• Eden Prairie, MN, CA, CO, CT, HI, NV, NJ, NY, RI, WA, or US National

Develop innovative strategies, conduct studies on pricing and healthcare cost, analyze trends, and disseminate results to assist in client decision making. Mentor junior analysts and collaborate with other clinicians, business analysts, and strategy ..

• Eden Prairie, MN, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Make determinations of medical necessity/clinical appropriateness of treatment. Assist in developing and implementing clinical policy, guidelines, and applications. Regularly contact providers with differing treatment trends.

• Eden Prairie, MN, or US National

Make determinations of medical necessity, develop and implement clinical policy, contact providers, apply regulatory requirements, control utilization trends, and improve quality and outcomes of care. Current chiropractic license and 5+ years of clin..

• ND, SD, NE, KS, MN, IA, MO, WI, IL, MI, IN, OH

Meets patient and patient family needs; takes responsibility for a patients safety, satisfaction, and clinical outcomes; uses appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.

• US National

Develop medical spend insights, manage large analysis projects, mentor and lead a team of analysts, collaborate with IT partners, establish technical best practices and processes.

• New York, NY

Support community-based initiatives to improve member access and provider education. Build relationships with local organizations and dental practices. Disseminate targeted information and collaborate internally to improve dental care.

• MN, WI

Coordinates the resolution of unpaid accounts. Receives and resolves calls from patients, insurance companies, attorneys, and departments. Obtains and processes payments. Collaborates with patients to create payment arrangements.

• US National

Provide support for existing services in a DevOps environment automating infrastructure provisioning. Work with team on prioritization and sizing tasks for incremental delivery. Anticipate and communicate blockers and delays before they require escalat...

• Irvine, CA

Connect patients with outside resources (e.g., community resources, social services) to promote self care. Review and support implementation of patient plan of care.

• Worcester, MA

Provides operational support to the Prescription department location. Receives requests to process prescriptions in an accurate and timely manner to get providers approval. Performs assigned prescription functions and duties in support of the prescript...

• Dublin, Ireland

Develop Non-Clinical Business Process Improvement & Transformation Strategy. Partner with Operations leaders/teams, Analytics, R&D, and Technology. Identify and lead strategic projects/initiatives. Articulate data needs, analyze data, and summarize d..

• US National

Serve as the Cloud Solution subject matter expert on Azure and one other cloud platform. Develop Digital solution blueprint and architect digital native properties like patient portal, provider portals, mobile applications etc.

• US National

Administer VDI pools and address VDI-related issues promptly in support of end-users. Monitor VDI infrastructure performance, troubleshoot issues, and ensure optimal system performance. Manage Wyse and Tetradic thin clients including firmware updates...

• US National

Support business risk management programs and EIS processes. Assist in risk management processes, assist with customer and regulatory audits, review contractual security requirements, and maintain knowledge on information security topics.

• SC, NC, GA, TN, VA, MD

Understand and communicate regional risk bearing entity strategy to contracted provider groups. Collaborate with vendors and internal partners to improve KPI performance. Prepare presentations and data analysis for provider group meetings and attend ..

• CA

Develop strategy for payor, product, and revenue growth plans in California market. Evaluate and negotiate contracts, establish business relationships, and oversee expansion projects. Required: 10+ years experience in managed care contracting and sol..

• Charlotte, NC

Manage a book of strategic accounts, maintain and grow existing business, acquire new business, and provide value-added services through client-specific business plans. Develop and monitor client financial performance and maintain a high level of ind..

• US National

Provide clinical pharmacy support for high-risk obstetric patients referred by their providers. Available for afterhours, weekend, and holiday calls. Maintain competency in organization policies and processes.

• San Francisco, CA

Sales representative for Key Accounts responsible for broker and direct sales to customers in the 100-5000 employee range. Develops and maintains solid broker relationships, identifies potential healthcare business customers, and attains targeted sal..

• US National

Provide onsite counseling services including assessment, referral, training, and critical incident response. Conduct consultations, provide manager consultation services, and participate in training services. Maintain privacy policies and have a CA l..

• US National

Create personalized customer experiences using Adobe Journey Optimizer. Work with cross-functional teams to optimize customer journeys, conduct research and analysis, and design and implement journey maps.

• US National

Executes quarterly forecast cycles, leads annual operating/planning budget process, develops long-range plans, provides financial reporting and analytics, directs implementation of new modules and leads financial systems integration activities.

• US National

Manage pricing and contracts for Medicare, Medicaid, and Commercial reimbursement. Interpret payor contracts, convert to standard templates, and collaborate with team for quality improvements and flawless execution.

• US National

Deliver remote care, monitor participant progress, document session notes, and participate in team meetings. Manage a caseload of a minimum of 10 participants in treatment, and maintain a consistent schedule of 10+ hours/week. Current LCSW, LPC, LMHC..

• IL, MO

Drive development of provider network, conduct outreach to potential providers, negotiate contracts, establish and maintain business relationships with providers, monitor network and provider performance.

• Phoenix, AZ

Develop and oversee member advocacy program, build relationships with stakeholders, provide system navigation and resolution of concerns, and deploy onsite provider monitoring protocols. Requires Arizona residency, reliable transportation, and lived ..

• Thomaston, CT

Screen and assess patients for mental health and substance abuse disorders. Provide treatment for various mental health conditions using evidence-based methods. Track treatment response and monitor patients for changes in clinical symptoms and side e..

• Dublin, Ireland

Lead the design and implementation of a secure data platform on Azure. Collaborate with the team to build standard patterns and reusable code. Work with vendors and engineering teams to integrate and optimize solutions.

• US National

Leading engagement of Optum Supply Chain Managed Service employees for clients. Creating and implementing efficient supply chain operations. Developing partnerships and maintaining relationships with clients.

• TN, LA

Assist in end-to-end provider claims and enhance provider experience. Support development and management of provider networks. Help implement training and development of external providers through education programs. Identify gaps in network composit..

• US National

Develop and execute growth strategy for Infusion business, establish market intelligence, orchestrate M&A efforts, build relationships with partners, and foster high-performance culture. Travel up to 20%. Required: 10+ years healthcare leadership exp..

• US National

Lead and coordinate key initiatives, renewal process, and NPS in the Level Funded business. Develop and execute strategies for growth, manage financial obligations, and drive improvements through collaboration with stakeholders.

• KS, FL

Interpret and enter prescription data, answer incoming and outbound calls, maintain accuracy and efficiency, work within multiple computer systems, verify patient information, contact patients and providers, maintain quality and proficiency.

• Concord, CA, Cypress, CA

Manage and monitor financial results, develop budgets, lead underwriting staff, support sales organization, provide guidance to underwriters, assist with process improvements and workload management, actively support and implement changes within unde..

• Worcester, MA

Manage operational activities of ACO programs, including application and certification requirements, provider list maintenance, and reporting distribution. Identify improvement opportunities and implement interdepartmental initiatives to support ACO ..

• RI

Develop and coordinate clinical treatment program for patients with moderate to severe social or mental behavior problems. Conduct therapy sessions for individuals, families, or groups based on ethical and medical guidelines. Involve patients and fam..

• Letterkenny, Ireland

Lead Epic software upgrade initiatives and enhancements, collaborate with end users to design and build the Epic system, provide technical and clinical consultation, and facilitate communication with stakeholders.

• NH

Provide direct clinical services to patients in an in-person, office-based environment. Screen and assess patients for common mental health and substance abuse disorders. Provide treatment for a variety of mental health conditions using evidence-base..

• MA

Provide direct clinical services to patients in an office-based environment. Screen and assess patients for mental health and substance abuse disorders. Use evidence-based methods to treat mental health conditions.

• Braintree, MA

Develop and coordinate a clinical treatment program for patients with mental behavior problems. Involve patients and/or families in treatment planning. Conduct individual, family, or group therapy sessions based on ethical and medical necessity guide..

• RI

Screen and assess patients for mental health and substance abuse disorders. Provide treatment for various mental health conditions using evidence-based methods. Track treatment response and monitor patients for changes in symptoms and side effects.

• Minneapolis, MN

Perform diagnostic evaluations, develop treatment plans, provide counseling and crisis interventions for clients. Maintain documentation, attend team meetings. Must have active/unrestricted license as Mental Health Professional in Minnesota.

• Minneapolis, MN

Build multi-channel automated and batched campaigns in Salesforce Marketing Cloud Journeys. Manager campaign production schedule and ensure launch deadlines are met. Conduct routine reporting on email campaigns and perform other duties as required an..

• Phoenix, AZ

Perform financial analysis, reporting and modeling. Manage provider compensation, clinical P&L, budgeting, and acquisition analysis. Collaborate with senior leadership and assist in setting statistical metrics to enhance awareness of performance.

• Cooperstown, NY

Answering inbound phone calls, scheduling appointments, and providing customer service support. Working independently and adhering to company policies. Must have a high school diploma/GED and be familiar with computer applications.

• Draper, UT

Manage loan accounting function, develop controls for lending assets, maintain policies, assist with regulatory and financial reporting, manage audits, research accounting guidance, assist with budgeting, manage staff, and ad hoc projects.

• Eden Prairie, MN

Compile and provide monthly executive level variance commentary for key financial reports. Ensure day-to-day tasks are completed timely and accurately by global staff. Drive for standardizing and improving processes. Provide audit support quarterly ...

• Dublin, Ireland

Manages ongoing contract relationships and service delivery for assigned accounts. Builds relationships with clients and serves as the primary point of contact for service delivery. Serves as a key resource on complex issues and develops innovative s..

• San Diego, CA

Provide crisis intervention and behavioral health services through telephone and chat. Conduct screenings, triage calls, provide referrals, and ensure safety. Document interactions and meet performance goals.

• WA, OR, CA, NV

Perform telephonic clinical assessments, recommend appropriate level of clinical care, outreach and engage members with programs, complete clinical eligibility assessments, identify health or social gaps.