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UnitedHealthcare West Region E&I has footprints in all 13 west region states where we are considered top competitors in many markets. West Region E&I Actuarial serves as subject matter expert and trusted partner to provide various aspects of actuarial pricing and market facing services to our health plans and functional partners. If you would like to be a part of market leaders in health care inno
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Performs provider documentation of patient information as dictated by a provider in a legible and clear manner, following all established local, state and federal guidelines for documentation and billing Demonstrates skill in documenting and maintaining patient care records in a complete and thorough manner Ensures that all documentation follows scribe policies and procedures as outlined by MedExp
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Act as outward facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts. Build relationships with employers / group clients (not individual members) and serves as the primary point of contact for overall and day to day service delivery. Represents client internally and coordinates with other functions to implement client
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Provide legal advice and services on issues concerning the rights, obligations, risks and privileges of the organization Protect the organization's rights in contract negotiations, settlements and litigation Acquire deep knowledge of the industry and the specific business practices of this particular business within UnitedHealth Group so as to best advise senior business leaders Provides a full ra
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Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) As part of the multi disciplinary team, the OBGYN will provide primary medical diagnostic and therapeutic care and service, referring consultations for specialty care, and education and pre
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Combinetwo of the fastest growing fields on the planet with a culture ofperformance, collaboration and opportunity and this is what you get. Leadingedge technology in an industry that's improving the lives of millions. Here,innovation isn't about another gadget, it's about making Healthcare dataavailable wherever and whenever people need it, safely and reliably. There's noroom for error. Join us a
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Welcome to one of the toughest and mostfulfilling ways to help people, including yourself. We offer the latest tools,most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your life's best work. The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility and claims issues and to assist
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Welcome to one of the most fulfilling ways to help people. 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 . The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility and claims issues and to assist with plan selection and
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A partner of the OptumCare network, WellMed Medical Group (WMG) is seeking an internal medicine or family medicine physician to join our team in Kaufman, TX. We are transforming healthcare nationally while providing Physician led care locally. Start doing your life’s best work with the largest care delivery organization in the world. Position Highlights Lead a multi disciplinary team of he
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Welcome to one of thetoughest and most fulfilling ways to help people, including yourself. We offerthe latest tools, most intensive training program in the industry and nearlylimitless opportunities for advancement. Join us and start doing yourlife's best work . SM This position is full time (40 hours/week) Monday Friday.Employees are required to work our normal business hours of 8 00am 5 00pm. It
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Welcome to one of the toughest and mostfulfilling ways to help people, including yourself. We offer the latest tools,most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your life's best work. It's that time, isn't it? You're ready for the next stepforward and an opportunity to build on your skills. And it just so happens that t
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Completion of all required basic measure level training Oversight and management of vendor pend activities Coordinates and performs medical record collection (fax or mail) to support HEDIS activities Perform member and provider level research to resolve pends in various applications Outreach to provider offices to support timely and complete medical record retrieval during production season Educat
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Assess, screen, triage and perform treatment ordered for patients Perform medical treatment as ordered by provider or established MedExpress standing orders Prepare and assist provider with dispensing prescribed medications (in states where applicable) Assists the provider with examinations, procedures and other duties Oversee and coordinate the daily patient care flow Assist patients as needed wi
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Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate
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Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) The Senior Business Process Reporting Analyst is responsible for defining and refining business report requirements that address business needs. They must be able to document and develop rep
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