This is a remote position you may sit anywhere in the US 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 cul

Provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported Maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required You'll be rewarded and recognized for your performance in an environment that will

Leading a team of OptumHealth client executive responsible for managing existing Oputm National Employer and Public Sector clients to retain and grow those accounts Accountable for driving OptumHealth's growth objectives for team to achieve sales quota and incremental growth through representing all OptumHealth capabilities Enhance the client experience and overall client

Assist in the development and preparation of regulatory reports Perform quantitative analysis on healthcare membership and claims data Design, support, and enhance comprehensive data cleaning, standardization, and validation programs Maintain and improve robust quality assurance process to ensure accuracy Design and support ad hoc analytics where needed Collaborate and co

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Epic Beacon and EpicCare Ambulatory , or outpatient clinical applications Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Lead small to medium complexity

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Onsite EAP Counselor is a professional position responsible for providing onsite services to either a dedicated customer or custo

Follow established departmental policies, procedures and objectives Notify Provider Enrollment Manager of non compliance issues May involve travel to meet with providers to ensure complete and accurate forms are completed Completion of PIN form for submission to Excellian, track payer data in Symed Follow up on outstanding enrollment issues to ensure timely reimbursement

Use workforce management software and call volume history to help manage daily staffing levels and to determine the most effective methods for staffing adjustments Utilize call center tools to observe agents' actual state compared to scheduled state Manage real time inbound call traffic to help ensure that service levels are met Gain an understanding of the technical and

Work on HIM configuration changes and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy Serve as a mentor/subject matter expert to local and client

The Rating Technician is responsible for providing manual rates to the Sales and Underwriting teams for new business and renewals This individual will provide initial quotes to ancillary requests within allowable limits They will analyze health benefit plan characteristics and assess risks around frequency and potential severity of losses to our client base You'll be rewa

Develop and implement AI and machine learning strategies to drive healthcare solutions. Design plan and prioritize experimentation of machine learning and deep learning models Process and transform source data to be used in machine learning pipelines, leveraging distributed computing environments and parallel processing approaches. Build robust machine learning pipelines

Assists in documenting standard operating procedures and business rules for the department Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information Is responsible for supporting staff that work remotely Manage in coming documentation and ensure it is routed to the co

Complete provider orders per state and provider regulations Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete occupational health testing including such services as urine drug screens, breath alcohol testing, hair testi

Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read and report results to providers Retrieve and archive radiographic reports; create/burn CDs in compliance with HIPAA regulations Perform detailed and accurate data collection during clinical intake of

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