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

This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported. Must 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

Serve as a member of the operations senior leadership team and advise executives on external trends, problems, and activities to facilitate both short and long range strategic plans to improve operational performance and enhance growth. Set the vision and strategic plan for OptumRx PBM operations & client services and support scaled operations through solid partnership ac

Partnering with Optum Bank's leaders and subject matter experts and with Optum Financial delivery teams with focus on multiple Optum Bank strategic delivery components Assist with managing project intake and infrastructure build out to ensure project is ready to be scheduled and resourced for delivery Work closely with business, technology and PMO to resolve project sched

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients' expectations. Our neighborhood medical centers are open every day from 8 8 with a full medical team and no appointments necessary to help patients get in, get healthy, and get back to what's really important . We provide a broad scope of

Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability to identify the ICD 10 CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD 10 Official

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. Come make an impact on the communities we serve as we help advance health equity o

Lead a high performing, multi disciplinary global engineering team of 50+ engineers across web, mobile and portal solutions Define the digital technology strategy for the common component and Patient facing digital experiences, driving substantial reuse of code, designs, and architecture across UHG Formulate and lead both near term and long term digital product developmen

Pricing support for OptumInsight Payer software and services product suite Pull and manipulate operational and financial data Maintain and enhance pricing models and templates Effectively work with cross functional teams that include Finance, Sales, Product and Operations Develop a strong understanding of the business mission through effective interactions with upper mana

Oversee detailed data analytics and financial projections (e.g., MicroStrategy, Excel) and translate findings to operational stakeholders Perform project / program management activities, such as monitoring client scope, creating and tracking deliverables, creating status reports, identifying and mitigating risks, managing resource plans, and monitoring successful achievem

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

Provide primary financial support for specific OptumRx business division and its leaders Create and maintain a tight alignment with the pricing team and become active participants in understanding client renewal cycles and the overall financial drivers and implications to their renewals or market checks Understand and influence ability to manage client discount guarantee

IT Pillar financial responsibilities spanning across multiple long term MPP clients totaling billions of dollars in TCV Scaling financial operations related to IT Delivery across MPP clients Monitoring of financial spend in comparison to contract to ensure that no financial leakage occurs Work with operational leaders to monitor financial performance compared to deal pro

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur