UnitedHealth Group Is Hiring Health Care And Non-Health Care Workers. Apply Now

Required Qualifications:

• Unrestricted WA State Medical License or ability to obtain one by start date
• Current WA DEA certificate or ability to obtain one
• Certified Nurse Practitioner or Certified Physician Assistant required by start date
• Experience working in Pulmonary/Sleep medicine or at least 5 years practicing as an advanced practice clinician (PA or NP)

Preferred Qualifications:

• Experience in Pulmonology and Sleep Medicine
• Proficiency in EPIC EMR

Primary Responsibilities:

• Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam
• Perform evidence-based practice screenings including point of care testing (as appropriate)
• Identify diagnoses to be used in care management and active medical management in the furtherance of treatment
• Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment
• Communicate findings in your assessment that will be used to inform member’s PCP of potential gaps in care
• Identify urgent and emergent situations and intervene appropriately
• Educate members on topics such as disease process, medication, and compliance

Required Qualifications:

• Active NP licence or ability to obtain by start date. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice
• Active ANCC or AANP national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification, or the ability to obtain national certification and/or NP license in state of assignment by start date
• Ability to complete physical requirements of the job including lifting a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, and sit, stand and kneel to perform physical assessment
• Reliable transportation to complete home visit assessments
• 1+ years of clinical experience in their highest level of education, clinical setting

Primary Responsibilities:

• Define and document/ communicate business requirements
• Analyze scope and resolution of medium to large size Operations Management (OM) and development requests
• Serve as a key resource on complex and/or critical issues and help develop innovative solutions
• Perform complex conceptual analyses
• Serve as a key resource on complex and/or critical issues and help develop innovative solutions

Required Qualifications:

• 2+ years of experience working in Healthcare claims recovery
• 2+ years of experience with analyzing and solving problems
• Hospital Billing exposure
• Demonstrated ability to lead and present at team meetings with Payors, Internal teams and the client hospital leaders
• Proficiency with using Microsoft Excel (data entry, sorting, filtering, pivot tables)
• Proficiency with using Microsoft PowerPoint (create and edit presentations)
• 2+ years of experience with using claims platforms such as UNET, Pulse, NICE, Facets, Diamond, etc.
• Understanding of medical coding methodologies

Primary Responsibilities:

• Implement new trading partner data files: perform initial evaluation and mapping of new trading partner data feeds
  • Analyze raw inbound trading partner test file(s) of various non-standard formats and create initial data mapping to ensure successful ingestion of new data feeds
  • Utilize ConnectCenter, Availity and other eligibility verification portals to validate random sample of member data and plan types from new trading partner file
  • Join calls/send emails as needed to address questions about new trading partner data as complete initial mapping process
  • Document the new trading partner’s Confluence page used by developers and ops showing how we map inbound raw data to our standardized format
  • Create data crosswalk tables in Confluence for critical data such as relationship codes and coverage plan types

Required Qualifications:

• 3+ years of electronic claim, remittance, or eligibility file experience
• 2+ years of SQL experience
• 2+ years of data mapping experience
• Proficient in Microsoft Office365 applications
• 2 years utilising Power BI and/or Power Query
• Experience with AWS and Athena

Primary Responsibilities: 

• Understands expectations of site leadership and is involved as part of the site leadership team
• Daily rounding with all staff and providers
• Serves as a liaison and resource for all staff and providers
• Assists with daily DMS including huddles, metrics and soliciting feedback for issues requiring escalation
• Supports and advocates for implementation of new processes, clarifying questions from team members and advocating team concerns back to site leadership in a timely manner
• Proactively seeks team feedback about ongoing TPC projects and/or initiatives
• Understands, role models, and audits standard work, policies, protocols, and guidelines Assists with training schedules for new RN’s and MA’s and provides random chart audits to ensure quality assurance for first 3 month’s
• Review RN and MA checklist that all items have been reviewed and completed prior to working without preceptor

Primary Responsibilities:

• Support the transition of care management for patients coming out of the hospital or skilled nursing facility. In collaboration with the team, direct and manage a complete continuum of quality-based care within the interdisciplinary team.
• Consult with patients to understand their health concerns and treat patients to provide relief from pain and other symptoms related to chronic/serious illness. Provide comfort and improve quality of life for those suffering from chronic/serious illness
• Consult and coordinate with patient’s primary care physician and other specialists as needed

Primary Responsibilities:

• Greet patients as they arrive and manage wait time
• Assist patients with intake processes including copying required documents
• Collect co-payments, co-insurance and deductibles and issues receipts
• Manage cashier box and daily deposits according to company policies
• Process walk-in patients and visitors
• Answer phones and schedule appointments
• Manage medical records (maintains, files/scans, prepares for schedule)
• Ensure all correspondence is scanned and/or filed in a timely manner
• Process requests for medical records release and maintain appropriate logs, etc
• Perform all other related duties as assigned