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Triple-S jobs - 110 jobs

  • Triple S Logistics Delivery Driver

    Triple S Logistics LLC 4.4company rating

    Triple S Logistics LLC job in Mahwah, NJ

    Triple S Logistics, an Amazon Delivery Service Partner, is looking for enthusiastic, team players to deliver Amazon packages. Looking for a steady paycheck? Love driving? Enjoy physical activity? Looking for career advancement - all our managers are hired internally! Job Description Drive a van to deliver Amazon packages to customers. Work up to 4 days a week - 10-hour shifts. Follow strict safety standards. Professional and positive attitude Use handheld technology to manage the delivery process. Comfortable keeping track of login password information and using apps. Must be comfortable driving and working in varying weather conditions. Load and unload packages to be delivered. Follow all delivery instructions as directed by Amazon customer. Keep vehicle organized for efficient route and time management. Keep pace in physically demanding job; lift packages (up to 50 lbs) Are passionate about customer service. Successfully handle and deliver packages on time. Can sit, stand, walk (be able to get in and out of a van 200 times throughout the day at various locations) Are familiar with smartphone applications. Work well in a team environment as a part of a close-knit, supportive team. Can work weekends. Willing to work when the weather is bad - snow, sleet, rain, hot, cold, etc. Qualifications Be at least 21 years of age. Must hold a non-provisional, unrestricted driver's license. Must have a clean motor vehicle report (multiple violations can disqualify you from the position) Must pass a 4-Panel Drug Screening (which does not include pre-employment testing for marijuana) Eligible to work in the U.S Must have good English communication skills: speaking, reading and writing. * Additional Information* * Paid training provided! Subsidized Medical and Dental after 30 days. Paid Time Off 401k (retirements savings) contributions Tuition Reimbursement All your information will be kept confidential according to EEO guidelines. Additional Information All your information will be kept confidential according to EEO guidelines.
    $35k-46k yearly est. 28d ago
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  • Manager, Employee Relations

    Source One Technical Solutions 4.3company rating

    Remote or Ridgefield, NJ job

    Source One is a consulting services company and we're currently looking for the following individual to work as a remote consultant to our direct client, a global pharmaceutical company in Basking Ridge, NJ. Job Title: Manager, Employee Relations (Contractor) Pay Rate: $47/hr (W-2) Schedule: 37.5 hours/week, Mon-Fri, 100% remote for duration of assignment Summary: This role has responsibility for managing employee relations cases with business stakeholders with guidance and oversight, which includes but is not limited to intake, interviews, documentation review, coaching and closeouts. Accountable for end-to-end processing of employee relations concerns including creating issues summaries, pre-investigation plans, writing investigation reports and maintaining ER case files for reporting purposes. Responsibilities: • Employee relations and investigations: uses business acumen, policy interpretation and risk mitigation to conduct effective investigations and coach/counsel employees and management with guidance and oversight. • Manages the exit interview process and metrics, which includes conducting exit interviews, reviewing exit trends and synthesizing data on a quarterly basis. • Project management as assigned for employee relations initiatives, policy administration and HR compliance and regulatory reporting/FDA readiness. • Effectively triages potential issues compliance/legal to ensure appropriate approach is taken. • With oversight, conducts investigations in response to employee or management complaints of inappropriate conduct/behavior or matters concerning performance and recommends disciplinary actions in accordance with company policy. • Works directly with business stakeholder using HRBP as information intake as necessary managing performance improvement plans in accordance with company policies. • Elevates issues to the employee relations head for possible program changes and learning and development opportunities. • Supports employees throughout the issues escalation process and tracks the incident to ensure proper issue closure. • Provides coaching to managers and employees on preventing or resolving employee relations issues based on guidance and direction from ER head. • Properly documents all employee relations data and documents. • Ability to project manage ER initiatives or implementation of HR best practices and training. • Assist as needed with policy administration, HR compliance, and regulatory reporting and FDA readiness and ADA accommodation requests. Required Skills: • Human Resources experience • Pharmaceutical industry experience • Demonstrate a strong understanding of employee and manager needs • Ability to exercise sound judgment and make connections between HR processes/policies and the businesses we serve and in a highly regulated pharmaceutical environment • Strong written communication and verbal communication skills, ability to translate processes into training and other presentation/policy/program documents • Ability to work effectively with management and all levels of HR partners • Ability to ensure a high level of discretion and confidentiality • Ability to complete multiple duties with accuracy shifting from one to another with frequent interruptions and competing deadlines • Familiarity with Affirmative Action Program development • Strong computer skills including proficiency with Microsoft Word, Excel, PowerPoint, Access, Outlook, HRIS systems and web-browsers Education: • Bachelor's Degree in Human Resources, Behavioral Sciences, Humanities or Liberal Arts is required
    $47 hourly 1d ago
  • Trademark Data Management Analyst

    Source One Technical Solutions 4.3company rating

    Summit, NJ job

    Source One is a consulting services company and we're currently looking for the following individual to work as a consultant with our direct client, a global pharmaceutical client in Summit, NJ No Third-Party, No Corp to Corp, No Sponsorship Title: Trademark Data Management Analyst Location: Summit, NJ Hybrid: (Mon-Fri, 40 hours) Contract Duration: 12 months, with likely extension Pay Rate: $33.57 per hour (w2) PLEASE NOTE: To be considered for this position you must have a minimum of three years of trademark experience, particularly with trademark assignments and chain of title changes. Job Description: The IP Operations Assistant role is designed for an experienced, proactive, and self-starting individual seeking to work in a supportive and team-oriented setting. The position focuses on assisting with trademark data review, verification, and related administrative tasks, requiring interaction with in-house and outside counsel as well as business teams. Key Responsibilities: Interpret trademark correspondence to identify data entry errors and resolve inquiries from outside counsel. Manage trademark assignment and chain of title changes, including communication with outside counsel. Verify details of Powers of Attorney (POA), assignments, and related documents, preparing themfo r attorney signature, notarization, and legalization. Support the IP Operations Manager in departmental projects such as organizing POAs, running reports, and data verification. Assist with overflow projects and provide backup during team members' absences. Job Requirements: MUST HAVE A Minimum of three years of trademark experience, particularly with trademark assignments and chain of title changes. Required proficiency in trademark IPMS databases, preferably Memotech. Understanding of trademark law sufficient to perform duties with minimal supervision. Strong organizational, teamwork, and time management skills with attention to detail and problem-solving abilities. Experience handling high-volume, complex data with the ability to multitask and work under pressure. Proficiency in Excel (including advanced data analysis and manipulation such as pivot tables), Microsoft Outlook, and Adobe Acrobat. Proven ability to manage projects independently while providing clear updates to the IPOperations Manager. Preferred but not required: New Jersey Notary certification. Comfortable using information technology and document management tools. Strong written and verbal communication skills, capable of effective interaction at all company management levels.
    $33.6 hourly 21h ago
  • 2-50 SB Renewal Account Executive - Hybrid in East New Brunswick, NJ

    Unitedhealth Group 4.6company rating

    Remote or East Brunswick, NJ job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The primary duty of the Renewal Account Executive is to retain existing agent and broker groups through exceptional service in order to promote health care sales and market UnitedHealth Care products. The Renewal Account Executive focuses on the small business market segment, those customers employing up to 50 employees. Primary Responsibilities: Develops business relationships with agents and / or brokers in order to renew existing accounts Independently decides which brokers to focus on and which products to recommend Promotes sales of health care products to small business (2 to 50 employees) customers, through brokers Educating and keeping brokers up to date on UnitedHealth Care products and pricing Evaluating and discussing with brokers how UnitedHealth Care products meet the needs of the brokers' customers Independently developing and delivering recommendations to brokers on which products to market against competing products Assisting brokers in developing sales proposals, including anticipating competing products and distinguishing United Healthcare's products from those competing products Attains regional and health plan goals related to specific targeted health care products Produces agent/broker sales that result in profitable premium levels for the company This position requires the employee be located in East New Brunswick, NJ area once employed; please note this role does not offer relocation assistance. 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 sales license or ability to obtain one upon hire 3+ years of account management/sales experience 3+ years of business proficiency in Microsoft Word and PowerPoint 3+ years of experience preparing and presenting materials to clients Ability to travel up to 25% to meet with brokers within the MN and/or PA area Driver's License and access to a reliable transportation Preferred Qualifications: 3+ years of experience with data analysis 3+ years of experience working in partnership with underwriting and finance 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 $50,000 to $115,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $50k-115k yearly 1d ago
  • Telephonic Nurse Case Manager - New Jersey

    Unitedhealth Group 4.6company rating

    East Brunswick, NJ 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. We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! If you are located within Northern New Jersey territory and willing to travel up to 20% of your time to assigned territory, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Comprehensive Assessment & Care Planning Conduct thorough health assessments, including medical history, chronic conditions, behavioral health, and social determinants of health Develop individualized care plans that address medical, rehabilitation, behavioral health, and social needs Create personalized interventions that integrate medical treatment, support services, and community resources Member Engagement, Education & Self-Management Build and maintain relationships with an established caseload of high-risk members Provide education to members and caregivers on disease processes, treatment adherence, and lifestyle changes Encourage self-management strategies that support long-term wellness and reduce complications Maintain consistent outreach to support adherence to care plans and monitor evolving needs Intensive Care Coordination Coordinate services across providers, including PCPs, specialists, hospitals, LTSS, behavioral health, and pharmacy. Facilitate referrals for home health, hospice, palliative care, and DME Collaborate with Medical Directors during interdisciplinary rounds to review and align care for complex cases Discharge Planning & Transitional Care Support members through transitions of care such as hospitalization, skilled nursing, and rehabilitation Conduct "welcome home" and follow-up calls to ensure post-discharge services, medications, and follow-up appointments are in place Deliver intensive outreach during the 30-day post-discharge period to reduce avoidable readmissions and ED utilization Advocate for safe, coordinated, and timely transitions of care that align with the member's individualized care plan Field-Based Care Management (20% of Time) Conduct home and hospital visits in North Jersey as required by program guidelines Perform in-person assessments and provide care coordination to address high-risk needs and ensure continuity of care Collaborate directly with providers, facilities, and families during field visits to close care gaps and reinforce the care plan Monitoring & Clinical Oversight Monitor members' clinical conditions, care plan progress, and treatment adherence Reassess care plans regularly and adjust interventions based on changing needs or barriers Identify red-flag conditions and escalate urgent or complex cases for higher-level review and intervention Documentation, Compliance & Quality Outcomes Document all assessments, care plans, interventions, and communications per NCQA, CMS, and state regulatory requirements Ensure care management services align with DSNP/NCQA standards and contract requirements Track outcomes tied to quality metrics (HEDIS, STARs), utilization management, and member satisfaction Maintain audit readiness through timely, accurate, and comprehensive documentation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in New Jersey 2+ years of Case Management Experience serving complex, elderly and disabled Experience with government health programs (Medicaid/Medicare) Proficient in Microsoft Office Suite; tech-savvy with ability to navigate multiple systems simultaneously Demonstrated ability to talk and type proficiently at the same time Access to reliable transportation and the ability to travel up to 20% within assigned territory. Available for occasional in-person meetings as needed Preferred Qualifications: Certified Case Manager (CCM) Experience working with populations with special needs (DSNP) Experience with Managed Care Population Bilingual - English/Spanish *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 2d ago
  • Social Worker

    Unitedhealth Group 4.6company rating

    West Orange, NJ job

    Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms. **Primary Responsibilities:** + Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis + Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis + Instructs health care team members on community resources available to assist patients on a as needed basis + Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided 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 from a school of Social Work accredited by the Council of Social Work + Current CPR certification + Licensed Social Worker in the state of residence + Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation + 1+ years of social work experience in a health care setting **Preferred Qualifications:** + Bereavement Coordination experience + Experience with establishing a plan of care for bereavement needs 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. \#LHCJobs _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 37d ago
  • Associate Patient Care Coordinator

    Unitedhealth Group 4.6company rating

    Vineland, NJ job

    **Opportunities with Optum in the Tri-State region** (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind **Caring. Connecting. Growing together.** **Optum Urgent Care** has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team. The **Associate** **Patient Care Coordinator** is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals. **Working Hours:** Office is open seven days a week. This role would consist of a 36- hour work week, consisting of 3 - 12-hour shifts between the hours of 7:45 am to 8:00 pm or last patient. The schedule will be determined by the supervisor upon hire. Rotating schedule including Holidays. May be asked to float to other clinics as needed **Location** : + 3403 S. Delsea Drive, Vineland, NJ 08360 + 301 South Main Road, Vineland NJ 08360 **Primary Responsibilities:** + Obtain accurate and updated patient information, such as name, address, insurance information + Perform insurance verification on the date of service + Obtain patient signatures for required documents + Upload a valid Government issued state ID of patient and patient insurance cards + Accurate and complete occupational medicine registration workflow + File and maintain medical records + Consistently correct registration work queue errors + Confirms and schedule appointments + Answer telephone calls promptly and courteously + Perform referral documentation promptly + Working daily in the claims edit work queue and referrals work queue to correct registration errors for submission to insurance companies + Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies lab results or specialist reports + Adhere to the standards identified via Sparq regarding Optum Employee Policies + Work cohesively with fellow employees to achieve specific team goals + Keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements + Comfortable working in high pace environment + Participate in planning, coordinating, and implementing care in conjunction with the multidisciplinary team in accordance with the Plan of Care + Assure the continuity of care through scheduling and tracking systems + Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations + Notify clinical staff of schedule changes as they occur + Comply with administrative policies to ensure quality of care + Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart + Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed + Perform other related duties and assignments as required + Organize and maintains medical records + All employees are expected to keep abreast on current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements + Complete new clinical competencies rolled out by the Educational Committee + Work Independently, and Assist with Clinical duties on a limited basis + Crosstrain and help in other locations if needed + Performs other duties as assigned **What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:** + Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays + Medical Plan options along with participation in a Health Spending Account or a Health Saving account + Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage + 401(k) Savings Plan, Employee Stock Purchase Plan + Education Reimbursement + Employee Discounts + Employee Assistance Program + Employee Referral Bonus Program + Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) + More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED (or higher) + 1+ years of computer proficiency experience including MS Word, Excel and Outlook, and being able to use multiple web applications + 1+ years of customer service or healthcare related experience + Ability to travel to both offices interchangeable depending on business needs + 3403 S. Delsea Drive, Vineland, NJ 08360 + 301 South Main Road, Vineland NJ 08360 **Preferred Qualifications:** + 1+ years of customer service experience + 1+ years of experience working in medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records + Knowledge of Epic EMR software **Soft Skills:** + Ability to work independently and maintain good judgment and accountability + Demonstrated ability to work well with health care providers + Strong organizational and time management skills + Ability to multi-task and prioritize tasks to meet all deadlines + Ability to work well under pressure in a fast-paced environment + Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO, #RED
    $16-27.7 hourly 47d ago
  • Medical Director - Clinical Review - Urology - Remote

    Unitedhealth Group 4.6company rating

    Remote or Jersey City, NJ 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 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.** Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations + Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements + Engage with requesting providers as needed in peer-to-peer discussions + Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews + Participate in daily clinical rounds as requested + Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy + Communicate and collaborate with other internal partners + Call coverage rotation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + M.D or D.O. + Active unrestricted license to practice medicine + Board Certification in Urology + 5+ years of clinical practice experience after completing residency training + Sound understanding of Evidence Based Medicine (EBM) + Proven solid PC skills, specifically using MS Word, Outlook, and Excel **Preferred Qualifications:** + Experience in utilization and clinical coverage review + Proven data analysis and interpretation aptitude + Proven innovative problem-solving skills + Demonstrated excellent presentation skills for both clinical and non-clinical audiences + Demonstrated excellent oral, written, and interpersonal communication skills, facilitation skills + Current licensure in New Mexico, Arizona or Indiana + Willing to obtain additional licensures if needed *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. **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._
    $238k-357.5k yearly 54d ago
  • Senior Trainer - East Brunswick, NJ

    Unitedhealth Group 4.6company rating

    East Brunswick, NJ 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.** **This position follows a hybrid schedule with four in-office days per week.** The Community and State Training Team is currently recruiting a Trainer to support the UnitedHealthcare Community and State Plan of New Jersey. The Senior Trainer will be responsible for the effective delivery of training for new business initiatives, new and existing training programs that encompass training of clinical staff such as nurses, social workers, and medical directors as well as non-clinical staff. The Senior Trainer will be a self-starter with excellent communication and interpersonal skills who promote optimal training outcomes through: + Continual collaboration with instructional designers, business partners, and SMEs + Thorough assessment and analysis of training needs + Timely planning, coordination, delivery, and evaluation of training + Participation in the design of training materials and curriculum to support training programs **Primary Responsibilities:** + Assess customer needs and identify solutions for unique challenges + Handle moderately complex issues and analysis with minimal supervision + Translate concepts into practical applications + Explain complex topics clearly to others + Coach and support less experienced team members + Create and maintain training materials and resources + Deliver effective adult learning experiences + Manage the learning environment and improve training outcomes + Build strong relationships across teams and leadership levels + Work with stakeholders to improve training strategies + Attend senior-level or state-requested meetings as needed + Provide backup support to training team members + Maintain professionalism during challenging facilitation scenarios + Contribute to projects that support the success of the UnitedHealthcare Community and State You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Current unrestricted RN or Social Work license in the state of residence + 3+ years of clinical experience (i.e., care coordination, service coordination, case management, etc.) + Experience with adult learning/training, virtual training, instructional design and/or training project management (i.e., performing presentations in person and/or through virtual platforms, classroom training experience, virtual (Teams) training experience + Knowledge of Medicare and Medicaid + Knowledge of managed care + Proficiency with Microsoft Office (Word, Excel, Power Point), and SharePoint + Proven facilitation and presentation skills with the capability to engage, inspire and teach adult learners at all levels + Proven ability to effectively deal with ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty in a manner consistent with UnitedHealth Group's core values + Proven communicator with skills to flex to different audiences at different levels of understanding and seniority + Proven ability to develop and present effectively to a variety of audiences + Ability to travel up to 25% + Must live within commutable distance to the East Brunswick, New Jersey Office **Preferred Qualifications:** + Experience with electronic care management applications (CommunityCare, ICUE) + Experience in project management + Experience using Microsoft Copilot + Proven excellent communication, planning, and time management skills + Proven ability to focus and work effectively in a complex and change-oriented work environment + Proven ability to work independently and within a team environment + New Jersey Choice Certified Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $71.2k-127.2k yearly 60d+ ago
  • RN Clinical Coordinator - Field Based in Union and Surrounding Counties - NewJersey

    Unitedhealth Group 4.6company rating

    Elizabeth, NJ job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to any of the following counties? Union and surrounding counties, NJ Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team 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 independent licensure as a Registered Nurse 2+ years of clinical experience 1+ years of experience with MS Office, including Word, Excel, and Outlook Driver's License and access to reliable transportation and the ability to travel up to 80% of your time within assigned territory to meet with members and providers Preferred Qualifications: BSN, Master's degree or higher in clinical field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background 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 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 1d ago
  • Medicare Market President- Northeast Markets

    Centene Corporation 4.5company rating

    Trenton, NJ job

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Responsible for the growth and performance of the assigned Medicare region to meet membership, pre-tax earnings, quality, network performance, provider experience and compliance goals. Develop and execute strategic plans and foster internal and external partnerships with key stakeholders to ensure strong operating performance, innovative solutions, and quality outcomes for members and providers. A "roll up the sleeves" executive who understands and can develop a market nuanced strategy while also leading and organizing a multi-disciplinary, cross functional and cross line of business team to achieve results. Results oriented, strong communicator, culture builder, organized and disciplined. Leads by example with authenticity, accountability, sensitivity and results orientation. + Responsible for the overall P&L management for the market/region, including management of clinical, financial, and key operational performance. + Responsible for developing a market specific, cross-functional operating plan that includes specific initiatives, key performance indicators, dependencies, milestone delivery dates and owners as well as a governance process to ensure both transparency to and the accomplishment of the business' strategic imperatives. + Lead the expansion and on-going support and performance of value-based care and innovation with providers. + Provides leadership direction and vision to innovate and improve the performance of the business. + Monitor and analyze the changing landscape and recommend strategies and programs to proactively address the changing needs of the members. + Manages and drives quality initiatives aligned with continuous performance improvement towards STAR outcomes. + Responsive to the needs of current and prospective members, providers and regulatory partners. + Provides leadership direction, and overall vision to maintain and improve the performance of the business (revenue, membership, brand recognition and outcomes). + Build collaborative and effective partnerships with internal and external stakeholders to become a thought leader in support of the Medicare product in the local market communities. + Identify the appropriate strategic approach to drive business growth and differentiate the product in the assigned market. + Works collaboratively with shared services and market leaders to ensure that Medicare enterprise-wide networks, quality and risk, clinical, operational, financial and leadership expectations are met. + Provides effective staff leadership, with particular attention to effective organizational structure, recruitment, mentoring, culture, and ongoing organizational leadership. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's degree in business or related discipline; MBA preferred. Minimum 12 years progressively responsible leadership experience in the insurance/managed healthcare industry, including executive management with profit and loss accountability. Experience leading senior management teams that successfully implement the company's goals including financial and customer objectives. Territory: Northeast Markets Pay Range: $250,000.00 - $480,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $250k-480k yearly 60d+ ago
  • Account Receivable Clerk

    Unitedhealth Group 4.6company rating

    Ridgefield, NJ job

    _This position follows a hybrid schedule with 3 - 4 In-office days per week. Our office is located at 131 Morristown RD, Basking Ridge, NJ, 07920._ 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.** Follow up of outstanding A/R for all payers and/or including self-pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to attain maximum reimbursement on accounts and identify issues or changes to achieve client profitability. Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST. We offer 4 weeks of paid on-the-job training and the hours during training will be 8:00 am - 5:00 pm EST, Monday - Friday. **Primary Responsibilities:** + Work under the daily supervision of the Operations A/R Supervisor/Manager + Effectively work with the client and staff to improve billing operations + Assist patients with questions ad inquiries + Validate insurance and other billing information + Review Medical Records to validate date of service, servicing provider and other basic non-clinical data + Assist in identifying current and/or potential billing issues specific to outstanding receivable + Follow up on denied or unadjudicated encounters + Protect/observe patient confidentiality per policies and procedures + Meet productivity standards as based on internal operational and client goals + Enter free form notes/status codes onto patient accounts ensuring adequate documentation for any activity performed on the account through billing, follow-up, or processing of correspondence + Review and prepare claims for manual and/or electronic billing submission. This includes submitting corrected claim and appeals. + Correct any identified billing errors and resubmit claims to insurance carrier. Follow up on payment errors, low reimbursement, denials, etc. + Complete third party contractual and/or regulatory adjustments and write offs as indicated on the explanation of benefits and/or third-party correspondence. + Use appropriate systems for payment determination and resolution. + Maintain a current working knowledge of all healthcare related issues and regulations. + Act responsibly with patients, co-workers, management, and clients. Maintain a professional attitude. + Demonstrate knowledge of proper, safe, efficient usage of current office equipment/software + Assist in other duties assigned as they arise You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED + Must be 18 years of age or older + 2+ years of medical billing experience + 2+ years of experience with effectively interacting with physicians, patients, and other staff members + Intermediate level of proficiency with Microsoft Word, Excel and Outlook + Knowledge of Out of Network billing and appeals + Oral & written communication skills + Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST. **Preferred Qualifications:** + Medical billing and coding certification + Knowledge of electronic medical records + Working knowledge of New Jersey No-Fault & Workers Compensation billing and appeals **Telecommuting Requirements:** + Reside within commutable distance to the office at 131 Morristown RD, Basking Ridge, NJ 07920 + Ability to keep all company sensitive documents secure (if applicable) + Required to have a dedicated work area established that is separated from other living areas and provides information privacy. + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._
    $17.7-31.6 hourly 31d ago
  • Pharmacy Technician - Data Entry

    Unitedhealth Group Inc. 4.6company rating

    Remote or Somerset, NJ job

    Explore opportunities with PharmScript, part of the Optum family of businesses. PharmScript is one of the nation's leading pharmacies, partnering with long-term and post-acute care facilities to supply medications to thousands of residents and patients. Be part of our team that's dedicated to delivering safe, accurate and timely medication to those who need it most. PharmScript is a place where you can thrive and contribute. Join us to start Caring. Connecting. Growing together. We're looking for a Data Entry Pharmacy Technician to join our PharmScript team within our Data Entry department. In this role, you'll be responsible for the entry and processing of medication orders into the pharmacy operating system. Pharmacy technicians are expected to have a positive attitude and work well in a team environment, must be dependable, possess a strong work ethic and have reliable attendance. The ideal candidate will have strong attention to detail and is an effective communicator. They are always a team player, eager to jump in where needed and collaborate with others to support the goals of the pharmacy and needs of customers. Schedule: Monday-Friday 1:00pm-9:30pm. This position is required to work every other weekend plus 4 holidays per year If you are located in Somerset, NJ, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Data entry involves the entry and processing of medication orders via the pharmacy's operating system which includes: * Reorder Requests * Triaging or sorting incoming medication orders for processing according to delivery deadlines * Processing of all new medication orders according to delivery deadlines, including controlled medications, leave of absence orders, and customer-configured order fulfillment * All tasks and duties must be completed in accordance and compliance with HIPPA guidelines, State and Federal laws and current company policies and procedures You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Active and unrestricted Pharmacy Technician license in NJ * 1+ years of pharmacy data entry experience * Knowledge of Brand/Generic medications and Sig codes * Intermediate to advanced computer and typing skills, including Microsoft Office applications * Proven possess basic math skills * Availability to work overtime, holidays, and weekends as needed * Willing or ability to up to three months of remote training * Must live within an hour drive of Somerset NJ Preferred Qualifications: * National Pharmacy Technician Certification * Long-term care pharmacy experience * Knowledge of Framework or Docutrack * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 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.
    $16.2-28.8 hourly 10d ago
  • Benefit Configuration Coordinator

    Centene Management Company 4.5company rating

    Newark, NJ job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Maintain client setups, including data entry, auditing, and error reporting. Maintain client setup and benefit configuration by entering benefit information into PBM system Track and process various change requests from the benefit enrollment forms and other system queues timely and accurately Research system issues and update information of commercial accounts and submit deliverables to account management team Assist with testing and system setup Process enrollment and termination member eligibility requests Track and report client information errors as identified by call center representatives Education/Experience: High school diploma or equivalent. 4+ years of database management experience in the healthcare environment, preferably in pharmacy benefit management.Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $19.4-33 hourly Auto-Apply 8d ago
  • Vice President, Digital Engineering

    Unitedhealth Group 4.6company rating

    Remote or Ridgefield, NJ job

    Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start **Caring. Connecting. Growing together.** In this leadership role, you will be responsible for leading a Product Engineering team of ~250 for the UnitedHealthcare mobile & web experiences. You will lead the organization through the creation and transformation of digital experiences serving patients, health plan members, employers, and providers. This leader will design and deliver the common component technology platform as well as our next generation consumer experiences. They will be responsible for the platform and application Engineering strategy, leading an integrated team focused on driving continuous, metrics-backed improvements to the digital experience through product and engineering disciplines. You will partner across internal and external partners to oversee (and be accountable for) end-to-end digital experiences. Candidates for this role need to be seasoned engineering leaders with deep expertise in digital product delivery, have proven experience designing and executing on multi-brand and/or line of business mobile and web properties, deep understanding of direct-to-consumer digital products and ecosystems, and how to optimize cost and reuse. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office. **Primary Responsibilities:** **Engineering Leadership** + Define and execute a long-term engineering vision aligned with the company's digital health strategy and growth goals + Build, lead, and scale a high-performing global engineering organization with a culture of innovation, accountability, and inclusion + Recruit and mentor senior engineering leaders, fostering both technical and people management capabilities + Ensure the use of AI tools to drive increased developer productivity **Consumer Application Excellence** + Lead the development of robust, scalable, secure, and user-friendly consumer-facing applications accessed by millions of users + Ensure product performance, reliability, and uptime meet the highest standards for public-facing systems + Drive technical decision-making that enables speed, scalability, and flexibility across the stack **AI & Data Integration** + Oversee the integration of AI/ML-driven features (e.g., personalized recommendations, NLP, intelligent triage) into consumer products + Partner with data science and product teams to deliver data-informed user experiences that support improved health outcomes + Ensure responsible use of AI, including data ethics, explainability, and alignment with healthcare regulations **Healthcare Compliance & Security** + Ensure all systems are designed and maintained in accordance with HIPAA, HITRUST, SOC 2, and other relevant regulatory standards + Collaborate with Security, Legal, and Compliance teams to implement privacy and risk mitigation best practices + Proactively identify and address risks related to data integrity and information security **Operational & Organizational Efficiency** + Manage delivery timelines, budgets, team structures, and prioritization across complex product portfolios + Establish and measure KPIs, engineering health metrics, and delivery benchmarks to drive continuous improvement + Implement and evolve best-in-class software development practices, DevOps, and infrastructure operations **Cross-functional Collaboration** + Partner closely with Product, Security, UX, and Executive teams to ensure technical strategy supports overall business and member-impact goals + Act as a strategic voice for engineering in company-wide planning and 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 Qualifications:** + 15+ years of software engineering experience, with 5+ years serving in senior engineering leadership roles + Proven track record building and scaling consumer-grade digital products with millions of users + Experience leading geographically dispersed engineering teams of 100+ people across multiple time zones through other leaders (including prior experience having Senior Directors as direct reports) + History of success improving developer productivity with AI tools + Demonstrated expertise in Agile methods, cloud platforms (AWS, GCP, Azure), microservices architecture, DevOps, and application security + Excellent communication, influence, leadership, and stakeholder management skills **Preferred Qualifications:** + Experience building AI solutions at scale in production environments + Prior experience upskilling a team relative to AI *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 $200,400 to $343,500 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._
    $101k-118k yearly est. 2d ago
  • Pharmacist - Home Delivery

    Unitedhealth Group 4.6company rating

    Brookfield, NJ 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.** As a Pharmacist you will perform various duties related to the fulfillment of prescription orders. What makes your pharmacy career greater with OptumRx You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. You will be asked to perform this role in an office setting or other company location in Pine Brook, NJ. ***** The available work schedule for this position will be second shift. This is a Sunday - Thursday schedule from 3:00 pm - 11:30 pm EST with a possible need for help on first shift Monday - Friday from 6:00 am - 2:30 pm EST and occasional weekends ***** **Primary Responsibilities:** + Oversees the activities of pharmacy technicians and pharmacy clerks + Organizes workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards + Performs all duties and functions in compliance with state and federal pharmacy laws and regulations + Conforms with and supports department quality assurance and improvement guidelines 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 Pharmacist license in good standing in state of New Jersey + 1+ years of experience working as a licensed Pharmacist + Willing and able to first or second shift and occasional weekends + Proven ability to lift 30 pounds + Willing to work in a fast paced environment **Preferred Qualifications:** + PBM or Managed Care experience + Mail Order Pharmacy experience + High-volume Retail Pharmacy 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 $44.09 to $78.70 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_
    $29k-32k yearly est. 10d ago
  • RN Clinical Coordinator - New Jersey

    Unitedhealth Group 4.6company rating

    Newark, NJ job

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to any of the following counties? Essex County, NJ If you are located in Essex and Surrounding Counties, NJ, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team 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 independent licensure as a Registered Nurse 2+ years of clinical experience 1+ years of experience with MS Office, including Word, Excel, and Outlook Driver's license and access to reliable transportation and the ability to travel up to 80% of your time within assigned territory (50 miles radius from their home base) to meet with members and providers Preferred Qualifications: BSN, Master's degree or higher in clinical field CCM certification 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in managed care Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *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 $40.00 to $54.00 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.
    $40-54 hourly 3d ago
  • Speech Therapist

    Unitedhealth Group 4.6company rating

    Emerson, NJ job

    Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Speech Therapist in Home Health is responsible for the assessment and evaluation of patient care needs related to treating speech and language disorders, and functional training in communication, swallowing, and cognitive impairments. Based on this assessment and evaluation, the Speech Therapist works to help determine a treatment plan, performs interventions aimed at improving and enhancing the patient's well-being, and evaluates the patient's progress. **Primary Responsibilities:** + Provides services within the scope of practice as defined by the state laws governing the practice of speech therapy, in accordance with the plan of care, and in coordination with other members of the health care team + Evaluates the patient's level of function by applying diagnostic and prognostic functional ability tests. Assists the physician in the development of the therapy plan of care + Treats patients to communicate effectively by expressing thoughts according to the patient's condition using acceptable standards of practice + Observes, records, and reports to the supervising nurse and/or physician the patient's response to treatment and changes in the patient's condition + Instructs the patient, the family and/or caregiver and other members of the health care team in areas of speech therapy in which they can participate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Licensed in Speech Therapy in the state of residence + Current CPR certification + Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. \#LHCJobs _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $71.2k-127.2k yearly 37d ago
  • Social Worker PRN Position

    Unitedhealth Group Inc. 4.6company rating

    Parsippany-Troy Hills, NJ job

    Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Medical Social Worker, provides medical social services under the direction of a physician and Interdisciplinary Group to assist in the understanding of significant social and emotional factors related to the patient's health status and in development of coping mechanisms. Primary Responsibilities: * Assists the patient, significant others, physician and health care team staff to understand significant personal, emotional, environmental and social factors related to the patient's health status on an as needed basis * Contributes as a health care team member to the development of a comprehensive, integrated Plan of Care for patients on a daily basis * Instructs health care team members on community resources available to assist patients on a as needed basis * Able to function as Bereavement Coordinator and supervise the provision of bereavement services reflective of patient / family if needed. Establishes a Plan of care that addresses bereavement needs with clear delineation of services to be provided 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 from a school of Social Work accredited by the Council of Social Work * Current CPR certification * Licensed Social Worker in the state of residence * Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation * 1+ years of social work experience in a health care setting Preferred Qualifications: * Bereavement Coordination experience * Experience with establishing a plan of care for bereavement needs 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 15d ago
  • Delivery Driver

    Triple S Logistics 4.4company rating

    Triple S Logistics job in Mahwah, NJ

    Triple S Logistics, an Amazon Delivery Service Partner, is looking for enthusiastic, team players to deliver Amazon packages. Looking for a steady paycheck? Love driving? Enjoy physical activity? Looking for career advancement - all our managers are hired internally! Job Description ●Schedule: Sunday-Wed, Wed-Sat, Friday-Monday (Friday, Saturday, Sunday, Monday) ● Drive a van to deliver Amazon packages to customers. ● Work up to 4 days a week - 10-hour shifts. ● Follow strict safety standards. ● Professional and positive attitude ● Use handheld technology to manage the delivery process. ● Comfortable keeping track of login password information and using apps. ● Must be comfortable driving and working in varying weather conditions. ● Load and unload packages to be delivered. ● Follow all delivery instructions as directed by Amazon customer. ● Keep vehicle organized for efficient route and time management. ● Keep pace in physically demanding job; lift packages (up to 50 lbs) ● Are passionate about customer service. ● Successfully handle and deliver packages on time. ● Can sit, stand, walk (be able to get in and out of a van 200 times throughout the day at various locations) ● Are familiar with smartphone applications. ● Work well in a team environment as a part of a close-knit, supportive team. ● Can work weekends. ● Willing to work when the weather is bad - snow, sleet, rain, hot, cold, etc. Qualifications ● Be at least 21 years of age. ● Must hold a non-provisional, unrestricted driver's license. ● Must have a clean motor vehicle report (multiple violations can disqualify you from the position) ● Must pass a 4-Panel Drug Screening (which does not include pre-employment testing for marijuana) ● Eligible to work in the U.S ● Must have good English communication skills: speaking, reading and writing. Additional Information ● Paid training provided! ● Subsidized Medical and Dental after 30 days. ● Paid Time Off ● 401k (retirements savings) contributions ● Tuition Reimbursement All your information will be kept confidential according to EEO guidelines.
    $35k-46k yearly est. 10d ago

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