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Job category

• Account Management (5)
• Actuarial (19)
• Admin Support Services (19)
• Advanced Practice Clinicians (308)
• Banking & Financial Services (5)
• Behavioral (146)
• Billing (22)
• Business & Data Analytics (65)
• Business Operations (35)
• Claims (17)
• Clinical Management (46)
• Clinical Services Operations (623)
• Communications (3)
• Customer Services (36)
• Enroll & Empl Contract Install (2)
• Finance (46)
• Government Affairs (1)
• Healthcare Delivery (2582)
• Healthcare Economics (11)
• Integration (8)
• Legal (2)
• Marketing and Advertising (20)
• Medical & Clinical Operations (300)
• Medical Screening/Clinical Lab (60)
• Network Contracting & Pricing (11)
• Network Management (13)
• Nursing (1131)
• OptumInsight Consulting (28)
• Patient Services (250)
• People Team (12)
• Pharmacy (295)
• Physicians (309)
• Product (33)
• Project/Program Management (11)
• Property Management (2)
• Radiology/Healthcare Tech (140)
• Regulatory & Compliance (10)
• Rehabilitation Services (739)
• Sales Support (97)
• Sales/Direct Selling (49)
• Senior Leadership Team (3)
• Sourcing and Procurement (1)
• Strategy (2)
• Technology (472)
• Training (8)
• Underwriting & Pricing (2)
• Vision Care Delivery (5)

Skill

• analyse claim files 4
• calculate compensation payments 4
• interact with healthcare users 4
• manage claims process 4
• review insurance process 4
• ensure compliance with company regulations 3
• ensure compliance with purchasing and contracting regulations 3
• ensure contract termination and follow-up 3
• handle incoming insurance claims 3
• process medical insurance claims 3
• 2
• analyse call performance trends 2
• analyse reports provided by passengers 2
• analyse supply chain trends 2
• answer patients' questions 2
• classify insurance claims 2
• collaborate with animal related professionals 2
• collect healthcare user data under supervision 2
• discuss the medical history of the healthcare user 2
• ensure conformity to specifications 2
• ensure continuous preparedness for audits 2
• ensure customer orientation 2
• ensure gambling operational standards 2
• ensure mining records are maintained 2
• ensure products meet regulatory requirements 2
• interpret current data 2
• investigate complaints related to consumer protection 2
• manage contracts 2
• manage healthcare users' data 2
• monitor policy proposals 2
• provide advice on breaches of regulation 2
• provide care for a particular patient group 2
• record healthcare users' billing information 2
• review patient's medical data 2
• advise on insurance policies 1
• advise on participation in financial markets 1
• analyse customer service surveys 1
• analyse data about clients 1
• analyse data for aeronautical publications 1
• analyse the credit history of potential customers 1
• analyse work-related written reports 1
• apply case management 1
• assume responsibility 1
• audit contractors 1
• build trust 1
• check payrolls 1
• collect statistics on medical records 1
• complete patient journey records 1
• conduct fact finding 1
• contribute to protecting individuals from harm 1
• cooperate to resolve information issues 1
• create credit policy 1
• demonstrate trustworthiness 1
• develop pension schemes 1
• disseminate general corporate information 1
• enforce customer's debt repayment 1
• ensure compliance with disclosure criteria of accounting information 1
• ensure compliance with gaming laws 1
• ensure compliance with healthcare regulations 1
• ensure compliance with warranty contracts 1
• evaluate benefit plans 1
• evaluate clients' progress 1
• examine healthcare facility 1
• file claims with insurance companies 1
• follow ethical code of conduct in assessment situations 1
• follow the statutory obligations 1
• fraud detection 1
• hear legal arguments 1
• identify preventive actions 1
• inspect contracts for related grounds maintenance work 1
• interpret spoken language between two parties 1
• interview insurance claimants 1
• investigate forgery cases 1
• lead claim examiners 1
• liaise with auditors 1
• listen to the stories of the disputants 1
• maintain credit history of clients 1
• maintain database performance 1
• manage claim files 1
• manage clients' money matters 1
• manage contract disputes 1
• manage financial and material resources 1
• manage financial aspects of a company 1
• manage project changes 1
• meet commitments 1
• monitor field surveys 1
• monitor loan portfolio 1
• monitor patients' progress related to treatment 1
• monitor programming finances 1
• obtain healthcare user's medical status information 1
• participate as observer in different types of audits in the food sector 1
• participate in medical records' auditing activities 1
• perform clinical coding procedures 1
• perform contract compliance audits 1
• perform debt investigation 1
• prevent fraudulent activities 1
• provide improvement strategies 1
• provide support in financial calculation 1
• resolve difficult account allocation cases 1
• review completed contracts 1
• set payment handling strategies 1
• undertake clinical audit 1
• work in multidisciplinary teams related to emergency care 1
• write inspection reports 1

Country

• India (5)
• Philippines (2)
• Puerto Rico (1)
• United States (9)

State or region

• California (1)
• Haryana (1)
• Massachusetts (2)
• Metro Manila (2)
• San Juan (1)
• Telangana (2)
• Texas (5)
• Uttar Pradesh (2)
• Wisconsin (1)

City

• Boston (2)
• Dallas (2)
• Gurgaon (1)
• Hyderabad (2)
• Makati City (2)
• Noida (2)
• Pearland (3)
• San Diego (1)
• San Juan (1)
• Wausau (1)

Divisions

• (17)

City

• Boston (2)
• Dallas (2)
• Gurgaon (1)
• Hyderabad (2)
• Makati (2)
• Noida (2)
• Pearland (3)
• San Diego (1)
• San Juan (1)
• Wausau (1)

Country1

• India (5)
• Philippines (2)
• United States (10)

State

• California (1)
• Haryana (1)
• Massachusetts (2)
• National Capital Region (2)
• Puerto Rico (1)
• Telangana (2)
• Texas (5)
• Uttar Pradesh (2)
• Wisconsin (1)

ExternalIdNew

• 1059155 (1)
• 2344363 (1)
• 2346040 (1)
• 2347642 (1)
• 2347868 (1)
• 2347870 (1)
• 2348685 (1)
• 2350998 (1)
• 2351529 (1)
• 2353481 (1)
• 2354646 (1)
• 2354775 (1)
• 2355134 (1)
• 2355384 (1)
• 2357627 (1)
• 2357886 (1)
• 2357887 (1)

Grade

• 22 (4)
• 23 (6)
• 24 (3)
• 26 (2)
• 27 (2)

Schedule

• Full-time (17)

Segment

• Optum Care Delivery (4)
• Optum Global Advantage (8)
• Optum Health Services (1)
• OptumInsight (3)
• UHC Benefit Ops - E&I Ops (1)

JobFunction

• Claim Business Process (1)
• Claim Operations (6)
• Claim Quality (1)
• Claim Recovery/Resol/COB/Subro (9)

Vanity

• #rpo (2)
• Aide (9)
• Clinical (3)
• Contract (13)
• director (2)
• epic (3)
• lead (4)
• LPN (1)
• Medical Coding (2)
• pharma (9)
• relations (1)
• Revenue Cycle (1)
• RN (2)
• SRE (2)
• Supervisor (3)

Division

• E&I Ops UMR (1)
• Kelsey-Seybold (3)
• OG Adv Human Capital (6)
• OG Adv Payment Integrity (2)
• OI PI Clinical Ops (1)
• Optum Behav Hlth Public Sector (1)
• Optum MA (1)
• Optum State Govt Solutions Ops (1)
• PI Non-Clinical Ops (1)

Company

• Optum (16)
• UHC (1)

Business

• Optum (16)
• UHC (1)

Entity

• Kelsey-Seybold Clinic (3)

Job Level

• Individual Contributor (9)
• Manager (1)

Grade Level

• 22 (4)
• 23 (6)
• 24 (3)
• 26 (2)
• 27 (2)

Referral Eligibility

• No (4)
• Yes (13)

BusinessSegment

• Care Delivery - Region 4 (3)
• Care Delivery - Region 6 (1)
• E&I Ops - UMR Operations (1)
• OG Adv Bus Capability Grp 4 (2)
• OG Adv Human Capital (6)
• OI Operations (3)
• Optum Behavioral Health (1)

FullAddress

• 115 W WAUSAU AVE, Wausau, United States 54401 (1)
• 3131 Camino Del Rio N, Ste 700, San Diego, United States 92108 (1)
• Arham Estate, Hyderabad, India 500081 (1)
• Ayala Avenue, FL 18-21, Makati, Philippines 01200 (2)
• Boston, United States (2)
• Dallas, United States (2)
• Gurgaon, India (1)
• Hyderabad, India (1)
• Noida, India (2)
• Pearland, United States (3)
• San Juan, United States (1)

JobCode

• CLM002 (4)
• CLM003 (2)
• CLM042 (4)
• CLM043 (2)
• CLM045 (2)
• CLM046 (1)
• CLM061 (1)
• CLM085 (1)

Work setting

• Core On-Site (9)
• Hybrid (4)
• Remote (4)

Brand

• Optum Care Delivery (4)
• Optum Global Advantage (8)
• Optum Health Services (1)
• OptumInsight (3)
• UHC Benefit Ops - E&I Ops (1)