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Hospital Bill Audit Support Outbound Calling Associate at UnitedHealth Group Canada
Tampa, Florida, United States - Full Time
Skills Needed
Outbound Calling, Administrative Duties, Provider Contact, Audit Coordination, Relationship Building, Hipaa Compliance, Data Retrieval, Customer Inquiries, Proprietary Software, Microsoft Word, Microsoft Excel, Microsoft Outlook, Interpersonal Skills, Verbal Communication, Written Communication, Telephone Communication
Specialization
Candidates must possess a High School Diploma or GED and be at least 18 years old, requiring a minimum of one year each in customer service, high-volume outbound customer communication via phone, and the Healthcare industry. Proficiency in Microsoft Office Suite and the ability to adhere to strict scheduling and remote work requirements are mandatory.
Deputy Manager - IP DRG at UnitedHealth Group Canada
, , India - Full Time
Skills Needed
Coding, Billing Requirements, Regulatory Changes, Productivity, Quality, Tat, Attendance, Attrition, Data Analysis, Personnel Management, Performance Management, Discipline Management, Stakeholder Management, Client Interaction, Report Analysis, Process Improvement
Specialization
Candidates must have a Graduate or Postgraduate degree in Life Sciences, Allied Medicine, or be a certified coder (AAPC/AHIMA) with a minimum of 8 years of coding experience, including over 2 years as a Team Lead. Required expertise includes thorough medical terminology knowledge, proficiency in healthcare reimbursement, and proven abilities in team management, analytical thinking, and coaching.
Experience Required
Minimum 10 year(s)
AI/ML Engineer at UnitedHealth Group Canada
, , India - Full Time
Skills Needed
Software Development, Machine Learning, Artificial Intelligence, Natural Language Processing, Natural Language Understanding, Semantic Understanding, Intent Classification, Computer Vision, Deep Learning, Automatic Speech Recognition, Robotics, Large Scale Computing, Data Analysis, Experimental Methodologies, Statistics, Optimization
Specialization
Candidates are expected to apply knowledge of experimental methodologies, statistics, optimization, probability theory, and machine learning using code for tool building and statistical analysis. A minimum requirement is an undergraduate degree or equivalent experience.
Experience Required
Minimum 2 year(s)
Registered Nurse Supervisor I - Kelsey Seybold Clinic - Westchase at UnitedHealth Group Canada
Houston, Texas, United States - Full Time
Skills Needed
Personnel Management, Clinical Management, Keyboarding, Computer Skills, Acls, Bls, Pals, Public Relations, Epic System
Specialization
Candidates must possess a Bachelor's degree in nursing or four years of supervisory/management experience, along with an active Texas RN license. Required clinical experience includes at least four years as an RN, with a minimum of two years in a progressive supervisor or management role.
Experience Required
Minimum 5 year(s)
Part Time Pharmacy Technician at UnitedHealth Group Canada
Austin, Texas, United States - Full Time
Skills Needed
Dispensing Medical Prescriptions, Clerical Duties, Customer Service, Medication Stock Management, Inventory Records, Compliance, Verbal Communication, Written Communication, Data Entry
Specialization
Candidates must possess an active and unrestricted Pharmacy Technician license in the state of Texas and have at least one year of relevant Pharmacy Technician experience. Reliable transportation and a valid US driver's license are also required, as the role may involve making deliveries.
Manager Technical Project or Program Management at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Project Planning, Project Delivery, Stakeholder Management, Risk Management, Conflict Management, Cross Functional Coordination, Knowledge Management, It Support Services, M&A Integration, Relationship Building, Communication, Problem Solving, Itil, Agile Methodologies, Change Management
Specialization
Required qualifications include a minimum of 3 years of experience in customer-facing roles, cross-functional/matrixed technical or support environments, and driving large project implementations, along with experience in project coordination, tracking, and reporting. Candidates must demonstrate strong organizational skills, risk management abilities, stakeholder management skills, and excellent verbal and written communication.
Experience Required
Minimum 2 year(s)
Senior Business Process Analyst at UnitedHealth Group Canada
, karnataka, India - Full Time
Skills Needed
Data Analysis, Microsoft Office Suite, Sql Server, Problem Solving, User Support, Performance Management, Communication, Troubleshooting, Testing, Prioritization
Specialization
Candidates must have at least 2 years of experience with Microsoft Office Suite and data analysis. Preferred qualifications include experience with metric reporting and SQL Server querying.
Experience Required
Minimum 2 year(s)
Senior Pharmacy Technician at UnitedHealth Group Canada
Somerville, Massachusetts, United States - Full Time
Skills Needed
Pharmaceutical Duties, Medication Processing, Data Entry, Compounding, Labeling, Customer Service, Payment Processing, Inventory Management, Shipment Inspection, Vaccine Administration, Safety Event Reporting, Quality Improvement, Regulatory Compliance, Team Collaboration, Controlled Substance Handling, Lead Support Staff
Specialization
Required qualifications include a High School Diploma/GED, an active and unrestricted Pharmacy Technician license in Massachusetts, and National Certification (PTCB, CPhT, or NHA) or the ability to obtain it within 90 days. Candidates must also have at least one year of pharmacy technician experience and access to reliable transportation.
Certified Ophthalmic Assistant at UnitedHealth Group Canada
Everett, Washington, United States - Full Time
Skills Needed
Ophthalmic Assisting, Patient Assessment, Medical History Recording, Visual Acuities Testing, Color Vision Testing, Stereopsis Testing, Auto Refractometer Readings, Refraction, Intraocular Pressure Testing, Physician Coordination, Patient Flow Management, Aidet Utilization, Phone Triage, Appointment Scheduling, Ocular Medication Administration, Minor Surgical Assistance
Specialization
Required qualifications include a High School Diploma or GED, COA certification, CPR certification, and MA-R certification. Preferred qualifications include over one year of experience in an eye care setting and clinical experience in a physician’s practice.
Mammography Technologist at UnitedHealth Group Canada
Mount Kisco, New York, United States - Full Time
Skills Needed
Mammography, Patient Care, Diagnostic Imaging, Image Quality Assurance, Hipaa Compliance, Sterile Techniques, Cpr Certification, Vital Signs Monitoring, Equipment Operation, Quality Control Testing, Radiologist Communication, Troubleshooting, Patient Instruction, Acr Accreditation Assistance, Data Entry
Specialization
Required qualifications include a high school diploma or equivalent and current ARRT (M) certification along with Diagnostic Mammography certification, plus the ability to use computerized systems.
Clinical Document Integrity (CDI) Specialist Manager at UnitedHealth Group Canada
Honolulu, Hawaii, United States - Full Time
Skills Needed
Clinical Document Integrity, Program Oversight, Staff Oversight, Auditing, Mentoring, Orientation, Provider Education, Clinical Expertise, Risk Management, Quality Improvement, Revenue Growth, Workflow Management, Performance Management, Software Utilization, Him Coding Coordination, Physician Advisor Consultation
Specialization
Required qualifications include an RN with a current Hawaii RN license (or obtained within 90 days) or a Foreign Medical Graduate with 3+ years of CDI experience, plus obtaining CCDS, CDIP, or CCS certification within six months. Candidates must be comfortable communicating with physicians and possess excellent verbal/written skills, organizational skills, and proficiency in Microsoft Office software.
Experience Required
Minimum 5 year(s)
USRN Clinical Consultant at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Clinical Support, Operational Guidance, Case Management, Utilization Management, Claims Review, Appeals Review, Inpatient Care Management, Pharmaceuticals, Adult Learning Principles, Curriculum Development, Coaching, Process Improvement, Quality Audits, Microsoft Office, Medical Terminologies, Interpersonal Skills
Specialization
Required qualifications include an active unrestricted US Registered Nurse license, a Bachelor of Science in Nursing, an active Philippine Registered Nurse license, and over 3 years of clinical nurse experience in the U.S. healthcare system. Candidates must also be knowledgeable in Microsoft Office, medical terminologies, U.S. healthcare processes, and proficient in creating PowerPoint and Excel documents.
Experience Required
Minimum 2 year(s)
LPN Pediatric Home Care - Ruston at UnitedHealth Group Canada
Ruston, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Infection Control, Documentation, Electronic Medical Record, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Required qualifications include current and unrestricted Licensed Practical Nurse licensure in the state of practice, current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. Candidates must be able to function in any home situation regardless of client demographics.
I O Engineering Consultant (SCCM / ConfigMgr) at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Microsoft 365, Sccm, Configmgr, Microsoft Entra Id, Conditional Access, Mfa, Powershell Scripting, Graph Api, Exchange, Sharepoint, Itil Incident Management, Capacity Planning, Security Standards, Identity Design, Architectural Reviews, Root Cause Analysis
Specialization
Candidates must possess a Bachelor’s degree in a related technical field and have over 5 years of experience supporting Microsoft 365, Exchange, and SharePoint environments at an enterprise level. Advanced hands-on experience with PowerShell scripting, automation, and proven expertise in ITIL incident management processes are required.
Experience Required
Minimum 5 year(s)
Risk and Threat Vulnerability Management - TVM - Analyst at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Vulnerability Management, Threat Modeling, Remediation Tracking, Rapid7, Tenable.Io, Nessus, Security Center, Tanium, Nmap, Grc Platform, It Audit, Iso 27001, Nist 800 53, Risk Register Management, Control Testing, Vendor Risk Management
Specialization
Candidates must possess over 5 years of technical experience in Information Security, GRC platform implementation/migration, and IT Audit experience managing assessments independently. A solid understanding of ISO 27001, core security concepts, NIST 800-53, and hands-on experience with vulnerability management tools are required.
Experience Required
Minimum 5 year(s)
Lead AI/ML Engineer - Minnetonka, MN at UnitedHealth Group Canada
Minnetonka, Minnesota, United States - Full Time
Skills Needed
Machine Learning, Generative Ai, Databricks, Custom Embeddings, Rag Pipelines, Vector Databases, Langchain, Agentic Workflows, Claims Payment Integrity, Model Development, Ci/Cd, Azure Cloud, Spark, Python, Scala, Sql
Specialization
Candidates must possess a Bachelor's or Master's degree in a relevant field along with significant experience, including 12+ years in ML model development and 10+ years with CI/CD tools like Git and Terraform. Specific expertise is required in LLM/GenAI areas such as custom embeddings, RAG pipelines, Vector DBs, and LangChain, alongside 8+ years of experience with Azure cloud services.
Experience Required
Minimum 10 year(s)
LPN Pediatric Home Care Night Shifts - Mandeville at UnitedHealth Group Canada
Mandeville, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Infection Control, Electronic Medical Record Documentation, Care Coordination, Communication, Writing, Organizational Skills, Independent Work
Specialization
Required qualifications include a current and unrestricted Licensed Practical Nurse licensure in the state of practice (LA), current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. A minimum of one year of experience working as an LPN is required.
LPN Peds Home Care Nights and Weekends - Abbeville at UnitedHealth Group Canada
Abbeville, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Documentation, Infection Control, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Required qualifications include a current and unrestricted Licensed Practical Nurse licensure in the state of practice, current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. Candidates must be able to function in any home situation regardless of client characteristics.
LPN Pediatric Home Care Night Shifts - Stonewall at UnitedHealth Group Canada
Minden, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Documentation, Electronic Medical Record, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Applicants must possess a current and unrestricted Licensed Practical Nurse (LPN) license in the state of practice (LA required), current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. A minimum of one year of experience working as an LPN is required.
RN Pediatric Home Care Nights - Lafayette at UnitedHealth Group Canada
Lafayette, Louisiana, United States - Full Time
Skills Needed
Registered Nurse Licensure, Cpr Certification, Clinical Nursing Assessments, Plan Of Care Development, Infection Control, Patient Care Coordination, Communication, Writing, Organizational Skills
Specialization
Required qualifications include current and unrestricted RN licensure in the state of practice and current CPR certification, along with access to a dependable vehicle. Preferred qualifications include 1+ years of RN experience and pediatric experience.
Hospital Bill Audit Support Outbound Calling Associate at UnitedHealth Group Canada
Tampa, Florida, United States -
Full Time

Start Date

Immediate

Expiry Date

17 Jun, 26

Salary

28.8

Posted On

19 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Outbound Calling, Administrative Duties, Provider Contact, Audit Coordination, Relationship Building, HIPAA Compliance, Data Retrieval, Customer Inquiries, Proprietary Software, Microsoft Word, Microsoft Excel, Microsoft Outlook, Interpersonal Skills, Verbal Communication, Written Communication, Telephone Communication

Industry

Hospitals and Health Care

Description
This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. In this role, the HBA Operations Support team member performs outbound calls and general administrative duties and serves as the main provider contact for the audit team. This position will coordinate with internal stakeholders as well as hospitals nationwide to ensure that all workflows associated with the audit process are completed. The HBA Support team member plays a pivotal role in building and retaining relationships with providers, moving our audits to completion, and by so doing, creating savings for our clients and revenue for Optum. The HBA Operations Support is a relationship builder and will engage with hospitals and medical facilities through various modes of communication (electronic, written, telephone, etc.). Working as part of a high-energy team. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime. This will be on the job training and the hours during training will be 8:00 am - 5:00 pm local time, Monday - Friday. Primary Responsibilities: Performs outbound calls and general administrative duties and serves as the main provider contact for the audit team Accountable for day-to-day tasks associated with obtaining facility contact and audit information as well as following up on requests for itemized bills and medical records Facilitates responses to general inquiries and data requests from both internal and external customers and works closely with providers to understand claims and expedite effective communication Adheres to all HIPAA guidelines/regulations and maintains strict confidentiality Leverages in-house proprietary software platform and alerts manager of system issues or other issues impacting productivity Obtains information from multiple systems, including client claim systems 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: High School Diploma / GED Must be 18 years of age OR older 1+ years of customer service experience 1+ years of experience managing high volume outbound customer communication via phone 1+ years of Healthcare industry experience Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management) Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime. Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills: Strong interpersonal skills - must be able to build relationships quickly and work as part of a team. Excellent communication skills, both written and verbal Comfort and skill using the telephone as a primary mode of communication *All employees working remotely 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 $16.15 - $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. 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.

How To Apply:

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Responsibilities
The role involves performing outbound calls and general administrative duties, serving as the main provider contact for the audit team to coordinate workflows nationwide. This position is pivotal in building provider relationships to move audits to completion, thereby creating savings for clients and revenue for Optum.
Hospital Bill Audit Support Outbound Calling Associate at UnitedHealth Group Canada
Tampa, Florida, United States - Full Time
Skills Needed
Outbound Calling, Administrative Duties, Provider Contact, Audit Coordination, Relationship Building, Hipaa Compliance, Data Retrieval, Customer Inquiries, Proprietary Software, Microsoft Word, Microsoft Excel, Microsoft Outlook, Interpersonal Skills, Verbal Communication, Written Communication, Telephone Communication
Specialization
Candidates must possess a High School Diploma or GED and be at least 18 years old, requiring a minimum of one year each in customer service, high-volume outbound customer communication via phone, and the Healthcare industry. Proficiency in Microsoft Office Suite and the ability to adhere to strict scheduling and remote work requirements are mandatory.
Deputy Manager - IP DRG at UnitedHealth Group Canada
, , India - Full Time
Skills Needed
Coding, Billing Requirements, Regulatory Changes, Productivity, Quality, Tat, Attendance, Attrition, Data Analysis, Personnel Management, Performance Management, Discipline Management, Stakeholder Management, Client Interaction, Report Analysis, Process Improvement
Specialization
Candidates must have a Graduate or Postgraduate degree in Life Sciences, Allied Medicine, or be a certified coder (AAPC/AHIMA) with a minimum of 8 years of coding experience, including over 2 years as a Team Lead. Required expertise includes thorough medical terminology knowledge, proficiency in healthcare reimbursement, and proven abilities in team management, analytical thinking, and coaching.
Experience Required
Minimum 10 year(s)
AI/ML Engineer at UnitedHealth Group Canada
, , India - Full Time
Skills Needed
Software Development, Machine Learning, Artificial Intelligence, Natural Language Processing, Natural Language Understanding, Semantic Understanding, Intent Classification, Computer Vision, Deep Learning, Automatic Speech Recognition, Robotics, Large Scale Computing, Data Analysis, Experimental Methodologies, Statistics, Optimization
Specialization
Candidates are expected to apply knowledge of experimental methodologies, statistics, optimization, probability theory, and machine learning using code for tool building and statistical analysis. A minimum requirement is an undergraduate degree or equivalent experience.
Experience Required
Minimum 2 year(s)
Registered Nurse Supervisor I - Kelsey Seybold Clinic - Westchase at UnitedHealth Group Canada
Houston, Texas, United States - Full Time
Skills Needed
Personnel Management, Clinical Management, Keyboarding, Computer Skills, Acls, Bls, Pals, Public Relations, Epic System
Specialization
Candidates must possess a Bachelor's degree in nursing or four years of supervisory/management experience, along with an active Texas RN license. Required clinical experience includes at least four years as an RN, with a minimum of two years in a progressive supervisor or management role.
Experience Required
Minimum 5 year(s)
Part Time Pharmacy Technician at UnitedHealth Group Canada
Austin, Texas, United States - Full Time
Skills Needed
Dispensing Medical Prescriptions, Clerical Duties, Customer Service, Medication Stock Management, Inventory Records, Compliance, Verbal Communication, Written Communication, Data Entry
Specialization
Candidates must possess an active and unrestricted Pharmacy Technician license in the state of Texas and have at least one year of relevant Pharmacy Technician experience. Reliable transportation and a valid US driver's license are also required, as the role may involve making deliveries.
Manager Technical Project or Program Management at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Project Planning, Project Delivery, Stakeholder Management, Risk Management, Conflict Management, Cross Functional Coordination, Knowledge Management, It Support Services, M&A Integration, Relationship Building, Communication, Problem Solving, Itil, Agile Methodologies, Change Management
Specialization
Required qualifications include a minimum of 3 years of experience in customer-facing roles, cross-functional/matrixed technical or support environments, and driving large project implementations, along with experience in project coordination, tracking, and reporting. Candidates must demonstrate strong organizational skills, risk management abilities, stakeholder management skills, and excellent verbal and written communication.
Experience Required
Minimum 2 year(s)
Senior Business Process Analyst at UnitedHealth Group Canada
, karnataka, India - Full Time
Skills Needed
Data Analysis, Microsoft Office Suite, Sql Server, Problem Solving, User Support, Performance Management, Communication, Troubleshooting, Testing, Prioritization
Specialization
Candidates must have at least 2 years of experience with Microsoft Office Suite and data analysis. Preferred qualifications include experience with metric reporting and SQL Server querying.
Experience Required
Minimum 2 year(s)
Senior Pharmacy Technician at UnitedHealth Group Canada
Somerville, Massachusetts, United States - Full Time
Skills Needed
Pharmaceutical Duties, Medication Processing, Data Entry, Compounding, Labeling, Customer Service, Payment Processing, Inventory Management, Shipment Inspection, Vaccine Administration, Safety Event Reporting, Quality Improvement, Regulatory Compliance, Team Collaboration, Controlled Substance Handling, Lead Support Staff
Specialization
Required qualifications include a High School Diploma/GED, an active and unrestricted Pharmacy Technician license in Massachusetts, and National Certification (PTCB, CPhT, or NHA) or the ability to obtain it within 90 days. Candidates must also have at least one year of pharmacy technician experience and access to reliable transportation.
Certified Ophthalmic Assistant at UnitedHealth Group Canada
Everett, Washington, United States - Full Time
Skills Needed
Ophthalmic Assisting, Patient Assessment, Medical History Recording, Visual Acuities Testing, Color Vision Testing, Stereopsis Testing, Auto Refractometer Readings, Refraction, Intraocular Pressure Testing, Physician Coordination, Patient Flow Management, Aidet Utilization, Phone Triage, Appointment Scheduling, Ocular Medication Administration, Minor Surgical Assistance
Specialization
Required qualifications include a High School Diploma or GED, COA certification, CPR certification, and MA-R certification. Preferred qualifications include over one year of experience in an eye care setting and clinical experience in a physician’s practice.
Mammography Technologist at UnitedHealth Group Canada
Mount Kisco, New York, United States - Full Time
Skills Needed
Mammography, Patient Care, Diagnostic Imaging, Image Quality Assurance, Hipaa Compliance, Sterile Techniques, Cpr Certification, Vital Signs Monitoring, Equipment Operation, Quality Control Testing, Radiologist Communication, Troubleshooting, Patient Instruction, Acr Accreditation Assistance, Data Entry
Specialization
Required qualifications include a high school diploma or equivalent and current ARRT (M) certification along with Diagnostic Mammography certification, plus the ability to use computerized systems.
Clinical Document Integrity (CDI) Specialist Manager at UnitedHealth Group Canada
Honolulu, Hawaii, United States - Full Time
Skills Needed
Clinical Document Integrity, Program Oversight, Staff Oversight, Auditing, Mentoring, Orientation, Provider Education, Clinical Expertise, Risk Management, Quality Improvement, Revenue Growth, Workflow Management, Performance Management, Software Utilization, Him Coding Coordination, Physician Advisor Consultation
Specialization
Required qualifications include an RN with a current Hawaii RN license (or obtained within 90 days) or a Foreign Medical Graduate with 3+ years of CDI experience, plus obtaining CCDS, CDIP, or CCS certification within six months. Candidates must be comfortable communicating with physicians and possess excellent verbal/written skills, organizational skills, and proficiency in Microsoft Office software.
Experience Required
Minimum 5 year(s)
USRN Clinical Consultant at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Clinical Support, Operational Guidance, Case Management, Utilization Management, Claims Review, Appeals Review, Inpatient Care Management, Pharmaceuticals, Adult Learning Principles, Curriculum Development, Coaching, Process Improvement, Quality Audits, Microsoft Office, Medical Terminologies, Interpersonal Skills
Specialization
Required qualifications include an active unrestricted US Registered Nurse license, a Bachelor of Science in Nursing, an active Philippine Registered Nurse license, and over 3 years of clinical nurse experience in the U.S. healthcare system. Candidates must also be knowledgeable in Microsoft Office, medical terminologies, U.S. healthcare processes, and proficient in creating PowerPoint and Excel documents.
Experience Required
Minimum 2 year(s)
LPN Pediatric Home Care - Ruston at UnitedHealth Group Canada
Ruston, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Infection Control, Documentation, Electronic Medical Record, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Required qualifications include current and unrestricted Licensed Practical Nurse licensure in the state of practice, current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. Candidates must be able to function in any home situation regardless of client demographics.
I O Engineering Consultant (SCCM / ConfigMgr) at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Microsoft 365, Sccm, Configmgr, Microsoft Entra Id, Conditional Access, Mfa, Powershell Scripting, Graph Api, Exchange, Sharepoint, Itil Incident Management, Capacity Planning, Security Standards, Identity Design, Architectural Reviews, Root Cause Analysis
Specialization
Candidates must possess a Bachelor’s degree in a related technical field and have over 5 years of experience supporting Microsoft 365, Exchange, and SharePoint environments at an enterprise level. Advanced hands-on experience with PowerShell scripting, automation, and proven expertise in ITIL incident management processes are required.
Experience Required
Minimum 5 year(s)
Risk and Threat Vulnerability Management - TVM - Analyst at UnitedHealth Group Canada
Cebu City, Central Visayas, Philippines - Full Time
Skills Needed
Vulnerability Management, Threat Modeling, Remediation Tracking, Rapid7, Tenable.Io, Nessus, Security Center, Tanium, Nmap, Grc Platform, It Audit, Iso 27001, Nist 800 53, Risk Register Management, Control Testing, Vendor Risk Management
Specialization
Candidates must possess over 5 years of technical experience in Information Security, GRC platform implementation/migration, and IT Audit experience managing assessments independently. A solid understanding of ISO 27001, core security concepts, NIST 800-53, and hands-on experience with vulnerability management tools are required.
Experience Required
Minimum 5 year(s)
Lead AI/ML Engineer - Minnetonka, MN at UnitedHealth Group Canada
Minnetonka, Minnesota, United States - Full Time
Skills Needed
Machine Learning, Generative Ai, Databricks, Custom Embeddings, Rag Pipelines, Vector Databases, Langchain, Agentic Workflows, Claims Payment Integrity, Model Development, Ci/Cd, Azure Cloud, Spark, Python, Scala, Sql
Specialization
Candidates must possess a Bachelor's or Master's degree in a relevant field along with significant experience, including 12+ years in ML model development and 10+ years with CI/CD tools like Git and Terraform. Specific expertise is required in LLM/GenAI areas such as custom embeddings, RAG pipelines, Vector DBs, and LangChain, alongside 8+ years of experience with Azure cloud services.
Experience Required
Minimum 10 year(s)
LPN Pediatric Home Care Night Shifts - Mandeville at UnitedHealth Group Canada
Mandeville, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Infection Control, Electronic Medical Record Documentation, Care Coordination, Communication, Writing, Organizational Skills, Independent Work
Specialization
Required qualifications include a current and unrestricted Licensed Practical Nurse licensure in the state of practice (LA), current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. A minimum of one year of experience working as an LPN is required.
LPN Peds Home Care Nights and Weekends - Abbeville at UnitedHealth Group Canada
Abbeville, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Documentation, Infection Control, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Required qualifications include a current and unrestricted Licensed Practical Nurse licensure in the state of practice, current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. Candidates must be able to function in any home situation regardless of client characteristics.
LPN Pediatric Home Care Night Shifts - Stonewall at UnitedHealth Group Canada
Minden, Louisiana, United States - Full Time
Skills Needed
Licensed Practical Nurse Licensure, Cpr Certification, Patient Care, Clinical Services, Documentation, Electronic Medical Record, Care Coordination, Communication, Organizational Skills, Independent Work
Specialization
Applicants must possess a current and unrestricted Licensed Practical Nurse (LPN) license in the state of practice (LA required), current CPR certification, and access to a dependable vehicle with a valid driver's license and insurance. A minimum of one year of experience working as an LPN is required.
RN Pediatric Home Care Nights - Lafayette at UnitedHealth Group Canada
Lafayette, Louisiana, United States - Full Time
Skills Needed
Registered Nurse Licensure, Cpr Certification, Clinical Nursing Assessments, Plan Of Care Development, Infection Control, Patient Care Coordination, Communication, Writing, Organizational Skills
Specialization
Required qualifications include current and unrestricted RN licensure in the state of practice and current CPR certification, along with access to a dependable vehicle. Preferred qualifications include 1+ years of RN experience and pediatric experience.