Job ID: CP-1041449

Description:

BASIC FUNCTION:

This position will be responsible for setting the strategy and managing operational oversight of the Oklahoma Medicaid reporting functions. The role will provide oversight to ensure all Oklahoma Medicaid data conforms to OHCA data standards and policies. This position will have extensive experience in managing data quality and exchange processes, including data integration and verification. The incumbent will serve as a liaison supporting key functional areas in the development and implementation of the Oklahoma Medicaid reports and deliverables.

JOB REQUIREMENTS:

• Bachelor’s degree and 4 years of experience in contract management OR 8 years of experience in contract management.
• Leadership experience
• Data management experience, including applying consultative, negotiations, analytic and problem-solving skills to drive completion of data projects and initiatives.
• Project management/planning skills.
• Experience in a position requiring independent and critical decision making skills.
• Experience communicating with and relationship building with internal business units and/or various external government agencies.
• Experience leading/providing guidance to intra and interdepartmental staff.
• Experience accurately documenting information reported.
• Organizational, analytical and decision-making skills.
• Negotiation skills resulting in business/process improvements/changes.
• Clear and concise interpersonal, verbal and written communication skills.
• Presentation skills.
• Project positive, professional image.

PREFERRED REQUIREMENTS:

• Experience with corporate policies / procedures, compliance regulations in health care administration/managed care experience
• Experience working with EDI transactions and other industry standards such as:

1) 837P/I/D (Medical and Dental Claims submission)

2) NCPDP (RX Claims)

3) 277CA, 999 (Claims response files)

4) 834 (Enrollment)

5) 820 (Remittance)

• Experience with reviewing complex technical specifications and working with vendors, state/federal agencies, and IT teams to implement or change application processes
• Experience with health care data such as claims, encounters, provider and membership
• Experience with data quality, mining, testing, and solving issues/defects
• Experience with relational databases and SQL
• Experience with data extraction/load, exchange interfaces and protocols such as SFTP
• Advanced degree in Computer Science or related field

This position is based in Oklahoma City, OK.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements:

Expertise Analytics & Reporting Job Type Full-Time Regular Location OK – Oklahoma City

Associated topics: automobile, claim adjuster, claim examiner, claimant, damage, fraud, insurance adjuster, insurance investigator, investigation, liability adjuster

Read the full job description and apply online on the recuiter’s web-site

 
 

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Resp & Qualifications

PURPOSE:

The Manager, Enrollee Engagement duties consist of day-to-day management of the Member Retention and Engagement Program. The Manager, Enrollee Engagement, will actively engage in the continued development, communications and implementation of community programs and initiatives to promote programmatic and organizational progress within CareFirst Community Health Plan District of Columbia (CHPDC) and partner organizations.

PRINCIPAL ACCOUNTABILITIES:

Responsible for community engagement, deployment, tracking, management, and program development, ultimately leading to continued enrollment with CareFirst CHPDC.

In coordination with CareFirst CHPDC Executive Team, develop, implement and maintain the member Retention and Engagement Program.

Coordinates tracking of community engagement activities; develops and maintains associated metrics and standards.

Assists in tracking metrics and reporting data outcomes of member retention and engagement programs within specified reporting periods.

Provides onboarding and orientation to new Wellness Navigators.

Evaluates the results and impact of engagement activities and support provided.

Maintains a thorough knowledge of upcoming events, services and information regarding the Wellness Centers and CareFirst CHPDC and collaborative Community events/programs.

Manages the following tasks for the Wellness Navigators team leads and subordinates: Monitor daily activities and create assignments; coach and counsel; address performance issues; and complete annual performance reviews.

Monitors databases and track productivity of direct reports.

Creates weekly productivity reports; provide update to Clinical and Quality teams.

Monitors and reports trends in member utilization in accordance with set timelines; report to Senior Director, Marketing, Outreach and Health Promotion.

Supports team in obtaining all goals as directed by CareFirst CHPDC operational excellence initiative.

NECESSARY QUALIFICATIONS:

Required Experience/Skills/Abilities:

Minimum of two (2) years managing service, support or community-based Outreach team in Medicaid setting.

Ability to meet Certified Application Counselor (CAC) requirements.

Excellent leadership, problem-solving as well as verbal and written communication skills.

Ability to work in a dynamic, fast-paced organization.

Ability to communicate in verbal, written or electronic formats in a concise and professional manner.

Bachelors degree in a relevant Social/Behavioral Science field

Preferred:

Advanced degree and/or certifications

*Note: Requires federal, state and sex offender background check. The incumbent is also required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

COMPETENCIES

To perform the job successfully, an individual should demonstrate the following competencies:

Analytical | Collects and researches data; Uses intuition and experience to complement data.

Problem Solving | Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

Technical Skills | Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

Customer Service | Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Interpersonal Skills | Focuses n solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things.

Oral Communication | Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

Written Communication | Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information.

Quality Management | Demonstrates accuracy and thoroughness.

Diversity | Shows respect and sensitivity for cultural differences; promotes a harassment-free environment.

Ethics | Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Organizational Support | Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization’s goals and values; Supports affirmative action and respects diversity.

Strategic Thinking – Develops strategies to achieve organizational goals; Understands organization’s strengths & weaknesses; Analyzes market and competition; Adapts strategy to changing conditions.

Judgment | Displays willingness to make decisions; Includes appropriate people in decision-making process; makes timely decisions.

Motivation | Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles.

Planning/Organizing | Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources.

Professionalism | Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Quality | Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Safety and Security | Observes safety and security procedures, Reports potentially unsafe conditions.

Adaptability | Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

Attendance/Punctuality | Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.

Dependability | Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

Initiative | Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Looks for and takes advantage of opportunities; Asks for and offers help when needed.

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Closing Date

Please apply before: 2.10.2021

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

REQNUMBER: 14280

 
 

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Description


SHIFT: Day Job


Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .


This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health care companies and a Fortune Top 50 Company.


The Medicaid QM Health Plan Director is responsible for driving the development, coordination, communication, and implementation of a strategic clinical quality management and improvement program within assigned health plan. Responsible for working with the regional head of quality management to direct the clinical quality initiatives, including HEDIS and CAHPS quality improvement, NCQA accreditation and compliance with regulatory agencies and other objectives.


Primary Duties May Include, But Are Not Limited To

• Works with both internal and external customers to promote understanding of quality management activities and objectives within the company and to prioritize departmental projects according to Anthem corporate, regional, and departmental goals.
• Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical management skills.
• Serves as a resource for the design and evaluation of process improvement plans/quality improvement plans and ensures they meet Continuous Quality Improvement (CQI) methodology and state contractual requirements.
• Collaborates with other leaders in developing, monitoring, and evaluating Healthcare Effectiveness Data Information Set (HEDIS) improvement action plans, year round medical record review, and over read processes.
• Monitors and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements.
  
  

Qualifications

• Requires BA/BS in a clinical or health care field (i.e. nursing, epidemiology, health sciences) and 5 years progressively responsible experience in a health care environment or any combination of education and experience, which would provide an equivalent background.
• MS or advanced degree in a health care related field (i.e. nursing, health education) or business strongly preferred.
• Previous experience working with NCQA, and HEDIS preferred.
•  

 
 

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Job Description:
 

• In partnership with the client, development of strategic direction of pharmacy team and operations
• Development and/or sponsorship of new initiatives
• Collaboration and communication with partners
• Monitoring/reporting of service level agreements, contract issues, performance measures
• Implementation of strategies/solutions to streamline program policies and operations to achieve program cost savings
• Oversees, supports, and monitors day-to-day activitiesto ensure timely and effective execution
• Coordinates maintenance activities with Ohio Department of Medicaid (ODM) PMO and other impacted Ohio Medicaid Enterprise Solution (OMES) Project Managers
• Authorizes when to escalate and resolve implementation and operational issues to meet contract expectations
• Coordinates information for andparticipate in appeals and grievances meetings and hearings

Qualifications
 

• Bachelor’s degree in Insurance, Healthcare, or related field or equivalent work experience. Advanced degree in related field is a plus.
• 5+ years of in Pharmacy Benefits Management solution operations
• Two or more of the following preferred:
• experience
• Experience working in a PBM/Managed Care environment
• Prior experience working with or overseeing subcontractors
• Prior experience with Medicaid
• Prior experience with pharmacy claims from an insurer, managed care, or PBM perspective
• Prior experience with quality oversight of PA (prior authorization) processing
• Prior experience with insurer, managed care, or PBM regulatory compliance
• Prior experience addressing provider issues for an insurer, managed care organization, or PBM
• Prior experience with DUR, 340B, Drug Rebate, Drug Reimbursement, Drug Pricing
• Experience working with medical policy and/or health care information systems a plus
• Excellent communication skills

Gainwell Technologies is an equal opportunity employer. We welcome the many dimensions of diversity. Accommodation of special needs for qualified candidates may be considered within the framework of the Gainwell Technologies Accommodation Policy.

In addition, Gainwell Technologies is committed to working with and providing reasonable accommodation to qualified individuals with physical and mental disabilities.

57003361

 
 

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Principal, Clinical Business Development (Medicaid)

• Job Reference: 262460584-2
• Date Posted: 11 April 2021
• Recruiter: Humana
• Location: Metairie, Louisiana
• Salary: On Application
• Sector: Healthcare & Medical
• Job Type: Permanent

Apply for this job now

Job Description

*Description* The Market Development Principal provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience..*Responsibilities* The Medicaid Behavioral Health Business Development Principal provides support to assigned business development team and/or specialty companies relative to Medicaid mental health and substance abuse business strategy and solutioning, implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical and Medicaid behavioral experience. Responsibilities The Medicaid Behavioral Health Business Development Principal serves as the primary resource and SME for business development. Ensures that RFP content and clinical model is meeting or exceeding corporate and state Medicaid requirements. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. Required Qualifications + Bachelors Degree + Experience in fully integrated physical and behavioral clinical models + 10 years working experience in leading mental health and substance abuse Medicaid strategy for complex populations + 10 years working experience in leading Medicaid strategy for complex populations + 10 or more years of program design, execution and measurement in the Medicaid population + 5 years of project/people leadership + Experience as subject matter expert in Medicaid RFP process + Strategic thinking and planning capabilities + Organized and detail-oriented + Excellent presentation and communication skills, both internal and external audiences + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Able to effectively work in Matrix organization and influence senior leadership level key stakeholders Preferred Qualifications + Graduate Degree + Experience evaluating competitor capabilities, determining where there are gaps and making recommendations to close them Additional Information.Limited travel.*Scheduled Weekly Hours* 40

 
 

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Principal, Clinical Business Development (Medicaid)

• Job Reference: 262460584-2
• Date Posted: 11 April 2021
• Recruiter: Humana
• Location: Metairie, Louisiana
• Salary: On Application
• Sector: Healthcare & Medical
• Job Type: Permanent

Apply for this job now

Job Description

*Description* The Market Development Principal provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience..*Responsibilities* The Medicaid Behavioral Health Business Development Principal provides support to assigned business development team and/or specialty companies relative to Medicaid mental health and substance abuse business strategy and solutioning, implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical and Medicaid behavioral experience. Responsibilities The Medicaid Behavioral Health Business Development Principal serves as the primary resource and SME for business development. Ensures that RFP content and clinical model is meeting or exceeding corporate and state Medicaid requirements. Works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. Required Qualifications + Bachelors Degree + Experience in fully integrated physical and behavioral clinical models + 10 years working experience in leading mental health and substance abuse Medicaid strategy for complex populations + 10 years working experience in leading Medicaid strategy for complex populations + 10 or more years of program design, execution and measurement in the Medicaid population + 5 years of project/people leadership + Experience as subject matter expert in Medicaid RFP process + Strategic thinking and planning capabilities + Organized and detail-oriented + Excellent presentation and communication skills, both internal and external audiences + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Able to effectively work in Matrix organization and influence senior leadership level key stakeholders Preferred Qualifications + Graduate Degree + Experience evaluating competitor capabilities, determining where there are gaps and making recommendations to close them Additional Information.Limited travel.*Scheduled Weekly Hours* 40

 
 

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Req ID:113288

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Director of Medicaid Security Services to join our team in Baltimore, Maryland (US-MD), United States (US).

Basic Qualifications

*Minimum 5 years in Medicaid, State Health and Human Services or Commercial Healthcare

* Minimum 10 years in large-scale Enterprise Security * Understanding the security challenges in the current and future state of business operations

* Minimum 5 years of experience and knowledge of current security technology offerings and trends in both centralized and distributed networks

* Minimum 5 years of experience with and understanding of how to prepare an organization with the right tools, skills, resources, relationships and capabilities against growing information security risks.

* Minimum 3 years direct experience contributing to the design and approval of a comprehensive government security strategy

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

Nearest Major Market: Baltimore
Job Segment: Manager, Consulting, Information Security, Management, Technology

NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

 
 

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Centene Corporation Clearwater, FL

Position Purpose:

• Assist in financial analysis, pricing and risk assessment to estimate outcomes.
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
• Assist with developing probability tables based on analysis of statistical data and other pertinent information
• Analyze and evaluate required premium rates
• Assess cash reserves and liabilities enable payment of future benefits
• Assist with determining the equitable basis for distributing money for insurance benefits
• Participate in merger and acquisition analysis

Education/Experience:

• Bachelor’s degree or equivalent experience.
• 0-3 years of actuarial experience.

License/Certification:

• Passed one actuarial exam.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Centene Corporation

 
 

Address

Clearwater, FL

33758 USA

Industry

Finance and Insurance

View all jobs at Centene Corporation

 
 

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– Share the health plans passion for evidence-based medicine and be comfortable applying evidence-based guidelines. Collaborate with other senior leaders in efforts that enhance the quality of care delivery, improve outcomes, and improve value delivered to our members.

– The Medical Director can expect to perform the following functions

– Support pre-admission review, utilization management, concurrent and retrospective review process and case management.

– Provide professional leadership and direction in the utilization/cost management (UM) and clinical quality improvement (QI) of the health plan, as measured by benchmarked UM and QI goals.

– Work collaboratively as a clinical resource to other plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc.

– Ensure members receive safe, effective, equitable, efficient, timely and patient-centered health care services within their health plan benefits.

– Carry out medical policies at the health plan consistent with NCQA and other regulatory bodies.

– Participate and/or chair clinical committees and work groups as assigned.

– Review medical care, medical service, and pharmacy requests against established clinical guidelines and make approval and denial determinations in accordance with evidence-based standards, organizational policies and procedures, and regulatory requirements.

– Identify potentially unnecessary services and care delivery settings, and recommend alternatives, as appropriate.

– Review appeals of medical and pharmacy denials against established clinical guidelines and make approval and denial determinations in accordance with evidence-based standards, organizational policies and procedures, and regulatory requirements.

– Identify opportunities for corrective action plans to address issues and improve plan and network managed care performance.

– Collaborate with Provider Networks and Medical Director team in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.

– Participate in the retrospective review and analysis of plan performance from summary data of paid claims, encounters, authorization logs, compliant and grievance logs, and other sources.

– Provide periodic written and verbal reports and updates as required in the Quality Management Program description, the Annual QI Work Plan.

– Assure plan conformance with legal and regulatory requirements; support NCQA qualification activities, including site visits and response to accrediting and regulatory agency feedback.

– Participate in risk management, claims administration, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, nutrition service review, provider orientation, credentialing, profiling, etc.

– Conduct quality improvement and outcomes studies as directed by the state and federal regulatory agencies, the Quality Management Committee, Medical Advisory Committee, Peer Review Committee, and management.

– Support grievance process, as led by Chief Medical Officers, ensuring a fair outcome for all members.

– Monitor member and provider satisfaction survey results and implement changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.

– May be asked to chair various health plan committees, such as Quality Management subcommittees on Peer Review or Credentialing.

– Promote wellness and ensure programs of prevention, education and outreach to members and providers consistent with the companys Mission, Ambition, and Values

– Perform and oversee in-service staff training and education of professional staff.

– Contribute to the development of strategic planning for existing and expanding business; recommend changes in program content in concurrence with changing markets and technologies.

– Participate in key marketing activities and presentations, as necessary, to assist the marketing effort.

 
 

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You’re looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We’re going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you’ll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing your life’s best work.(sm)

As a Behavioral Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. You’ll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.

What makes your clinical 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.

This position is a telecommuting role. Candidates must have an active and unrestricted license in the state of Arizona and telecommute in Arizona. This is also a salaried role with daytime hours Monday through Friday.

If you are located in Arizona, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Focus on review of concurrent facility based care
• Determine if additional care is needed
• Administer benefits and review treatment plans
• Coordinate benefits and transitions between various areas of care
• Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Licensed Master’s degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health
• Must have an active and unrestricted license for the State of Arizona and telecommute in Arizona
• 2+ years of post-Masters experience in a related mental health environment
• Clinical experience working with child/adolescent populations
• Proficient Microsoft skills (Word, Excel, Outlook)
• If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

• Inpatient experience
• Dual diagnosis experience with mental health and substance abuse
• Experience working with the Medicaid population
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients

Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Mental Health, Behavioral Health, Care Advocate, Social Work, Social Worker, Counseling, LPC, LCPC, LCSW, LMHC, RN, Registered Nurse, Masters, Substance Abuse, Arizona, Phoenix

 
 

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