The Accounts Payable Manager provides strategic leadership and operational oversight for both trust accounts payable (insurance premium-related fiduciary funds) and trade accounts payable (operational/vendor expenses). This role ensures the accurate, timely, and compliant processing of all payable transactions-including disbursements from trust accounts to carriers, brokers, and general agencies, as well as payments to corporate vendors. The Manager drives process optimization, automation, financial integrity, and regulatory compliance across both AP functions. This position leads and develops the AP team, partnering cross-functionally with Purchasing, Accounting, Operations, Finance Systems, and Customer Services. The ideal candidate combines strong leadership skills with in-depth knowledge of AP operations, trust accounting, and insurance premium processing.
Essential Functions:
Leadership & Team Development
Provide daily leadership, guidance, and oversight to the AP team across both trust and trade functions.
Set clear performance expectations and support ongoing professional development for AP staff.
Foster a high-performance, collaborative culture centered on accuracy, timeliness, service, and continuous improvement.
Oversee staffing activities, including recruiting, onboarding, coaching, performance management, and corrective actions when necessary.
Balance team workload and resource allocation to ensure deadlines and service standards are met.
Trust Accounts Payable Management
Manage trust disbursements to insurance carriers, brokers, general agencies, and other stakeholders.
Ensure all trust payments adhere to fiduciary regulations, carrier contracts, and internal trust policies.
Oversee daily, weekly, and monthly trust payable account reconciliations, ensuring accuracy and proper documentation.
Research and resolve trust-related discrepancies and exceptions.
Maintain audit-ready trust records and support internal, external, and regulatory audits.
Trade Accounts Payable Strategy & Operations
Oversee the full trade AP cycle, including invoice receipt, matching, approvals, payment processing, and reconciliation.
Ensure compliance with corporate policies, internal controls, audit requirements, and relevant regulations.
Collaborate with Accounting to ensure accurate GL coding, timely posting, and proper financial reporting
Lead month-end and year-end AP close activities, including accruals, reconciliations, and reporting.
Monitor KPIs such as invoice cycle time, aging, and exception rates.
Resolve escalated vendor issues, disputes, and payment exceptions.
Employee Expense Management
Oversee the end-to-end employee expense management process, including T&E, mileage, corporate card transactions, and other reimbursable expenses.
Manage and optimize the company's expense reporting system, ensuring proper configuration, workflow efficiency, and alignment with corporate policies.
Monitor employee expense submissions in accordance with company policies, IRS requirements, and internal controls.
Provide training and guidance to employees and managers on expense policies, documentation requirements, system usage, and compliance expectations.
Analyze employee expense trends to identify cost-saving opportunities, spending patterns, and policy improvement needs.
Ensure employee expense processes, controls, and documentation remain audit-ready, compliant, and consistently applied across the organization.
AP Automation, Process Innovation & Systems Leadership
Champion automation and digital transformation across trust and trade AP workflows.
Lead implementation and optimization of AP technologies such as invoice OCR, automated workflows, electronic payment platforms, and trust accounting systems.
Partner with Finance Systems and IT teams to support integrations, upgrades, and issue resolution.
Streamline manual or legacy processes to enhance scalability, accuracy, transparency, and efficiency.
Maintain comprehensive SOPs, process documentation, and training materials.
Track and analyze automation-related KPIs to identify improvement opportunities.
Cross-Functional Collaboration
Work closely with Purchasing to align invoice approvals, vendor terms, and procurement-to-pay workflows.
Team up with the Trust Accounting to ensure trust payments are timely, accurate, fully reconciled, and compliant with fiduciary standards.
Collaborate with Finance, Operations, Customer Services, Legal, and Sales to ensure accurate fund flows and timely payments.
Serve as a strategic advisor to leadership on AP risks, opportunities, and system/process enhancements.
Reporting & Financial Insights
Prepare reporting on trust disbursements, AP aging, cash requirements, automation performance, and efficiency metrics.
Provide insights that support budgeting, forecasting, cost management, and vendor negotiations.
Ensure all AP records-both manual and automated-are accurate, organized, and audit-ready.
Managerial & Operational Responsibilities
Maintain expert-level understanding of all AP processes across trust and trade workflows.
Delegate tasks effectively and ensure balanced distribution of workload within the team.
Proactively identify and implement opportunities to improve efficiency, accuracy, and internal controls.
Support a transparent, inclusive, and positive work environment where ideas and concerns can be openly shared.
Perform additional duties or special projects as assigned.
Address performance issues, including time and attendance, with employees. Follow progressive discipline process where needed, including the writing of Warnings.
Make decisions on hiring and firing.
Manage the staffing processes, including overseeing the entering of requisitions, interviewing candidates, promotions, demotions, etc.
Manage department budget for all controllable expenses.
On-site or remote regular attendance and punctuality are essential functions of the job.
Perform other business tasks or functions as assigned.
Qualifications
Knowledge, Skills & Abilities Required:
Experience:
Minimum 7+ years of progressive accounts payable experience, including 3+ years in a managerial or senior supervisory role.
Proven experience leading high-volume AP operations in a computerized and deadline-driven environment.
Experience with trust or fiduciary accounting, particularly in insurance, TPA, MGA, or financial services environments.
Demonstrated success guiding, mentoring, and developing teams, including supervisors and specialists.
Hands-on experience with end-to-end AP processes, internal controls, and financial reporting requirements.
Technical & Functional Skills:
In-depth understanding of trust & trade accounts payable operations, purchasing practices, and general accounting principles.
Strong working knowledge of ERP systems - Microsoft Dynamics GP and Concur experience preferred.
Demonstrated ability to lead and scale AP automation initiatives, including invoice processing, workflow routing, and electronic payments.
Proficient in Microsoft Office Suite, especially Excel (vlookups, pivot tables), Word, and Outlook.
Familiarity with document retention practices, audit support, and compliance standards.
Leadership & Soft Skills:
Proven leadership and team-building skills with the ability to coach, inspire, and hold teams accountable.
Excellent interpersonal, communication, and conflict resolution skills; able to collaborate across all levels of the organization.
Strong customer service orientation when working with vendors and internal departments.
Ability to multitask, prioritize, and adapt in a fast-paced, dynamic environment.
High attention to detail with a continuous improvement mindset.
Understanding of basic HR/employment practices relevant to staff supervision and performance management.
Preferred Qualifications:
Experience leading AP transformation or automation projects.
Experience with trust accounting software or insurance premium remittance systems.
Background in insurance carrier remittance, commission structures, or benefits administration.
Familiarity with robotic process automation (RPA) or AI-enabled invoice processing platforms.
Six Sigma, Lean, or process improvement certification is a plus.
Educational Requirements:
Bachelor's degree in accounting, Finance, or a related field required.
Physical Requirements:
Must be able to sit for extended periods of time and occasionally stand and walk. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.
$75k-93k yearly est. 11d ago
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Correspondence Representative II (661)
Word & Brown Companies 4.8
Word & Brown Companies job in Orange, CA
Purpose of Position: Send written correspondence and communicate with clients via phone to obtain, review and process enrollment materials for participants of CaliforniaChoice.
Essential Functions: Expert knowledge of all MPC Enrollment Rep I duties. Demonstrate knowledge of Correspondence duties as determined by department assessment as well as the following:
• Understand company policies and procedures as they apply to CaliforniaChoice plans.
• Responsible for the review and processing of the following forms including but not limited to:
Employee Applications
Change Request Forms
Employee Termination Forms
Web Based Forms
• Identify and obtain missing/incomplete information on forms based on guidelines and standard operating procedures.
• Follow the department Pending Item process
• Compose clear and concise written correspondence (i.e. pending item requests, denials, confirmations, memos, letters, etc.).
• Place outbound calls to obtain missing/incomplete information on forms.
• Maintain working knowledge of all products and systems used for job function (i.e. Pegasus, doc-link, SharePoint, etc.)
• Enter appropriate comments in a clear and succinct manner into Pegasus and/or Doc-Link.
• Meet department standards for quality and quantity of work.
• Maintain department and team standards for turnaround times. Adhere to all PHI (Personal Health Information) guidelines
• Assist with departmental training needs as needed
• Other duties as assigned by the Leadership Team
• On-site regular attendance and punctuality are essential functions of the job.
Qualifications
Requirements:
• Customer Service and Phone Etiquette experience a must.
• Strong communication skills (written, grammatical and verbal) required.
• Ability to interact and communicate effectively with all levels of employees and customers.
• Must have strong attention to detail.
• Strong analytical skills and problem solving skills.
• Ability to perform in a fast-paced, deadline-oriented work environment.
• Excellent customer service and organizational skills.
• Able to build/gain commitment and overcome resistance to change.
• Ability to retain large quantities of information.
• Accurately type a minimum of 50 WPM.
• Proficient with Microsoft Office software (Access, Word, Excel, PowerPoint, Visio, Publisher, SharePoint, Outlook), web based technology.
• Must be highly motivated, have ability to take initiative, be accountable, have excellent interpersonal, and service oriented skills.
• Knowledge of the healthcare industry a plus.
Experience Requirements: 3+ years of office and/or customer service experience required and at least one year of data entry experience.
Educational Requirements:
High school diploma or equivalent.
Physical Requirements:
This position is required to sit 95% or the time. Must be able to walk, utilize stairs, bend stoop and lift up to 30lbs. Close vision required. Must be able to perform this job for the entire work day, daily. Working environment is stable and noise level is moderate.
High School/GED or better.
$29k-34k yearly est. 3d ago
Surest Key Account, Account Executive - Remote - California
Unitedhealth Group 4.6
Remote or Sacramento, CA job
Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together.
Surest is transforming the way people experience health benefits by offering a smarter, simpler, and more transparent health plan. We empower individuals to make informed care decisions while helping employers manage costs and improve outcomes. As part of our growing team, you'll play a key role in driving adoption and expanding our impact across markets.
The Surest AE is responsible for supporting both reactive and proactive sales efforts across local markets. This role serves as a subject matter expert (SME) on Surest products and capabilities, helping to position Surest effectively in competitive opportunities and drive pipeline growth. The ideal candidate will be a dynamic communicator, strategic thinker, and collaborative partner across internal and external stakeholders.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Reactive Sales Activities
Represent Surest as a product SME in "Know Us" meetings, finalist presentations, and broker events
Deliver compelling product descriptions and demos tailored to client needs
Support RFP responses, including plan positioning, pharmacy and clinical capabilities, exception requests, and product options
Respond to ad hoc inquiries related to product functionality and search capabilities
Assist in gathering client references and presale analytics to support sales efforts
Proactive Pipeline Development
Drive additional Surest opportunities through strategic outreach and relationship-building
Promote and schedule "Know Us" meetings to educate prospects and deepen engagement
Leverage Highspot and other marketing tools to support prospecting and lead generation
Collaborate with internal teams to identify and pursue new business opportunities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
3+ years of experience in sales, account management, or business development within healthcare or benefits
3+ years of presentation and communication skills, with the ability to tailor messaging to diverse audiences
3+ years of experience supporting RFPs and navigating complex sales cycles
Ability to travel 50% in the state of California and neighboring states
Located in the state of California or able to relocate
Driver's License and access to a reliable transportation
Preferred Qualification:
Familiarity with digital sales enablement platforms (e.g., Highspot)
Ability to work cross-functionally with product, clinical, and underwriting teams
Self-starter with a proactive mindset and solid organizational 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 salary for this role will range from $60,000 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$60k-130k yearly 3d ago
Sr Actuarial Analyst ALDP - Remote
Unitedhealth Group 4.6
Remote or Cypress, CA job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
What's your next step? How will you leverage the study, training, certifications, and your energy to help develop solutions to transform the health care industry? As an Actuarial Consultant in our Actuarial Leadership Development Program at UnitedHealth Group, you can do just that. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy.
You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Develop in-depth understanding of core actuarial concepts to develop rate reviews, medical plan pricing, competitive analyses, and more
Identify and address data issues and outliers in results
Communicate effectively to actuarial and non-actuarial audiences
Independently anticipate and complete recurring work responsibilities in an accurate and timely fashion
Support all regulatory reports, surveys, audits, and filings
Provide timely and complete Peer Review services
Maintain proper and sufficient documentation
Build relationships within and across regional pricing teams and internal customers such as Products, Sales, Regulatory, and UW
Take on opportunities to contribute to various projects and work groups to further Regional/National pricing focus areas
Be self-aware, compassionate, and genuine in service to all team members
Be inclusive, advance diversity; participate in collaborative, engaged, and high-performing teams
Be courageous, empowering, and supportive so each person can achieve their goals
Meet exam sitting and passing requirements as described in AEP/ALDP (if applicable)
Meet CE requirements as outlined by AAA/SOA (if applicable)
Other professional development (specific for individual)
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:
Undergraduate Bachelor's degree
On the Actuarial exam track, having passed 2 or more Actuarial exams
2+ years of actuarial experience
Experience communicating technical information to non-technical audiences
Intermediate or higher level of proficiency in MS Excel
Preferred Qualifications:
Experience with actuarial pricing
Actuarial experience with small group ACA health insurance plans
Intermediate or higher level of proficiency with SQL or similar programming language
Proven good communication/presentation 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 salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$72.8k-130k yearly 6d ago
Behavioral Health Care Advocate - After Hours Crisis - Remote CA
Unitedhealth Group 4.6
Remote or Los Angeles, CA job
**Premium pay offered for evenings, overnights, weekends, and holidays**
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.
For this role you must have an active and unrestricted license in your state of residence and you must be able to work nights, weekends and holidays.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Field inbound calls in a queue from members and providers for purpose of assessment and triage
Focus on initial inpatient admission for psychiatric and chemical dependency patients
Assess patients and determining appropriate levels of care based on medical necessity
Assess and manage member crisis calls
Determine if additional clinical treatment sessions are needed
Manage inpatient mental health cases throughout the entire treatment plan
Identify ways to add value to treatment plans and consulting with facility staff
Attend compliance training and team meeting
You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Independent, Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in behavioral health
Residence and licenses must be independent, active and unrestricted in the State of California
Proficient Microsoft skills (Word, Excel, Outlook)
Proven ability to talk and type at the same time and have the ability to navigate between multiple screens
Proven ability to work nights, weekends and holidays according to your schedule
Preferred Qualifications:
Inpatient experience
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$37k-43k yearly est. 2d ago
Behavioral Health Care Advocate - UM
Unitedhealth Group 4.6
Remote or Fresno, CA job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Responsible for handling inbound calls, from providers and members in a call center / cue based environment
Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity
Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP, PHP, RTC, IP)
Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting
Ability to manage and resolve complex or escalated callers/issues in fast paced environment
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:
Master's degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
Active, unrestricted independent clinical license in the State of CA: LP, LCSW, LMFT, LPC along with CA residency
2+ years of experience in behavioral health
Live in and be a legal resident of California for the duration of employment
Ability to work 8:30am-5pm PST
Ability to work rotating holidays
Dedicated office space and access to high-speed internet service in your home
Preferred Qualifications:
Dual diagnosis experience with mental health and substance abuse
Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs
Experience with utilizing computer applications and softphone to complete all primary work responsibilities
Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)
*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 $58,800 to $105,000 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.
$58.8k-105k yearly 2d ago
Inpatient Utilization Management Nurse, RN - Remote in PST or MST
Unitedhealth Group 4.6
Remote or Sacramento, CA job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and setting by following evidence based clinical guidelines, medical necessity criteria and health plan guidelines. Reviews and applies hierarchy of criteria to all inpatient admission and preauthorization requests from providers that require a medical necessity determination. Is involved in assuring that the patient receives high-quality cost-effective care. Uses sound clinical judgement and managed care principles in the coordination of care. Prepares any case that does not meet medical necessity guidelines for medical appropriateness of procedure, service or treatment for review with the Medical Director for a decision.
The shift is Monday through Friday 8am-5pm in Pacific or Mountain Time Zone. Occasional participation in weekend rotation is required.
If you are located in PST or MST, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Maintains clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporates this information into the clinical review and care coordination processes
Performs clinical review for appropriate utilization of medical services by applying appropriate medical necessity criteria guidelines
Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria
Documents clinical reviews in care management system. Provide accurate and timely documentation and supporting rational of decision in care management system
Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes and quality indicators
Research and prepares clinical information for case review with Physician Leadership for patient treatment and care planning
Utilizes knowledge of resources available in the health care system to assist the physician and patient effectively
Identifies members who are appropriate for care coordination programs and collaborates with the Medical Management team for care coordination of the member's needs along the continuum of care
Successfully completes the Interrater Reliability Testing to ensure consistency of review and application of criteria
Meets timeliness standards for decision, notification, and prior authorization activities
Serves as an advocate for all providers and their patients
Demonstrates a positive attitude and respect for self and others and responds in a courteous manner to all customers, internal and external
Maintains the confidentiality of all company procedures, results, and information about patients, contracts, and all other proprietary information regarding Optum business
Performs other duties as required or requested in a positive and helpful manner to enable the department to achieve its goals
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current unrestricted Registered Nurse (RN) license in state of residence
Ability to obtain Registered Nurse license in the state of California within 90 days of hire
3+ years clinical nursing experience in acute care hospital or LTAC setting
1+ years Utilization Management experience in hospital or insurance setting
Experience applying Medicare and/or Medicaid guidelines
Experience with Milliman (MCG) or InterQual guidelines
Experience researching and preparing clinical information for case review with Physician Leadership for patient treatment and care planning
Experience providing accurate and timely documentation of clinical review and supporting rational of decision in care management systems
Experience employing analytical skills necessary for quality case management, utilization review, and quality improvement to meet organizational objectives
Experience using various computer software applications with an intermediate level of competence, including Microsoft Word and Excel
Primary residence in Pacific or Mountain time zone and ability to work required hours in PST or MST
Preferred Qualifications:
Inpatient Utilization Management experience
Utilization Management experience for insurance or managed care organization
Prior Authorization experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$60.2k-107.4k yearly 2d ago
Network Pricing Consultant - Remote
Unitedhealth Group 4.6
Remote or Cypress, CA job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
Analyze payment appendices to provide options for various contracting approaches and methodologies
Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
Conduct financial and network pricing modeling, analysis and reporting
Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
Lead large, complex projects to achieve key business objectives
Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
Strategize rates or contract methodology with network management to create optimal contract
Review competitive analysis to identify appropriate pricing rate for provider
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
3+ years of experience with provider payment methodologies and healthcare products
3+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding
Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
Presentation experience to internal or external stakeholders or customers
Expert level proficiency in MS Excel
Proven expertise in financial impact analysis, risk management and data manipulation
Proven solid interpersonal, collaboration, negotiation and communication skills
Proven excellent communication skills, both written and verbal
Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
Proven ability to research and solve problems independently
Preferred Qualifications:
Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
Experience in MS Access, SAS, SQL, R, or Python
Experience with advanced statistical functions for financial modeling
Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$71.2k-127.2k yearly 5d ago
Chief Executive Officer, West Region - Optum Health
Unitedhealth Group Inc. 4.6
Los Angeles, CA 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. As Chief Executive Officer, West Region, this role is accountable for the performance and results of multiple markets with diverse and broad business and clinical functions. The CEO is accountable for the results of the entire system made up of all clinical and business processes and practices across employment-oriented medical groups, clinically integrated networks, independent practice relationships and risk bearing entities. This includes the incorporation of products and services from across the Optum Health/UnitedHealth Group enterprise with the goal of providing end-to-end, seamless care for our patients. Driving change along the continuum from FFS to value-based care will also be a large operating model and change management focus of the CEO. Key measures of success include growth of risk-based lives, revenue, IOI, NPS, quality/clinical metrics and employee/provider engagement.
This position is responsible for fostering a positive organizational culture, leading to high levels of provider and team member engagement and retention as well as facilitating, developing and executing the organization's vision and strategic plan. Developing a strong, diverse leadership team and bench of upcoming talent will be critical for the region's performance and future growth.
This leader will be an influential change leader, driving strategies and programs that impact patients and consumers. This leader will partner with other Optum Health regional leaders both formally and informally as well as with Optum Health national function and operations leads, Optum Health leadership and key members of the broader Optum, UHC and UHG leadership teams to drive financial, operational and clinical performance in the region in a way that is balanced with broader strategic imperatives.
Primary Responsibilities:
* Creates overall strategic and operational plan for West region and contributes to the development of the Optum Health strategic and operational plan
* Responsible for the successful financial performance of the region, including development and management of both capital and operating budgets, adjusting to changing circumstances to ensure in-year bottom-line commitments are made without compromising longer-term growth goals
* Leads the region consistent with achieving the quadruple aim - high-quality patient outcomes with lower costs, while delivering positive patient experiences and supporting provider wellbeing
* Drives aggressive growth in-market and into new geographies and business lines through a combination of acquisition (employed medical groups and independent physician associations), partnership, recruitment, risk lives transfer, innovative contracting models (e.g., direct to large employer), leveraging Surgical Care Affiliates and Specialty Network strategy and capabilities and other growth mechanisms
* Collaborates effectively with Optum Health national function owners, Optum Health leadership and others to optimize clinical and business operations, including the adoption of technology, data and analytics capabilities, adoption of best practice workflows and appropriate regionalization/centralization of clinical and business processes
* Influences peers and enterprise leaders; collaborates across Optum Health and the enterprise to bring products and services into the region to deliver seamless, comprehensive care to patients
* Works with regional and national clinical leadership to develop and execute plans around the improvement of clinical quality, service and medical cost
* Evolves regional structure, roles and responsibilities and operating model to optimize operations and maximize brand impact in support of provider and patient growth
* Creates overall strategic and execution plan for the region and assists in developing the national strategic plan; ensures communication and execution occur across the region
* Promotes, fosters and develops a physician-led, patient-centric, team-based medicine culture, creating an atmosphere of trust and open dialogue across providers, other clinical and non-clinical staff, with a specific focus on provider wellbeing
* Recruits and develops a diverse team of Physicians, Directors and Managers as leaders and ensures that they have the tools and skill sets to execute their operating plans and to assume greater responsibilities in their career development
* Guides the development of the strategic marketing and external relations plans
* Ensures strict compliance with federal and state regulations and company policies, procedures and processes
Skills and Knowledge:
* Thorough operational and clinical understanding of healthcare delivery systems
* Solid knowledge of reimbursement models across the continuum from fee for service to full risk
* In-depth understanding of cost, clinical quality, patient and provider satisfaction levers and their interaction
* Solid financial and operational background in physician practice management
* Solid visionary leadership skills and ability to execute that vision, including strategic thinking, business transformation, change leadership, organization design and effectiveness, product and service mix and incentive alignment
* Demonstrated entrepreneurial openness and ability to explore new possibilities and to approach issues differently; intellectually agile
* Demonstrated ability to recognize, prioritize and evaluate market trends and specific growth opportunities, together with commercial acumen to negotiate favorable outcomes
* Demonstrated business acumen; able to assess financial implications of decisions and actions; able to understand how strategies and tactics work in the marketplace and impact Optum Health
* Analytical thinker with demonstrated ability to perform root cause analysis, prepare and implement action plans and lead improvement initiatives
* Deep understanding of medical/clinical leader and staff needs, mindsets, motivations and dissatisfiers, together with ability to factor these into growth and operating plans in a corporate environment
* Solid influencing skills; ability to quickly build credibility and gain the confidence of individuals at all levels
* Proven ability to work collaboratively with colleagues, physicians and teammates to create a results-driven, team-oriented environment as well as with third parties; viewed as leader in the health system community
* Ambitious and proactive; able to identify meaningful goals and capture the imagination of others to achieve them; able to add value to discussions or projects that impact Optum and Optum Health's position in the industry; able to bring out the best thinking and attitudes; able to recognize unique contributions of individuals and teamwork
* Solid desire to lead, develop and mentor other teammates - ability to grow and challenge leaders
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:
* 15+ years of progressive management experience in healthcare leadership, with a balanced focus on business and clinical operations and patient satisfaction
* 10+ years of experience working with institution/provider and payer negotiations
* 10+ years of operational experience within a complex matrix environment, demonstrating flexibility and an ability to compromise, when necessary, to optimize outcomes across stakeholders
* Large scope P&L accountability - in the range of $16B+ revenue range - in an environment of high expected growth, both organic and inorganic
* Experience across both managed care and fee for service-based models; extensive experience of risk bearing entities
* Ability to travel up to 25-50% of the time
Preferred Qualifications:
* 10+ years of leading large network and employed physicians populations with approximately 20,000 providers
* Experience leading multi-market, multi-specialty care delivery organization comprising both employed medical groups and IPAs, supporting diverse payer mix
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. We comply with all minimum wage laws as applicable. The salary for this role will range from $375,000 to $500,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
$375k-500k yearly 19d ago
Mental Health Clinical Wellbeing Specialist - Remote in CA
Unitedhealth Group 4.6
Remote or Cypress, CA job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support.
The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed.
Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety
+ Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families
+ "Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications"
+ Anticipates member needs and proactively identifies solutions
+ Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support
+ Coordinate follow-up care and services to individuals and organizations, as appropriate
+ Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model
+ Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services
+ Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted
+ EWS and behavioral health network providers
+ Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries
+ Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement
+ Fosters a service-oriented environment and participates in human centered experience development
+ Identifies solutions to non-standard requests and problems
+ Solves moderately complex problems and/or conducts moderately complex analyses
+ Works with minimal guidance; seeks guidance on only the most complex tasks
+ Translates concepts in practice
+ Provides explanations and information to others on difficult issues
+ Coaches, provides feedback and guides others, acting as a resource for others with less experience
+ Participate in staff meetings, case consultations, and training opportunities
+ Consult as required with other licensed staff and supervisors
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health
+ Active, unrestricted independent clinical license in the state of California
+ Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime
+ Designated workspace and access to secure high-speed internet via cable/DSL in home
+ Permanent residence in the state of California
**Preferred Qualifications:**
+ 2+ years of child and family experience
+ Experience supporting members in an inbound call center
+ Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members
+ Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online
+ Ability to work with a culturally and geographically diverse population
+ Ability to address a variety of problems and issues as presented by members
+ Ability to work flexibly and creatively with other professional team members
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$28.3-50.5 hourly 50d ago
Staff Pharmacist
Unitedhealth Group 4.6
Susanville, CA job
**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a **Staff Pharmacist** you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance.
**Pharmacy Location:** Located at Banner Lassen Medical Center in Susanville, CA
**Schedule:** This full time, nonexempt position will work every other weekend on Saturday, 7:00am-3:30pm, and Sunday, 7:00am-11:00am, with on call immediately following each shift This position will also work 3-4 8-hour dayshifts each week from 7:00am-3:30pm with on call immediately following the shift.
**Pharmacy Hours:** Monday-Saturday, 7:00am-3:30pm, and Sunday 7:00am-11:00am. After hours is supported by Remote Order Entry. The Pharmacy utilizes Cerner and Pyxis automation, EMAR and BVM.
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:**
+ ACPE-accredited pharmacy degree (PharmD preferred)
+ Active applicable state pharmacist license in good standing
+ 1+ years of recent pharmacist experience, (hospital setting preferred)
+ Proven skilled with pharmacy systems and Microsoft Office
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._
$43.2-77.2 hourly 60d+ ago
Corporate Director of Pharmacy Per Diem
Unitedhealth Group Inc. 4.6
Remote or Los Angeles, CA job
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.
As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds.
Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills.
In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
* All aspects of operations, including assisting in recruitment and hiring of personnel
* Evaluating that all legal, accreditation, and certification requirements are being met
* Ensuring provision of optimal services
* Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy
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:
* B.S. or PharmD from an ACPE-accredited School of Pharmacy
* Active Pharmacist license in good standing
* 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience
* Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size
* Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems
* Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states
* Proven ability to pass company Motor Vehicle (MVR) background check
* Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed
* Ability to travel on a 24 hour notice
* Residence in Western U.S. near an international airport
* 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 $52.98 to $90.77 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.
$53-90.8 hourly 30d ago
Part Time Pharmacy Technician
Unitedhealth Group 4.6
Santee, CA 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 **Part Time 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.
**Pharmacy Hours:** Monday - Friday 8:30am - 5pm (Lunch 12pm - 12:30pm)
**Schedule:** 24 hours per week. Shifts are flexible based on business needs
**Location:** 10201 Mission Gorge Rd, Fl 2 Ste N Rm P2, Santee, CA, 92071
**Primary Responsibilities:**
+ 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 interested in.
**Required Qualifications:**
+ Active and unrestricted Pharmacy Technician license in the state of California
+ Access to reliable transportation and possess a valid US driver's license
**Preferred Qualifications:**
+ National Pharmacy Technician Certification
+ 6+ months of Pharmacy Technician 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 $16.15 to $28.80 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
$16.2-28.8 hourly 8d ago
Sr. Financial Systems Business Analyst (1648)
Word & Brown Companies 4.8
Word & Brown Companies job in Orange, CA
Purpose of Position: The Finance Systems Business Analyst is responsible for analyzing, documenting, and improving Finance processes and requirements to support both application development projects and business process enhancements.
This role serves as a liaison between Finance stakeholders, IT teams, and other departments, ensuring Finance needs are clearly defined, prioritized, and translated into actionable requirements.
Contribute to organizational efficiency, quality delivery, and the achievement of business objectives through strong analytical skills, effective communication, and collaboration with cross-functional teams.
Translate Finance requirements into functional specifications for ERP implementation; including integration with Salesforce and other third-party software systems.
Essential Functions:
Gather and elicit requirements using interviews (one-on-one, small group, and large team), workflow analysis, and process engineering techniques.
Analyze, document, and maintain Finance requirements for system projects and process improvements, using approved templates and tools.
Write clear, concise, and testable requirements, user stories, and supporting documentation that accurately decompose high-level business needs into actionable deliverables.
Conduct gap analysis, identify core competencies, and recommend business process improvements to enhance efficiency and effectiveness.
Collaborate with development teams, quality assurance, vendors, and other stakeholders to clarify requirements, support solution development, and ensure understanding across all parties.
Participate in project planning, backlog grooming, sprint prioritization, daily scrum meetings, and other agile ceremonies as appropriate.
Assist in the creation and execution of user acceptance tests and smoke testing scenarios to validate requirements and ensure quality objectives are met.
Develop and deliver user training materials as required.
Prioritize requirements, manage deliverable deadlines, and support project reporting activities.
Represent the interests of business stakeholders, manage user expectations, and ensure satisfaction throughout the project lifecycle.
Clear project roadblocks and facilitate open, effective communication among all involved groups.
Contribute to the RFP process, including drafting documentation and analyzing proposals
On-site or remote regular attendance and punctuality are essential functions of the job.
Perform other business tasks or functions as assigned.
Qualifications
Knowledge, Skills & Abilities Required:
Working knowledge of financial and accounting processes; from the trial balance through month-end close to financial reporting and analysis.
Thorough understanding of the inputs and outputs of a financial system's general and subsidiary ledgers, including: purchasing, billing, accounts payable, accounts receivable and cash management.
Strong written and verbal communication skills - ability to document clear, unambiguous, realistic, and testable requirements.
Effective at communicating technical issues to business partners and business issues to technologists.
Finance systems experience is required. Experience with MS Dynamics GP is a plus.
Proficiency in Microsoft Office suite (Outlook, Excel, Word, PowerPoint, Visio, SharePoint).
Experience with requirements management and project tracking tools (e.g., Azure DevOps, Team Foundation Server, JAMA, Rally, or similar).
Demonstrated analytical and problem-solving abilities; able to conceptualize, analyze, synthesize, and evaluate information to determine business needs and solutions.
Understanding of software development life cycle (SDLC) and agile methodologies.
Ability to facilitate meetings, elicit requirements, and build trust and consensus among diverse stakeholders with varying priorities.
Strong planning skills with high attention to detail; capable of managing multiple priorities and deliverables simultaneously.
Customer-focused attitude, proactive work ethic, and ability to work both independently and collaboratively.
Flexibility to adapt to rapidly changing environments and requirements.
Knowledge of and adherence to PHI and HIPAA guidelines (as applicable).
Hybrid work environment; working 2-3 days in the Orange office. Maintain regular attendance and punctuality, whether on-site or remote.
Adhere to all PHI (Protected Health Information) and HIPAA (Health Insurance Portability and Accountability Act) guidelines.
Educational Requirements:
Bachelor's degree in Accounting or related field or equivalent work experience required.
7+ years of recent experience in a Business Analyst role is preferred.
Relevant Business Analysis certifications are a plus.
Physical Requirements:
Requires close vision and must have good hand-to-eye coordination. Must be able to sit for extended periods of time and occasionally stand and walk. Must be able to see, hear, and speak clearly. Must be able to use a computer keyboard efficiently. Must be able to communicate effectively in English. May be required to lift up to 40 pounds. The working environment is stable, and the noise level is moderate.
$94k-124k yearly est. 11d ago
MSW Social Worker - Chatsworth, CA
Unitedhealth Group 4.6
Los Angeles, CA job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Social workers are responsible for providing social work services to patients and families. They function as a member of the departmental team which includes educating the patient, family and members of the healthcare team regarding benefits, community resources, referrals for counseling and other pertinent information. Social workers are also responsible for triaging referrals and collaborating on cases with other members of the healthcare delivery team. In addition, social workers must be able to assist the patient in a sensitive and supportive manner, while acting as an advocate on behalf of the patient.
**Primary Responsibilities:**
+ Assesses patient and family psychosocial needs and develops plan of care in concert with patient, physicians, nurses and other members of the departmental team
+ Links patients/family to appropriate community resources including but not limited to, information/referral to sources of financial assistance, transportation, support groups, and other community services
+ Documents patient/family status, diagnosis, treatment plan, goals, and interventions, evaluation results, observations and progress in medical record
+ Serves as patient advocate and liaison with physicians, families, insurance company, community agencies and others as needed to ensure continuity of care
+ Provides discharge planning based on meeting identified goals of the treatment plan anywhere
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 Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years experience in behavioral health
+ Licenses must be active and unrestricted
+ Basic Microsoft Word skills
+ Driver's License and access to a reliable transportation
**Preferred Qualifications:**
+ Case management experience
+ Experience in managed care
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 $58,800 to $105,000 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._
$58.8k-105k yearly 60d+ ago
Sr. Security Engineer (671)
Word & Brown Companies 4.8
Word & Brown Companies job in Orange, CA
Purpose of Position: This position is responsible for maintaining and improving the security of the organization's information systems, networks and data. Key responsibilities include proactively identifying potential security risks, developing and implementing security measures to prevent data loss.
Essential Functions:
• Perform active threat hunting, looking for potential attacks rather than just passively waiting for attacks
• Perform red team/blue team exercises to test defenses and improve security operations.
• Assists with vulnerability assessments, using provided security tools to identify system vulnerabilities
• Design and implement security controls across cloud and on-premises environments
• Create and maintain security monitoring and alerting solutions
• Data Loss Prevention (DLP): Monitor DLP alerts, investigate incidents, and recommend actions to relevant teams to mitigate data breaches.
• Assists in the planning and deployment of the company's cloud information security strategies
• Manage Infrastructure and application security monitoring tools to detect and respond to security incidents in real-time
• Participate in the development and improvement of the company's SDLC processes, ensuring security practices are integrated into all stages of product development
• Responsible for evaluating, influencing, and recommending technology and product direction
• Stay informed on the latest cybersecurity trends, emerging threats, attack techniques, and zero-day vulnerabilities affecting Microsoft environments and other relevant technologies.
• On-site or remote regular attendance and punctuality are essential functions of the job.
• Perform other business tasks or functions as assigned.
Qualifications
Knowledge, Skills & Abilities Required:
• Experience with Microsoft Defender, Sentinel, Azure Security Center, and Microsoft 365 security solutions, helping to identify vulnerabilities, mitigate threats, and enhance security postures.
• Deep knowledge of Microsoft security solutions
o Microsoft Defender for Endpoint
o Microsoft Sentinel (SIEM/SOAR)
o Azure Security Center & Microsoft Purview Compliance Manager
o Microsoft Intune and Conditional Access Policies
• Strong understanding of security principles and best practices
• Strong knowledge and hands on experience with Data Loss Prevention
• Hands-on experience in threat hunting
• Certifications such as OSCP, OSWE, CISSP, CEH, GPEN, AZ-500 (Microsoft Azure Security Engineer), SC-200 (Microsoft Security Operations Analyst), or SC-300 (Microsoft Identity and Access Administrator) are a plus.
• Proficiency in Microsoft security technologies and tools such as Purview Information Protection, Defender for Cloud and Sentinel
• Experience with Managed Extended Detection and Response (MXDR)
• Proficient in Microsoft Office programs, including Word, Excel, PowerPoint, as well as Outlook.
• Adhere to all PHI (Protected Health Information) and HIPAA (Health Insurance Portability and Accountability Act) guidelines.
Educational Requirements:
• High School Diploma or equivalent required.
• Bachelor's degree in Computer Science, Cyber Security or equivalent experience required.
• Minimum of six (6) years of hands-on experience in IT with a focus on security.
Physical Requirements: Must be able to sit for extended periods and occasionally stand and walk. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.
$120k-155k yearly est. 11d ago
Actuarial Analyst Intern
Unitedhealth Group 4.6
Cypress, CA job
Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.
Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare.
This position will be supporting UnitedHealthcare's Employer & Individual (E&I) line of business and be located on-site in Cypress, CA with a hybrid work arrangement model of four days in office and one day remote.
Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare.
The Actuarial Summer Internship Program offers:
Focused career development opportunities
Networking with senior leadership
Formal mentorship program
Sponsored social and volunteer activities
Meaningful, relevant, and current project work critical to managing our business
Potential areas of focus may include but are not limited to:
Healthcare Economics
Pricing
Reserving
Forecasting
Data Analytics
Consulting
Primary Responsibilities:
Providing moderately complex analytical support to actuaries in the development and implementation of recommendations
Conducting and documenting moderately complex analysis and research
Preparing, forecasting, and analyzing trends
Initiating, compiling and preparing analytical models, tools and databases
Assisting in developing innovative strategies, policies, and procedures
Providing detailed summaries, reports, and recommendations to assist in managerial decision making
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualification:
Must be actively enrolled in an accredited college/university pursuing a bachelor's or master's degree throughout the duration of the internship -
internships are not intended for graduating seniors
Pursuing a major in Actuarial Science, Mathematics, Statistics, Accounting, Finance, Economics, or another related technical field
Preferred Qualifications:
Minimum 3.00 cumulative GPA
1 or more actuarial exams passed
Demonstrated knowledge or interest in a career as an Actuary
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $27.00 to $37.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$27-37 hourly 4d ago
Corporate Director of Pharmacy Per Diem
Unitedhealth Group 4.6
Remote or Los Angeles, CA job
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds.
Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills.
In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
**Primary Responsibilities:**
+ All aspects of operations, including assisting in recruitment and hiring of personnel
+ Evaluating that all legal, accreditation, and certification requirements are being met
+ Ensuring provision of optimal services
+ Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy
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:**
+ B.S. or PharmD from an ACPE-accredited School of Pharmacy
+ Active Pharmacist license in good standing
+ 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience
+ Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size
+ Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems
+ Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states
+ Proven ability to pass company Motor Vehicle (MVR) background check
+ Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed
+ Ability to travel on a 24 hour notice
+ Residence in Western U.S. near an international airport
*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 $52.98 to $90.77 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._
$53-90.8 hourly 60d+ ago
Behavioral Health Care Advocate - Community Transition Center
Unitedhealth Group Inc. 4.6
San Diego, CA job
$5,000 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 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.
Position in this function is responsible for facilitating and providing linkage to behavioral health services in system of care to justice involved client. Provides clinical services in the manner of behavioral health screenings, short term case management, coordination, and consultation with behavioral health treatment providers, San Diego Probation and ancillary services.
* This position will be based primarily on-site from a Community Transition Center in San Diego with minimal travel (no more than 25%) to various probation offices/jails locally within the SD area. Required schedule is Friday through Tuesday 9:30am - 6:00pm*
Primary Responsibilities:
* Conduct comprehensive behavioral health screenings in a dynamic environment that may include local county jails
* Identify/maintain awareness and contacts of specific community resources for justice involved population and the enrollment process
* Identify and coordinate appropriate level of care linkage to community behavioral health and ancillary services
* Assess for safety risks and provide crisis management interventions
* Provide short term clinical case management to ensure continuity of behavioral health and medical services
* Review available behavioral health history to coordinate services and assure appropriate level of care for clients
* Navigate and advocate within behavioral health system of care on behalf of justice involved clients as needed
* Engage clients to participate in screening process and work collaboratively within a multi-disciplinary team to develop case plans, provide linkage to care based on their individual needs, preference, and objectives
* Utilize motivational interviewing techniques to help clients identify and understand intrinsic goals and engage in behavior change
* Participate in ongoing multi-disciplinary team meetings providing education and consultation with regards to linkage to behavioral health and ancillary services within system of care
* Provide clinical care consultations with California Department of Corrections and Rehabilitation personnel, probation officers, and community treatment providers
* Maintain timely and appropriate clinical documentation records in San Diego County Probation and Behavioral Health Electronic Health records
* Use of technological systems to support clinical delivery of services
* Requires access to SmartCare which includes Protected Health Information and Probation Case Management System
* Adheres to pertinent HIPAA rules and regulations
* Other duties and responsibilities as required
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:
* Master's Degree in social work, Marriage and Family Therapy, Psychology, Counseling, or related field from an accredited university
* Clinical license in LCSW, LMFT, LPCC that is active and unrestricted in the state of California
* 3+ years providing direct clinical care in a behavioral health treatment setting with emphasis on assessment, case management, and crisis intervention
* Community behavioral health experience
* Ability to work on-site Friday through Tuesday 9:30am-6pm PST
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 $58,800 to $105,000 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.
$37k-42k yearly est. 60d+ ago
Per Diem Pharmacy Technician
Unitedhealth Group Inc. 4.6
Gardena, CA job
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.
As a per diem Pharmacy Technician you will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs; billing. You will carry out your job duties according to written procedures and guidelines based on pharmacy standards and regulatory requirements.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High school diploma or equivalent
* Current California Pharmacy Technician license in good standing
* Recent work experience as a Pharmacy Technician, ideally in a hospital or outpatient setting
* Proficiency with pharmacy software
Preferred Qualification:
* PTCB/CPhT
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.
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