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Clinical Continuum This CMO serves as the market lead of all clinical programs as they impact a member's passage from enrollment thru end of life care and Hospice. The CMO will hold daily rounds with continuum clinical partners to identify road blocks, effect resolution, reduce internal and external cycle times, and integrate information flow with providers to reduce admissions / readmissions. The
Posted Today
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The UM manager is oversees UM functions for the Kentucky SKY program and any subcontractors performing services relevant to UM. This posit
Posted 1 day ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Quality Improvement Director is the key team leader of the quality improvement program for Kentucky SKY. Primary Responsibilities Dev
Posted 1 day ago
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) This position will provide administrative assistant support for the executive team including answering the phone, typing document, creating spreadsheets,
Posted 1 day ago
We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportuniti
Posted 1 day ago
Looking for a chance to drive measurable and meaningful improvement in the use of evidence based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 5 in
Posted 1 day ago
We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportuniti
Posted 1 day ago
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here at OptumRX , we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training a
Posted 1 day ago
Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and d
Posted 1 day ago
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries Ask appropriate questions and listen actively while documenting required information in computer systems Identify issues and communica
Posted 1 day ago
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here at OptumRX , we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training a
Posted 4 days ago
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here at OptumRX , we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training a
Posted 4 days ago
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. Here at OptumRX , we've earned the trust of more than 64 million people who rely on us for the prescription drugs that improve their health and lifestyles. When you join us, you'll be part of the UnitedHealth Group family of companies where you'll have some of the best training a
Posted 4 days ago
Conduct assessments including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment Formulate a list of current and
Posted 4 days ago
Relationship Building Build and improve state, Health plan, IT and service unit partnerships to build long lasting transparent and trusting relationships Represents UnitedHealthcare at State meetings; interacts with Community & State senior health plan and share services leaders Leadership Influence, negotiate effectively, and provide recommendations to arrive at win win solutions with our state p
Posted 4 days ago
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