UnitedHealth Group Hiring for USRN - Quezon City, NCR in Quezon City, Philippines
Let's talk about meaningful work.
Optum, part of UnitedHealth Group family of businesses, is always looking for new ways to improve our ability to deliver high-quality care.
As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers.
You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases.
It's truly an opportunity to make an impact on a huge scale.Primary Responsibilities:Act as a subject matter expertEnsure all Notices of Action and Extension letters comply with applicable client, federal and state rules, laws, consent decrees and accreditation standardsCoordinate internal reviews on denial letters to determine compliance with contractual and regulatory requirements of the state and federal programsIdentify gaps in compliance with letters and ensure letter corrections are made within regulatory timeframesMaintain extensive knowledge of regulatory and accreditation requirements Maintain knowledge of state rules, contracts and federal legislation/regulationsYou will be challenged with dealing positively with members and providers in sometimes challenging circumstances.
As a Subject Matter Expert, you'll also be the go-to resource for information.
The flexibility to work evening hours is required. Required Qualifications:Nursing graduate NCLEX passerCareers 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)Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.Optum is a drug-free workplace.
© 2018 Optum Global Solutions (Philippines) Inc.
All rights reserved.Job Keywords: USRN, US Registered Nurses, Registered Nurse, Nurse, Nursing, Quezon City, NCR, National Capital Region cc92e104-5b04-45c6-86ef-07a7154fbe3c
Hiring for USRN - Quezon City, NCR Philippines-Quezon City 762990