Develop, perform, and manage the analyses of business and financial metrics as well as performance measures Develop and maintain financial reports to clearly communicate actual results, forecasted performance; and variances to plan, forecast and budget Work closely with the business to develop, recommend and establish strategies, plans and processes to improve profitabili

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Emergency Department services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Knowledge in Evaluation & Management, Infusion & Injection, Emergency Room Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Und

Review and abstract medical record data into appropriate application(s) Primary source verify abstracted medical record data Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings Provide education and feedback to abstractors Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star mea

Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

Responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work with medical staff, nursi

Overall project lead across ambiguous and complex engagements Plan the work and work the plan assign workstreams to team members and self that reflect skills and development needs while meeting needs and timelines of client Serve as principal point of day to day contact for client project lead; establish optimal communication cadence with client and demonstrate executive

Structure approach/analysis for assigned workstream largely independently and contribute to assisting more junior team members with their responsibilities Lead client communications around own workstream and sometimes those of more junior team members Major contributor to team problem solving across full scope of project Able to structure and drive team problem solving se

Lead the identification, pursuit, and closure of major client engagements for various actuarial/underwriting product solutions Actively participate in thought leadership for Optum to the market, and help drive the development of marketing and sales collateral Liaise with our internal stakeholders (growth and sales teams, senior leadership, legal) as required, throughout t

Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwork Directs patient to their appointment or procedure May assist in scheduling add on appointments Verifies eligibility and benefits information for payers and interprets results Obtains signatures from patients as needed Colle

s through reserving, medical expense forecasting, identification of medical expense management opportunities, and evaluation and measurement of medical expense management programs and initiatives . The leader will work with the team to communicate the financial and clinical performance of the organization to key leaders and stakeholders . You'll enjoy the flexibility to wo

Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwork Directs patient to their appointment or procedure May assist in scheduling add on appointments Verifies eligibility and benefits information for payers and interprets results Obtains signatures from patients as needed Colle

Design, develop and implement analytics rules engines Research, evaluate, and deploy new tools, frameworks, and patterns to build sustainable Big Data platform Identify gaps and opportunities for improvement of existing solutions Define and develop APIs for integration with various data sources in the enterprise Analyze and define customer requirements Assist in defining

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstra

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits,data,and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion, talented peers, co

Maintain and operate the public cloud security enablement tools Partner with security, compliance, and public cloud platform engineering to identify and implement cloud platform security gaps Partner with Product leadership to complete security work, provide requirements, and stake holder input Create and drive cloud security operations roadmap Prioritize cloud operations