Manages ongoing contract relationships and service delivery to clients for up to 30 accounts Acts as outward facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts Builds relationships with Provider leadership and serves as the primary point of contact for overall and day to day service delive

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and da

Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Supervises clinical operations of a given patient care area Assists Site Administrator in ensuring compliance with licensing, certification, and competencies Evaluates nursing competencies and decisions according to current nursing practices Functions as a resource and serves as a liaison between administration, clinicians, staff, and other departments Participates in all

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. Position in this function is responsible for all activities associated with Utilization Management (UM) programs. Ensures all UM activities a

Maintain successful relations with customers and potential customers by interacting professionally and pro actively Promote strategic growth for the company by identifying leads and closing transactions; may include concentration on growing mental health and substance use treatment facility footprint, residential/group home consumer base, ACT/FACT teams, and other opportu

Consistently exhibit behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer Closely monitor patient safety at all times, i.e., will not leave the patient on an exam table unattended and participate in the Optum fall prevention program. Comply with Optum

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer Maintains an on time patient appointment schedule in accordance with established department standard for productivity. Alters schedule to meet department or patient

Consistently exhibit behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer Closely monitor patient safety at all times, i.e., will not leave the patient on an exam table unattended and participate in the Optum fall prevention program Comply with Optum'

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and da

Applies knowledge/skills to activities that often vary from day to day. Assist member and answer any questions they have Answering an average of 50 calls per shift Demonstrates a moderate level of knowledge and skills in own function. Requires little assistance with standard and non standard requests. Solves routine problems on own. Works with supervisor to solve more com

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. Optum is looking for a NP or PA to join our Orthopedic Surgery team in Covina, CA. This well established practice is made up of three physici

Commits to superior customer service, including quality, care, and concern with every internal and external customer Practices within the scope of the CRT & ARRT license Produces radiographic/digital images emphasizing technique (KvP & MAS), exposure index, collimation, shielding, identification markers, positioning, and artifacts Monitors personal radiation badge Assists

Performs radiology procedures under the guidelines written in the Radiology Policy and Procedure Manual Adheres to all safety guidelines such as wearing a personal dosimetry monitoring device during all working hours and standing behind protective barriers during production of x rays Follows standing orders and repeat imaging policies Is responsible for knowing exams orde

Conduct solution focused consultations; helping clients define goals, plan action and gain insight Assess and refer to appropriate programs and services including but not limited to Work life, behavioral health, substance abuse / chemical dependency and community based resources Assist with referrals for members needing ongoing/additional counseling services Provide limit