Facilitate, oversee and monitor on going business processes to support HEDIS data reporting Monitor compliance against relevant process requirements (e.g., turnaround time, accuracy) Evaluate processes and outcomes against benchmarks and metrics and identify potential business impacts of current state Ensure all business requirements are met Demonstrate understanding of r

Overall project lead across high complexity, multi workstream engagements with ability to accurately diagnose the issues the client has identified (as well as underlying issues) and determine the appropriate solutions that will lead the client to create strategic direction Build consensus among senior client stakeholders who play a critical role in the client's ability to

Hiring a Senior UiPath Engineer for a 100% remote contract. Job Description A Senior UiPath Engineer with troubleshooting skills and abilities to refactor code using best practices for improvement is responsible for designing, developing, and maintaining automation workflows using UiPath. They must have a deep understanding of programming concepts, as well as experience w

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

Manage day to day RCM A/R and cash application process striving for operational excellence. Aid in continually improving our cash flow/DSO through effective accounts receivable and collections Ensure overall RCM A/R and Cash App processes are operating effectively and continually improving our financial and operating controls Accountable for managing RCM financial activit

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

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Epic Healthy Planet or outpatient clinical applications Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Lead small to medium complexity Epic software upgr

Deeply understand Optum's clinical content, products, services, and clinical programs Own and drive creation of clinical key performance indicators to measure performance for client based reporting around Disease Management, Case/Care Management, Utilization Management, and Appeals/Grievances programs Lead a team of data analysts and clinical informatic analysts and work

Develops and introduces new or enhanced products and services in existing markets to strategically manage the product development lifecycle. Delivers enhancements that improve product using contract language, underwriting rules/guidelines, system/platform, automation, and use of pricing/predictive analytics. Supports and manages insurance product performance in market by l