Sunday, March 31, 2013

( Senior Quality Assurance Engineer ) ( Bilingual Spanish speaking Customer Service Representative - Coral Gables, FL ) ( Customer Service Representative - Las Vegas, NV ) ( Provider Phone Representatives - Maryland Heights, MO ) ( Appeals & Grievances Coordinator - Oldsmar, FL ) ( Executive Assistant and Innovation Lab Coordinator - Optum Labs - Cambridge, Massachusetts ) ( CASHIER ) ( Senior Employee Installation Administrator - US Telecommute ) ( Data Analytics and Reporting Supervisor – St. Petersburg, FL ) ( Associate Enrollment/Eligibility Representative - Duluth, MN ) ( Strategic Client Executive, National Accts-Plano, TX ) ( KA New Business Coordinator - Pittsburgh, PA ) ( Senior Claims Business Procurement Consultant - US or Telecommute ) ( Claims Adjustment Representative - Pittsburgh, PA ) ( Provider Claims Resolution Specialist - Maryland Heights, MO ) ( Retail Sales Representative )


Senior Quality Assurance Engineer

Details: Senior Quality Assurance EngineerExcellent Pay Rate Long term project Must have solid Core Java / back end / JDBC Must Have:QA strategy knowledge(test planning/designing); java programming skills and understanding of java concepts; basic sql; Unix commands; Selenium; Application server troubleshooting;Fortune 500 financial services client  is looking for Senior Quality Assurance Engineer that will be part of the Enterprise QA team that is working on innovative and cutting edge Web technologies. It is an opportunity to learn, lead and implement the authorization and settlement process of ePayments/eCommerce business and apply validation techniques to deliver a high quality transaction processing system. Our client uses the Agile methodology, which presents a fast paced and dynamic environment for rapid growth and wide experience. Position DetailsClient: Fortune 500 financial services client  (Direct client)Project Location: Foster City, CAProject Duration: 12 monthsRole: Senior Quality Assurance EngineerImp. Note: No Third party vendors will be entertained

Bilingual Spanish speaking Customer Service Representative - Coral Gables, FL

Details: Position Description:  When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries.Primary Responsibilities:Provide excellent customer service Constantly meet established productivity, schedule adherence, and quality standardsRespond to complex customer calls Resolve customer service inquiries which could include: Benefit and Eligibility information Billing and Payment issues Customer material requests Physician assignments Authorization for treatment Explanation of Benefits (EOB)Moderate work experience within own functionSome work is completed without established proceduresBasic tasks are completed without review by othersSupervision/guidance is required for higher level tasks

Customer Service Representative - Las Vegas, NV

Details: Position Description:  When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.Primary Responsibilities:Provide excellent customer service Constantly meet established productivity, schedule adherence, and quality standards Respond to complex customer calls Resolve customer service inquiries which could include: Benefit and Eligibility information Billing and Payment issues Customer material requests Physician assignments Authorization for treatment Explanation of Benefits (EOB)Telephonically assist members and providers with all levels of problem solving, inquiries, provider information and general insurance service Assist in enrollment efforts Answer incoming calls regarding benefits, claims, eligibility and other inquiries as it relates to health insurance and acts as Member Advocate Meet individual and quality standards to achieve departmental performance goals Thoroughly review and investigate claim problems and routes appropriately for resolution Research issues and use judgment for obtaining only the relevant information Prioritizes inbox and workload to ensure closure rate within department standards Meet and maintain tardiness and attendance standards set by company policies Handle all calls courteously, politely and professionally Attend in-services/meetings and maintain resource materials Complete career and self-improvement classes; namely Defusing Anger, Dealing with/ Difficult People, Dealing with Difficult Co-Workers, and Self-Esteem or other classes as determined by Supervisor/Manager Other duties as assigned

Provider Phone Representatives - Maryland Heights, MO

Details: The Provider Phone Representative is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity. Responsibilities:Respond to complex customer calls Resolve customer service inquiries which could include: Benefit and Eligibility information Billing and Payment issues Customer material requests  Physician assignments Authorization for treatment Explanation of Benefits (EOB)Provide excellent customer service Constantly meet established productivity, schedule adherence, and quality standards

Appeals & Grievances Coordinator - Oldsmar, FL

Details: Position Description: 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) Positions in this function include operating data entry devices to perform a variety of data entry duties across functions including Claims and Network Operations. Lead role may include review and verification of work of lower level employees. Primary Responsibilities:Moderate work experience within own function. Some work is completed without established procedures. Basic tasks are completed without review by others. Supervision/guidance is required for higher level tasks.

Executive Assistant and Innovation Lab Coordinator - Optum Labs - Cambridge, Massachusetts

Details: Position will support Optum Innovation Labs CEO and manage Innovation Lab facility. Ideal candidate will be polished, professional and comfortable interacting with executive leaders and prepared to handle the complexity of coordinating meetings at this level.  Responsibilities:Greet and escort visitors in the Optum Labs Cambridge facility; provide tours to executives from prospective and current clients and partners, visiting UHG staffManage Optum Labs Cambridge physical and technical resourcesReservation of studio and hotel spacesReservation and setup of mobile workspace technology (digital whiteboards, video chat workstations)Update content on permanent digital displays as neededPerform any minor upkeep on Optum Labs resourcesElevate and coordinate any needed maintenance or major upkeep on Optum Labs physical or technical resources (e.g., AV, network)Collect and track Optum Labs Cambridge expenses Provide support to Optum Lab Executives, visiting Executives and working teamsDocument prep and productionMeeting scheduling and calendar managementLocal travel and entertainment schedulingSubmission of expenses for Optum Lab ExecutivesRouting of incoming phone callsOn-board new employees (Business Segment Liaison for internal applicants)Order suppliesAssist in event planning and executionPre-event logistics (vendor contracting, sending invitations, tracking RSVPs, etc…)On-site support during event (set-up, greeting attendees, managing vendors)

CASHIER

Details: When is a job more than “just a job?”•When you know that you are making a difference in the lives of those around you•When you go to work every day looking forward to the day ahead of you•When the decisions you make on the job really matter to those whom you serve Cashier Whether your goal is to begin a fantastic full-time career or have a great part-time job, your talents will be valued and respected at Murphy USA. To be successful as a cashier, you need energy, an excellent work ethic, a great attitude and a smile. You will be the face of our company and deliver the legendary customer service that Murphy USA and our associates are known for providing. Your responsibilities will include:•Providing a prompt, efficient, and courteous customer experience•Responding and resolving customer’s requests and concerns•Assisting customers with purchases and fuel transactions•Operating cash register•Restocking merchandise•Performing job related duties as assignedA job is more than just a job when it’s a career at Murphy USA. Murphy understands that a career is about much more than a paycheck and benefits. That’s why we do our best to provide the most supportive and enjoyable atmosphere possible for our employees. Here are just a few reasons why Murphy USA is a great career choice:Enjoy your work!Murphy USA offers a fast paced environment where bright, talented individuals who are willing to work hard are valued and can make a difference. Flexible Schedule!Murphy USA can help you schedule your work around your busy life. Advancement Opportunities!Murphy USA operates over 1,000 locations in over 20 states and is adding new locations every year. The growth provides career advancement opportunities for top performing team members. Earn your degree!All employees who average 20 hours or more per week are eligible for educational assistance offered by Murphy USA.

Senior Employee Installation Administrator - US Telecommute

Details: Position Description:Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)If it sounds too good to be true, consider this: Through our family of businesses and a lot of inspired individuals, we're building a high-performance structure that works better for more people in more ways.   Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.Primary Responsibilities:Overall employer contract loading and using various databases and/or source documents Research Installation Issues and develop customer specific resolution Audit contract loads for adherence to quality measures and reporting standards. Needs to have Facets configuration and claims knowledge. Reviews the work of others. Develops innovative approaches. Sought out as expert. Serves as a leader/ mentor.  •** Telecommuting is available only to current telecommuters. If you are currently are working in an office then you will continue reporting to that office.

Data Analytics and Reporting Supervisor – St. Petersburg, FL

Details: Position Description:Position generates Sales Pipeline reports using Microsoft's Customer Relationship Manager (CRM) and Excel. Analysis of data for both accuracy and for forecasting of actual to budget. Collaborate with other Business Units to analyze current business processes, identify areas for improved efficiencies, and assist in the implementation of process changes. Assist with the development of business plans, process documentation, and other projects as needed.Ability and willingness to share knowledge and coach individuals at varying levels of experience. Strong leadership abilities to inspire employees to work through change in order to accomplish strategic goals.Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit. Impact of work is most often at the team level.

Associate Enrollment/Eligibility Representative - Duluth, MN

Details: Position Description:When you work in Operations at UnitedHealth Group, you can help improve the efficiency and usability of a system that's going to change the face of health care.If it sounds too good to be true, consider this: Through our family of businesses and a lot of inspired individuals, we're building a high-performance structure that works better for more people in more ways. Primary Responsibilities: Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records. Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections. Reconciling reports Performing basic clerical functions with proficient PC skills Analytical and Researching techniques to trend or quantify projects Initiate and assist with developments/changes to increase or change quality and productivity Working with various types of member correspondence Reconciling eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes Inventory control of member and group transactions Limited work experience. Works on simple tasks using established procedures. Depends on others for guidance. Work is typically reviewed by others.

Strategic Client Executive, National Accts-Plano, TX

Details: The Strategic Client Executive is responsible for the overall management of a book of Strategic Accounts in the 3,000+ customer segment.  They are accountable for the maintenance, growth and increased profitability of existing business, the acquisition of new business, and the strategic direction of assigned accounts. Direct strategic, customer specific initiatives, which deliver 'value added' services through the execution of client specific business plans.  Coordinate and influence superior customer service delivery by developing and maintaining strong intercompany relationships.Develop and monitor client financial performance including renewal planning, negotiation and profitability levels.Secure new business through marketing and effective product and service expansion. Establish and maintain 'strong and appropriate' level relationships with customers and consultants; ensure UHG senior management has customer specific 'board level' contacts.Demonstrate marketing and technical expertise through: Client, broker and consultant meetings. Assessment of approach, resources, and contacts needed to complete RFP's. Preparation for, and participation in new business site visits. Provide feedback to management on market trends as represented by our clients. Maintain a high level of healthcare industry knowledge as well as customer's industry.

KA New Business Coordinator - Pittsburgh, PA

Details: Position Description: Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.Monitor team inbox for all new incoming projects. Verify that all RFP documents, including census and claims files and client attachments are included for the RFP. This information is received and you would work with sales team to obtain any missing information (i.e. missing fields in the claims file) or Word documents, Excel files, or CVT file formats. You would work with our systems and underwriting to generate a quality proposal.This function includes Direct Sales positions used in the Commercial Market Group that are in Sales Bands.

Senior Claims Business Procurement Consultant - US or Telecommute

Details: Position Description: Flexible, Friendly,Fast on your feet, That's a great start. Accurate, Accountable,Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Primary Responsibilities:Provide operational support by creating Standard Operating Procedures, Job Aids, Workflow diagrams for all internal business units. Manage a yearly review and approval process that includes operations, compliance and legal.  Responsible for all aspects of quality assurance remove Analyze information and utilize to build recommendations to reduce errors and improve process performance  Create, maintain and track reports in relation to documentation performance Serve as subject matter resource to team members, supervisors and management staff Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor  *** Telecommuting is available only to current telecommuters. If you are currently are working in an office then you will continue reporting to that office.

Claims Adjustment Representative - Pittsburgh, PA

Details: The Claims Adjustment Representative is responsible for efficiently navigating claim processing systems to complete all closed and denied, simple adjustments, and the majority of complex adjustments (out of scope are high dollar and inpatient).  Also, the adjustment representative will provide quality service to our Providers through real time and accurate resolution of closed and denied claims, simple adjustments and escalated claim issues. Responsibilities:Perform all types of complex adjustments and closed, denied, and simple adjustments  Meet Quality, Productivity and Attendance requirements Ensure Provider Satisfaction through: Maintaining accurate documentation in ORS Providing assistance to Providers with status updates Being responsible for any follow-up work needed for resolving and closing issues Identifying and resolving anticipated Provider issues to prevent future calls Maintain proficiency in all technical applications (technical skills and system knowledge) Comply with all current policies, procedures and workflows

Provider Claims Resolution Specialist - Maryland Heights, MO

Details: The Provider Claim Resolution Specialist (PCRS) is responsible for efficiently navigating claim processing systems to complete all closed and denied, simple adjustments, and the majority of complex adjustments (out of scope high dollar and inpatient).  Also, the PCRS will provide quality service to our Providers through real time and accurate resolution of closed and denied claims, simple adjustments and escalated claim issues. Responsibilities:Perform all types of complex adjustments and closed, denied, and simple adjustments  Meet Quality, Productivity and Attendance requirements Ensure Provider Satisfaction through: Maintaining accurate documentation in ORS Providing assistance to Providers with status updates Being responsible for any follow-up work needed for resolving and closing issues Identifying and resolving anticipated Provider issues to prevent future calls Maintain proficiency in all technical applications (technical skills and system knowledge) Comply with all current policies, procedures and workflows

Retail Sales Representative

Details: DescriptionRetail Business Development (RBD), a leading provider of outsourced retail management, staffing & training for the wireless and telecommunications retail industries, is bringing Vonage® communications solutions to your area!   Come join the fun while earning top $$$.  Our top performers earn over $20 an Hour!!!   Vonage® serves approximately 2.4 million subscribers, providing feature-rich, affordable communication solutions that offer flexibility, portability and ease-of-use. Vonage World® offers unlimited calling to more than 60 countries with popular features like call waiting, call forwarding and voicemail - for one low monthly rate.   RBD is currently expanding our sales teams to work with and sell Vonage ® in mass merchant retailers in your area.    We are building a sales force of highly self motivated superstars to grow with us.    Do you have what it takes?   If you have a history of successful sales in wireless, B2B, telecommunication or any other subscription based sales environment, this could be the opportunity you have been waiting for. Get in on the ground floor of a growing Multi-Million dollar corporation.  Constant expansion means significant growth opportunity for top performers to advance quickly.   Attractive hourly base salary plus commissions and bonuses on sales.    Qualifications Sales experience an absolute must Ability to work independently and Multi-task Strong and persuasive outgoing personality with superior communication skills to engage potential clients Excellent interpersonal skills Bi-lingual (English/Spanish) a big plus Other languages also beneficial Attention to detail and a desire to win and be successful Looking for tenacious Individuals with a can do attitude and a desire to control their own income. Job Details Weekly hours from 20 to 40 Must have a flexible schedule Job requires evening, weekend and holiday working hours Comprehensive training provided Job Duties Engage customers to identify their needs and match to our products and services Effectively present the products and services we provide to your clients Conduct presentations and educate the potential customers about our products Meet and exceed company sales objectives Maintain positive relationships with customers, retailers and peers Comply with operational requirements   Earning Potential Hourly Salary Plus Commission earned on a weekly basis Bonuses for hitting monthly goals Contests constantly ran to keep the fun and competitive atmosphere going Our top performers earn over $20 an Hour!!! The more you sell the more you make.  No limit to the amount you can make! Our top reps never want to work anywhere else!   Don’t waste your potential another day, apply today and start earning tomorrow!!!   “Choose a job you love, and you will never have to work a day in your life.” - Confucius