Collaborates with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS and NCQA measures Provides superior clinical consultation and clinic

Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHea

Provide exceptional customer service to all patients and members of the clinic staff Under direct supervision of the registered pharmacist, fills prescription orders and makes them available for verification by the Pharmacist. Once verified by the pharmacist, dispenses the prescriptions. Order, receive and store incoming pharmacy supplies. Receive and process wholesaler medication orders. Verify m

Provide exceptional customer service to all patients and members of the clinic staff Under direct supervision of the registered pharmacist, fills prescription orders and makes them available for verification by the Pharmacist. Once verified by the pharmacist, dispenses the prescriptions. Order, receive and store incoming pharmacy supplies. Receive and process wholesaler medication orders. Verify m

Combine two of the fastest growing fields on the planet with culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliable. There’s

The Service Account Manager is responsible for first level response and resolution or triage of escalated issues with external and internal customers. This role will enhance the overall delivery of benefits and services by providing dedicated support and guidance to a large or complex client which includes meetings, reports, inventory, emails, phone calls, in person conversations Track, trend, a

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 Practice Performance Specialist is responsible for reviewing medical records, collection of data, data entry, uploading images and charts. You will

Optum's Health Care Cloud engineering team develops services, controls, and reusable patterns that enable Optum product teams to deliver value safely, quickly, and sustainably in the public cloud. This critical work ultimately helps people live healthier lives and makes the health system work better for everyone. In this position, you will work with a growing team to create business value while co

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Jo

Perform age appropriate history and physical for complex and chronically ill patients with the frequency established in the model of care Complete initial, acute, follow up and post hospital visits to address gaps in care Provide acute, follow up and post acute stabilization evaluation to engage resources and strategies to address medical, functional, and social barriers to care Work closely with

Conduct solution focused consultations; helping clients define goals, plan action and gain insight Assess and refer to appropriate programs and services including but not limited to Worklife, behavioral health, substance abuse/chemical dependency and community based resources Assist with referrals for members needing ongoing/additional counseling services Provide limited after care monitoring (fol

Drive Georgia Stars strategy inclusive of HEDIS, Part D and CAHPs to achieve 85% of members in 4 star plans Defines and owns execution of the Provider Engagement strategy; establishes strong, collaborative relationships with providers in support of all Quality, Net Promotor Score (NPS) and Affordability goals; works collaboratively with Optum, UHN and UCS partners Defines and owns execution of the

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) UnitedHealth Group is seeking talented individuals for our Per Diem OB Home Care RN opportunities.

Answer inbound calls for EAP and Behavioral Assessment and triage, short term problem resolution, authorization and referrals for routine and crisis callers Provide solution focused consultation to assist member with issue resolution Determine member eligibility and benefit coverage and triage as appropriate Update and enter clinical notes in care management database You'll be rewarded and recogn

Answer inbound calls for EAP and Behavioral Assessment and triage, short term problem resolution, authorization and referrals for routine and crisis callers Provide solution focused consultation to assist member with issue resolution Determine member eligibility and benefit coverage and triage as appropriate Update and enter clinical notes in care management database You’ll be rewarded and