Shipping Lead Person
Details: Coorindate forklift operators in daily routine of loading trailers according to customer specifications. Schedule deliveries and in the most cost efficient and and time saving manner possible while still meeting customer requirements. Coordinate and communicate with Customer Service concerning delivery of product to customers. Communicate with appropriate supervisory staff to avoid problems at shift changes. Accurately prepare bills of lading. Review forklift inspection sheets daily and prepare maintenance work orders for needed repairs. Provide training as necessary. Insure accurate stock locations in shipping warehouse. Implement, maintain and support all company policies and procedures. Additional duties may be assigned by managementThis position is an hourly position and will be either a 2nd shift or 3rd shift position
Manager of Healthcare Economics and Network Pricing - CT, NY, NJ, or PA
Details: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)The Manager of Network Pricing supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Managers of Network Pricing conduct unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models. In this role you will be expected to:- Set team direction, resolve problems and provide guidance to members of own team.- May oversee work activities of other supervisors.- Adapt departmental plans and priorities to address business and operational challenges.- Influence or provide input to forecasting and planning activities.- Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external).Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.- Manages and is accountable for professional employees and/or supervisors.- Impact of work is most often at the local level.
Associate Employee Installation Specialist - Louisville, KY
Details: Position Description: 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: Responsible for employer installation of new COBRA cases, and management of existing COBRA accounts.Must have strong interpersonal and communication skills (oral and written). Must continually keep business clients and management up to date on status of all assigned projects. Must be able to communicate effectively over the phone and via e-mail. Must be results oriented, self-starter with a can-do attitude and strong organizational skills, the flexibility to manage multiple priorities and projects, deliver on commitments and proactively seek opportunities to contribute to the success of the team and business.Serves as liaison between the Client and the balance of the team to develop technical specifications for design/ implementation and complete requests/enhancements based on client specific requirements. Analyze problems and develop solutions using structured system analysis methodologies.Completing Client requests, including writing specifications and testing.Work with clients, carriers and team members reducing technical issues.Participating in client conference calls and meetings.Performing on-going maintenance of database on case specific information.Creating ad-hoc reports.Maintain close working relationship with management.Assist management in development of process methodologiesActing as a primary contact for clients during the implementation process for electronic eligibility matters Meeting with clients over the phone to go over requirements and eligibility needs Setting up new clients with the internal and client IT staff Reviewing and communicating test scenarios for client acceptance Performing research aimed at issue resolution Technical research/Problem solvingPrioritize and organize the work flow. Support ad hoc duties as requested by the COBRA Processing Team Lead/ COBRA Manager
HIM Operational Consultant - Revenue Cycle -- Travel
Details: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)HIM รข€“ Operational Consultant OptumInsight is bringing additional talent to our Revenue Cycle Consulting Team. We are searching for HIM consultants that can perform HIM Operational and Computer Assisted Coding assessments at hospitals and large physician practices, work closely with clients and staff to develop client and project risk assessments, implement opportunities and make recommendations regarding business operations and IT process optimization, profit improvement, internal control and compliance. This is a true consulting position that will require attention to detail, ability to communicate at the highest levels of organizations and make thoughtful and precise recommendations. This is a fulltime position that offers career growth while taking on challenging engagements. This position is responsible for delivering a full range of services to clients that may include but are not limited to project management, interim project staffing, software application optimization, healthcare reform initiatives including ICD-10 and support analysis. Consults with clients to define needs or problems, gathers data and performs analysis to advise or recommend solutions. This position is a resource for projects and assignments and must demonstrate the ability to work independently at a client site. Duties and Responsibilities include:-Provide written communication with clients, team members and management the status of assignments on a weekly basis via project documentation (i.e. status update, scope change, etc.)-Documents all deliverables including; scope definition, status reports, analysis documents, user documentation and other applicable project records as appropriate-Works closely with clients and staff to develop client and project risk assessments, implement opportunities, and recommendations regarding business and IT process optimization, profit improvement, internal control, and compliance.-Conducts studies or surveys for process change or problem resolution to obtain data required for solution.-Assists business development teams, sales and client managers on proposals and calls when necessary as requested by management.-Communicates issues, opportunities, risk factors and any other applicable information to the client manager and/or manager on an on-going basis-Develop reports and presentations based on project specifications for delivery to clients.-Interact with other departments to ensure a high level of client satisfaction through successful execution of projects.-Other duties may be assigned in order to meet business needs To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. •3+ years HIM operational experience.-3+ years of experience in either a consulting role or a supporting role in a healthcare HIM department, practice, or business office setting.-3+ years of experience with healthcare HIM workflows• Revenue cycle workflow experience in addition to HIM (e.g. Patient Access and/or Patient Financial Services) strongly preferred.•CDI and physician education experience a plus•CAC project experience a plus-3+ years of experience with facilitating individual and group communication to ensure progress and successful completion of assignments.--Up to 80% travel required. Education/Experience:•RHIA/RHIT strongly preferred•AHIMA ICD-10 designation preferred-Bachelor's degree from a four-year college or university; or one to four years related experience and/or training; or equivalent combination of education and experience.•Intermediate knowledge of Windows OS and Microsoft Office (e.g. Word, Project, Excel, PowerPoint, Visio)-Advanced knowledge of at least one practice management system and/or EMR system. Experience with one or several of these vendors is a plus: GEHC, Allscripts, SMS, Cerner, McKesson, Epic, Meditech or other similar system.
Agent Sales Mgr, Medicare-CO
Details: 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. We are seeking a strong sales leader to lead our team to success; someone with the leadership skills, vision and history of success to think strategically and help our team achieve their goals. The purpose of the Agent Sales Manager is to supervise the Independent Career Agents (ICA's) who sell the UnitedHealth Group portfolio of products offered to Medicare beneficiaries and individuals age 50+. The Agent Sales Mgr is responsible for achieving assigned sales/membership growth targets through ICA's in his/her territory/territories. ICA's are not employees of UnitedHealth Group but rather independent sales agents who contract exclusively with UnitedHealth Group to sell this portfolio of products. ICA's may sell additional/alternative products that do not compete with this UnitedHealth Group product portfolio (e.g.; life insurance, home insurance).Responsibilities:Continually build and nurture our stable of ICA's.Partner with the ICA Recruiting Manager to source and select candidates for ICA positions to ensure a continual pipeline and sufficient base of staff to meet assigned sales/membership growth targets.Provide a structured on-boarding process, leveraging corporate contracting, certification and training processes, tools and systems.Organize involvement in formal and on-the-job training to ensure an accurate understanding of our products, compliance/policy requirements, sales processes, brand and value proposition messages and sales systems. Organize ICA activities, leads and territories to ensure effective and efficient coordination across the territory.Act as a liaison between ICA's and UnitedHealth Group sales process owners to ensure ICA's are appropriately set up and supported across their lifecycle. This includes, contracting, licensing/appointment, certification, training, enrollment administration, commission payment, agent servicing, etc.Coach and manage performance.Coach/Develop staff to achieve quantitative and qualitative performance targets.Use data and insights to coach for optimal performance.Manage day-to-day time and activities of assigned ICA's to ensure appropriate leading indicators of success and corresponding sales results.Monitor sales results, trends and key performance indicators (KPI's) and hold representatives accountable for achieving targets.Conduct ride-along to observe sales techniques and ensure alignment with expectations and compliance with CMS regulations.Conduct regular one-on-one meetings to review sales results/activities and provide feedback/coaching on opportunities for improvement. .Achieve assigned sales targets: Achieve assigned sales/membership growth targets through ICA's in his/her territory(ies), with a minimum of 65% of sales derived via community based leads and referrals.
Network Contracting Manager - Boise, ID
Details: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)The Manager of Network Contracting develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Managers of Network Contracting evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensuring the network composition includes an appropriate distribution of provider specialties. In this role you will be expected to:- Set team direction, resolve problems and provide guidance to members of own team.- May oversee work activities of other supervisors.- Adapt departmental plans and priorities to address business and operational challenges.- Influence or provide input to forecasting and planning activities.- Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external). This person will be responsible for developing relationships in the Idaho market including heavy focus on provider education and quality and performance improvement initiatives.
Sales Account Manager- Evercare (Connecticut)
Details: 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. Position is responsible for growing and maintaining the existing relationships with the nursing home facilities and with key staff and stakeholders to ensure the referral process and accounts are maintained. Responsibilities include meeting with the responsible parties and conducting presentations in order to secure onsite appointments and to generate leads and referral sources. Experience in a client facing/ account management environment with the Independent Broker/Agent community and/or a background in business development. Experience across other sales channels preferred. Ability to plan, organize, and prioritize the actions required to accomplish day to day goals and objectives through the use of appropriate technology. Use of project management skills as well as the ability to multi-task in a fast-paced environment critical. Ability to identify, manage, and measures all high payoff activities in order to continually improve results. Establish a course of action for self to accomplish specific goals, planning appropriate teamwork, use of resources, etc. Excellent presentation skills: engaging and effective at the dissemination of information and the ability to influence listeners. Communication skills: Demonstrating high level writing (e.g. contracts, letters, and proposals) and verbal (good tonality) skills. Computer skills - Experience with Windows-based application and computerized lead management systems. Comfortable with Medicare eligible client base and possesses a solid understanding of senior issues. Understands company's vision and mission linked to direct application of methods and plans to accomplish sales strategy.
Manager, Medicare Sales - Massachusetts
Details: Manage sales staff dedicated to Community Sales. Develops new sites and relationships for marketingDevelops and maintains relationships with providers, community leaders and faith based leaders within given communityDevelop work plans with sales staff and help train and improve sales skills.Develop new approach and sales strategies in the community with sales team and management. Present product information to internal and external customers. Conducts and documents ride-alongs with Sales Reps to ensure overall compliance with CMS and company-wide regulations.Weekly meetings with team to update on new CMS, company-wide regulations, new products, and disseminate information.One on one meetings with Sales Rep to review ride-alongs, OEV calls stats, rapid disenrollments, productivity etc.Maintains inventory and distributes to staff all necessary documentation, sales collateral, tools needed to sellSales and activity tracking of Sales RepsActively maintains recruitment pipeline for teamRecommends, implements, and follows up on corrective action plans that any team member is currently on.
Enrollment Coordinator - Maitland, FL
Details: Position Description: Enrollment Coordinator will process enrollments, disenrollment and reinstatements for UnitedHealthcare LTC Medicaid Programs along with Managing Medicaid Recertification and 701B annual assessment tracking. Primary Responsibilities:Review/Process Enrollments ReportsDistribute Reports to both internal and external staffTrack Medicaid Recertification Dates for the Medicaid Long Term Care PopulationTrack and submit annual 701B assessments to State agencies
Child Care Center Assistant Director
Details: Our organization prides itself on excellence, putting the education and development of our children first and foremost. When you consider a career at Learning Care Group, know you will be joining a team that is passionate about thoroughly preparing their students for all the challenges that lie ahead. As an Assistant Director, parents, teachers, and your Director will look to you for answers, direction and assistance. You will be trusted with a wide range of tasks that will be essential to the smooth running of the School as well as to the educational development of the children. Some of the exciting things that you will do as an Assistant Director include, but are not limited to: Make a difference every day! Assist the Director with the operation of the school, ensuring that the school is operating in accordance with company and state licensing standards. Be responsible for ensuring an educational, caring and safe environment for the children and parents. Spark imagination, build self-esteem and help children discover new things each day. Teach, educate and monitor children as needed. Assist Director in staff development and training. Promote the positive image of the company and play a major role in making the company a provider of choice in educational programs for the communities that we service. Help achieve profitability for the company.
Child Care Assistant Director
Details: Our organization prides itself on excellence, putting the education and development of our children first and foremost. When you consider a career at Learning Care Group, know you will be joining a team that is passionate about thoroughly preparing their students for all the challenges that lie ahead. As an Assistant Director, parents, teachers, and your Director will look to you for answers, direction and assistance. You will be trusted with a wide range of tasks that will be essential to the smooth running of the School as well as to the educational development of the children. Some of the exciting things that you will do as an Assistant Director include, but are not limited to: Make a difference every day! Assist the Director with the operation of the school, ensuring that the school is operating in accordance with company and state licensing standards. Be responsible for ensuring an educational, caring and safe environment for the children and parents. Spark imagination, build self-esteem and help children discover new things each day. Teach, educate and monitor children as needed. Assist Director in staff development and training. Promote the positive image of the company and play a major role in making the company a provider of choice in educational programs for the communities that we service. Help achieve profitability for the company.
Bilingual (Spanish) Customer Service Representative - Overland Park, KS
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 includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. 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) Works on simple tasks using established procedures Depends on others for guidance Work is typically reviewed by others
Claims Representative Associate - Phoenix, AZ
Details: The Claims Representative Associate is responsible for handling incoming medical claims ensuring a high level of customer service and maximizing productivity. Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claimsAnalyze and identifies trends and provides reports as necessaryConstantly meet established productivity, schedule adherence, and quality standards
Provider Claims Resolution Specialist - Springfield, 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 requirementsEnsure Provider Satisfaction through: Maintaining accurate documentation in ORSProviding assistance to Providers with status updatesBeing responsible for any follow-up work needed for resolving and closing issuesIdentifying 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
Customer Service Representative - Houston, TX
Details: The Customer Service 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
Senior Customer Service Quality/Audit Representative - Phoenix, AZ; 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. Ability to audit across several departments, including call, claim, eligibility, and system configuration. Position would require familiarity with training/mentoring, as this role would work with Claims Analysts and Service Center Advocates on performance gaps found in audits. As well as lead 'Quality Summit' training sessions where the auditor would provide tips/suggestions/training tools to improve customer satisfaction through meeting quality metrics.Positions in this function are responsible for all aspects of quality assurance within the Customer Service job family. Conducts audits and provides feedback to reduce errors and improve processes and performance.Primary Responsibilities:Responsible for quality assurance by conducting audits of calls of Customer Service Representatives Provide feedback to team members on audit results Analyze information and utilize to build recommendations to reduce errors and improve process performance Create, maintain and track reports in relation to performance Serve as subject matter resource to team members, supervisors and management staff Extensive work experience, possibly in multiple functions. Work does not usually require established procedures. Works independently. Mentors others. Acts as a resource for others. Coordinates others activities.
Service Center Supervisor - Phoenix, AZ
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.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:Coordinates, supervises and is accountable for the daily/weekly/monthly activities of a team members Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level and AHT Coordinates work activities with other supervisors, managers, departments, etc. Identifies and resolves operational problems using defined processes, expertise and judgment Provides coaching and feedback to team members, including formal corrective action Conducts annual performance reviews for team members Provides expertise and customer service support to members, customers, and/or providers 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. 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.
Senior Recovery/Resolution Analyst - Franklin, TN
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 claim data mining operations are the focal point of handling information about services patients receive and the 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. Positions in this function are responsible for investigating and resolving all types of claims for health plans, commercial customers and government entities. May include initiating telephone calls to providers and other insurance companies to gather patient service data. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May monitor large claims including transplant cases. Primary Responsibilities:Investigate and resolve all types of claims for health plans, commercial customers, and government entities Initiate phone calls to providers, and other insurance companies to gather claim informationEnsure adherence to state and federal compliance policies, reimbursement policies, and contract compliance Generally work is self-directed and not prescribed.Works with less structured, more complex issues.Serves as a resource to others.Work with team members to ensure project goals are met in an efficient and effective mannerAchievement of individual productivity and quality standardsGive feedback to Management regarding query effectiveness and new query ideasCoordinate with other departments to enhance query effectiveness and develop new query ideas
Associate Director, Claims
Details: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.(sm) As part of M & R's Medica Healthcare group the Associate Director of Claims will:• Analyze data compiled by Manager/supervisor in order to develop and promote new approaches to maintain and improve quality standards.* Develop and/or update Department Policies and Procedures. Interpret, explain and enforce them thru the appropriate staff.* Oversee the preparation of documentation for audits, analyze results and develop corrective plans of action.* Coordinate and promote interaction with other departments in order to maximize efficiency.* Oversee the timely and accurate reporting to regulatory and or accreditation agencies. * Create CMS Claims measurements documentation and report to QA Committee.* Actively participate in committees as assigned for development and improvement of company processes and Initiatives.* Conduct internal departmental staff meetings to ensure that all changes and processes are fully developed and implemented.* Identify needs, recommend staff training and provide the sources for accomplishment of same.• Provide leadership to and is accountable for the performance of managers and/or senior level professional staff.The team is bi-lingual. The ability to communicate with a bi-lingual staff is extremely crucial to your success.
STORE MANAGER TRAINEE - BILOXI, MS
Details: MsoNormal align=left>3>Are you looking to develop your career in retail? If you love merchandising, sales and the excitement of a hands on retail position, check into becoming a Dollar General Store Manager in Training. We're one of the fastest growing discount retail companies in America with more than 9,200 neighborhood stores in 35 states. We offer tremendous career growth opportunities for our employees that get results. Begin a career with a company that is growing by hundreds of stores a year. We believe much of the success of our phenomenal growth is our commitment to developing our employees' potential. We are committed to building our company with upbeat, talented, motivated persons who will move us toward our mission of "Serving Others".
