Showing posts with label grievances. Show all posts
Showing posts with label grievances. Show all posts

Monday, May 13, 2013

( Operations Director, Property Management ~ Your Mini-Business ) ( Receptionist - Entry Level Office Support ) ( Jr. Acct. Rep - FULL TIME ) ( Accounting - Accounts Payable Specialist - Up to $16.00 p/h to start ) ( UNIX, WebLogic - Middleware Engineer ) ( UNIX, WebLogic - Lead Middleware Engineer ) ( Team Leader - Call Center ) ( Part - Time Customer Service Representative - Kingston, NY ) ( OptumRx, Workflow Consultant (Proposals) ) ( Regional Sales Director, United Retiree Services-Public Sector ) ( Complaints & Grievances Resolution Specialist - Baltimore, MD ) ( Customer Care Professional - Greensboro, NC ) ( Sierra KA Strat Acct Exec )


Operations Director, Property Management ~ Your Mini-Business

Details: Operations Director, Property Management ~ A State is Your Mini-Business Senior-caliber property management professionals, ready to take on a portfolio of properties and the supervisory responsibilities that go with it, have an excellent opportunity to display their skills as a Director of Operations, Property Management, for American Homes 4 Rent in North Carolina. Besides gaining an upward trajectory in your career, you'll get in on the ground floor of a rapidly growing company that's unique in the industry ~ one of the country's fastest-growing owners of single-family rental homes. As the director in the North Carolina market, you're the go-to person for the entire state, in charge of multiple offices and upwards of 2,000 properties. This is a showcase role that will speak to your leadership abilities, tenant mediation capabilities and metrics-driven reporting skills. It's ideal for the entrepreneurial spirit who wants to blaze a trail. We're progressive enough to hire talented people, hand over the running of an entire state to them, and give them the latitude to implement their vision. That person could be you. Join a company that recognizes, ratifies and rewards top performers and apply today. American Homes 4 Rent is focused on acquiring, renovating, leasing, and operating residential homes. We are a primary leader in the home rental market by aggregating a diversified portfolio of quality properties in our target markets. We are providing high levels of satisfaction to our residents and becoming respected members of our communities.

Receptionist - Entry Level Office Support

Details: Each year JobGiraffe places thousands of candidates in direct hire, temp-to-hire, and contract positions. Are you looking for a great entry position?Do you have Front Desk Reception or phone-answering experience?Are you looking for a chance to learn and grow within a successful Lake County firm? If so, then please read on, as our client may have the right job for you...Lake Country, IL - Lake Forest Area (North Suburbs of Chicago, IL) - Receptionist - Entry Level Office Support - $15.00 per hour to start... Our client, a dynamic privately-held investment firm, is expanding their Lake County offices making this Entry Level position highly desirable for someone with the right background and skills. As the Front Desk Receptionist for our client, your job duties will include: Being the first point of contact for all incoming visitors to the firm Answering and directing any general phone calls to the firm via a small multi-line phone system Assisting those calls that 'ring-back' to get to the correct department and/or individual Supporting the Professional staff as needed Assisting with a variety of general office duties To apply for this Receptionist / Entry Level Office Support position you must possess: At least one year of full-time experience as a Receptionist OR A two or four year college degree ( any major ) with part-time office experience or internships A professional and helpful demeanor, as you will be the 1st impression of the company A willingness to dive in head first A desire to learn, grow and begin your career! While some amount of prior experience within a Receptionist / Office Support role is needed to apply for this position, our client will also be looking for someone who will jump in and not be afraid to take on a variety of duties and responsibilities even if you are a bit unsure of what you are doing at first! Yet, you must not mind assisting with routine duties such as ordering lunch or counting and reordering printer cartridges! The starting salary for this Receptionist / Entry Level Office Support position is $15.00 per hour. In addition, you will also receive full benefits that include full medical and dental insurance coverage, a 401k plan, and much more within your first year! The location is great - right off the Tri State Tollway near Route 60! To apply for this Receptionist / Entry Level Office Support position please use the APPLY NOW button to begin the application process.

Jr. Acct. Rep - FULL TIME

Details: For More Information Contact:Nicole, our Human Resource Manager at (314)361-2080www.stlexecutives.comSTL Executives is an entry level sales and marketing firm that works closely with Fortune 100 clients to provide promotional sales and acquisitions in the St. Louis area.STL Executives, is currently looking for quality entry level individuals to train and advance through our sales and marketing management training program.We are looking to train in:* Entry Level Sales and Marketing* Sales and Marketing Management* General Business Development* Campaign Development* Public Speaking* Business Operations (Emphasis in Entry Level Sales and Marketing)* Entrepreneurship

Accounting - Accounts Payable Specialist - Up to $16.00 p/h to start

Details: Each year JobGiraffe places thousands of candidates in direct hire, temporary, temp-to-hire, and contract positions.Do you have experience entering a high volume of Accounts Payable on a weekly basis?If so, our client may have the right job for you...Bensenville Area (Near Northwest Suburbs of Chicago, IL) - Accounts Payable Specialist - Up to $16.00 per hour to start...Our client, a thriving transportation provider, has an immediate opening for an Accounts Payable Specialist. Your job duties will include: Processing a high volume of payments ( Accounts Payable ) on a weekly basis Reconciling vendor statements Investigating invoicing errors Handling vendor account analysis when neededTo apply for this position our client requires that you possess: At least one year of full-time Accounting Department experience where you specifically handled entering a high volume of vendor payments ( accounts payable ) weekly Strong Excel skills A love of working with numbers and figuresIdeally our client would like to see candidates who have completed some amount of college level accounting course, however, this is not a requirement for applying.The starting salary for this position is up to $16.00 per hour to start. There are also SUPER benefits that include medical, dental, Rx, vision, short and long term disability, life, 401k, profit sharing, a generous PTO program and much more!Great location just west of O'Hare.To be considered for this position please use the APPLY NOW button to begin the application process. Keywords: Accounts payable, A/P, accounting, manufacturing

UNIX, WebLogic - Middleware Engineer

Details: About Chase: Chase is the U.S. consumer and commercial banking business of JPMorgan Chase & Co. (NYSE: JPM), a leading global financial services firm with assets of $2.3 trillion and operations in more than 60 countries We serve more than 50 million consumers and small businesses through more than 5,600 bank branches, 18,700 ATMs, credit cards, mortgage offices and online and mobile banking as well as through relationships with auto dealerships. Card Services offers a wide variety of general purpose and partner based credit cards to meet the needs of consumers, small businesses and corporate clients.   As a Chase employee, you'll be part of a company that makes a real difference every day for our customers, our communities and ourselves. With a focus on customer service, you'll put others first, do what's right and create solutions that make lives better. We invite you to build your career on our strong foundation and help shape what's next - for you and for us.  Job Description:   As a Middleware Engineer, your primary duty involves troubleshooting of production systems as well as deployment of new middleware infrastructure.  Responsibilities:Provide middleware support for project deployment, production troubleshooting and performance analysis of production systems. Frequently anticipates problems and analyzes ways to mitigate the risk Articulates the business value and impact of advanced technical and non-technical information and understands when to escalate issues Provides effective production support including accurate problem identification, ticket documentation and customer/vendor dialogue Documents small-to medium-scale projects and delivers presentations with minimal supervision Dissects complex situations and refocuses on critical technology tasks Must have a high degree of technical expertise/professional mastery to recommend process improvements Is often consulted by peers and seen as the informal leader on tactical problems

UNIX, WebLogic - Lead Middleware Engineer

Details: About Chase: Chase is the U.S. consumer and commercial banking business of JPMorgan Chase & Co. (NYSE: JPM), a leading global financial services firm with assets of $2.3 trillion and operations in more than 60 countries We serve more than 50 million consumers and small businesses through more than 5,600 bank branches, 18,700 ATMs, credit cards, mortgage offices and online and mobile banking as well as through relationships with auto dealerships. Card Services offers a wide variety of general purpose and partner based credit cards to meet the needs of consumers, small businesses and corporate clients.   As a Chase employee, you'll be part of a company that makes a real difference every day for our customers, our communities and ourselves. With a focus on customer service, you'll put others first, do what's right and create solutions that make lives better. We invite you to build your career on our strong foundation and help shape what's next - for you and for us.  Job Description:   As a Middleware Engineer, your primary duty involves troubleshooting of production systems as well as deployment of new middleware infrastructure.  Responsibilities:Provide technical guidance to the team members Analyze requirements and technical solutions Provide middleware support for project deployment, production troubleshooting and performance analysis of production systems. Frequently anticipates problems and analyzes ways to mitigate the risk Articulates the business value and impact of advanced technical and non-technical information and understands when to escalate issues Provides effective production support including accurate problem identification, ticket documentation and customer/vendor dialogue Documents small-to medium-scale projects and delivers presentations with minimal supervision Dissects complex situations and refocuses on critical technology tasks Must have a high degree of technical expertise/professional mastery to recommend process improvements Is often consulted by peers and seen as the informal leader on tactical problems

Team Leader - Call Center

Details: Dimension & Scope: The Team Leader Customer Care role is the first supervisory level position in the Team Leader career path. This position is responsible for supporting; coaching; developing and supervising a group of employees in a Service Center/Operations environment (60%). Individuals are committed to continuing personal and professional development through mentorship; on-line courses and on the job training (25%) while maintaining phone skills (15%). The Associate Team Leader will be effectively using various tools; running reports; demonstrating leadership through acknowledging the fair and consistent application of policies while demonstrating a variety of coaching styles and techniques. This position will have up to 18-20 direct reports. Principal Duties and Responsibilities: Effectively interact with team members that have diverse backgrounds and temperaments, while demonstrating a genuine interest in team members, maintaining open lines of communication with team members and being an advocate for team members. Coach team members on their performance on a regular basis, and write and deliver bi-annual performance appraisal. Communicate positive as well as negative feedback, adapting coaching styles depending on the situation and audience, providing feedback that is specific and constructive and encouraging all team members in incremental performance improvement. Consistently monitor team to proactively identify potential problems and with guidance ensures appropriate parties are engaged through to resolution. Develop relationships within the supporting business units to help resolve issues related to team members (e.g., Human Resources, WFM, Quality, etc.). Through coaching, ensures Agent metrics are achieved, i.e., PTV, Schedule Adherence, Attendance. Able to take end-to-end ownership of employee issues that require liaison with others. Use and promote Company recognition programs and understands the direct correlation between recognition and retention. Meet or exceed all deadlines for reporting. Demonstrate skills at analyzing trends and assist in creating action plans that determine a solution. Demonstrate teamwork by supporting and assisting other Team Leaders as necessary. Demonstrate the Convergys culture through both behavior and attitude. Effectively use business standard oral and written communication skills on a daily basis. Using developed communication skills participate in recruiting efforts, attend calibration sessions, participate in conference calls, etc. Demonstrate flexibility by working varying shifts and responding to unanticipated events. Oversee transportation issues where present. Maintain phone skills while applying knowledge to day-to-day project experiences. Responsible for day-to-day functional supervision of non-exempt work group, including work assignment and attendance monitoring; providing input into selecting, training, developing, and completing performance appraisal of work group(s) in accordance with the organizations policies and applicable legal requirements. Education & Professional Certifications: Bachelor's degree in related field from a four-year college or university with zero to three years related experience; or Equivalent combination of education and experience Candidate Profile: "Modeling the Way" by setting positive examples of behavior and attitude for program level activities. Proven time management skills Excellent customer service and support skills Able to work well under pressure Exhibit professional demeanor Strong written and oral communication skills, including presentation skills Able to work a flexible schedule Experience with providing and receiving coaching and feedback Able to multi-task Good planning, organizing and problem-solving skills Able to encourage, motivate and provide recognition Must have proficiency with various software applications programs including e-mail messaging applications, Microsoft Word and Excel Environment, Physical & Other Requirements: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Part - Time Customer Service Representative - Kingston, NY

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.The Customer Service Representative is responsible for answering up to 80 incoming calls from members and providers while ensuring a high level of customer service and maximizing productivity.   Primary 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

OptumRx, Workflow Consultant (Proposals)

Details: Position Responsibilities: 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.  In addition, verifying that we have received the log-in information for the site if the proposal is an online bid, or tracking down an appendix if it is not included.  Finally, you may have to reach out to Sales leadership to find out who the assigned Sales Director is, if one is not listed when we receive the email. Additional Responsibilities: Generate PRF (Proposal Request Form) from SFDC SalesForce.com (CRM tool) AKA SFDC. Calculate bid level (1-10) for all RFPs/RFIs by using an Excel sheet that is developed an internal to the OptumRx.  It has several formulas that determine the bid level depending on the parameters entered by this individual.  Examples include the number of performance guarantees, requirements, is a contract needed, etc.Enter proposal information into SFDC and track all proposal activityHandle ad hoc requests for RFP content from sales and internal partners (UnitedHealth Care M&R, National Proposal Services and UnitedHealth Care C&S)Assign all RFPs/RFIs to BDMs and PDAs Based on product (carve-in versus carve-out) and based on complexity rating of 1 – 10.  (see calculate bid level above). Pre-populate standard responses using the PMAPs database

Regional Sales Director, United Retiree Services-Public Sector

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.Sales representative for United Retiree Solutions (URS) responsible for channel partner, broker/consultant and direct sales to new customers in the Public Sector segment. The main focus of the Regional Sales Director is the consultative sale of retiree-based solutions from a broad product portfolio to states, municipalities, counties and school districts. The Regional Sales Director will report to the National VP of Sales.Job Responsibilities: New Business SalesAccountable for prospect from presale to implementation Attain targeted sales goals for region and produce sales resulting in profitable premium levels Lead cross-functional team to achieve positive sales results, working closely with subject matter experts and internal UnitedHealth Group channel partners Responsible for being compliant with all URS processes, especially sales process documentation and reporting Responsible for managing the sales opportunity through the entire defined sales process Travel as requiredRelationship Building: Develop and maintain: Strong channel partner and broker/consultant relationships Key internal relationships Is viewed by the customer as a trusted consultant on retiree healthcare cost and quality topics Understand customer, partner channel, and broker/consultant needs and provide value-added consultation on retiree solutions Identify key brokers/consultants for development Present a positive image of URS/UnitedHealth Group in the marketplace Community involvement through professional organizations, associations and local organization Maintain expert knowledge of all URS products, services, and underwriting practices and principles Effectively communicate URS strategies, vision, and mission to the marketplace

Complaints & Grievances Resolution Specialist - Baltimore, MD

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.The Complaints & Grievances Resolution Specialist reports directly to the Manager Consumer Affairs and is responsible for the Medicare grievance and complaint process. This position also interacts via telephone and written correspondence with Medicare members by answering questions/inquiries regarding the Medicare grievance process.   Primary Responsibilities:Interacts with Medicare members and providers via the telephone to explain the grievance process. Correspond in writing with members and providers regarding grievance process and resolutions.Record, investigate and resolve customer and provider complaints and grievances as detailed in the Complaint/Grievance procedure narrative.Maintains grievance and complaint investigation files.Tracks grievances as required by CMS to ensure reporting timelines are met.Assists in the education of new customers and in the re-education of existing customers to the proper complaint/grievance procedures of the health plan.Tracks and follow-ups on complaint and grievances, utilizing on-line systems and procedures, according to the established guidelines. Analyze and identify trends and provides reports as necessary

Customer Care Professional - Greensboro, NC

Details: The role of the Customer Care Professional is to build trusted relationships with members across their health care lifecycle. This is done by assisting in plan selection and enrollment, educating members about management of their health and well being, helping members to maximize health plan benefits and personal health care dollars and owning customer service inquiries through to resolution.  Responsibilities: •         Assist members with selecting the best benefit plan options available to them through the enrollment process, including enrollment in specialized care programs •         Resolve member service inquiries related to: o    Medical benefits, eligibility and claims o     Financial spending accounts o    Pharmacy benefits, eligibility and claims o    Correspondence requests •         Educate members about the fundamentals of consumer-driven health care including: o    Managing health and well being o    Maximizing the value of their health plan benefits o    Choosing a quality care provider o    Premium provider education and steerage •         Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member •          Help members navigate myuhc.com and other UnitedHealth Group websites •         Intervene with care providers on behalf of the member •          Research complex issues across multiple databases and work with support resources to resolve member issues •         Assist members with provider appointment scheduling •         Connect members with internal specialists for assistance when needed •         Partner with others to resolve escalated issues •         Provide education and status on previously submitted pre-authorizations or pre-determination requests

Sierra KA Strat Acct Exec

Details: The Key Account Strategic Account Executive is accountable for servicing and renewing the customer year over year.- Accountable for 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, cultivate and manage relationships with consultants and brokers, recognizing the value they bring to our customer.- Create the strategic retention and growth plan for assigned customer, documenting and maintaining the plan within the formal Strategic Account Plan tool.- Strategically plan, negotiate and influence the interactions and relationships with customer, their broker/consultant and internal team members to achieve strategic account goals.- Responsible for value delivery to customer including plan performance, account management and service results.- Develop and maintain a detailed knowledge base of assigned customer, beyond the traditional healthcare-focused information/knowledge, to become an extension of the customer's business.- Clearly demonstrate the value propositions for specialty and ancillary business to improve customer growth and retention..- Strategically plan and meet with customers quarterly, identifying trends and offering solutions per the Insight Driven Solutions (IDS) consultative and solutioning process.- Determine and clearly articulate the value story, trend drivers and tracking of solutions performance to the customer.- Meet all performance required as a result of managing and monitoring activities along the customer life cycles.- Responsible for Medicare Advantage Group Retiree block of business servicing and renewal negotiations.- Coordinate meetings & in-home appointments for prospective Retiree Members to enroll them.-Coordination of manual internal retiree enrollment application process.-Responsible for coordination of Medicare Advantage plan design development, Group Retiree documents and marketing materials with UHC M & R (Medicare & Retiree).-Manages relationship with Medicare Exchanges, coordinates transition of existing Medicare Advantage Group Members into Exchanges.Nevada health and life insurance license required

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