This role supports complex employer groups with 1000+ subscribers, generally within specific geographic areas Extensive analysis and interpretation of complex healthplan performance analytics from multiple data sources. Synthesize complex datasets to understand risk and opportunity of proposed/implemented solutions in support of both short and long term customer strategic

Establish trusted advisor relationships with local and market clinic care delivery leadership Serve as a strategic consultant and contact for strategic real estate planning, performance management and financial management across Optum's clinic portfolio Serve as a strategic consultant and contact for real estate planning, performance measurement, and financial management

Serve as primary day to day contact for external print vendors and internal business partners production managers Review and understand project details of print and fulfillment, and other communication print delivery, business requirements for assigned projects Monitor project dates and meet individual deliverables while supporting other team members to ensure order quali

Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform) Analyze payment appe

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact

Collaborates effectively with interdisciplinary team (IDT) to assist in establishing an individualized plan of care for members, goals including both short and long term. May participates in IDT meetings Works with the Utilization Management (UM) RNs, Social Worker (LMSWs) Case Managers and other internal and external providers to facilitate smooth care transitions Strati

The TPA Strategic Account Executive is accountable for servicing and renewing the customer year over year Customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels, serving as a healthcare consultant and trusted business advisor to this customer Establish, cultiv

Supports complex employer groups with 1000+ subscribers, generally within specific geographic areas Extensive analysis and interpretation of complex healthplan performance analytics from multiple data sources Synthesize complex datasets to understand risk and opportunity of proposed/implemented solutions in support of both short and long term customer strategic needs Quan

Are you a registered nurse looking for a unique opportunity focused on Home Health? We’re offering a six month paid residency with clinical training, mentorships, classroom training, and in field training for the role of Home Health Case Manager. There will be open positions throughout the year based on the needs of the agency. Primary Responsibilities Classroom tra

Work Life Balance/$10,000 Sign-On Bonus/Excellent Benefits/Fortune 5 Company!

Work Life Balance/$15,000 Sign-On Bonus/Fortune 5 Company/Excellent Benefit Package!

Telecommute within Boston, MA/Fortune 5 Company/Excellent Compensation Package!

Register for our virtual career event supporting this position! Apply and then chat 1 1 live with our Recruitment team! 6/13/2024 10 00am 1 00pm CST Register at https //uhg.hr/6.13ExternalEvent 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

Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support members with condit

Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prior to physician's/nurse practitioner's examination, serv