Archive for the ‘clinical insight’ tag
Business Analysis Consultant – Albuquerque, NM Job in Albuquerque 87101, New Mexico US
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Position Description: You're empowered to do your best and to be a Strategic Resource! Join us to conduct and manage outcomes of various studies that include analyzing, reviewing, f …
Business Analysis Consultant – Albuquerque, NM Job in Albuquerque 87101, New Mexico US
Chief of Staff- UnitedHealthcare Community and State (Americhoice)- Minnetonka, MN Job in Minneapolis 55401, Minnesota US
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
AmeriChoice is now UnitedHealthcare Community & State, which is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US heal …
Product Support Specialist – West Valley City, UT-324189: UnitedHealth Group
Job Category: Customer ServiceReference Code: 324189Position Type: Full-time, Regular UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet.
Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been.
And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others.
And you'll achieve more than you ever expected.
How does that fit with your plans? Product Support Specialist – West Valley City, UT-324189UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
DescriptionIngenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field.
This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Position Description: Positions in this function are responsible for first-level response and resolution of issues with external and internal customers via the phone, email, fax and web. Employee is responsible for the overall delivery of clinical support needs related to healthcare software, specifically its content and functionality.
Employee is expected to provide a professional and timely service experience to our customers in order to maintain high customer satisfaction.
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services.
No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
QualificationsQualifications: 2 years customer service experience required PC proficiency in Microsoft Word, Outlook and Excel Excellent oral and written communication skills Demonstrate the ability to build and maintain productive working relationships with others and contribute as an effective staff member Call Center experience in the Healthcare industry preferred Knowledge of ICD-9 and CPT is preferred Ability to solve problems systematically, using sound business judgment and follow through on commitments Ability to prioritize and multitask among numerous duties Flexible, adjust quickly and react positively to change High school diploma/GED required Some College preferred CPC (certified professional coder) is highly desired Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
In addition, employees in certain positions are subject to random drug testing.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
Product Support Specialist – West Valley City, UT-324189: UnitedHealth Group
Company: UnitedHealth Group
Relevant Work Experience: 1-2 Years Experience
Job Status: Full-Time, Employee
Senior Marketing Intelligence Database Analyst – Edina, MN Job in Edina 55436, Minnesota US
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters.
It's that simpleand it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care.
Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Position Description: Positions in this function are technical roles that develop and support marketing/product systems and information.
Employees in information management roles develop and enhance technology tools that support Marketing/Product team operations and provide reporting capabilities to measure or track performance levels.
May develop system enhancements to accommodate new products, alliances and acquisition products.
Primary Responsibilities: Works with less structured, more complex data sets Serve as a resource to others Identify solutions to non-standard data requestsConducts complex data analysesWork closely with the Director of Market IntelligenceTranslate data analysis into business implications Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence.
So take the first step in what is sure to be a fast paced and highly diversified career.
Qualifications: BA/BS in marketing, statistics or related field or advance degree not required, but is considered a plus3+ years of experience with data analysis and analyzing statistical data is requiredHealthcare industry experience is requiredExcellent verbal and written communicationAnalytical thinker who can interpret research and draw meaningful conclusions that benefit constituentsDemonstrated ability to deliver results in a complex, sometimes ambiguous environmentCapable of managing a variety of complex issues while driving momentum of key projectsStrong facilitation skillsWorking knowledge of statistical software (Excel, Minitab, SAS or SPSS) as well as Microsoft OfficeAbility to conduct self professionallyExcellent time management skills required Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
In addition, employees in certain positions are subject to random drug testing.
Additional Information: Travel Percentage: 25%
Senior Marketing Intelligence Database Analyst – Edina, MN Job in Edina 55436, Minnesota US
EDI Systems Analyst II – Moline, IL Job in Moline 61265, Illinois US
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Position Description: Serve as primary IT resource for small to medium-size projects.
Partners with operational areas to translate high level business requirements into detailed business/process functional specifications in order to implement a technological solution for projects or processes of low to medium complexity.
May also perform system configuration of low to medium complexity, system testing, end user training, and end user support for the processes after implementation.
May be responsible for project management on small projects.
Primary Responsibilities: Work with business segments to better define project requirements for development and implementationTranslate requirements into technical specificationsWork with developers to get projects developed and implementedFacilitate Joint Application Development (JAD) sessions with developers and business resourcesResearches, analyzes and documents business requirements for developing or enhancing systems.
Facilitates understanding of both the business and IT to ensure business decisions meet the business requirements as well as facilitate business decision meetings to keep projects moving forward.
Performs and provides analysis of business opportunities supported by a business case, feasibility study, justification, process improvements, and options for solutions and benefits for each solution.
Understands and applies appropriate system development methodologies to produce deliverables including business flow process and other required documentation.
Maintains a strong and collaborative relationship with the business and IT and serves as a strong advocate of the new/enhanced process or solution through various methods of communication to the organization.
Participates in unit and integration testing or works closely with the testing team to ensure understanding of business requirements in order to ensure process/system is thoroughly tested.
Supports business in developing and delivering end user training.
Addresses end user process questions for processes that have been implemented, provides process/system break/fix support, and implements process/system enhancements.
What makes your technology career greater with UnitedHealth Group? You'll have the most opportunities to grow and develop.
We invest in rich technology resources and talented people to help glean and use intelligence in ways that drive quality and affordability of healthcare for millions of people worldwide.
It's your chance to be a transformational force in the industry and within UnitedHealth Group.
If you believe there is always a better way, take the next step in exploring your potential with UnitedHealth Group.
Qualifications: 4+ year IT EDI experience with knowledge of any X12 healthcare transactions 820, 834, 835, 837I/P/D, 276/277, 270/271, 9974+ year IT Business Analyst/System Analyst experience Assets: Knowledge of healthcare management systems ie Facets, Macess, Business ObjectsUndergraduate degree or equivalent experience Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
In addition, employees in certain positions are subject to random drug testing.
EDI Systems Analyst II – Moline, IL Job in Moline 61265, Illinois US
Global Clinical Study Manager for i3 Research – Home-based Nationwide Job in Multiple locations
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.
Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
i3 Research i3 Research is a full-service contract research organization (CRO) focused on four CORE areas: central nervous system; oncology; respiratory and infectious disease; and, endocrinology and metabolic disease.
Therapeutic specialization drives all aspects of business in this global CRO – from project staffing and talent management to quality initiatives, such as six sigma.
As a UnitedHealth Group company, i3 Research is part of a worldwide health care service organization that uses innovation, integrity and commitment to prepare for the future – and you can prepare for yours with us. It's a rare combination for success that only a career with i3 Research can provide.
The Study Manager is responsible for delivering the operational aspects of one or more clinical studies from protocol feasibility through database release.
Their primary deliverable is high-quality, timely and cost-effective data.
The study manager also contributes beyond database release to support effective study reporting and close-out; submission activities; and audits/inspections, as appropriate.
The study manager achieves this purpose by coordinating the activities and deliverables of all study conduct partners and by proactively identifying and managing issues.
The SM will also liaise with Program Study Manager (PSM) for technical system and process expertise and therapeutic area operational knowledge.
Minimum of BS/BA in a biomedical discipline or equivalent education/training is required.
Global clinical project management experience required.
Greater than 3 years of study management (or very closely related discipline) experience.
Demonstrated effectiveness in working in a multidisciplinary, matrix team situationDirect therapeutic area expertise is required.
Understanding of scientific/clinical principles and ability to work across different therapeutic areas.
Ability to instill customer confidence in ability to deliver to project deliverables.
Extensive knowledge of clinical development process including in depth knowledge and understanding of the principles of GCP.Ability to communicate effectively and appropriately with internal staff and investigator sites.
Working knowledge of data management processes and principles, including CRF design and query management.
Knowledge/understanding of technologies to support data acquisition including EDC and data validation.
Disciplined approach to document maintenance and management.
Ability to organize tasks, time and priorities of self and others; ability to multi-task.
Ability to manage studies and processes to agreed quality and timelines.
Risk management and contingency planning expertise required.
Effective verbal and written communication skills in relating to colleagues and associates both inside and outside of the organization.
Ability to proactively communicate project issues and actions to mitigate risk and to ensure project members are aware of study status at all timesPosition may travel up to 25%.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
In addition, employees in certain positions are subject to random drug testing.
Additional Information: Travel Percentage: 25%
Global Clinical Study Manager for i3 Research – Home-based Nationwide Job in Multiple locations
Facility Reimbursement Policy Clinical Consultant
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Ingenix, a UnitedHealth Group company, is one of the largest health care information and research companies in the industry. No one competitor offers the same breadth of products and services as Ingenix. In fact, our competitors strive to copy what we have done. We offer the most comprehensive set of data, technology and analytic capabilities. The power of our products and services help customers leverage information assets, enhance clinical and financial insight, increase the quality of health care delivery and administration and improve cost management.
We need a knowledgeable, experienced professional to serve as the in-house industry expert on coding, billing and reimbursement policy for facility inpatient and outpatient content. This individual will also research and design written Edit Rationale Statements that support reimbursement policy standards. These Edit Rationale Statements will contribute to new software that edits UB-92 content. This is an exciting opportunity for an individual with the right skills to have an impact on a system that will benefit many Ingenix clients and the software development team by creating great value and efficiency. If you’ve ever wished you had a tool that would make it easier to edit facility bills, whether that editing is done as part of the hospital billing or the claims adjudication process, we encourage you to apply!
Primary responsibilities include:
Serving as the in-house industry expert on facility coding, billing, and reimbursement policy
Researching websites, industry sources and working with user groups to source information for the KnowledgeBase
Developing written Edit Rationale Statements to support editing software for facility claims
Collaborating with the product management team to create a new claims editing software tool that will facilitate correct coding, billing, and claims adjudication processes
Contributing to a robust pipeline of new product ideas
Applicants must demonstrate a working knowledge of hospital revenue cycle management as well as an understanding of claims adjudication processes in health plans. This knowledge must include both inpatient and outpatient experience. Candidates with a formal coding certification are strongly preferred. Demonstrated experience in auditing hospital claims from a coding perspective would be valuable.
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.
If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
PLEASE APPLY USING THIS BUTTON ONLY
Facility Reimbursement Policy Clinical Consultant
Job ID 159626
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Eden Prairie, MN
Salary Unspecified
Experience 10-15 Years Experience
Desired Education Level Other
Utilization Nurse Reviewer – RN ($2000 Sign-on Bonus!)
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Optum delivers personal health management solutions designed to help individuals stay healthy, get healthy and live with illness. Evidence-based medicine, technology and specially trained nurses are combined to identify an individual’s health needs, make referrals to appropriate resources and close gaps in care. With capabilities ranging from wellness promotion to self-care and triage to longitudinal case management, Optum delivers an integrated, cohesive approach to managing the health of each individual–as an individual.
We offer an opportunity to truly make a difference while advancing your career. It’s a rare combination that makes Optum the ideal place for your professional and personal satisfaction.
We seek an organized nursing professional to take on an important role in our thriving organization. While focusing on case management, the Utilization Nurse Reviewer would enjoy a refreshingly regular schedule, and the chance to build lasting relationships. Come and discover the rewards and stability that await you when you apply your clinical expertise with a Fortune 100 healthcare leader.
Your primary responsibilities would include:
Reviewing inbound case referrals, and conducting related assessments
Contacting facilities to verify or gather additional information
Determining which cases qualify for case management
Submitting recommendations to clients, and obtaining appropriate approvals
Note: This position comes with a $2000 sign-on bonus!
Only licensed Minnesota RNs will be considered for this position, and solid clinical experience in acute care is also required. Ideal applicants would have a broad knowledge of diseases and a familiarity with medical coding and terminology. Utilization review experience is strongly preferred, and computer proficiency is essential. If you fit these criteria, and you are an even-keeled, persistent individual with the ability to maintain positive working relationships, we urge you to apply for this unique opening.
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.
If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
PLEASE APPLY USING THIS BUTTON ONLY
Utilization Nurse Reviewer – RN ($2000 Sign-on Bonus!)
Job ID 161423
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Golden Valley, MN
Salary Unspecified
Experience 2-5 Years Experience
Desired Education Level Other