembly, System & Regression), Deployment, & Post-deployment Support
Delivery requires automated test (manual testing as needed) mindfulness
Engineering focus on enriching the Customer Experience through high quality functional delivery, efficiency, testability, reliability, scalability, availability, and security of applications.
Foster high performance, collaborative technical work
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:
4+ years of experience with testing and test automation development
2+ years of experience with C# and .NET Software Development Life Cycle (SDLC)
2+ years of experience with RESTful Web API Development
2+ years of experience using SQL, Microsoft SQL Server, & SQL profiling skills / performance tuning SQL
Expertise in Agile and DevOps methodologies skills
Proven excellent analytical, problem solving and troubleshooting abilities
Demonstrated skills in active listening with the ability to express oneself clearly and effectively
Demonstrated skills and experience in collaborating, influencing, problem solving and negotiating
Preferred Qualifications:
Git Source Code Management, Test Automation, Azure DevOps Application Lifecycle Management (ALM)
Proven solid organizational skills and focus on accuracy and attention to detail
Identity and Access Management experience
Directory Services Development, Authentication and Provisioning experience
Requirements and technical specification documentation experience
Proficiency in MS Office (Word, Excel, Outlook, PowerPoint, Access, MS Visio)
*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.
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.
$72.8k-130k yearly 1d ago
Schedule Specialist, Home Health - Remote - CHRISTUS Homecare
Unitedhealth Group 4.6
Remote or Tyler, TX job
Explore opportunities with Christus Homecare, 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 Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
+ Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
+ Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
+ Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate 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 education or equivalent experience
**Preferred Qualifications:**
+ 1+ years of scheduling experience in a health care setting using an online scheduling system
+ Exceptional organizational, customer service, communication, and decision-making skills
+ Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
*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 $14.00 to $27.69 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._
$14-27.7 hourly 38d ago
Network Pricing Consultant - Remote
Unitedhealth Group 4.6
Remote or Cypress, CA job
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
Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
Analyze payment appendices to provide options for various contracting approaches and methodologies
Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
Conduct financial and network pricing modeling, analysis and reporting
Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
Lead large, complex projects to achieve key business objectives
Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
Strategize rates or contract methodology with network management to create optimal contract
Review competitive analysis to identify appropriate pricing rate for provider
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:
4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
3+ years of experience with provider payment methodologies and healthcare products
3+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding
Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
Presentation experience to internal or external stakeholders or customers
Expert level proficiency in MS Excel
Proven expertise in financial impact analysis, risk management and data manipulation
Proven solid interpersonal, collaboration, negotiation and communication skills
Proven excellent communication skills, both written and verbal
Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
Proven ability to research and solve problems independently
Preferred Qualifications:
Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
Experience in MS Access, SAS, SQL, R, or Python
Experience with advanced statistical functions for financial modeling
Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
*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 $71,200 to $127,200 annually 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.
$71.2k-127.2k yearly 21h ago
Teleradiologist Body Radiologist - Radiology - Kelsey-Seybold - Remote
Unitedhealth Group 4.6
Remote or Houston, TX job
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.**
**Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses.** Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together.**
**Primary Responsibilities:**
Join a 30+ radiologist group that is based at our Main Campus location with a possible rotation to an outlying satellite clinic. We are seeking a board-certified radiologist interested in general radiology to include:
+ Radiography
+ General fluoroscopy and procedures
+ Proficiency with interpretation of ultrasound and general body CT preferred.
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:**
+ Graduate of an approved radiology residency program in the United States.
+ Licensed in the State of Texas.
+ Board Certified and/or Board Eligible.
**Preferred Qualifications:**
+ Bilingual (English/Spanish) fluency
Compensation for this specialty generally ranges from $423,500 to $682,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. 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.
_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._
$229k-463k yearly est. 40d ago
Enterprise Segment Marketing Associate
Athenahealth 4.5
Remote job
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Enterprise Segment Marketing Associate
We are looking for a Marketing Associate to join the Enterprise Marketing team. In this role, the Marketing Associate will utilize an understanding of our segments' audiences and their needs to support message development and at scale tactics like campaigns, as well as develop 1:1 content and messaging to support the growth of our largest enterprise customers. This individual will act as a strong communicator who can work collaboratively and creatively with different stakeholders across the business. The Marketing Associate should be organized, detail-oriented and able to strategize and execute multiple projects effectively and on time. The ideal candidate will work to independently identify the tasks needed to complete a project and take action at “sales speed”.
The Team: Enterprise Segment Marketing team owns the Enterprise go-to-market strategy for healthcare organizations with 275+ MDs, working in close alignment with our Sales stakeholders and Marketing partners to help grow pipeline and bookings. We support the new and existing logo Enterprise business through at-scale, 1:few, and 1:1 tactics informed by our strategy to grow the business across our key audiences, by leveraging tactics like web and paid media, lead generation partnerships, outbound activations, industry and proprietary events, sales enablement, active pipeline deal support, and customer co-marketing.
Job Responsibilities
Support campaign development through execution by drafting comprehensive campaign briefs and working closely with cross-functional and partner marketing teams to ensure successful launch and delivery.
Develop recruitment launch materials for events and campaigns to support SDR outreach efforts.
Assist with SDR outreach play development, from content creation and stakeholder alignment to play execution and performance reporting.
Support development of compelling messaging that resonates with our Enterprise prospects and their various buyer personas, while aligning to our athenahealth brand and value messaging.
Support event recruitment and execution
Proactively engage with the sales team to coordinate marketing activities, communicating frequently to build trust and alignment.
Create customized, compelling content in support of individual sales strategies to help a prospect understand why a partnership with athenahealth is the right decision for their business.
Test, measure, analyze, and optimize marketing tactic performance, report on results and apply learnings to future strategies.
Typical Qualifications
Bachelor's degree in business, marketing, or related field required
1+ years' experience in marketing or sales; content and messaging experience preferable
Strong writing, communication, Excel reporting, and presentation development skills
Impeccable project management skills and highly detail-oriented
Ability to interface directly with sales teams
Ability to manage multiple projects at once from concept to completion
Self-starter who can work independently in a fast-paced environment
Expected Compensation
$55,000 - $93,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision:
In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture:
Our talented
employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:
Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative
workspaces
-
some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,
full-time. With consistent communication and digital collaboration tools, athenahealth
enables
employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
******************************************************
$55k-93k yearly Auto-Apply 4d ago
Manager, Member and Administrative Operations, Remote in WA
Unitedhealth Group 4.6
Remote or Seattle, WA job
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
The Member and Administrative Operations Leader is responsible for overseeing all elements of the Health Plan member experience along with assigned administrative functions including policies and procures, audit readiness, contract compliance and business continuity. While the role will give preference to candidates living in Washington and familiar with Washington Medicaid programs, this is not a requirement. This position will require limited travel to Washington (10%).
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Washington preferred. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Member Operations Leadership:
Lead a team of professionals primarily focused on member and provider materials
Create and execute the member experience strategy. This includes maintaining awareness of current member sentiment, creating strategies to improve experience within budget limitations, collaborating across the health plan and UHG enterprise to execute that strategy, and monitoring outcomes to adjust future iterations of the plan
Maintain situational awareness of local market factors that may impact members and create and implement member engagement strategies to address
Responsible for state required reporting on a monthly, quarterly and annual basis
Create new solutions to address difficult and long-standing challenges in improving health care outcomes including development and oversight of value added benefits
Oversee value added benefits (VABs) for Washington Medicaid. Maintain awareness of market dynamics and member needs. Understand and communicate strategic advantage of VABs. Advocate to leadership for VABs. Partner with national procurement teams to implement VABs. Track utilization of VABs
Set priorities to ensure task completion and performance goals are met for Enrollment Services
Oversee member call center functions and member materials creation and execution, including member handbook, ID card, welcome kit materials and member website
Communicate any observed enrollment issues to Washington Health Care Authority (HCA) state partners and ensure the adoption of policies, processes and best practices required for success
Partner with UHC policy team to create member experience and enrollment advocacy strategy. Represent that strategy directly to HCA and equip other Health Plan leaders to do so
Maintain awareness of all contract elements related to member experience and create and execute business plans to manage those requirements
Responsible for all elements of member materials, including creation, HCA approval, and publication. Responsible for selected provider materials, including, but not limited to Provider Manuals
Administrative Operations Leadership:
Oversee Health Plan Policy and Procedure committee and process
Represent Health Plan in regulatory audits for assigned business areas
Partner with enterprise resiliency team to oversee Health Plan Business Continuity requirements, including simulation facilitation, recovery team contact testing, and completion of related HCA reports
Partner with Compliance Officer and COPA Director to lead Health Plan leaders in the creation and maintenance of contract compliance business plans
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 Medicaid experience
3+ years project management or strategy development and execution
2+ years representing Health Plan to regulators, such as HCA or other Medicaid agencies
1+ years of supervisory/leadership experience with direct responsibility for managing performance of employees
Proficiency with MS Office, which includes the ability to navigate and learn new and complex computer system applications
Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive presence
Proven ability to articulate business strategies and formulate concise solutions to complex problems
Ability to travel to Washington periodically (no more than 4 times annually)
Preferred Qualification:
Resident of Washington and familiarity with Washington Medicaid
*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 $89,900 to $160,600 annually 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.
$56k-69k yearly est. 1d ago
Senior Coding Associate - Customer Insights
Athenahealth 4.5
Remote job
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Senior Coding Associate - Customer Insights
We are looking for a Senior Coding Associate of Customer Insights to join the Medical Coding team here at athenahealth. In this role, Senior Coding Associate of Customer Insights will be responsible for evaluating customer readiness and ensuring customers successfully adopt the athena One Medical Coding Service. The Senior Associate will need a strong understanding of the healthcare industry and medical coding guidelines required to ensure our customers realize improved outcomes on the athena One Medical Coding service. This individual must be an analytical thinker, demonstrate strong attention to detail, be organized, communicate effectively with both internal teams and customers, think critically, and be a creative problem solver. The Senior Coding Associate must be an expert in coding principles and adhere to compliant coding standards in your work to ensure the integrity of our service with the ability to translate customer needs into process improvements. As a Senior Associate, this individual will be responsible for managing projects independently and influencing internal and external stakeholders to ensure alignment and direction.
Job Responsibilities
Analyze provider documentation and audits to identify areas of opportunity for our customers to improve their documentation and system usage
Analyze customer configurations and practice information relevant to the Medical Coding work to identify gaps, discrepancies, and areas that could cause disruption in the work
Exemplify a mindset of continuous process improvement to ensure we evolve our work to improve efficiency, outcomes, and support scale
Design elegant solutions that favor automation, work prevention, and product enhancement over manual workflows
Master workflow design and analysis through Lean Six Sigma or other operational engineering techniques, considering impact on dependent processes and ensuring continuity of work delivery
Identify opportunities to expand the value we provide to clients through more or better service(s) using your understanding of customer business problems
Independently manage multiple complex projects concurrently ensuring appropriate prioritization to meet deadlines
Create project presentations with multiple audiences in mind - internal stakeholders, leadership, and customers
Ensure presentations are on-brand, clearly written, informative, providing value to your intended audience, and concisely written as a show of respect for everyone's time
Provide support, mentoring, and ongoing education opportunities for new hires and colleagues across Service Integrity, creating content and collateral as needed
Typical Qualifications
Bachelor's Degree (or commensurate level of professional experience)
CPC and/or CCS certified from AAPC or AHIMA required
3+ years of professional experience in Medical Coding
Experience working with cross-functional groups and teams to achieve common goals and communicating and presenting to stakeholders
Experience communicating directly with customers and/or medical providers
Demonstrated ability to assume sole and independent responsibility for various projects
Experience implementing computer assisted coding and/or coding automation tools preferred
CPC and/or CCS certified from AAPC or AHIMA required
Experience in auditing medical charts for accuracy to support coding decisions and compliance with coding regulations
Proficiency in Microsoft Office Suite: Excel, PowerPoint, Word, Outlook, OneNote
Knowledge of Lean Six Sigma and Agile development methodologies preferred
SQL experience preferred
Expected Compensation
$66,000 - $112,000
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision:
In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture:
Our talented
employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:
Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative
workspaces
-
some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,
full-time. With consistent communication and digital collaboration tools, athenahealth
enables
employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
******************************************************
$66k-112k yearly Auto-Apply 5d ago
Client Support Analyst
Athenahealth 4.5
Remote or Belfast, ME job
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
As a CSC Analyst, you will provide high-level support to end users via phone and email in a dynamic, fast-paced environment. You will become an expert in the athena One application and resolve client inquiries quickly, accurately, and effectively. Collaborating with cross-functional teams, you contribute to continuous service improvement while managing multiple communication channels simultaneously.
Key Responsibilities:
Qualified candidates must possess effective communication skills which includes strong written and verbal communication. The ability to think analytically and process complex information into comprehensive terms is a must.
Apply organizational skills and attention to detail in all actions to ensure accurate and timely results.
Utilize multiple tools provided via telephone with clients to diagnose issues and provide solutions, must be an expert at troubleshooting and split-second analysis.
Working cross-functionally (this may include multiple departments, divisions, states and countries) to continuously improve our services.
Develop deep product knowledge of athena One to troubleshoot and guide clients via phone and cases.
Diagnose complex software issues and deliver clear, actionable solutions.
Manage case and communication queues to meet quality and production targets.
Use Salesforce CRM to track and respond to client inquiries promptly.
Communicate efficiently with internal teams and external clients to manage expectations and status updates.
Embrace continuous learning and share knowledge to enhance team expertise.
Own special project assignments and actively participate in departmental goals.
Required Qualifications:
High school diploma or GED.
3-4 years of professional business experience.
Exceptional customer service skills with the ability to manage client expectations.
Strong multitasking ability in a fast-paced, technology-driven environment.
Hardware and Software troubleshooting experience is a preferred background as strong technical acumen is necessary to be successful in this role
Proven Teaching ability. It's not enough to give our clients the right answer, you have to ensure they understand the answer and teach them the context and/or business process for achieving a successful outcome on their own in the future
Ability to multitask in a demanding, fast-paced environment. Extreme comfort level with having multiple windows open, systems up and running, quickly navigating between screens, all while providing excellent service to our customers, responding to emails and resolving client cases, often simultaneously
Preferred Qualifications:
2+ years in a call center or customer service role.
Experience in hardware/software troubleshooting.
Proficiency with MS Office, Salesforce, and common web browsers.
Ability to explain solutions effectively and teach clients for future success.
Why athenahealth?
Opportunity to grow and advance through skill development.
Collaborative and innovative team culture.
Work-from-home flexibility with structured schedules.
Be part of a company dedicated to simplifying healthcare for providers and patients.
Expected Compensation
The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision:
In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture:
Our talented
employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:
Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative
workspaces
-
some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,
full-time. With consistent communication and digital collaboration tools, athenahealth
enables
employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
******************************************************
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