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The OrthoNet Senior Administrative Medical Director, UM provides leadership, organization, and direction for all utilization management programs and other Medical Services Department activities as applicable. Responsible for the overall quality, effectiveness and coordination of the utilization management programs and other managed care services provided through OrthoNet/Optum. Oversees the Utili
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Provide exceptional customer service both internal and external customers Actively participate in the achievement of patient satisfaction Digital dexterity e.g. use of computer keyboard and sterile compounding tools Act as the single point of contact for patients Confirm and make delivery changes for patients Update patient information using specific programs You'll be rewarded and recognized for
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Modeling the technical landscape to analyze the alignment of business capabilities with delivered technology and IT solutions Analyzing the current technology environment to detect critical deficiencies and collaborating with Enterprise Architecture from other lines of business and development team architects to recommend solutions for improvement Communicate and coordinate with Product Owner (PO)
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Performing all phases of software engineering including requirements analysis, application design, and code development & testing Designing and implementing product features in collaboration with business and IT stakeholders Design, develop and test reusable frameworks, libraries and Java components Be innovative in solution design and development to meet the needs of the business Expected to adap
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You want to do work that really matters. We want to bring more health resources and better solutions to the most vulnerable and least served members in our communities. This sounds like the perfect match. In this role you can work with state and federal government agencies, physicians and other providers, to bring greater care to more than three million people. Make a difference in the lives of th
Posted Today
You want to do work that really matters. We want to bring more health resources and better solutions to the most vulnerable and least served members in our communities. This sounds like the perfect match. In this role you can work with state and federal government agencies, physicians and other providers, to bring greater care to more than three million people. Make a difference in the lives of th
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As a part of the OptumCare network, Riverside Medical Group is seeking an ENT Physician to join our growing team in New Jersey with multiple practice locations available. At Optum, we are transforming healthcare nationally while providing physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm) Primary Responsibilities Res
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Healthcare isn't just changing. It's growing more complex every day. ICD 10 Coding replaces ICD 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership fo
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There's never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. As a leader within our network contracting team, you
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Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Joi
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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Physician Contract Manager develops the provider network
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Handle call transfers for claims reconsiderations and member education Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment sc
Posted Today
Handle call transfers for claims reconsiderations and member education Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment sc
Posted Today
Supervise Vietnamese phone team employees with varying tenure and skill at the same location Coordinate and supervise daily/weekly/monthly activities of a team members Set priorities for the team to ensure task completion and performance goals are met Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined processes, ex
Posted Today
Supervise Vietnamese phone team employees with varying tenure and skill at the same location Coordinate and supervise daily/weekly/monthly activities of a team members Set priorities for the team to ensure task completion and performance goals are met Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined processes, ex
Posted Today
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