Healthcare Account Executive - Phoenix
A Place for Mom job in Phoenix, AZ
Exciting opportunity to join the A Place for Mom team as an outside sales Healthcare Account Executive. You will be the face of A Place for Mom with the hospitals and skilled nursing facilities in your territory and the families being discharged from the facilities as we grow the business. You are responsible for driving lead generation and move-ins to communities from your book of accounts. You are hungry, excited to build relationships with healthcare professionals, and persistent in finding the most effective approaches to grow each account in order to help more families find the care they need.
What You Will Do:
* Work in a fast-paced, growing industry to help families and professional referral sources with seniors urgently needing to be discharged into a community meeting their needs or with a home care agency as they transition out of a hospital or skilled nursing facility
* Deliver on your target quota of families selecting a senior care option each month by generating daily qualified patient referrals from your assigned market plan accounts
* Currently maintains a portfolio of clients (social worker, case managers, and discharger planners) specifically in hospitals and skilled nursing centers within this open territory
* Develop, own, and grow your book of accounts to increase referral volume in your territory
* Cultivate new contacts within each account through networking, cold calls, and service presentations, following up with each referral source on discharge outcomes to reinforce the value A Place for Mom delivers
* Educate families on their care options and how they will work with you and a Healthcare Senior Living Advisor to find the right senior living option as they are discharged
* Work with your partner Healthcare Senior Living Advisors to deliver on your target quota of families in moving into a community or hiring in home care
* Leverage and analyze reports in our CRM and internal structure to develop and manage your pipeline
* Pilot new initiatives, tests, and processes (e.g., account scoring, CRM changes) in your territory and provide feedback to improve the tools and resources at your disposal
Qualifications:
* Bachelor's degree preferred
* 3-5 years of outside sales experience as an individual contributor with exceptional prospecting and lead generation abilities
* Knowledge of the Senior Living Industry
* Hospital/skilled nursing facility sales experience
* Proven track record of exceeding sales quotas and collaborating with other teams to do so
* Must be relationship driven with a strategic mindset
* Successfully demonstrated experience in presenting to target customers and overcoming objections
* Thrives in a fast-paced, change infused, independent environment with a willingness to roll up your sleeves, test new processes, and get the job done
* Hungry to learn and improve with a strong competitive approach
* Expected to travel daily into the accounts in your territory during the 5-day business week (locally)
* Strong communication skills with both internal and external stakeholders at all levels
* Effective time management skills
* Technologically focused and proficient in Microsoft Office, Google Sheets and a CRM (Salesforce preferred)
Schedule:
* You will be in the field daily, working with your Regional Director to build your account plan each week to build, nurture, and grow your accounts to deliver on your monthly targets
* Your time in the field will include scheduled presentations at accounts, calls, and impromptu drop-ins to meet with case managers, discharge planners, doctors, and the patients being discharged
Compensation:
* Base Salary: $80-90K
* On Target Earnings: $115-125K+ (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 *********************
Customer Service Representative
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ Optum 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.**
Must be available to work any 8-hour shift within our standard business hours of 7:00 AM to 7:00 PM EST, Monday through Friday. Final shift will be assigned after training is completed.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ Answer a high volume of calls from patients or their representative
+ Perform scheduling, re-rescheduling, and cancelation of patient appointments.
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
+ Maintain all Compliance and HIPAA regulations at all times
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR older
+ 1+ years of experience in healthcare call center or office setting in healthcare, while analyzing and solving customer problems
+ Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
+ Must be available to work any 8-hour shift within our standard business hours of 7:00 AM to 7:00 PM EST, Monday through Friday. Final shift will be assigned after training is completed.
**Preferred Qualifications:**
+ Medical terminology experience
+ Proficient in translating health care-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 - $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._
Claims Representative
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ **UMR** , **UnitedHealthcare** 's third - party administrator (TPA) solution, is the nation's largest TPA. When you work with **UMR** , what you do matters. It's that simple . . . and it's that rewarding.
In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within **UMR** due to our record - breaking growth.
Regardless of your role at **UMR** , the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.
This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 8:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 7 weeks of paid on-the-job training. The hours during training will be 8:00 am - 4:30 pm CST from Monday - Friday. **Training will be conducted virtually from your home.**
**Primary Responsibilities:**
+ Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims
+ Analyze and identify trends and provide reports as necessary
+ Consistently meet established productivity, schedule adherence, and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR equivalent work experience
+ Must be 18 years of age OR older
+ Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
+ Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 7:00 am - 8:00 pm CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime.
**Preferred Qualifications:**
+ 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
+ 1+ years of experience with processing medical, dental, prescription, OR mental health claims
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*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 $17.74 - $31.63 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._
Manager, Clinic Operations
Scottsdale, AZ job
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Primary Responsibilities:
* Provides leadership demonstrating the ability to influence, motivate, manage, train, counsel and develop staff to work toward their highest level of function, in accordance with job descriptions and competencies. Delegates staff effectively; demonstrating the ability to plan, organize, direct, control, monitor and evaluate services, while using the available resources appropriately
* Oversee 2 clinics - Scottsdale and Fountain Hills
* Daily monitoring of charge capture patient encounters, co-payment collections, accounts receivable, denials, cash collections and credit/refunds. Develops reporting mechanisms to provide accurate updates to clinic/site Management Team on process improvements regarding revenue related activities
* Works closely with Director to ensure sound fiscal and business performance within clinic/site, and implements any necessary changes/modifications as directed by Director
* Managing staff schedules, including physician, on a daily basis to ensure optimum scheduling and coverage of Clinic services. This includes monitoring staff and physician requests for time off to ensure proper coverage at all times
* Ensures staff and leadership training and development programs are implemented, monitored and enforced in compliance with organizational initiatives and regulatory requirements. Develops opportunities for personal and professional goal achievement for self and assigned staff
* Works closely as part of clinic/site Management Team to align processes and clinic outcomes with The Group strategic plan
* Performs other duties as assigned
Competencies:
* Patient Relations: Meets patient and patient family needs; takes responsibility for a patient's safety, satisfaction, and clinical outcomes; uses appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence
* Developing Others: Plans and supports the development of individuals' skills and abilities so that they can fulfill current or future job/role responsibilities more effectively
* Leadership Disposition: Demonstrates the traits, inclinations, and dispositions that characterize successful leaders; exhibits behavior styles that meet the demands of the leader role
* Planning and Organizing: Establishes courses of action for self and others to ensure that work is completed efficiently
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:
* 2+ years of related experience; one year of which being in a supervisory capacity
* Proven knowledge of professional billing and various healthcare requirements including, but not limited to, access, coding, billing, collections, practice management systems, payer relations, appeals, and authorization process
* Driver's License and access to reliable transportation
Preferred Qualification:
* Managed Care experience
* Related experience in technical or specialty areas
* Proven ability to communicate effectively; ability to analyze and interpret data; ability to plan, develop and coordinate multiple projects
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.
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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Field Community Health Worker - Pima or Maricopa County, AZ
Phoenix, AZ 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.**
The **Field Based** **Community Health Worker** is responsible for assessment, planning and implementing care strategies that are individualized by patient and/or Community Organizations and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Field Based Community Health Worker (CHW), you will act in a liaison role with Community Organizations/members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinant of health such as transportation, housing, and food access.
**Schedule:** Monday through Friday between the hours of 8:00 am to 5:00 pm Arizona Time Zone. This position is a field-based position with a home-based office. You will work from home when not in the field.
**Location:** Phoenix, Tucson, Chandler, Mesa, Tempe and surrounding communities in Arizona. Local travel up to 60% and mileage is reimbursed at current government rate.
If you reside in **Phoenix, Tucson, Chandler, Mesa, Tempe and surrounding communities in Arizona** , you'll enjoy the flexibility to telecommute* as you take on some tough challenges.
**Primary Responsibilities:**
+ Create a positive experience and relationship with the member
+ Keep the member out of the hospital by supporting regular visits to their primary physician
+ Keep member actively engaged with their primary physician
+ Support the member to ensure pick - up of their Rx
+ Proactively engage the member to manage their care
+ Provide member education
+ Support transitions of care
+ Help to keep members compliant with their care plans
+ Partner with care team (community, providers, internal staff)
+ Knowledge and continued learning of community cultures and values
+ May conduct member assessments if needed
+ Performs other duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 4+ years of community outreach work or volunteering experience
+ 2+ years of experience working or volunteering within the Community Health setting in a field-based healthcare role
+ 2+ years of experience working or volunteering within the local Community, with demonstrated knowledge of culture and values within the Community and familiarity with the resources available within the Community
+ Intermediate level of computer proficiency including MS Word, Excel and Outlook and be able to use multiple web applications
+ Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
+ Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
+ Reside within commutable distance to Pima and Maricopa Counties in Arizona
+ Ability to travel locally approximately 60% of the time and up to 100 miles round trip with Reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Arizona Driver's License and State-required insurance
**Preferred Qualifications:**
+ Community Health Worker (CHW) State course completion
+ Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant
+ Experience with arranging community resources
+ Experience with electronic charting
+ Experience working in team-based care
+ Knowledge of Medicaid population
+ Background in managing populations with complex medical and behavioral needs
+ Bilingual - Spanish
*All Telecommuters 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 $20.00 to $35.72 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._
\#RPO #RED
Home Infusion Pharmacist
Phoenix, AZ 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.**
What makes your pharmacy career greater with OptumRx? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. As a pharmacist on the Clinical and Pharmacy Operations team, you will perform various duties as it relates to therapy assessment, care planning and departmental communications to streamline efficiencies across the department.
To succeed in this position, a baseline understanding of various infusion related therapies is needed. These functions include interpreting, formulating, and dispensing of infusion and/or specialty drugs for sterile compounding and/or distribution. Pharmacist clinical activities include therapy assessment, care planning, and medication reconciliation as they pertain to individual patients and the appropriate monitoring for effective care and positive patient outcome. This is a dynamic work environment and requires flexibility to meet business needs and adaptability to frequent changes. Teamwork is the norm and all employees will be held accountable to work as effective team members.
This position is for a Clinical and/or a Production Pharmacist working in the Optum Specialty Infusion Services unit within OptumRx, a UnitedHealth Group company.
**Must be available to work an 8 hour shift between the hours of 7 am - 7 pm.**
**Primary Responsibilities:**
+ Reviews medication orders and evaluates appropriateness and completeness of orders with consideration given to the special needs and behaviors of the specific age group served
+ Verifies all prescriptions not directly received from the prescriber or physician's agent
+ Provides oversight of the safety, appropriateness, and effectiveness of the pharmaceutical care provide to patients (consumers) as it relates to specialty products dispensed
+ Assesses the patient at the initiation of drug therapy, develops a patient care plan and drug monitoring regimen, and monitors the patient according to the care plan throughout the course of therapy
+ Communicates with the patient, physician, nursing staff, other pharmacists, and other members of the health care team regarding patient status, response to therapy, and clinical objectives to ensure clinical outcomes are met
+ When required, compounds intravenous and specialty pharmaceuticals in an aseptic fashion according to established State Board of Pharmacy, Federal, USP sterile guidelines and company policy
+ Knowledgeable of the proper use and handling of both sterile and hazardous medications; Compounds and handles sterile and hazardous medications in accordance with established guidelines and regulations
+ Ensures compliance with all FDA, DEA, State Board of Pharmacy, OSHA, and other regulatory standards; Follows all department policies and procedures
+ Provides indirect oversight of pharmacy technician and pharmacy support staff
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:**
+ BS in Pharmacy or Pharm D degree
+ Pharmacist license in good standing in the state of Arizona, or the ability to obtain within 30 days
+ 1+ years of experience working as a licensed Pharmacist in a hospital, home infusion setting, or related healthcare environment
+ Solid drug product and clinical pharmacy knowledge
+ Knowledgeable in various infusion related therapies with ability to work through the complexity of therapy related orders
+ Demonstrated ability to fill medication orders accurately and in a timely manner
+ Demonstrated ability to navigate MS Office and a Windows based environment and able to create, edit, save, and send documents utilizing Microsoft Word; Ability to navigate Outlook and conduct Internet searches
+ Demonstrated ability to work a flexible schedule and rotate being on call based on business needs
**Preferred Qualifications:**
+ Nutritionally Certified
+ Home Care or Home Infusion experience
+ Sterile compounding experience
+ CPR+ software experience
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 $43.22 to $77.21 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._
Medical Assistant - Deer Valley, AZ
Phoenix, AZ 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 Medical Assistant position is responsible for coordinating and assisting the provider to ensure safe quality/cost-effective service and care for the people within the practice population. This position will also be responsible for providing technical clinical services and clerical support for the delivery of quality patient care as directed by licensed staff, a physician, or a mid-level practitioner.
* This position will work on-site at: Summit Rheumatology in Deer Valley / Phoenix, AZ
Primary Responsibilities:
* Collects patient assessment data to include height, weight, vital signs, chief complaint/symptoms, and current medications for assessment by licensed staff
* Prepares the patient for provider evaluation by obtaining specimens, positioning for exams, listing medications, and assisting during exams and procedures
* Maintains work area, exam treatment, and lab in a clean, safe manner; restock with supplies as needed
* Assists with lab procedures by collecting urine specimens, collecting, and preparing blood samples for reference lab; labeling all specimens with accurate patient ID as ordered by the physician
* Documents patient information in the medical record to include updated treatment procedures, medication refills, test results, and patient concerns, etc.
* Assists and processes all scripts, referrals, and authorizations as needed
* Manages flow of patient care, while ensuring phones are being answered, and appointments are as efficient as possible
* Schedules patients for injections and infusions
* Orders supplies and medications. Check both into and out of inventory
* Performs diagnostic testing procedures
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 accredited medical assistant program
* BLS/CPR upon hire
* 1+ years of clinic experience
* Proficiency with MS Outlook
Preferred Qualifications:
* Current MA Certification
* EMR / ECW
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 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.
Vice President of Sales - Small Business/Key Accounts - Phoenix, AZ
Phoenix, AZ 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
This Sales Leadership position is responsible for achieving membership, revenue and profitability objectives for the Key Accounts segment through the broker/consultant distribution channel. This leader's responsibility includes leading the Sales Staff and managing the distribution of the company's products and services of our core Medical business and Specialty products. This role will lead the development and execution of the annual Market Business Plan for the Key Account Sales segment
Position is aligned and works in close coordination with HP Leadership and various matrix partners (i.e. Optum, Optum Rx, underwriting, actuary, etc) to work toward the objectives of the local health plan. The role requires development of best practices and performance strategies for the market. Position is responsible for development and execution of the market's KA Sales plan. Increases sales pipeline, increases sales results and enhances market presence.
Primary Responsibilities:
* Ultimate accountability for sales results
* Designs and implements long and short term sales strategies for all products for the Key Accounts segment
* Knowledge of the local market and the competitors within it
* Manage proposal activity, broker performance and close ratios
* Forecast sales projections to ensure HP sales goals are being met
* Develops best practices and works to implement based on local market conditions
* Attract, recruit and retain a strong sales force
* Train and Develop the sales force
* Monitors on-going business plan performance throughout the year
* Possesses expert consultative skills
* Determines business solutions that positively impact the organization's profitability
* Requires clear consistent communication to reach the goals of the organization
* Must possess strong presentation skills
* Will be involved with ongoing Channel strategy
* Involvement with United advantage program/strategy to enhance and modify and continuously drive performance
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:
* State Life and Health Insurance License
* 5+ years of management experience, including the ability to create a strong and aggressive Sales culture throughout the sales organization
* Demonstrates experience in full-range health care products, including but not limited to HMO,POS, PPO, Indemnity and specialty products
* Possesses solid knowledge of health care systems and financing approaches and demonstrates the ability to apply it in developing local sales strategies
* Demonstrates a successful history of sales and sales management in the managed health care industry
* Proven to possess a solid track record in results-oriented, sales environment
* Travel as required
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 $130,000 to $240,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. 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.
Trainer Associate
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week._
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.**
This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm PST. It may be necessary, given the business need, to work occasional overtime.
We offer on-the-job training. The hours of the training will be aligned with your schedule.
**Primary Responsibilities:**
+ Conduct new hire and continuing education training as it applies to the role.
+ Develop and facilitate departmental continuing education programs.
+ Evaluate existing training processes, tools, and activities for effectiveness.
+ Collaborate with BPAs to develop and maintain instructional materials, demos, process flows, and presentations as they apply to the job role.
+ Monitor and report the effectiveness of training during the orientation period and for continued career development.
+ Research and present new training techniques and/or attend training classes/seminars.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR Equivalent combination of education, experience and/or applicable military experience
+ Must be 18 years of age OR older
+ 2+ years experience in designing/developing and implementing professional training materials and conducting training in a business/academic environment, preferably in the healthcare industry
+ Experience working within Optum Serve
+ Knowledge of effective training and writing techniques in order to design, develop and deliver instructive training
+ Knowledge of learning styles
+ Communication skills in order to communicate ideas in a structured and logical manner both verbally and written
+ Experience with Microsoft Office Suite - Microsoft Word, Microsoft Excel (Create, sort, filter) Microsoft Outlook, and Microsoft PowerPoint (Create, edit and present)
+ Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm PST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Experience with adult learning workshops and seminars a plus
+ National Career Readiness Certificate holder
+ Knowledge of other word processing/spreadsheet/presentation software in order to design and develop training programs and materials
+ Experience in Microsoft 365, Snag It, Articulate 360
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills:**
+ Ability to communicate effectively with a wide variety of personality styles
+ Ability to use previous experience and judgment to plan and accomplish goals while performing a variety of tasks requiring a wide degree of creativity
+ Excellent verbal and written communication skills
+ Effective editing and proofreading skills
+ Ability to communicate effectively with a wide variety of personality styles
+ Detailed oriented, demonstrated ability to work independently, and proven organizational skills
+ Must have the ability to prioritize projects and multi-task while meeting critical deadlines
+ Effective critical thinking skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 - $41.83 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._
Bereavement Coordinator Hospice
Phoenix, AZ job
Explore opportunities with [agency name], 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 a Bereavement Coordinator, you will supervise the provision of bereavement services that reflect the needs of patients and their families. You will demonstrate proficiency in providing bereavement services to individuals of all races, ages, genders, sexual orientations, social classes, spiritual beliefs, and mental/emotional statuses, as evidenced by observation and EGSS scores.
Primary Responsibilities:
* Establishes a Plan of Care addressing bereavement needs, detailing services and frequency up to 13 months post-patient death
* Demonstrates active listening and provides impactful suggestions during phone and home visits within LHC guidelines
* Leads and coordinates at least 12 Grief Support Group sessions per year
* Maintains Bereavement Binder with information and attendance sheets from various events and presentations
* Provides individualized and compassionate care for each bereaved, documented in Visit Notes, Bereavement Risk Assessment, Care Plan, and EGSS scores
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:
* Bachelor's degree in Social Work, Psychology, Mental Health Counseling, Psychiatric Nursing, Pastoral Counseling, OR equivalent education/training per state regulations
* Experience in grief and loss counseling
* Current CPR certification
* Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
Preferred Qualification:
* Master's degree in Social Work, Psychology, Mental Health Counseling, Psychiatric Nursing, Pastoral Counseling
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 $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Collections Representative
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ Optum 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.**
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm MST. It may be necessary, given the business need, to work occasional overtime.
We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.
**Primary Responsibilities:**
+ This position performs collecting, reconciliation, research, correspondence, and independent problem solving.
+ Reconciles complex, multi-payment accounts.
+ Submits appeal letters on underpaid claims as directed.
+ Interprets payer contracts to determine if payment and adjustment is accurate.
+ Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts.
+ Identifies needs for process improvements and creating/enhancing processes in the PFS department.
+ Promotes positive teamwork within department and among employees.
+ Works with all hospital departments for proper coding and billing procedures.
+ Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements.
+ Utilizes top customer service skills with all customers: patients, government agencies and commercial insurances
+ Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction.
+ May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity.
+ Coordinates with other staff members and physician office staff as necessary ensure correct processing.
+ Reconciles, balances, and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement.
+ May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors.
+ Makes appeals and corrections as necessary.
+ Builds strong working relationships with assigned business units, hospital departments or provider offices.
+ Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems.
+ Provides assistance to internal clients.
+ Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues.
+ Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.
+ Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.
+ Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.
+ Works independently under general supervision, following defined standards and procedures.
+ Uses critical thinking skills to solve problems and reconcile accounts in a timely manner.
+ **External customers include all hospital patients, patient families and all third-party payers.
+ **Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ Must be 18 years of age OR older
+ 1+ years of experience with healthcare billing and/or collections
+ 1+ years of recent experience in follow-up with Medicare or Medicare Managed Care plans, including handling appeals and denials.
+ Proficient in Microsoft Office Suite - including Microsoft Word, Microsoft Excel, and Microsoft Outlook
+ Ability to work Monday - Friday, 8:00AM - 5:00PM MST
**Preferred Qualifications:**
+ Experience with follow up on Arizona/Nevada Medicare & Medicare Managed claims
+ Experience working with commercial follow up claims
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
*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 $17.74 - $31.63 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._
\#RED
Hospital Coding Subject Matter Expert
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ **Explore opportunities with Optum** , in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind **Caring. Connecting. Growing together.**
Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are followed within their respective facilities.
The Coding SME is a critical member of the Optum360 HIM/Coding Operations team. This role is responsible for client facing meetings with the Quality Teams, CDI, and others directly related to accounts associated with prebill reviews, such as, HAC/PSIs. The Coding SME drives continuous quality improvements and tracks, monitors, and trends performance to improve business objectives and to disrupt the status quo to exceed Service Level Agreement commitments. This position must maintain strong client relationships and represent Optum360 in all aspects of its values.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6am - 6pm. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of on-the-job training and the hours during training will be during normal business hours.
**Primary Responsibilities:**
+ Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment.
+ Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations:
+ Works collaboratively with HIM, CDI, Client, and Coding Operations to monitor day to day coding operations, complete prebill coding reviews, and prebill quality reviews.
+ Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency.
+ Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets.
+ Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans
+ Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client.
+ Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement. Leads initiatives towards meeting and exceeding employee satisfaction.
+ Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results.
+ Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers.
+ Provides team leadership and promotes a successful business operation by: Executes the integration of the Optum360 Coding functions and processes in the facilities they serve. Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience. Fosters teamwork atmosphere between business and clinical stakeholders. Provides staff training and mentoring. Provides development of employees through consistent and constructive feedback geared towards accuracy. Rewards and recognizes performance and provides leadership direction during the common review process. Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction.
+ Other duties as needed and assigned by Optum360 leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required.
+ Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
+ Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED
+ AAPC or AHIMA (CCS, CPC, RHIT or RHIA) coding credential
+ Must be 18 years of age or older
+ 3+ years of experience in inpatient hospital coding
+ Experience with MS-DRG and/or APR-DRG
+ Experience with ICD-10-CM and/or ICD-10-PCS coding systems
+ Experience working collaboratively with CDI and/or Quality leadership in partnership to improve reimbursement and coding accuracy
+ Experience with computer assisted coding technologies and EMR (Electronic Medical Record) coding workflow
+ Experience with Microsoft Office Suite, including Excel, Word, and PowerPoint
+ Ability to work an eight-hour shift between 6:00 AM and 6:00 PM, Monday through Friday.
**Preferred Experience:**
+ 5+ years as a subject matter expert in corporate coding leadership role for large multi-site healthcare organizations with at least 35 coding staff members, both internal and contract as well as remote and/or domestic and global
+ Ability to influence change and serve as primary change agent
+ Ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations
+ Operational knowledge of health care related Federal and State regulations, as well as standards from regulatory agencies and accrediting organizations (e.g., CMS, TJC)
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills:**
+ Excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
+ Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s)
*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 - $50.48 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._
Pharmacy Technician
Phoenix, AZ job
"A Day in the Life" video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together.
We seek a Pharmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a registered pharmacist.
Hours: Monday - Friday 8:30am to 5:30pm
Location: 1101 N Central Ave. Ste 102, Phoenix, AZ 85004
Primary Responsibilities:
* Assisting patients at the front window for prescription pickups and drop-offs
* Ability to handle inbound and outbound phone calls from patients and providers
* Provide exceptional customer service to all consumers and members of the clinic staff
* Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist
* Orders, receives and stores incoming pharmacy supplies
* Receives and processes wholesaler medication orders
* Verifies medication stock and enters data in computer to maintain inventory records
* Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements
* Performs various clerical duties relating to the department
* Communicates with strong professional verbal and written communication skills
* Other duties as assigned
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 intereste
Required Qualifications:
* Active and unrestricted Pharmacy Technician license in the state of Arizona OR Pharmacy Technician Trainee license in the state of Arizona
* Access to reliable transportation
Preferred Qualifications:
* National Pharmacy Technician Certification
* Pharmacy and prescription data entry experience
* Bilingual in Spanish and English
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 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.
#RPO, #RED
Associate Patient Care Coordinator
Mesa, AZ 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 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.**
The **Associate Patient Care Coordinator** is responsible to the Center Administrator and provides appointment scheduling, patient registration, cashiering, answers incoming calls and performs other related clerical functions. This primary role provides front office support functions.
**Hours:** Monday - Friday, 8:00AM - 5:00PM
**Location:** 3048 E Baseline Rd, Mesa, AZ
**Primary Responsibilities:**
+ Greets patients as they arrive and manage appropriate standard wait times
+ Complete check-in and check-out tasks to include patient demographic verification, insurance verification, complete pre-authorizations and/or precertification of procedures, and copy required documents
+ Collects co-payments, co-insurance, and deductibles and issues receipts
+ Manages cashier box and daily deposits according to company policies
+ Answers phones and schedules appointments
+ Answer telephone calls, re-direct calls as appropriate, assist callers with questions or concerns, and take messages as needed
+ Manages medical records (maintains, files/scans, prepares for schedule)
+ Verifies patient information, while documenting in their Electronic Health Record (EPIC)
+ Ensures all correspondence is scanned and/or filed, processes requests for medical records release and maintains appropriate logs, etc.
+ Establish and maintain effective working relationships with patients, employees, and the public
+ Performs all other related duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 1+ years of experience in customer service
+ Basic level of proficiency with Microsoft Excel, Word, Outlook, and PowerPoint
**Preferred Qualifications:**
+ 1+ years of EMR experience
+ 1+ years of experience with medical office processes
+ 1+ years of related work experience including data entry
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 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._
\#RPO #RED
Sales Development Program - Phoenix, AZ
Phoenix, AZ job
***** **$2,000 sign on bonus for external candidates plus an additional $1,000 if candidates have their licensure at time of offer. Guaranteed base pay + monthly sales incentive earning potential.** **Training fully onsite with a hybrid schedule after the completion of training!***
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.**
We are growing our team in Phoenix, AZ and have multiple Early Careers full-time sales opportunities available - come join our team as a Sales Agent in the Sales Development Program. In this inbound call role, you will receive a competitive base salary and bonuses based on your sales performance. You will consult customers on their insurance needs and match the correct coverages, products and benefits. Our training classes not only prepare you for your role, but we will pay for and provide support for you to obtain the required state insurance licenses. No license is required prior to starting in the role. During training, all new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency of the material.
**Work Schedule:**
+ Operating hours: Monday - Friday 7:00AM - 9:00PM; your shift will be provided during training with rotational weekend work
+ Full time position with flexibility desired based on the seasonality of our business
**Work Location:**
+ Fast forward your success by participating in our onsite training program in a standard day shift for 6 - 10 weeks
+ Site location: 430 N. Scottsdale Road, Tempe, AZ 85288
+ Training fully onsite with a hybrid schedule after the completion of training
**Program features:**
+ Participate in a Sales Development Program that will accelerate your career with a company that will help you learn new skills and foster your continued growth
+ Collaborate with experienced professionals, mentors, and sales leaders
+ Build relationships within a close-knit community of peers involved in the development program to expand your network
+ Development program is curriculum based and structured
+ Program commitment is 18 months
**_So, what's in it for you?_**
**Compensation & Benefits:**
+ As a licensed agent, your total compensation is determined by your ability to work hard, sell, and deliver a great customer experience
+ Compensation = Base pay + monthly sales incentive
+ Average first year annual earnings $60K through a combination of base plus sales commissions
+ Top performers can earn $80K+ Sign-on bonus of up to $3,000 for external candidates (2k sign on bonus + an additional 1k if you have resident license at the time of offer)
+ 18 days accrued Paid Time Off during first year of employment plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ Fun and competitive work environment focused both on teamwork and individual success!
**Primary Responsibilities:**
+ Mainly handling inbound calling, NO knocking on doors
+ Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs
+ May make outbound calls to members to follow up on questions or to current members to review current or new products and services
+ Assist the prospect in completion of the enrollment application over the phone with complete, accurate and required information, consistent with product requirements and enrollment guidelines
+ Meet the goals established for the position in the areas of performance, attendance, and consumer experience
+ Meet and maintain requirements for agent licensure, appointments, and annual product certification
***This is a full-time position with a start date of Monday, June 8, 2026***
***UnitedHealth Group is not able to offer relocation assistance for this position***
***UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position***
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:**
+ Currently in final year of obtaining a Bachelor's degree (or obtained degree no longer than 24 months prior to position start date, from an accredited college/university). Bachelor's Degree must be obtained prior to start of employment
+ Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered)
**Preferred Qualifications:**
+ Work or volunteer experience in sales, customer service, health care, or health insurance
+ Experience with Microsoft Office products (Word, Excel, PowerPoint, Outlook)
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.04 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. 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._
Physician Pathways Program - Paid Mentorship - Primary Care - Northern Arizona
Phoenix, AZ job
**Optum AZ is seeking a** **Physician Pathways Program - Paid Mentorship - Primary Care - Northern Arizona** **to join our team in Phoenix, AZ. Optum is a clinician-led care organization that is changing the way clinicians work and live.** **As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.**
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while **Caring. Connecting. Growing together.**
**Position Highlights & Primary Responsibilities:**
+ **_Receive a generous bi-weekly stiped during your final year of training_**
+ **_Stay focused during your final months of training and eliminate the burden of job searching_**
+ **_Learn how to operate and thrive in a value-based care model in a system that is driving population health initiatives nationally_**
+ **_Grow exposure to the Quadruple Aim framework and various understandings of care settings_**
+ **_Mentorship from experienced Optum physicians within your future practice easing transition from training into practice_**
+ **_The customized program can be completed virtually and requires just 1-3 hours of commitment per month_**
+ **_Meet your leaders and peers months prior to starting._**
+ **_Out-of-state applicants encouraged to apply_**
+ **_Chief Residents encouraged to apply_**
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:**
· M.D. or D.O.
· About to start or currently in your final year of a US-accredited Family Medicine or Internal Medicine residency program
· Desire to practice outpatient primary care within the state of Arizona
The hourly range for this role is $39.90 to $59.86 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
_OptumCare 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment_ _._
Recovery Resolution Consultant
Phoenix, AZ job
_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ Optum 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.**
This position is full-time, Monday - Friday. Employees are required to work during our normal business hours of 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer on-the-job training. The hours of training will be based on your schedule or will be discussed on your first day of employment.
**Primary Responsibilities:**
+ Perform DRG validation reviews and confirm appropriate diagnosis related group (DRG) assignments
+ Maintains current working knowledge if ICD-10 coding principles and CMS regulations
+ Investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical records review
+ Serve as a Subject Matter Expert (SME), performing medical record reviews to include quality audits, as well as validation of accuracy and completeness of all coding elements, and medical necessity reviews
+ Responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development
+ Serves cross-functionally with Medical Directors, and sometimes Utilization Management, as well as other internal teams to assist in identification of overpayments
+ Serves as a SME for all Payment Integrity functions to include both Retrospective Data Mining, as well as Pre-Payment Cost Avoidance
+ Identifies trends and patterns with overall program and individual provider coding practices
+ Supports the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments of each applicable opportunity
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma / GED OR equivalent work experience
+ Must be 18 years of age OR older
+ Inpatient Coder with RHIT, RHIA or CCS Certification(s)
+ Certified Professional Coder (CPC)
+ 5+ years of experience in the health insurance industry
+ 2+ years of experience with health insurance claims
+ 2+ years of experience with medical records review / auditing including MS-DRG coding validation and / OR Acute Inpatient Coding experience
+ 2+ years of experience using Facets claims platforms with Medicaid, Medicare, and Commercial lines of business
+ 2+ years of facility claims experience
+ Proficiency in performing financial analysis / audits including statistical calculation and interpretation
+ Ability to work Monday - Friday, during our normal business hours of 7:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime
**Preferred Qualifications:**
+ Registered Nurse
+ 2+ years of experience in Utilization Management
+ Experience working with federal contracts
+ CES (Claims Editing System) SME, or SME in another clinical claims editing system
**Telecommuting Requirements:**
+ Ability to keep all company sensitive documents secure (if applicable)
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*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 - $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._
\#RPO #RPOLinkedIn
Outpatient Registration Specialist
Chandler, AZ job
$2,000 Sign-On Bonus for External Candidates 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.
Responsible for providing patient-oriented service in a clinical or Emergency Department setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office duties as required in a fast-paced, customer-oriented clinical environment.
This position is full-time, 40hours/week. Employees are required to have flexibility to work any of our day/first shifts available Monday to Friday with occasional on-call weekend hours. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at 1955 W. Frye Rd. Chandler, AZ.
New hire orientation will occur during the day shift for the first two weeks.
Primary Responsibilities:
* Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
* Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
* Gathers necessary clinical information and processes referrals, pre-certification, pre-determination, and pre-authorizes according to insurance plan requirements
* Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
* Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
* Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
* Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
* Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
* Maintains up-to-date knowledge of specific registration requirements for ED Registration
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
* Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
* Medical Plan options along with participation in a Health Spending Account or a Health Saving account
* Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
* 401(k) Savings Plan, Employee Stock Purchase Plan
* Education Reimbursement
* Employee Discounts
* Employee Assistance Program
* Employee Referral Bonus Program
* Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
* More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School Diploma / GED (or higher)
* 1+ years of Customer Service experience such as hospital, office setting, customer service setting, or phone support
* Ability to work full-time and have flexibility to work any of our first/day shift schedules
* Ability to workday shift hours during the duration of new hire orientation (approximately the first 2 weeks)
Preferred Qualifications:
* Experience with Microsoft Office products
* Experience in a Hospital Patient Registration Department, Physician office or any medical setting
* Experience in insurance reimbursement and financial verification
* Experience in requesting and processing financial payments
* Working knowledge of medical terminology
* Ability to perform basic mathematics for financial payments
* Understanding of insurance policies and procedures
Soft Skills:
* Strong interpersonal, communication and customer service skills
Physical and Work Environment:
* Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset
PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 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.
#RPO, #RED
Speech Therapist, ST
Mesa, AZ job
Explore opportunities with [agency name], 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 Speech Therapist in Home Health is responsible for the assessment and evaluation of patient care needs related to treating speech and language disorders, and functional training in communication, swallowing, and cognitive impairments. Based on this assessment and evaluation, the Speech Therapist works to help determine a treatment plan, performs interventions aimed at improving and enhancing the patient's well-being, and evaluates the patient's progress.
Primary Responsibilities:
* Provides services within the scope of practice as defined by the state laws governing the practice of speech therapy, in accordance with the plan of care, and in coordination with other members of the health care team
* Evaluates the patient's level of function by applying diagnostic and prognostic functional ability tests. Assists the physician in the development of the therapy plan of care
* Treats patients to communicate effectively by expressing thoughts according to the patient's condition using acceptable standards of practice
* Observes, records, and reports to the supervising nurse and/or physician the patient's response to treatment and changes in the patient's condition
* Instructs the patient, the family and/or caregiver and other members of the health care team in areas of speech therapy in which they can participate
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 in Speech Therapy in the state of residence
* Current CPR certification
* Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation
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.
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.
Field Community Health Worker - Pima or Maricopa County, AZ
Mesa, AZ 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.**
The **Field Based** **Community Health Worker** is responsible for assessment, planning and implementing care strategies that are individualized by patient and/or Community Organizations and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Field Based Community Health Worker (CHW), you will act in a liaison role with Community Organizations/members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinant of health such as transportation, housing, and food access.
**Schedule:** Monday through Friday between the hours of 8:00 am to 5:00 pm Arizona Time Zone. This position is a field-based position with a home-based office. You will work from home when not in the field.
**Location:** Phoenix, Tucson, Chandler, Mesa, Tempe and surrounding communities in Arizona. Local travel up to 60% and mileage is reimbursed at current government rate.
If you reside in **Phoenix, Tucson, Chandler, Mesa, Tempe and surrounding communities in Arizona** , you'll enjoy the flexibility to telecommute* as you take on some tough challenges.
**Primary Responsibilities:**
+ Create a positive experience and relationship with the member
+ Keep the member out of the hospital by supporting regular visits to their primary physician
+ Keep member actively engaged with their primary physician
+ Support the member to ensure pick - up of their Rx
+ Proactively engage the member to manage their care
+ Provide member education
+ Support transitions of care
+ Help to keep members compliant with their care plans
+ Partner with care team (community, providers, internal staff)
+ Knowledge and continued learning of community cultures and values
+ May conduct member assessments if needed
+ Performs other duties as assigned
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ More information can be downloaded at: *************************
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 4+ years of community outreach work or volunteering experience
+ 2+ years of experience working or volunteering within the Community Health setting in a field-based healthcare role
+ 2+ years of experience working or volunteering within the local Community, with demonstrated knowledge of culture and values within the Community and familiarity with the resources available within the Community
+ Intermediate level of computer proficiency including MS Word, Excel and Outlook and be able to use multiple web applications
+ Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
+ Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet
+ Reside within commutable distance to Pima and Maricopa Counties in Arizona
+ Ability to travel locally approximately 60% of the time and up to 100 miles round trip with Reliable transportation, that will enable you to travel to client and/or patient sites within a designated area, with a current and non-restricted state of Arizona Driver's License and State-required insurance
**Preferred Qualifications:**
+ Community Health Worker (CHW) State course completion
+ Licensed Practical Nurse (LPN), Certified Nursing Assistant/Home Health Aide, Certified Medical Assistant
+ Experience with arranging community resources
+ Experience with electronic charting
+ Experience working in team-based care
+ Knowledge of Medicaid population
+ Background in managing populations with complex medical and behavioral needs
+ Bilingual - Spanish
*All Telecommuters 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 $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
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