SL Jobs

LanceSoft is seeking a travel CT Technologist Assistant for a travel job in Cleveland, Ohio. Job Description & Requirements Specialty: CT Technologist Discipline: Allied Health Professional Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Responsibilities: CT scan in an ED Level I trauma environment and stroke center. Required: Must have 1 years of recent experience AART RT ODH Radiologic Technologist License Current Basic Life Support certification from the American Heart Association only Trauma CT experience - Preferred J.K #HCRR About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

LanceSoft is seeking a travel Adult Echocardiography for a travel job in Peoria, Illinois. Job Description & Requirements Specialty: Adult Echocardiography Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel RDCS or CCI registry & BLS required Minimum of 1 year experience as an Echo Sonographer 2D/3D cardiac imaging, Transthoracic, transephogeal and stress echo experience required #HCSB About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

Intro Are you ready to explore a world of possibilities, both at work and during your time off? Join our American Airlines family, and you'll travel the world, grow your expertise and become the best version of you. As you embark on a new journey, you'll tackle challenges with flexibility and grace, learning new skills and advancing your career while having the time of your life. Feel free to enrich both your personal and work life and hop on board! Why you'll love this job This job is a member of the Line Maintenance Team within the Integrated Operations Division. Responsible for overseeing aircraft maintenance technicians in the repair and return to service of American Airlines' aircraft. Supervisors are front line leaders of people in the safe, compliant and timely return to service our aircraft. They do this by effectively managing the workload, resources, and work relationships of both internal customers & support groups and external regulatory authorities & vendors. What you'll do Guides and directs terminal and/or hangar aircraft maintenance through crew chiefs and leads Oversees the implementation of the organization's plans, processes, policies, and procedures Ensures crews are efficiently utilized to accomplish the operation's workload Meets company objectives in accordance with company policies and procedures Responsible for timely and comprehensive communication flow to the workforce Maintains effective work relationships with airport management, FAA, TSA, other government agencies, suppliers, and similar groups Collaborates with other supervisors to accomplish directives and objectives Identifies and takings steps to correct unsatisfactory results Identifies training and development needs of AMTs within span of control Provides effective feedback for crew chief and lead coaching/development Effectively works with union leadership and workforce All you'll need for success Minimum Qualifications- Education & Prior Job Experience High School diploma or GED equivalency 3 to 4 years of aircraft maintenance experience FAA Airframe & Powerplant Certificate Must pass FAA criminal background checks to qualify for unescorted access privileges to airport security identification display areas (SIDA) Must be able to secure appropriate airport authority and/or US Customs security badges, if applicable Preferred Qualifications- Education & Prior Job Experience Associates or Bachelor's degree in business or technical field or equivalent work experience 2 years of a successful track record of management in maintenance and/or production environments 3 years hands-on experience in the repair or manufacture of large transport category aircraft Skills, Licenses & Certifications Knowledge of functional area Knowledge of Microsoft Office to include Word, Excel, Outlook, etc. Ability to supervise management, non-management and contract labor work groups Ability to concurrently handle multiple responsibilities Strong interpersonal and PC skills Ability to concurrently supervise multiple areas of responsibility What you'll get Feel free to take advantage of all that American Airlines has to offer: Travel Perks: Ready to explore the world? You, your family and your friends can reach 365 destinations on more than 6,800 daily flights across our global network. Health Benefits: On day one, you'll have access to your health, dental, prescription and vision benefits to help you stay well. And that's just the start, we also offer virtual doctor visits, flexible spending accounts and more. Wellness Programs: We want you to be the best version of yourself - that's why our wellness programs provide you with all the right tools, resources and support you need. 401(k) Program: Available upon hire and, depending on the workgroup, employer contributions to your 401(k) program are available after one year. Additional Benefits: Other great benefits include our Employee Assistance Program, pet insurance and discounts on hotels, cars, cruises and more Feel free to be yourself at American From the team members we hire to the customers we serve, inclusion and diversity are the foundation of the dynamic workforce at American Airlines. Our 20+ Employee Business Resource Groups are focused on connecting our team members to our customers, suppliers, communities and shareholders, helping team members reach their full potential and creating an inclusive work environment to meet and exceed the needs of our diverse world. Are you ready to feel a tremendous sense of pride and satisfaction as you do your part to keep the largest airline in the world running smoothly as we care for people on life's journey? Feel free to be yourself at American.

Welcome to uTest, by Applause. We are a company that helps businesses test the accuracy and usability of their websites, applications, and hardware through freelance software testing and feedback. You can get paid to help us shape the digital landscape! Description We are looking for individuals living in or near Atlanta, GA who would be interested in participating on-site in testing exciting new digital wearable technology. Project Details: You will be wearing and using technology on your arms and hands that will control a device through movement and manual inputs Participants will be required to give feedback on their experience with the device through a survey The time commitment for testing is approximately 3 hours Payout for this project is $120 Tester Requirements: Must be 18 years or older Must be willing to travel to designated data collection facility in Atlanta during normal business hours Must be proficient in spoken and written English Must have normal or close-to-normal hearing Must not be currently pregnant Must have normal vision OR able to wear vision-correcting glasses/contacts on the day(s) of the experiment Must have no history of epilepsy, seizures, or severe traumatic brain injury (i.e., concussion with nausea and/or memory loss) Must have no condition that impairs ability to grip or touch objects with hands and all 10 digits Must have no pre-existing conditions in the arms (which includes shoulder, arm, wrist, hand, fingers) such as tendinitis, existing or recurring pain, etc. You are not pregnant - We don’t want to induce stress on neonates. Referral Bonus: We are offering a $25 bonus payout if you refer a tester to participate who successfully completes the project! Be sure they know to provide your name and email that is affiliated with your uTest account during the application process. Please note: We require every tester to have a physical copy of a state / government issued Photo ID. Copies will not be accepted. If you arrive on site without a valid Photo ID (expired Photo ID's will not be accepted), you are ineligible to test and will be turned away without compensation. I f you require corrective lenses, please wear contacts if you have them available. Otherwise, bring your glasses with you on the day of your appointment.

LanceSoft is seeking a travel Dietetic Technician for a travel job in Fort Myers, Florida. Job Description & Requirements Specialty: Dietetic Technician Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel 2+ years experience required. Must have CLINICAL DIETITIAN EXPERIENCE. FL License and AHA-BLS is required - BG #HCRR About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

LanceSoft is seeking a travel Respiratory Care Practitioner for a travel job in Rockford, Illinois. Job Description & Requirements Specialty: Respiratory Care Practitioner Discipline: Allied Health Professional Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel OSF is a Drug Free Campus and they must produce a negative drug screen for all panels ACLS BLS PALS NRP RRT IL RCP License 2 Years of experience #HCRR (KR) About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

The Account Manager plays a crucial role in driving the growth, satisfaction, and retention of clients in all key markets. The position straddles the gap between Strategic Business Advisors and Technology Strategists in client engagements where an in-depth technical strategy may not be needed or desired. Account Managers collaborate closely with Strategic Business Advisors to support planning, selling and general client relationship development. We are looking for talent who are physically located in the Madison/Milwaukee area to support our clients. While this is a great opportunity to gain more experience with the Account Manager role at Applied Tech, you will also be able to work from home, M-F. Key Responsibilities Client Relationship Development & Satisfaction · Work with clients to develop an understanding of the business, needs, stakeholders, and more to ensure a strong relationship. · Develop strong rapport with clients and stakeholders based on their needs and expectations, maintaining a consistent channel of communication. · Be a strong “voice of the client” and have a continuous understanding of their satisfaction levels and how likely it is that they would recommend Applied Tech. · Continually promote and validate the value of Applied Tech throughout ongoing interactions. · Partner with Applied Tech departments and stakeholders to represent and champion the client's experiences, challenges, and needs. Technology Risk Management · Identify opportunities to improve the security and/or effectiveness of client IT environments. · Partner with clients on compliance- and audit-related activities to ensure effective and timely completion of and resolution of compliance needs. · Identify and communicate security risks/resolutions to client based on decisions relating to execution of technology plans. Recurring Revenue Management · Understand and audit key client performance metrics. · Partner with Strategic Business Advisors on client agreements (new business + renewals), forecasts, and pipeline development. · Understand and communicate client profitability with various company stakeholders to determine if any immediate or future actions need to be taken to support over/under performance of client agreements. Compensation Exempt $60,000 - $70,000 (depending on experience) annual salary with the opportunity for additional 15% on target earnings incentive pay. Qualifications · Bachelor's degree in business, technology, or a related field; MBA or advanced degree preferred. · 1+ years of experience in sales, client success, or a related role within the technology consulting or service industry. · Strong strategic thinking and problem-solving skills, with the ability to translate client needs into actionable strategies. · Excellent communication, negotiation, and interpersonal skills. · Experience with CRM software and data analysis tools. · Ability to travel as needed to meet with clients and support sales activities. Soft Skills Supervision/Autonomy Able to independently set direction and scope of work. Able to evaluate the work of others and make decisions that affect personal or team productivity within a well-defined area of responsibility. Planning/Organization Able to organize incoming requests for work from multiple sources and plan projects without well- defined goals, maintaining day to day productivity with few requests for help. Process Management Understands and follows established processes. Able to adapt to ongoing changes in processes, priorities, tasks, and workload. Able to help develop and define processes and process improvement for Applied Tech. Communication Strong written and verbal communication skills. Demonstrates clear and professional written communication that conveys confidence and competence. Able to explain complicated concepts with poise to large groups. People Skills/Conflict Management Strong interpersonal skills for effective interaction with clients, third parties, and teammates. Able to demonstrate confidence in high-pressure situations and resolve conflicts. Physical Requirements · Ability to use computers daily in an interactive manner for extended periods of time, possibly exceeding 8 hours per day. · Ability to sit for an extended period. · Ability to frequently and accurately communicate with employees, customers, and vendors in person, via the telephone or by email. NOTE: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.

ADEX Healthcare Staffing LLC is seeking a travel Respiratory Therapist for a travel job in Carlinville, Illinois. Job Description & Requirements Specialty: Respiratory Therapist Discipline: Allied Health Professional Start Date: 05/06/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Adex Job ID #285178. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About ADEX Healthcare Staffing LLC ADEX has been placing healthcare professionals across the US since 2004. Originally founded in Atlanta, GA, the company's headquarters are now located in Tampa, FL. JCAHO certified since 2009. Benefits Referral bonus

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations 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: MD or DO Current, active, and fully unrestricted medical license Current board certification in Neurosurgery 5+ years of clinical experience in Neurosurgery; experience in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability 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: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested 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: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care

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's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability 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: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function is responsible, in part, as a member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company. The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations. The focus of the coverage reviews will be various types of musculoskeletal surgical procedures and other medical/surgical services for musculoskeletal procedures including therapy Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate all the necessary coverage reviews and provides feedback to staff who do portions of the coverage reviews Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Call coverage rotation. Is available for periodic weekend and holiday coverage as needed for telephonic and remote computer expedited clinical decisions Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations 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: MD or DO with an active, unrestricted medical license Current, active and unrestricted medical license Willing to obtain additional licenses as needed Board Certification in Orthopaedic Surgery 5+ years clinical practice experience post residency Sound understanding of Evidence Based Medicine (EBM) Proficient with MS Office (MS Word, Email, Excel, and Power Point) Proven excellent computer skills and ability to learn new systems and software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel Preferred Qualifications: 2+ years managed care, Quality Management experience and/or administrative leadership experience Experience in utilization and clinical coverage review Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations 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: MD or DO Current, active, and fully unrestricted medical license Current board certification in Neurosurgery 5+ years of clinical experience in Neurosurgery; experience in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability 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: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Carolina Behavioral Care, part of the Optum family of businesses is seeking a Psychiatrist - MD or DO to join our team in South Asheville, NC. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone. Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. As a Psychiatrist, you will treat a wide variety of mental health conditions that reflect the needs of our diverse patient population. You will be responsible for assessing, diagnosing, treating, and prescribing medications for behavioral health and psychological disorders. This is an outpatient clinical environment where you will interact directly with patients. Primary Responsibilities: Provide direct clinical services to patients in the form of psychosocial assessments, individual, family and group treatment Conduct outpatient psychiatric evaluations and provide ongoing medication management Collaborates as a member of multi-disciplinary integrated team for the development and delivery of treatment plans Foster excellent provider-patient alliances and coordinate care with external providers Maintain accurate and up-to-date electronic records (Athena) and clinical documentation, ensuring compliance with all regulatory requirements 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: Clear and active Psychiatrist License (MD/DO) in the state of North Carolina Board Certified or certification pending Current Federal Drug Enforcement Administration (DEA) Registration Can commute to the location at least 3 days each week Preferred Qualification: 2+ years of Behavioral Health experience in an outpatient clinical setting Experience working with computers for professional communication and medical documentation - Excel, Outlook, Athena RMS (or other EHRs) Expertise in treating children, adolescents, and families The salary range for this role is $214,000 to $382,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability 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: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function is responsible, in part, as a member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company. The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations. The focus of the coverage reviews will be various types of musculoskeletal surgical procedures and other medical/surgical services for musculoskeletal procedures including therapy Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate all the necessary coverage reviews and provides feedback to staff who do portions of the coverage reviews Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Call coverage rotation. Is available for periodic weekend and holiday coverage as needed for telephonic and remote computer expedited clinical decisions Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations 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: MD or DO with an active, unrestricted medical license Current, active and unrestricted medical license Willing to obtain additional licenses as needed Board Certification in Orthopaedic Surgery 5+ years clinical practice experience post residency Sound understanding of Evidence Based Medicine (EBM) Proficient with MS Office (MS Word, Email, Excel, and Power Point) Proven excellent computer skills and ability to learn new systems and software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel Preferred Qualifications: 2+ years managed care, Quality Management experience and/or administrative leadership experience Experience in utilization and clinical coverage review Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $238,000 to $357,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested 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: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care