Automobile

Field Care Coordinator - Newport News, Hampton, VA

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Field Care Coordinator is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures. This is a field-based position with a home-based office that will travel throughout Newport News, Hampton, VA and surrounding areas. If you are located in commutable distance of the Newport News, and Hampton, VA area, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree in Social Work or Human Services (or related field) 3 years of experience in care coordination, behavioral health experience, and/or work in a healthcare environment 3 years of experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers 1 years of experience with MS Office, including Word, Excel, and Outlook Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: Current and unrestricted Licensed Practical Nurse in the state of Virginia CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care ACM Certification *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable . 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. RPO RED

  • Langley, VA

  • no content

Provider Quality Liaison

Position Purpose: Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with provider offices and internal partners on performance measure barriers, actions to mitigate low performing measures, and the sharing of quality best practices to support providers. Key Details: Candidates must reside in Nevada, with preference given to those located in Northern Nevada. The ideal candidate will be willing to travel as needed and possess experience in HEDIS, provider engagement, and healthcare quality improvement initiatives References and connects providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record documentation guidelines and Member Experience measures. Acts as an ongoing resource to providers for quality improvement via regular touch points and meetings. Educates, supports, and resolves provider practice sites issues around P4P (Pay for Performance), RxEffect, CAHPS (Consumer Assessment of Healthcare Providers and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals, and Grievances. Collaborates with Provider Relations and other provider facing teams to improve provider performance in Quality (Clinical and Member Experience measures). Provides clear insight into provider group dynamics, identifies areas of opportunity, builds action plan and collaborates cross functionally to support quality performance. Develops, enhances and maintains provider relationship across all product lines (Medicare, Medicaid, Ambetter). Supports the development and implementation of quality improvement interventions in relation to Plan providers Conducts telephonic outreach to members to encourage members to visit the physician in an effort to close quality care gaps. Performs other duties as assigned. Complies with all policies and standards Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2 years of experience with clinical and member experience quality. License/Certification: Driver’s License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure preferred. Pay Range: $19.43 - $32.98 per hour At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • Nevada

  • no content

Senior Director, Business Development ICHRA

Position Purpose: Lead the development and execution of business development strategies that expand the company's market presence and drive growth of Individual Coverage Health Reimbursement Arrangements (ICHRAs). Build and strengthen relationships with brokers, employers, and key stakeholders; identify and advance new business opportunities; and develop market expansion strategies that support sustainable growth and organizational objectives. Key Details: Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. Develop and execute business development strategies that expand ICHRA adoption and drive organizational growth. Identify, evaluate, and advance new market opportunities through strategic analysis of market, financial, operational, and regulatory factors. Lead market expansion initiatives and direct business planning activities to support entry into new and emerging markets. Build executive relationships with brokers, employers, consultants, and key stakeholders to strengthen market presence and accelerate growth. Oversee implementation of new business initiatives by establishing governance, performance measures, and accountability for results. Identify and mitigate business, operational, and regulatory risks through collaboration with internal and external stakeholders. Monitor and communicate business performance, growth opportunities, and market trends to executive leadership. Represent the organization with regulators, policymakers, and industry stakeholders to support strategic business objectives. Lead and develop a team responsible for business development, market execution, and relationship management across assigned markets. Education/Experience: Bachelor's Degree in Business Administration, Economics, Political Science or related field required. Master's Degree in a related field preferred. 8 years years of business development, sales, or investment analysis required. Experience with closing deals. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required. Experience with healthcare and group benefits sales & administration preferred. Extensive travel required Pay Range: $134,600.00 - $249,000.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • Missouri

  • no content

Patient Care Coordinator at Primary Care Plus - New Orleans

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an active participant of the primary care patient centered medical home team, the Patient Services Representative engages in a collaborative process with members of a multidisciplinary team which may include a Physician, Nurse Practitioner, RN Care Manager, Social Worker, Clinic Manager, LPN, and Medical Assistant. The team assesses, plans, implements, coordinates, monitors and evaluates options and services to meet a patient's health needs through communication and utilization of available resources to promote efficient, quality outcomes. The Patient Services Representative supports the care team by performing various functions such as greeting and assisting patients, scheduling and canceling appointments, answering and triaging phone calls, recording telephone messages in the electronic medical record (EMR) and forwarding to the appropriate team member. This position ensures that key information is collected and documented in the EMR which enables the care team to identify the patient's primary care provider, contact the patient via phone or mail, identify language barriers, and to identify coverage issues that may impact a patient's ability to access specialty care or diagnostic services. The Patient Services Representative interacts with the patient at the beginning and end of every telephone or face to face encounter with the clinic. They provide instruction, reinforcement, documentation, and serve as a liaison between patients and the medical support staff to ensure a collaborative effort is maintained that results in efficient and optimal delivery of services. This is full-time 40 hour/week position with the following schedule: Monday-Thursday 7:30am-4:30pm and Friday 7:30am-2pm Location: Office based in New Orleans, LA five days a week Primary Responsibilities: Make outbound calls for the purpose of confirming and rescheduling appointments according to protocol and other special projects Answer telephone, record and direct messages appropriately in the EMR, and screen and direct calls Enter patient data in the EMR and create global alerts in the EMR to ensure all needed demographics, HIPAA Privacy Notice Acknowledgements, Advance Directives, etc. are properly documented and followed according to protocol Create spreadsheets and documents when necessary Greet patients, answer questions promptly and in a courteous, helpful manner Ensure patient's information is accurate and make changes if necessary Create and mail new patient packets and enter information accordingly Check patients in and out at time of entry and exiting their appointments Collect appropriate fees at time of service Maintain work area and lobby in neat and orderly manner Adhere to guidelines concerning work hours and dress codes Balance cash drawers at end of business day Adhere to patients' right to privacy and confidentiality You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED 1 years of experience as a receptionist or administrative assistant in a medical facility or professional office setting Intermediate level of proficiency in Microsoft Word, Excel, Outlook and Teams Basic level of proficiency in medical terminology Basic level of knowledge with health care insurance Able to work full-time Monday-Friday Preferred Qualifications: Clinical databases/EMR experience Experience as a medical assistant Core Competencies: Ability to multi-task in a busy environment Excellent telephone manners and etiquette Ability to pleasantly interact with patients and co-workers Ability to speak clearly, read and understand oral and written directions Excellent written communication skills Excellent customer service skills Ability to handle cash Detail-oriented, organized and self- motivated Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. RPO RED .

  • Marrero, LA

  • no content

Senior Director, Marketing

Position Purpose: Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans. Key Details: Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail. Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities. Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets. Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies. Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors. Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship. Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities. Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities. Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team. Education/Experience: Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10 years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment. Pay Range: $148,000.00 - $274,200.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • Texas

  • no content

Quality Practice Advisor

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT *This position is a hybrid role that requires fieldwork . Qualified candidates must reside in the state of North Carolina in one of the following counties: Avery, Buncombe, Burke, Caldwell. Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, or Yancey * RN licensure highly preferred. Position Purpose: Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Identifies specific practice needs where Centene can provide support. Develops, enhances and maintains provider clinical relationship across product lines. Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. Ability to travel up to 75% of time to provider offices. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree or equivalent required 3 years in HEDIS record collection and risk adjustment (coding) required Licenses/Certifications: One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS Registered Health Information Technician (RHIT®): For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • North Carolina

  • no content

Patient Care Coordinator at Primary Care Plus - New Orleans

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an active participant of the primary care patient centered medical home team, the Patient Services Representative engages in a collaborative process with members of a multidisciplinary team which may include a Physician, Nurse Practitioner, RN Care Manager, Social Worker, Clinic Manager, LPN, and Medical Assistant. The team assesses, plans, implements, coordinates, monitors and evaluates options and services to meet a patient's health needs through communication and utilization of available resources to promote efficient, quality outcomes. The Patient Services Representative supports the care team by performing various functions such as greeting and assisting patients, scheduling and canceling appointments, answering and triaging phone calls, recording telephone messages in the electronic medical record (EMR) and forwarding to the appropriate team member. This position ensures that key information is collected and documented in the EMR which enables the care team to identify the patient's primary care provider, contact the patient via phone or mail, identify language barriers, and to identify coverage issues that may impact a patient's ability to access specialty care or diagnostic services. The Patient Services Representative interacts with the patient at the beginning and end of every telephone or face to face encounter with the clinic. They provide instruction, reinforcement, documentation, and serve as a liaison between patients and the medical support staff to ensure a collaborative effort is maintained that results in efficient and optimal delivery of services. This is full-time 40 hour/week position with the following schedule: Monday-Thursday 7:30am-4:30pm and Friday 7:30am-2pm Location: Office based in New Orleans, LA five days a week Primary Responsibilities: Make outbound calls for the purpose of confirming and rescheduling appointments according to protocol and other special projects Answer telephone, record and direct messages appropriately in the EMR, and screen and direct calls Enter patient data in the EMR and create global alerts in the EMR to ensure all needed demographics, HIPAA Privacy Notice Acknowledgements, Advance Directives, etc. are properly documented and followed according to protocol Create spreadsheets and documents when necessary Greet patients, answer questions promptly and in a courteous, helpful manner Ensure patient's information is accurate and make changes if necessary Create and mail new patient packets and enter information accordingly Check patients in and out at time of entry and exiting their appointments Collect appropriate fees at time of service Maintain work area and lobby in neat and orderly manner Adhere to guidelines concerning work hours and dress codes Balance cash drawers at end of business day Adhere to patients' right to privacy and confidentiality You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED 1 years of experience as a receptionist or administrative assistant in a medical facility or professional office setting Intermediate level of proficiency in Microsoft Word, Excel, Outlook and Teams Basic level of proficiency in medical terminology Basic level of knowledge with health care insurance Able to work full-time Monday-Friday Preferred Qualifications: Clinical databases/EMR experience Experience as a medical assistant Core Competencies: Ability to multi-task in a busy environment Excellent telephone manners and etiquette Ability to pleasantly interact with patients and co-workers Ability to speak clearly, read and understand oral and written directions Excellent written communication skills Excellent customer service skills Ability to handle cash Detail-oriented, organized and self- motivated Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. RPO RED .

  • Green Lawn Terrace, LA

  • no content

Care Coordinator II

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service May support performing service assessments/screenings for members and documenting the member’s care needs Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager Provide education on benefits and resources available Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience License/Certification: For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required Preferred Qualifications: This is a field-based role supporting members with developmental disabilities needs. Candidates should have strong experience working with the Developmental Disabilities (DD) population. Applicants must reside in or be able to support members throughout St. Francis, Cross, and Crittenden counties in Arkansas. Pay Range: $17.84 - $28.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • Arkansas

  • no content

Medical Director

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. We’re Hiring: Full time Medical Director for our Health Plan in New Hampshire Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community? Qualifications for this role include: MD or DO without restrictions Board Certified Physician Must be licensed in New Hampshire Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. Supports effective implementation of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees. May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine or has been an actively practicing physician within the last 5 years. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. Current New Hampshire state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Pay Range: $215,000.00 - $408,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

  • New Hampshire

  • no content

Learning & Performance Insights Consultant

Learning & Performance Insights Consultant, Skills Development & Learning Technology / SDLT | Full-Time, Hybrid Springfield The Opportunity MassMutual’s Skills Development & Learning Technology (SDLT) team is seeking a Learning & Performance Insights Consultant focused on learning metrics, impact reporting, and practical measurement approaches. In this role, you will help the team move beyond activity and completion tracking toward clearer insight into learning effectiveness, skill development, business outcomes, and operational impact. This is a highly visible individual contributor role for someone who can translate learning data, system activity, program outcomes, and operational signals into clear insights for senior leaders and business partners. You will build and evolve the measurement framework for learning and skills-based development, create stakeholder-ready reporting, and help define how SDLT evaluates whether learning solutions are contributing to capability, performance, and business outcomes. You will be a trusted partner with Operations leaders, program owners, learning teams, and subject matter experts to strengthen how learning work is measured, reported, and improved. This role requires strong analytical judgment, executive-level communication, practical measurement expertise, and the ability to turn complex data into clear recommendations and senior-level report-outs. The Team You will join Skills Development & Learning Technology team, part of Operations Shared Services & Enablement. The team builds skills, learning experiences, tools, reporting, and performance support that help Operations employees and leaders work more effectively. We partner closely with Operations leaders, business teams, learning technology partners, HR, and subject matter experts to plan, deploy, measure, and improve learning solutions. The team is evolving toward a more integrated learning ecosystem where learning systems, content, skills data, reporting, and performance insights work together to support role-based development and operational capability. The Impact Build and evolve SDLT’s learning measurement framework , with a focus on skills-based learning, behavior change, performance outcomes, and business impact. Translate learning data , skills data, system activity, and operational measures into clear insights, recommendations, and senior leader-ready report-outs. Develop reporting views , dashboards, summaries, and scorecards that help leaders understand learning demand, delivery health, capacity, outcomes, and impact. Define practical measures for learning solutions, including how success will be tracked before, during, and after launch. Partner with program owners and business leaders to connect learning outcomes to business priorities, operational performance, customer experience, and workforce capability. Strengthen how SDLT reports on the value of learning by moving beyond completion metrics toward evidence of skill growth, application, and performance impact. Analyze trends, risks, gaps, and opportunities across learning programs, skills initiatives, pilots, and technology-enabled learning solutions. Create clear data narratives so leaders can make informed decisions about priorities, investments, scale, and continuous improvement. Improve reporting consistency , data quality, and measurement practices across SDLT’s learning portfolio. Use modern reporting tools , learning systems data, and AI-enabled capabilities where appropriate to improve analysis, insights, and reporting efficiency. Support the team by building reusable measurement templates, reporting standards, data definitions, and practical approaches that improve quality, consistency, and speed. The Minimum Qualifications High School Diploma 3 years of experience developing metrics, reporting narratives, or dashboards for stakeholders. 2 years of experience creating and analyzing dashboards, trackers, reports, or operational data sets using tools such as Excel, Power BI, Tableau, or similar data platforms. 1 years of experience translating complex data into clear insights, recommendations, and executive-ready summaries. The Ideal Qualifications Experience building or improving learning measurement frameworks, impact models, skills measurement approaches, or program evaluation methods. Experience supporting skills libraries, skills data, capability frameworks, role-based learning models, or learning pathways. Experience working with learning systems, content platforms, learning data standards (SCORM, xAPI), survey results, operational metrics, and performance data. Understanding of modern learning measurement practices, including skills-based learning, behavior change, performance support, and outcome-based evaluation. Experience in financial services, insurance, operations, contact center, or other regulated environments. Familiarity with AI-enabled analysis, data storytelling, dashboard design, or modern learning technologies. Strong ability to see patterns across data, identify what matters, and shape practical recommendations that support better business decisions. Strong written and verbal communication skills, with the ability to manage multiple priorities independently and influence through data and insight. What You Can Expect at MassMutual MassMutual offers the opportunity to do meaningful work within a purpose-driven organization that values long-term impact over short-term outcomes. In this role, you can expect: Clear areas of ownership and accountability, with work that connects directly to company and customer outcomes A collaborative environment where perspectives are welcomed Access to learning, development, and internal networks that support continuous growth and skill-building over time Employee-led communities and forums that foster connection, learning, and inclusion across the organization A culture grounded in integrity, responsibility, and stewardship—supported by a company with a strong legacy and a future-focused mindset LI-RS1 MassMutual is an equal employment opportunity employer. We welcome all persons to apply. If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need. California residents: For detailed information about your rights under the California Consumer Privacy Act (CCPA), please visit our California Consumer Privacy Act Disclosures page.

  • Springfield, MA

  • no content

Vegetation Management Inspector

Requisition ID 175027 Job Category: Maintenance / Construction / Operations Job Level: Individual Contributor Business Unit: Energy Delivery Work Type: Onsite Job Location: Santa Rosa Department Overview Vegetation Management and System Inspections is committed to improving the electric system for the safety of customers and communities by inspecting electric equipment and managing vegetation located near powerlines that could cause a wildfire or power outage. Vegetation Management inspects approximately 100,000 miles of overhead powerlines and prune or manage more than 1 million trees annually. System Inspections examines distribution, transmission, and substation equipment to find and identify potential risks to the safety and reliability of the system. The team's commitment is to make sure PG&E's electric equipment is working properly and delivering reliable electricity for our hometowns. Vegetation Management and System Inspections is comprised of approximately 10,000 coworkers and contractors. Position Summary This is an International Brotherhood of Electrical Workers (IBEW) Local 1245 represented classification, which has over 100 years of experience representing employees at PG&E. This job is subject to collective bargaining. Performs direct oversight of vegetation management work conducted on Electric Distribution or Transmission systems. Responsibilities include overseeing field safety, work quality, customer relations, public safety, permit compliance, and contractor performance. Job duties are outlined below. The Vegetation management inspector-GC is a General Construction position and individuals must be able to travel and transfer to a new headquarters upon request at any time; throughout the entire PG&E service territory with no guarantees as to how long you will be away from home. To better represent the communities we serve, applicants who live within 50 miles of the headquarter locations will be given preference. PG&E is providing the hourly rate that the company in good faith believes it might pay for this position at the time of the job posting. This position is subject to collectively bargained hourly wage rates and increases. The starting wage rate for this position is $40.75 per hour. This wage rate is specific to the locality of the job. The wage rate is based on multiple factors, including, but not limited to, specific skills, education, licenses or certifications, experience, market value, geographic location, collective bargaining agreements, and internal equity. Job Responsibilities Performs circuit patrols in accordance with annual VM plan, VM patrol standards and processes Acts as a customer relations representative on behalf of PG&E Supports the coordination between Contractors, Communities, Agencies, First Responders, and all other PG&E workgroups and stakeholders that may be involved in the successful completion of the vegetation project. Ensures compliance with all applicable regulations which may include Annual permits, Encroachment permits, Traffic Control Plans, railroad permits, Caltrans permits, and environmental protection measures as documented on Environmental Release to Construction Completes electronic and paper-based documentation and reporting, as assigned Identifies required tree work along the existing PG&E rights-of­ way Inspects documents Notifies property owners/agencies when tree work will occur May do work verification inspections of locations for tree work completion May perform investigation and documentation of tree-related outages Field checks prescribes work, and notifies of customers associated with non-routine locations when assigned Closes out CC&B cases in the field after fielding the case May support emergency response such as directed by OEC, or level one operations. Such as dispatching tree crews, field checking sites, first responder stand­ by agreements. Supports oversight of vegetation projects, including field operations such as tree assessment, tree trimming, and other work as required Supports compliance with vegetation management program scope, contract adherence, and PG&E standards and specifications over the entire PG&E service territory Required to participate in the Employer Pull Notice Program (EPN) with DMV Qualifications Minimum: •Valid Class C Driver’s License with no major incidents •High School diploma or GED •Ability to obtain 911 Standby training within one year of start date •Pre- Inspector Structure Learning Path (SLP) within one year of start date Desired: •To better represent the communities we serve, applicants who live within 50 miles of the headquarter location will be given preference • 1 year of related field-based experience (e.g. tree work, forestry) • 2-year degree OR higher education (BA/BS) in a related field • Certified Arborist or Utility Specialist • TRAQ (Tree Risk Assessment Qualification) Certification • American Society of Consulting Arborist Registered, 4 years’ experience in forestry, or arboriculture industry • Completion of the PG&E Power Pathway program • Military Service with honorable discharge Pre-Employment Testing PG&E Employees: You must have qualified on all prerequisite tests prior to submitting an application; and all secondary tests prior to interviewing. For more information on prerequisite and secondary exams, including study guides, please visit the Pre-employment testing program website. • Work Orientation Inventory- Physical/Technical Driving (WOID) • Post-Offer Physical Assessment (POPA)

  • Roseland, CA

  • no content

New Business Liaison-Electric

Requisition ID 174313 Job Category: Maintenance / Construction / Operations Job Level: Individual Contributor Business Unit: Energy Delivery Work Type: Onsite Job Location: San Jose Department Overview The operations ensure the delivery of safe and reliable electric service to our customers. Electric Operations is responsible for every aspect of PG&E's electric distribution and transmission operations, including planning, engineering, maintenance and construction, asset management, business planning, restoration, and emergency response. Position Summary Open positions are largely in California’s Bay Area and Central Valley regions however, additional locations and classifications could become available at any time based on business needs. This job posting will be utilized to fill open Journey-level New Business Liaison - Electrician positions within all regions of our service territory. This classification is represented by the International Brotherhood of Electrical Workers (IBEW) local 1245, which has over 100 years of experience representing employees at PG&E. This position may be subject to Joint Apprentice Training Committee (JATC) review and approval. Provisional hires will be required to participate in targeted training to achieve journey-level knowledge of electrician roles and responsibilities. This classification is represented by the International Brotherhood of Electrical Workers (IBEW) local 1245, which has over 100 years of experience representing employees at PG&E. This job is subject to collective bargaining. The position will perform direct oversight of construction of Applicant - Installed facilities. Inspecting Applicant-Installed facilities, including complex projects, large commercial, industrial, and major residential projects, and distribution line extensions. Work may be outdoors and in varying weather conditions. The individual must be able to drive safely, work extended hours; travel/transfer to new headquarter upon request at any time, and wear company provided Personal Protective Equipment. The Electrician – GC is a General Construction position and individuals must be able to travel and transfer to a new headquarters upon request at any time; throughout the entire PG&E service territory with no guarantees as to how long you will be away from home. PG&E is providing the hourly rate that the company in good faith believes it might pay for this position at the time of the job posting. This position is subject to collectively bargained hourly wage rates and increases. The starting wage rate for this position is $68.56 per hour. This wage rate is specific to the locality of the job. The wage rate is based on multiple factors, including, but not limited to, specific skills, education, licenses or certifications, experience, market value, geographic location, collective bargaining agreements, and internal equity. Job Responsibilities Performs inspection of Applicant installed joint trench facilities, including but not limited to installation of underground electric cable, transformers, switches, and splicing Inspects applicant installed facilities, including complex projects, large commercial, industrial and major residential projects and distribution line Ensures compliance with job drawings and specifications and complies with PG&E standards over the entire PG&E service territory Maintains public and employee safety on site at all times by promoting a positive safety culture, exhibiting an absolute commitment to safety for self and others, and by ensuring all applicable safety rules, regulations and standards are followed May participate in Applicant Installer Contractor safety and pre-construction tailboard meetings to ensure compliance with Company standards Ensures that equipment and personnel stay on the Right of Way Reviews documents for completeness and communicates compliance requirements of project Once qualified shall perform standby at Applicant work sites to ensure that all procedures for splicing and installation of equipment are followed as noted in all applicable standards. Sets electric single phase 120/240 meters and returns all completed paperwork Maintains all required Quality Assurance/Quality Control and as-built documentation on site as per Company Standards. Communicates scheduling and scope changes with Company management and Contractors as required. Collaborates with the Applicant Installer to promote teamwork and resolve obstacles to the completion of the project, and to minimize rework Acts as a liaison between the customer/contractor and all other PG&E workgroups that may be involved in the successful completion of the construction project Qualifications Minimum: Experience as Electrician, Journeyman, for internal applicants; Record of Electrician or IBEW/Joint sanctioned Apprentice Program training completion, for external applicants Knowledge of electric transmission and distribution systems concepts, methods, best practices, techniques, and regulatory requirements as needed to perform at the job level Knowledge of gas transmission and distribution systems concepts, methods, best practices, techniques, and regulatory requirements as needed to perform at the job level Ability to conduct research as needed to perform at the job level Desired: 3-5 years Journey level experience in commercial or industrial electrical construction PG&E construction or utility experience Electrical Substation or Power Generation experience High voltage experience Experience working with testing equipment and troubleshooting Pre-Employment Testing PG&E Employees: You must have qualified on all prerequisite tests prior to submitting an application; and all secondary tests prior to interviewing. For more information on prerequisite and secondary exams, including study guides, please visit the Pre-employment testing program website. Physical Test Battery Work Orientation Inventory-Physical/Technical Driving Physical Assessment

  • Santa Clara, CA

  • no content