Antigo Jobs - Career Builder

Details: Open Positions for Career-Minded People. Raise the bar on customer satisfaction! Are you ready to start your career with a company that offers growth, challenge and a commitment to excellence? Raymour & Flanigan is a leading furniture retailer in the U.S. and is searching for a career minded part time store stock associate that can make a difference to the customer shopping experience. Many of our successful long term associates started at the beginning. Our store warehouse associates interact daily with customers as well as sales and customer care partners to provide excellent service, maintain accurate inventories and showroom appearance. Here is where you can demonstrate your customer service skills and learn the furniture retail business. Apply today for the start of your successful future! Expectations: Loading and unloading of trailers. Loading of furniture and accessories in customer vehicles. Assembly of furniture. Moving and placement of furniture on the showroom floor. Assisting with inventory control and processes. Keeping the warehouse and showroom organized. Accountable for commitment to Raymour and Flanigan's safety procedures and guidelines. Professional communication and interpersonal skills. Attention to detail and ability to prioritize in a fast-paced environment. Possess excellent listening skills and the ability to work independently and with a team. Perform additional functions that may be assigned at the discretion of management. Qualifications: Must have solid computer skills. Must be responsible, dependable and able to perform general backroom duties. High School Diploma or equivalent. Must be available to work days, nights, weekends and some holidays. Physical Requirements: Continuously lift, lower, push, pull all sizes of furniture up to and in excess of 100 lbs. At Raymour & Flanigan, we recognize and appreciate all of our team members' hard work and dedication. We pride ourselves on being a long term, privately held company that takes care of its associates by recognizing each individual's potential and investing in their future success! Raymour & Flanigan provides a full range of comprehensive benefit programs to help you achieve your wellness and financial goals which include: Health Insurance (Up to 80% of premium paid) and Prescription Drug Coverage Dental and Vision Coverage Company paid Life Insurance Company paid Short-term Disability 401(k) Retirement Plan w/ Company Match & Profit Sharing Voluntary Life and Long-term Disability Insurance Flexible Spending Account Employee Assistance Program Other Great Benefits: Weekly Pay Paid Vacation and Holidays Training and Development Tuition Reimbursement Program Generous Merchandise Discount Raymour & Flanigan proudly supports a drug free and smoke free work environment. Raymour & Flanigan is an Equal Employment Opportunity employer that does not discriminate against any associate or applicant on the basis of race, creed, color, religion, sex (including pregnancy), age, national origin, physical or mental disability, sexual orientation, marital or familial status, genetic information or other basis protected by law.

Details: LEGAL SECRETARY Downtown Family Law. Non-smoker, exc. grammar and punctuation skills. Email Resume to: MJKutner@ kutnerfamilylaw.com Source - Miami Herald

Details: UMC Energy Solutions is now hiring experienced pipe and structural welders. Apply in person 3421 N. Sylvania. EOE Skills/Trades Source - Fort Worth Star Telegram

Details: Donde los compa¤eros de trabajo son como familia y siempre se comparte el ?xito. BILINGUE Especialista de atenci¢n al cliente - 15000OP9 Local Primario: USA-FL-Miami- Miami Globales Reservas Ventas y Atenci¢n al Cliente Orientaci¢n comenzar 05.21.15 (3:30 PM to 12:00 AM) Preferido Bilingüe Shift Disponible: 3:30 PM-12:00 AM (flexible para trabajar los fines de semana) TIENE que estar disponible a trabajar un horario flexible, cualqiera 7 dias de la semana incluyendo fines de semana y dias feriados Previo experiencia en servicio al clientel preferido TIENE QUE APLICAR EN LINEA PARA SER CONSIDERADO ENCONTREMOS EL MUNDO JUNTOS www.marriott.com/careers Marriott International es una empresa comprometida en ofrecer igualdad de oportunidades en la contrataci¢n de personal, as¡ como en apoyar la integraci¢n cultural. Marriott International no discrimina por raz¢n de discapacidad, condici¢n de veterano o ning£n otro motivo protegido por la legislaci¢n local, federal o nacional Source - Miami Herald

Details: SUMMARY OF POSITION: The purpose of the Disptacher position is to communicate with Waste Pro drivers to respond to incoming service orders, schedule service, resolve route and service issues and complete daily routing dump and crew data entry. Distribute information to driver teams as needed. ESSENTIAL JOB FUNCTIONS: 1. Maintain contact between drivers and home base, dispatching drivers to calls as they are received, using information on customer needs, drivers' locations and loads, and daily factors to balance cost and speed of response. 2. Assign routes and service tickets to appropriate drivers throughout the day and for the next day; closes service tickets each day. 3. Plan, distribute, monitor and follow-up daily route assignments for residential, roll-off and commercial drivers to ensure customers are serviced per Waste Pro standards and agreements. 4. Troubleshoots and resolves potential delivery and pick-up problems before they result in service issues. Effectively communicate with both drivers and customers to ensure customer satisfaction. Communicate service changes to Sales staff. 5. Answer incoming calls from Customer Service and provide requested route information and/or follow up. Work directly with Customer Service Manager, Operations Manager and the Driver to ensure prompt follow through of all issues. Distribute county requests to route supervisors. 6. Communicates with maintenance shop personnel and serves as an emergency point of contact to drivers. 7. Review route paperwork, enter customer information to database, and close work orders from previous day routes, paying close attention to detail, identifying and correcting any issues. Records and documents information from drivers and distributes to appropriate departments. 8. Maintains all data in appropriate systems including the following: Verify all dump tickets have been received and entered into Tower. Close tickets and note in Trackese. Enter new drivers, truck and route data information in Tower. Enter "Crew Out" into Tower and provide to Supervisors. 9. Print, review and make data entry corrections to productivity reports for route supervisors daily. 10. Distribute and maintain driver phones/radios -- including completion of software updates, and charging phones every evening. 11. Additional responsibilities may include uniform tracking, timecard review for Drivers, reconciliation of supervisor fuel tickets, and maintenance of PPE inventory. Ensures that supplies are on hand for necessary forms. Prepares Saturday work. OTHER JOB RESPONSIBILITIES: * Employees in this job classification must attend and participate in corporation sponsored training courses as assigned. * Employees in this job classification are responsible for keeping up to date on current technology, as job appropriate, being used by Waste Pro USA. * Any additional job duties that may be assigned by the Supervisor.

Details: SUMMARY OF POSITION: The Waste Pro mechanic performs preventative maintenance, run inspections, diagnostics tests, and repairs a variety of vehicles and equipment. ESSENTIAL JOB FUNCTIONS: 1. Diagnoses mechanical problems and performs repairs and maintenance on all equipment to maximize safe and productive operations. 2. Reviews and completes repairs identified on DVIR (Driver Vehicle Inspection Report) and/or repair orders. 3. Communicates with managers and drivers on issues with vehicles and determines preventative techniques to minimize future repairs. 4. Completes all required paperwork in a timely and concise manner. 5. Follows all safety policies and procedures 6. Maintains a clean, safe work area in compliance with corporate and OSHA standards. 7. Utilizes vehicle computer electronics systems to interpret failure modes to initiate or assign repairs. 8. Conducts safety checks on vehicles and equipment. OTHER JOB RESPONSIBILITIES: * Employees in this job classification must attend and participate in corporation sponsored training courses as assigned. * Employees in this job classification are responsible for keeping up to date on current technology, as job appropriate, being used by Waste Pro USA. * Any additional job duties that may be assigned by the Supervisor.

Details: The Recruiting Coordinator will aid the recruiting team in the high volume hiring season. This individual must have strong communication abilities, experience with computers, a solid work ethic, and a positive attitude in order to field any and all tasks which they will be assigned. Primary Responsibilities: Qualify candidate applications in Kronos Applicant Tracking System Schedule interviews Prepare appropriate documentation and process necessary paperwork including but not limited to: Applicant interview packets New-Hire documents Assist with on-site drug testing procedures Provide information and direction to applicants Attend meetings as necessary Handle/assist internal hires

Details: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . UnitedHealth Group is working to create the health care system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed. Join with us and start doing your life's best work . Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Analyze and identify trends and provides reports as necessary Consistently meet established productivity, schedule adherence, and quality standards Provide excellent customer service Extensive work experience within own function. Work is frequently completed without established procedures. Works independently. May act as a resource for others. May coordinate others activities.

Details: At Optum, we share what might be seen as a surprisingly simple goal: making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at Optum, a business of UnitedHealth Group, is a natural fit. We offer more than the talent, resources and can-do culture-we offer a place to improve the lives of others while doing your life's best work.(sm) Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) Start your healthcare career with Optum! Great entry level position in healthcare! In this position you will interact with patients and their family members, healthcare providers, insurance companies. Learn from healthcare experts as you work side by side to improve the lives of patients. Enjoy profound job satisfaction as you impact the care and comfort of our patient population. We offer the benefits of working for a large, multi-national company - career opportunities, great benefits, paid time off, and more! The successful candidate will demonstrate effective customer service and communication skills. Primary Responsibilities: Greets patients as they arrive Coordinates patient flow Assists patient with intake or admitting processes including copying required documents Collects co-payments, co-insurance and deductibles and issues receipts Collects, records and balances payments Manages cashier box and daily deposits according to company policies Processes walk-in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, files/scans, prepares for schedule)

Details: Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm) Primary Responsibilities: Coordinate with OptumRx operations and IT teams to manage and prioritize customer needs and implement pharmacy benefit solutions Develop and maintain strong inter-company relationships to ensure superior customer service that is executed accurately and on time Review plans for accuracy, presenting benefit detail in a customer meeting with the Optum Rx Client Management and arranging for customer sign-off Coordinate file transfers (ORTF, Prior Authorizations, Claims History Files, and Accumulation totals) Create and conduct internal OptumRx training for new customers (PA, Customer Service, Specialty Pharmacy) Coordinate efforts with internal departments for the creation of customer specific PDL and/or pharmacy networks Coordinate formulary/specialty disruption analysis Work with Health Plan and Functional leaders to proactively identify implementation issues and drive their resolution Manage pre-implementation audits Develop and present presentations for new business customer implementations Facilitate meetings at various levels of the organization Monitor, track and report implementation status and performance Manage implementation scope changes and resolution Identify implementation risks, implement a mitigation/action plan and drive improved outcomes, communicate to senior leadership Manage the implementation of pharmacy benefit plans for National, Key and Public Sector Customers Review the work of others Develop innovative approaches Be sought out as expert Serve as a leader/mentor Travel 20-25% of the time

Details: Optum Medical Network is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve. Optum Medical Network's focus is to do the right things for patients, physicians, and the community. Optum Medical Network's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients. The current focus of Optum Medical Network is on seniors, and those with complex care needs, who most benefit from a high touch model of care. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready for a new path? Join us and start doing your life's best work.(sm) What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Want to learn more before applying for this role? Click here to view the Realistic Job Preview: http://uhg.hr/Telephonic_UM_Nurse Not a telecommute position - 40 hours per week. Primary Responsibilities: Perform utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management) Determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination Assess and interpret customer needs and requirements Identify solutions to non-standard requests and problems Work with minimal guidance; seeks guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Coach, provide feedback, and guide others Act as a resource for others with less experience Utilization Review / Concurrent review experience preferred Bilingual (Spanish) desirable

Details: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) Optum, an industry leader in healthcare implementation and consulting services, is adding additional leadership talent to our CDI Consulting team. Ideal candidates will have prior CDI consulting experience leading large scale projects in the acute care setting and conducting gap analysis. This is a full time position that would allow employees to see career growth while taking on challenging engagements around the United States. This is a home-based position with approximately 50% travel. Primary Responsibilities: Development and ongoing refinement of CDI assessment and implementation methodology and approach, including: development of deliverable templates, workflows, training manuals/content; integration with technology Solution development and sales support of CDI through proposal development, responding to RFPs, development and delivery of client presentations Serve as the liaison between CDI consulting services and CDI technology team Engagement management and overall quality assurance Participate in industry events and speaking engagements to promote CDI expertise and capabilities Assist with recruiting activities for CDI project team

Details: Position Description: Why work for the leading organization in health care to help improve the lives of millions? You'll find that this is no small opportunity on our Health Care Economics team. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference ?in our company, our industry, even our world. As the Health Care Economics Analyst, you will design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data. Along with your team, you will identify potential areas for medical cost improvements and alternative pricing strategies. You will help heal the health care system as you work with an elite team to solve tough challenges. Join us. And start doing your life's best work .(SM) Primary Responsibilities: Performs in-depth medical cost and financial time series andcross sectional trend analysis. Write SQL code and analyze in-depth trends such as acute andnon-acute admits / 1,000, days /1,000, ALOS for root causes and makerecommendations. Must be able to fully audit revenue, capitation payments,claims detail payments, and identify claims overpayments. Must be able to audit risk providers contracts loading andpayments for CPT/Revenue/ HCPC codes, Diagnoses, DRGs. Must be familiar with various reimbursement methods:Capitation, FFS, DRG, APC, Global risk, episode of care. Must be familiar with pharmacy, Hedis, Stars, Medicare Riskscores, and its effects on future revenue. Develop new reports using SSRS, SQL, MS Access, Excel,and / or Crystal Reports, BusinessObjects, and VBA. Develop ad-hoc analyses based on complex user requirementsfor CEO, COO, Finance VP, Medical Director, Network Management and UtilizationManagement Dept. Be able to explain variances of actual costs and otherstatistical measures to budget/forecasts from an actuarial cost volume model,from financials, and from external sources to Managers, Actuaries, andaccounting CPA's. Perform financial and medical cost trend analysis forcapitation and global risk provider contracts, accountable care organizations,episode of care reimbursements and other risk contracting providers. Responsible for preparation and distribution of variousreports to Manager and various departments on recurring basis. Performs other finance duties as required or asrequested by the Director of Finance and/or Manager of Analysis.

Details: New York HARP Program! Licensed Psychologist! For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position will be onsite in our Latham, NY office. Monday – Friday, business hours. The anticipated start date for this position will be May 18th, 2015. As the chosen candidate, you will be assisting people with maintaining their maximum independence in the community, self-sufficiency and understanding of the appropriate use of Home and Community Based Services (HCBS). Responsibilities of the Peer Reviewer will include: Reviewing provider requests for psychological testing Conducting peer-to-peer reviews with psychologists and other behavioral health providers to assure that accreditation standards, level-of-care guidelines and generally accepted clinical practices are followed Conducting clinical reviews of contracted provider clinical records as requested Participating in Quality assurance activities and audits as needed Providing care management for inpatient and outpatient psychiatric and substance abuse cases through telephonic reviews Completing call monitoring and documentation audits to determine compliance with clinical guidelines, policies and procedures, and operational workflows Entering certifications and documentation into the care management systems in a timely manner Meeting internal and external business requirements for specific books of business, including turnaround times, peer-to-peers, and authorization decisions Assisting the clinical management team with clinical consultation, staff training and case conferences Providing consultation to Optum management and staff regarding such issues as clinical standards, policies, procedures, recovery and resiliency and best practices Performing other duties as requested by supervisor

Details: This isn't HR. This is Human Capital at UnitedHealth Group. Here, you're expected and empowered to be your best, to grow and to develop your skills. Join us and help people live healthier lives while doing your life's best work.(sm) Manage daily operations of Training for respective site/s in order to ensure effective and efficient operations. To provide oversight and instruction on training delivery for all Trainers in alignment with the Optum CSS Training Department processes and standards. To manage and coordinate the scheduling of trainers and training programs. Manage, lead, observe and provide feedback to all training staff members to ensure high quality training delivery. Primary Responsibilities: Deliver classroom training programs on various topics such as sales, service, quality, leadership, management, training, presenting, etc. Administer course surveys to evaluate training effectiveness and future needs. Confirm class schedules and commensurate logistics. Participate in execution of departmental training needs assessments Manage day-to-day scheduling and utilization of all training assets such as projectors, furniture, class materials etc. Manage and lead training staff to accomplish operations training goals as well as to identify emerging site training certification needs. Conduct performance evaluations for direct reports and development plans Monitor training attrition for all trainers Observe trainers and provide feedback according to Training Department standards Ensure that all trainers are certified according to both Optum and client standards and adequate number of trainers prepared for all programs Collaborate with various account specific Quality Managers and/or Site Operations Manager to assist in identifying training gaps and trends for agents in nesting and in first 30 days of production Provide account-level training feedback to Regional Directors of Training and other vested entities Assist Regional Director with strategic planning and company related projects/and or initiatives

Details: Optum Medical Network is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve. Optum Medical Network's focus is to do the right things for patients, physicians, and the community. Optum Medical Network's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients. The current focus of Optum Medical Network is on seniors, and those with complex care needs, who most benefit from a high touch model of care. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) As a Field-Based Case Manager , you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve. What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: http://uhg.hr/Field_Based_Case_Manager_UHCCS Primary Responsibilities: Visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers' offices Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels Assist members with the transition from a care facility back to their home Bilingual (Spanish) desirable

Details: Position Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm) The Regulatory Affairs Associate assists with all aspects of policy forms portfolio drafting, filing preparation and submission, and response to objections/inquiries. Specifically, the Regulatory Affairs Associate coordinates the completion and submission of all state required transmittal documents, checklists, and SERFF filing requirements. This position is also responsible for maintaining the internal filing tracking records for Policy Compliance. This position also may be responsible for some regulatory research and report generation and various other tasks, as needed. Primary Responsibilities: Read, write and communicate clearly and precisely to gather information, resolve questions and share information in-person, in written format and by phone; Retain and apply newly learned information; Meet Production and quality standards; Demonstrate proficiency at coordinating and organizing Analysts' reviews, drafts, filing communications and filing recordkeeping and tracking mechanisms for multiple projects/ filings simultaneously; Track and satisfy filing timelines and state regulatory deadlines; Be proficient in use of reference materials; Handle simultaneous projects each with its own hard deadlines competently; and Proficient at Windows, Microsoft Word, Excel, and data base experience.

Details: PositionDescription: Energizeyour career with one of Healthcare's fastest growing companies. Youdream of a great career with a great company – where you can make an impact andhelp people. We dream of giving you theopportunity to do just this. And withthe incredible growth of our business, it's a dream that definitely can cometrue. Already one of the world's leading Healthcare companies, UnitedHealthGroup is restlessly pursuing new ways to operate our service centers, improveour service levels and help people lead healthier lives. We live for the opportunity to make adifference and right now, we are living it up. Thisopportunity is with one of our most exciting business areas: Optum –a growingpart of our family of companies that make UnitedHealth Group a Fortune 17 leader. Optum helps nearly 60million Americans live their lives to the fullest by educating them about theirsymptoms, conditions and treatments; helping them to navigate the system,finance their healthcare needs and stay on track with their health goals. Noother business touches so many lives in such a positive way. And we do it allwith every action focused on our shared values of Integrity, Compassion,Relationships, Innovation & Performance. Are you looking to be on theforefront of reducing the cost of healthcare through cost containment andcompliance? Do you consider yourself a critical thinker, problem solver, andprocess improver? Do you have the ability to analyze numbers and identifytrends while being able to build lasting relationships? Do you want to work forone of the leading revolutionary healthcare companies that affect every aspectof the healthcare system? Our claims operations are the focalpoint of handling information about services patients receive and the way thoseservices get paid. It's complex, detailed work. It's also fast paced and challenging.It's a job that calls on you to be thoughtful, resourceful, team-driven andcustomer-focused. To put it mildly, there is never a dull moment. The Senior Recovery ResolutionRepresentative (Regional Account Manager) role handlesinformation about patient services and how those services are paid byinvestigating and pursuing recoveries through contact with various parties. Thisrole has 2 primary functions. First, you will be reviewing and analyzingcontract rates on accounts at the hospital business office. You will be required to use basic math in all of your daily activities. Asfield-based employees who work onsite at our client's offices; relationshipbuilding is another crucial function of the position. Acclimating to ourclient's environment and learning about their primary goals and objectives isessential, and ensures a successful partnership. Regional Account Managers areresponsible for regular communication with client contacts at all levels tofollow-up on open AR, discuss reporting and any assigned projects etc. We offer the latest tools along with the mostintensive training program in the industry and nearly limitless opportunitiesfor advancement. This position also offers quarterlyincentives based on performance. Primary Responsibilities: Plan, prioritize, organize andcomplete work to meet established production goals or quotas in a fast pace andever changing environment Provide expertise in credit balanceadjudication by reviewing, researching, and resolving all types of accounts aswell as providing resolution outcomes for health plans, commercial customersand government entities Establish professional workingrelationships to ensure operational efficiency Anticipates customer needs andproactively identifies solutions Accounts receivable follow up andresolution Analyze and identify trends andprovide reporting as necessary Ensure adherence to state andfederal compliance policies, reimbursement policies and contract compliance

Details: 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 and help people live healthier lives while doing your life's best work.(sm) The Clinical Quality RN will be responsible for conducting quality of care (QOC) and critical incident (CI) investigations, documenting and communicating findings from these reviews, and preparing reports or summaries for internal committees. This position works with the Chief Medical Officer or other Medical Directors to review findings of QOC and CI investigations, and ensures that QOC and CI reporting complies with all applicable State, Federal, and regulatory requirements. These activities are used to ensure care and services supplied to our members are timely, adequate, and compliant with professional standards and guidelines. This position is responsible for conducting reviews of reported QOC and CI occurrences. This requires developing knowledge of regulatory requirements applicable to investigation and reporting of QOC and CI occurrences, and demonstrating knowledge of industry guidelines and standards. Responsibilities include: ***This is a office position located in Downtown Phoenix at 1 East Washington Street*** Primary Responsibilities: Perform clinical chart review of inpatient and outpatient care delivered to adults, children with Medicaid, Medicare health care benefits through United Health Care Community Plans in Arizona for peer review and internal investigations of Quality of Care concerns Applying clinical knowledge and expertise to determine the degree to which an investigated occurrence increased the likelihood of adverse health outcomes, and determine if the actions taken by healthcare providers were consistent with current professional knowledge and guidelines Create professionally written case summaries, for Peer Review, and create professionally written letters to regulatory agencies Presenting cases before a provider advisory committee in conjunction with the reviewing Medical Director Reviewing plans of correction from providers in response to a substantiated QOC or CI occurrence Taking actions to report CI or other applicable occurrences according to State and Federal guidelines and UnitedHealthcare policy and procedure Effectively interface with internal and external customers, facilities and providers to resolve quality of care concerns, obtain medical records and information Conducting delegated oversight reviews of contractors that perform work on behalf of UnitedHealthcare. This includes reviewing samples of contractor work against an audit tool or information found in medical charts Performing on-site audits of residential care facilities such as assisted living facilities or practitioner offices Assisting in the development of oversight tools and processes for clinical quality assessment Manage Multiple tasks and projects and changing priorities; prioritize work products effectively Maintain timeliness for deliverable and Regulator requests Must have the ability to work independently, good critical thinking skills, excellent verbal and written communication skills

Details: 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. Join us and start doing your life's best work.(sm) Accounts and Key Accounts Direct cross-functional and/or cross-segment teams Influence senior leadership to adopt new ideas, products, and/or approaches Have segment-wide impact. Predicts emerging customer needs and develops innovative solutions to meet them Participates in the development of IT/Business strategy Develops and manages IT plans to achieve business objectives