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Centene Part Time Jobs

- 37 Jobs
  • Professional Driver / Health Event Assistant - PT 24 hours - Evernorth - St Thomas USVI

    The Cigna Group 4.6company rating

    Remote

    **_Professional_** **_Drivers/Health Event Assistant - Part time 24 hours/week -_** **_Evernorth Workplace Care_** **_* Must currently reside in St Thomas - US Virgin Islands *_** **Duties and Responsibilities** + Operate the Company vehicle to transport Evernorth Health Coaches to and from destinations in St. Thomas + Report 20 min early to shift to ensure the vehicle is prepped + Arrive at Evernorth office and field destinations on schedule + Research and plan for traffic, construction, and weather delays + Use navigation applications to determine the best route + Maintains a safe driving and working environment, including PPE (Personal Protective Equipment) + Maintain a clean vehicle, including clean and refill water container at all times + Follow all company policies, procedures, dress code, and management direction, including privacy/confidentiality, and all fleet and safety policies + Perform daily check of vehicles to ensure safe operating conditions + Know how to and ability to change a tire, jump a battery and carry jumper cables + Ensure all maintenance services are completed as scheduled (including oil change, gas, emergency service, etc.) + Coordinate mobile detailing schedule and take the vehicle to get cleaned when not in use (inside and out) + Fulfill administrative needs and maintain all service records + Assists with set up and break down at each site and office + Ensure everything is shut off at end of shift: lights, A/C, generator (if applicable), etc. + Assist with flow and organization at the field/site events to ensure successful operations + Submit all expense reports in a timely manner (within 30 days) + Must possess superior interpersonal skills necessary to support excellent customer service + Ability to work independently with little to no supervision + Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership + Ability to complete special projects or other duties as assigned **Qualifications:** + Must have a valid driver's license with no moving violations + Minimum 5 years of driving experience + High school graduate or GED + Ability to load, move, and lift heavy objects (including bending and frequent lifting of 50 to 75 pounds) + Ability to perform basic computer tasks; Microsoft Outlook, WebEx and data entry functions + Ability to work a flexible schedule including weekends and/or evenings as needed + Excellent communication and decision-making skills + Outgoing personality + Must be reliable and professional Must be a current resident of the USVI and understand the culture and islands. This role is part time 24 hours a week with the potential to move to full time in the future, based on business need. This role is based in St Thomas USVI If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $34k-56k yearly est. 60d+ ago
  • Medicare Sales Agent - Hybrid in Colorado Springs, CO

    Unitedhealth Group Inc. 4.6company rating

    Colorado Springs, CO Jobs

    Up to $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Guaranteed base pay + monthly sales incentive earning potential Realistic Job Preview video 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. We are growing our team in Colorado Springs, CO and have multiple Medicare Sales Agent openings available now. In this inbound call role, you will receive a competitive base salary, and bonuses based on your sales performance. You will consult customers on their insurance needs and match the correct coverages, products, and benefits. Our training classes not only prepare you for your role, but we will pay for and provide support for you to obtain the required state insurance licenses. No license is required prior to starting in the role. During training, all new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency of the material. If you reside near Colorado Springs, CO you will enjoy the flexibility of a hybrid-remote* role as you take on some tough challenges. Work Schedule: * Operating hours: Monday - Friday 7:00AM - 9:30PM local time; your shift will be provided during training with rotational weekend work * Full time position with flexibility desired based on the seasonality of our business Work Location: * Fast forward your success by participating in our onsite training program in a standard day shift for 6 - 10 weeks * This position offers hybrid work models after the successful completion of training and on the job nesting period. Once completed, employees will enjoy the opportunity to work from home up to 3 business day per week Primary Responsibilities: * Answer incoming phone calls from prospective members, identify the type of assistance and information the customer needs with the goal to convert caller to a qualified lead and sale * Follow up with members on questions or to review current or new products and services * Navigate multiple computer systems to document member information while maintaining active listening and engagement with member * Demonstrate knowledge of the product portfolio by addressing needs of members, explaining the differences between products, and assisting selection of product to best meet their needs * Assist in completion of the enrollment application over the phone, staying consistent with product requirements and enrollment guidelines * Meet the goals established for the position in the areas of performance, attendance, and consumer experience * Meet and maintain requirements for agent licensure, appointments, and annual product certification Compensation & Benefits: * As a licensed agent, your total compensation is determined by your ability to sell and deliver a great customer experience * Compensation = Base pay + monthly sales incentive * Average annual earnings $50K - $65K through a combination of base plus sales commissions * Top performers can earn $80K (+) * Sign-on bonus of up to $3,000 for external candidates * 15 days accrued Paid Time Off during first year of employment plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * Fun and competitive work environment focused both on teamwork and individual success! * More information can be downloaded at: ************************* 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 (or higher) OR 4+ years of customer service/sales experience * Within 30 days, must obtain all appropriate state insurance licenses (may be completed during training) * Ability to work regularly scheduled shifts, including the training period, with the flexibility to adjust daily schedule and work over-time and/or weekends as needed * Must live in commutable distance to our Colorado Springs, CO office Preferred Qualifications: * Previous sales experience * Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications * Flexibility to customize approach to meet all types of caller communication styles and personalities * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. The salary range for this role is $16.00 to $24.04 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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 #YELLOW
    $50k-65k yearly 15d ago
  • SDS/Observations Medical Coder - National Remote

    Unitedhealth Group Inc. 4.6company rating

    Plymouth, MN Jobs

    $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Ambulatory Observations (SDS) Certified Medical Coder position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday - Saturday or Sunday - Thursday (1 weekend day is required). It may be necessary, given the business need to work occasional weekends and overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility * Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits * Understand the Medicare Ambulatory Payment Classification (APC) codes * Abstract additional data elements during the chart review process when coding, as needed * Adhere to the ethical standards of coding as established by AAPC and/or AHIMA * Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 * Provide documentation feedback to providers, as needed and query physicians when appropriate * Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others * Participate in coding department meetings and educational events * Review and maintain a record of charts coded, held and/or missing * Additional responsibilities as identified by manager 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 (or higher) * Current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H) * 2+ years of outpatient facility coding experience * 2+ years of experience working with Same Day Surgery Coding * 2+ years of ICD-10 experience * Intermediate level of proficiency with Windows environment including MS Excel and EMR systems Telecommuting Requirements: * Access to a dedicated work area established that is separated from other living areas and provides information privacy * Ability to keep all company sensitive documents secure (if applicable) * Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN
    $19.9-38.9 hourly 43d ago
  • Medical Director -Pediatric Cardiology

    The Cigna Group 4.6company rating

    Bloomfield, CT Jobs

    Medical Director - Pediatric Cardiologist- Evicore- Remote **We have both full-time and part-time opportunities available.** Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Cardiologist Medical Director at Evicore part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. This role offers you the opportunity to build new skills while enhancing the health and vitality of others. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team. **How you'll make a difference:** + You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success. + Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on evi Core's case management software. + Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment. + Leverage your clinical expertise to recommend alternative services or treatments as necessary. + Work collaboratively with over 500 evi Core physician colleagues to help ensure patients receive proper care via evidence-based decision making. **What you'll enjoy about working here:** + Benefits start on day one + Predictable work schedules + 100% work from home + 8 Paid Holidays + 23 PTO Days + 401(K) with company match + Reimbursement for continuing medical education + Career growth opportunities across the enterprise + Networking with peers across multiple medical specialties **Requirements:** + M.D. or D.O. with a current, active, U.S. state medical license and board certified in Pediatric Cardiology recognized by the American Board of Medical Specialties, or American Osteopathic Association + Eligible to acquire additional state licensure as required + 5 years of relevant clinical experience post residency/fellowship + Knowledge of applicable state federal laws + Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus + Ability to commit to a set, weekly work schedule (Monday through Friday) + Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems + Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time + In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,200 - 338,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._
    $204k-286k yearly est. 60d+ ago
  • Professional Driver Part time 24 hours / Health Fair Attendant - Evernorth - Miami FL

    Cigna 4.6company rating

    Miami, FL Jobs

    Professional Driver/Health Event Assistant - Part time 24 hours/week - Evernorth Workplace Care * Must currently reside in Miami-Dade County and be familiar with the area * Duties and Responsibilities * Operate the Company vehicle to transport Evernorth Health Coaches to and from destinations in Miami Dade County * Report 20 min early to shift to ensure the vehicle is prepped * Arrive at Evernorth office and field destinations on schedule * Research and plan for traffic, construction, and weather delays * Use navigation applications to determine the best route * Maintains a safe driving and working environment, including PPE (Personal Protective Equipment) * Maintain a clean vehicle, including clean and refill water container at all times * Follow all company policies, procedures, dress code, and management direction, including privacy/confidentiality, and all fleet and safety policies * Perform daily check of vehicles to ensure safe operating conditions * Know how to and ability to change a tire, jump a battery and carry jumper cables * Ensure all maintenance services are completed as scheduled (including oil change, gas, emergency service, etc.) * Coordinate mobile detailing schedule and take the vehicle to get cleaned when not in use (inside and out) * Fulfill administrative needs and maintain all service records * Assists with set up and break down at each site and office * Ensure everything is shut off at end of shift: lights, A/C, generator (if applicable), etc. * Assist with flow and organization at the field/site events to ensure successful operations * Submit all expense reports in a timely manner (within 30 days) * Must possess superior interpersonal skills necessary to support excellent customer service * Ability to work independently with little to no supervision * Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership * Ability to complete special projects or other duties as assigned Qualifications: * Must have a valid driver's license with no moving violations * Minimum 5 years of driving experience * High school graduate or GED * Ability to load, move, and lift heavy objects (including bending and frequent lifting of 50 to 75 pounds) * Ability to perform basic computer tasks; Microsoft Outlook, WebEx and data entry functions * Ability to work a flexible schedule including weekends and/or evenings as needed * Excellent communication and decision-making skills * Outgoing personality * Must be reliable and professional Must be a current resident of greater Miami FL. This role is part time 24 hours a week with the potential to move to full time in the future, based on business need. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $39k-51k yearly est. 60d+ ago
  • Onsite Health Coach - Per Diem - Evernorth - Downtown Miami FL

    Cigna 4.6company rating

    Miami, FL Jobs

    Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: • Provide onsite face-to-face customer coaching and support • Identify customer health education needs through targeted health assessment activities. • Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. • Empower customers to become an active participant in their own health outcomes. • Assist Customer in overcoming barriers to better health • Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. • May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. • Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. • Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications : • Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion • Bachelor's degree in a health-related field. Master's degree preferred. • Registered Dietitian licensed in respective state is preferred • CPR/BLS certification through the American Red Cross or American Heart Association is required. • High energy level, with dynamic presentation skills is required. • Positive role model in demonstrating healthy behaviors • Passion for health improvement • Ability to work independently • Customer-centric focus • Ability to proactively collaborate professionally with the client and other matrix partners. • Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. • Proven administrative abilities, with strong computer and software application skills. • Bilingual Spanish is preferred Bonus points for : • CHES (Certified Health Education Specialist) • Motivational interviewing training/experience. • Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $28k-35k yearly est. 9d ago
  • Part Time Fulfillment Staff Pharmacist - Express Scripts

    Cigna 4.6company rating

    Orlando, FL Jobs

    This is a part time position. Schedule will be Monday, Thursday, Friday from 11:30 - 8. Interprets physicians' prescriptions and compounds and dispenses medications within regulatory guidelines. Consults with customers regarding use of medications and potential drug interactions. Counsels' customers and handles complex problem resolution. Requires a RPh license What you will do * Provide oversight and direction to pharmacists and pharmacy technicians * Oversee team workflow processes, maximizing productivity and time efficiency * Interpret physicians' or prescribers' prescriptions * Verify prescription information entered in the system by data entry or order entry * Maintain quality assurance / quality control documentation * Provide initial and on-going training and support to pharmacists and technicians * Engage in production planning, KPI monitoring, internal and external team meetings * Provide audit and inspection support including preparation and follow up * Assist with Fulfillment leadership development programs * Serve as a staff level model for Cigna values and behaviors. * Additional duties as assigned. Qualifications * Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm.D, degree is required * Current Florida resident pharmacist license in good standing is required * Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues * Good oral and written communication skills * Ability to adapt in a changing environment * Ability to stand for extended periods of time * Ability to work a flexible schedule for peak volume times If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $94k-117k yearly est. 12d ago
  • Quality Compliance Professional

    Humana 4.8company rating

    Columbus, OH Jobs

    **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking Quality Compliance Professionals (VSP) who participate in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. These positions are part of the variable staffing pool (VSP). Variable Staffing Pool Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. This role contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky market quality improvement activities, and understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This includes but is not limited to: + Member outreach calls. + Medical record audits to evaluate provider compliance with clinical practice guidelines, best practices, and regulations in collaboration with internal and external stakeholders. + Provider outreach to close care gaps, audit records to identify improvement opportunities, and abstract data from records to close gaps. + Quality document updates (example: quality improvement program description, work plans, and evaluation). + Quality Improvement Committee meetings. + Completing and updating reports (including State Reports and Kentucky Medicaid Quality Improvement Committee reports). + Multidisciplinary committees, both internal and external. + Strong relationship building skills. + Excellent written and oral communication skills. + Ability to work independently under general supervision, must be self-directed and motivated. **Use your skills to make an impact** **Required Qualifications** + 3+ years of previous experience working with member outreach on quality and performance improvement activities. + 2+ years previous experience in healthcare quality improvement/quality operations. + Knowledge of HEDIS/CMS/Quality. + Experience with healthcare quality measures (example HEDIS, CAHPS). + Comprehensive knowledge of Microsoft Office Word, PowerPoint, intermediate Excel experience (pivot tables/filtering, charts, formulas). **Preferred Qualifications** + Bachelor's degree. + Quality improvement experience with the Medicaid population + Certified Professional in Healthcare Quality (CPHQ). + Previous quality or process improvement experience in a hospital or physician office practice. + Ability to work independently under general instructions, self-directed and motivated. **Additional Information** **Workstyle:** Remote, work at home. **Location:** Kentucky Preferred / Must reside in Eastern Time Zone **Schedule:** 8:00 AM - 4:30 PM eastern standard time zone. **Travel:** Quarterly meeting attendance in Louisville and Provider visits as needed within Kentucky if located within reasonable commute. **Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 0 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $71.1k-97.8k yearly 13d ago
  • Entry Level Remote Agent

    Primerica 4.6company rating

    Chicago, IL Jobs

    Primerica a leading brand in the Financial Services industry, is seeking ambitious individuals from all backgrounds to join our team of professionals. If you have a passion for helping others achieve their financial goals, are a natural networker, enjoy critical thinking, and strive to better your career, then consider joining our winning team of Financial Professionals. NO PREVIOUS EXPERIENCE NECESSARY. WE WILL TRAIN THE RIGHT PERSON. Our mission statement: To help families earn more income and become properly protected, debt-free and financially independent. Our award-winning training led by successful field leaders equips you with the knowledge, skills, and financial strategies you need to be successful and confident in this career no matter your career background or experience level. Uncover your earning potential, build a workday around your lifestyle, and make an impact in your community every day. Develop a client base by growing relationships with your network, establish and maintain strong customer relationships, offering guidance, and providing solutions to help families obtain financial security. This position can be fully remote. Great for the stay-at-home career seeker or someone wanting to work part-time. All required pre-licensing courses & required state licenses are covered by the company. The desired candidate would possess the following skills: You're a self-starter capable of thriving on a team Excellent customer service skills Entrepreneurial Mindset Strong leadership and decision-making skills Ability to develop, manage and drive growth Access to Internet or Wi-Fi connection Requirements: Must be 18+ (This is a FEDERAL requirement) Must pass a background check (No Felonies) Self-Disciplined, Self-Accountability Trustworthy & Honest A certified GO GETTER! What we provide: Training Bonus program Fully paid insurance licensing, SIE, Series 6, Series 63 and more Part-time or Full-time Flex options No Quotas or Caps on Commissions Stock opportunities Residual Income Opportunities - 11 income streams
    $26k-30k yearly est. 60d+ ago
  • Flexible Part Time Nurse Practitioner - Home Based Medical Care - Muscogee County, GA

    Unitedhealth Group Inc. 4.6company rating

    Columbus, GA Jobs

    Providers can work flexible hours between 8AM-8PM, seven days a week $3,500 Sign On Bonus for External Candidates Optum is seeking a Part Time Nurse Practitioner to join our Home-based Medical Care team to see patients for 10 hours per week in Muscogee County, GA. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum. As a member of our Landmark team, you will help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home. At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. Position Highlights & Primary Responsibilities: * Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable * Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter, including visits to address changes in condition * Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization * Consults with Physician Leaders and coordinate with PCP in these decisions as available * Comfortable with basic procedures of episodic nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, basic wound care, etc. New hire and annual skills training provided * Performs post discharge visits to ensure patient stability is consistent with their goals of care * Participates in HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery * Participates in clinical after hours on-call program on rotational basis 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: * Certification through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) * Current, unrestricted NP licensure in State of Practice * Nurse Practitioner must actively hold, unrestricted RN licensure in State of Practice * Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy Preferred Qualifications: * 2+ years of clinical experience, primary care, home-based medical care, geriatrics, palliative care, emergency/urgent care, or similar setting * Proven knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems * Proven knowledge of CPT, ICD-10 and HCPC codes * Proven knowledge of clinical standards of care * Demonstrated awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems Pay Equity language if applicable OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $39k-44k yearly est. 60d+ ago
  • Entry Level-Financial Services

    Primerica 4.6company rating

    Salem, OR Jobs

    Description: We are seeking a motivated and driven remote financial services agent to join our team. As a remote agent, you will be responsible for assessing client financial needs, educating them on our services and recommending appropriate financial products to help them achieve their financial goals. You will work from home, utilizing online tools and communication platforms to connect with clients and provide exceptional service. This is an excellent opportunity for a self-driven individual with a passion for helping clients achieve financial freedom while protecting their assets. NO PREVIOUS EXPERIENCE NECESSARY. WE WILL TRAIN THE RIGHT PERSON. This position can be fully remote. Great for the stay-at-home career seeker or someone wanting to work part-time. All required pre-licensing courses & required state licenses are covered by the company. The desired candidate would possess the following skills: You're a self-starter capable of thriving on a team Excellent customer service skills Entrepreneurial Mindset Strong leadership and decision-making skills Ability to develop, manage and drive growth Access to Internet or Wi-Fi connection Requirements: Must be 18+ (This is a FEDERAL requirement) Must pass a STATE background check (No Felonies) Self-Disciplined, Self-Accountability Trustworthy & Honest A certified GO GETTER! What we provide: Training Bonus program State and Federal Licenses Part-time or Full-time Flex options No Quotas or Caps on Commissions Stock opportunities Residual Income Opportunities - 11 income streams
    $29k-35k yearly est. 60d+ ago
  • Remote Life Insurance Agent - Entry Level

    Primerica 4.6company rating

    Jacksonville, FL Jobs

    ONLINE EXPANSION! We are not just another Financial Services Firm, we are a company that is dedicated to helping licensed agents become a successful Broker! Life Insurance, Investments or Mortgage Loans. If you're not yet licensed, we will help you get those done. We cover the cost of licensure. We will train you from start to finish. We are looking for coachable, team players, with an entrepreneurial mindset and the drive to help others. Part-time or Full-time. About Us: We are a leading financial services firm named as one of FORBES Magazine's Best Insurance Companies. We are dedicated to providing exceptional support and solutions to our clients. Our team is passionate about helping individuals achieve their financial goals, and we're looking for individuals to join us in this mission! Currently, this position is ONLY for U.S. residents Must be able to pass a background check Must be a people-person with excellent communication skills Licensing Overview: This opportunity will begin with the Life Insurance License. That is the only required license. You will have the ability to also obtain the Securities License (SIE, 6, and 63 - among others) and the Mortgage Loan Origination License. We provide comprehensive training and mentorship while obtaining your professional licenses, while showing you how to build a sustainable business. This is a 1099 opportunity, not a W2. Key Responsibilities: Assist clients with inquiries regarding financial products and services Collaborate with senior team members to ensure client satisfaction Maintain accurate records of client interactions and transactions Build and train a team (Training and process provided) Stay updated on industry trends and regulatory changes What we provide: A Competitive Performance-based Compensation Package Zoom Training & Bonus program Ongoing Support System To Ensure Success Marketing Concepts Provided Opportunities for Growth and Advancement Within the Company State of the Art Platform For Business E & O Coverage Included No Quotas This opportunity is ideal for individuals seeking a career shift, additional income, or a leadership role in financial services. Apply now to schedule an interview and learn more about building a career in financial services!
    $29k-42k yearly est. 23d ago
  • Onsite Health Coach - Per Diem - Evernorth - Downtown Miami FL

    Cigna 4.6company rating

    Miami, FL Jobs

    Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: * Provide onsite face-to-face customer coaching and support * Identify customer health education needs through targeted health assessment activities. * Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. * Empower customers to become an active participant in their own health outcomes. * Assist Customer in overcoming barriers to better health * Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. * May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. * Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. * Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications: * Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion * Bachelor's degree in a health-related field. Master's degree preferred. * Registered Dietitian licensed in respective state is preferred * CPR/BLS certification through the American Red Cross or American Heart Association is required. * High energy level, with dynamic presentation skills is required. * Positive role model in demonstrating healthy behaviors * Passion for health improvement * Ability to work independently * Customer-centric focus * Ability to proactively collaborate professionally with the client and other matrix partners. * Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. * Proven administrative abilities, with strong computer and software application skills. * Bilingual Spanish is preferred Bonus points for: * CHES (Certified Health Education Specialist) * Motivational interviewing training/experience. * Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $28k-35k yearly est. 9d ago
  • Senior Inpatient Medical Coder - National Remote

    Unitedhealth Group Inc. 4.6company rating

    Minnetonka, MN Jobs

    $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As a Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. This is a virtual, remote, position that requires candidates to be highly organized, self - starters, well - versed in technical applications. Previous success in a remote environment is preferred. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Schedule: Full - time (40 hours / week and a minimum of at least 1 weekend day). Employees are required to work the weekly schedule and will have the opportunity to choose between Tuesday - Saturday OR Sunday - Thursday OR work both weekend days including the flexibility to work occasional overtime. We offer 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday. Training will be conducted virtually from your home. Primary Responsibilities: * Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility * Abstract additional data elements during the Chart Review process when coding, as needed * Adhere to the ethical standards of coding as established by AAPC and / or AHIMA * Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 * Provide documentation feedback to providers and query physicians when appropriate * Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc * Participate in coding department meetings and educational events * Review and maintain a record of charts coded, held, and / or missing What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* 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 (or higher) * Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually * 3+ years of Acute Care inpatient medical coding experience (hospital, facility, etc.) * 2+ years of ICD - 10 (CM & PCS) and DRG coding experience * Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding * Ability to work the weekly schedule (40 hours / week) with the opportunity to choose between Tuesday - Saturday OR Sunday - Thursday including the flexibility to work occasional overtime and 1 weekend day based on business needs Preferred Qualifications: * 2+ years of outpatient facility coding experience * 2+ years of experience working in a Level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding * Experience with OSHPD reporting * Experience with various encoder systems (eCAC, 3M, EPIC) * Ability to use a personal computer in a Windows environment, including Microsoft Excel (create, edit, save, and send spreadsheets) and EMR systems * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. The salary range for this role is $23.70 to $46.35 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN
    $23.7-46.4 hourly 60d+ ago
  • Quality Compliance Professional

    Humana 4.8company rating

    Richmond, VA Jobs

    **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking Quality Compliance Professionals (VSP) who participate in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. These positions are part of the variable staffing pool (VSP). Variable Staffing Pool Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. This role contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky market quality improvement activities, and understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This includes but is not limited to: + Member outreach calls. + Medical record audits to evaluate provider compliance with clinical practice guidelines, best practices, and regulations in collaboration with internal and external stakeholders. + Provider outreach to close care gaps, audit records to identify improvement opportunities, and abstract data from records to close gaps. + Quality document updates (example: quality improvement program description, work plans, and evaluation). + Quality Improvement Committee meetings. + Completing and updating reports (including State Reports and Kentucky Medicaid Quality Improvement Committee reports). + Multidisciplinary committees, both internal and external. + Strong relationship building skills. + Excellent written and oral communication skills. + Ability to work independently under general supervision, must be self-directed and motivated. **Use your skills to make an impact** **Required Qualifications** + 3+ years of previous experience working with member outreach on quality and performance improvement activities. + 2+ years previous experience in healthcare quality improvement/quality operations. + Knowledge of HEDIS/CMS/Quality. + Experience with healthcare quality measures (example HEDIS, CAHPS). + Comprehensive knowledge of Microsoft Office Word, PowerPoint, intermediate Excel experience (pivot tables/filtering, charts, formulas). **Preferred Qualifications** + Bachelor's degree. + Quality improvement experience with the Medicaid population + Certified Professional in Healthcare Quality (CPHQ). + Previous quality or process improvement experience in a hospital or physician office practice. + Ability to work independently under general instructions, self-directed and motivated. **Additional Information** **Workstyle:** Remote, work at home. **Location:** Kentucky Preferred / Must reside in Eastern Time Zone **Schedule:** 8:00 AM - 4:30 PM eastern standard time zone. **Travel:** Quarterly meeting attendance in Louisville and Provider visits as needed within Kentucky if located within reasonable commute. **Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 0 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $71.1k-97.8k yearly 13d ago
  • Part Time Fulfillment Staff Pharmacist - Express Scripts

    The Cigna Group 4.6company rating

    Orlando, FL Jobs

    This is a part time position. Schedule will be Monday, Thursday, Friday from 11:30 - 8. Interprets physicians' prescriptions and compounds and dispenses medications within regulatory guidelines. Consults with customers regarding use of medications and potential drug interactions. Counsels' customers and handles complex problem resolution. Requires a RPh license What you will do + Provide oversight and direction to pharmacists and pharmacy technicians + Oversee team workflow processes, maximizing productivity and time efficiency + Interpret physicians' or prescribers' prescriptions + Verify prescription information entered in the system by data entry or order entry + Maintain quality assurance / quality control documentation + Provide initial and on-going training and support to pharmacists and technicians + Engage in production planning, KPI monitoring, internal and external team meetings + Provide audit and inspection support including preparation and follow up + Assist with Fulfillment leadership development programs + Serve as a staff level model for Cigna values and behaviors. + Additional duties as assigned. Qualifications + Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or Pharm.D, degree is required + Current Florida resident pharmacist license in good standing is required + Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues + Good oral and written communication skills + Ability to adapt in a changing environment + Ability to stand for extended periods of time + Ability to work a flexible schedule for peak volume times If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $94k-117k yearly est. 60d+ ago
  • Flexible Part Time Nurse Practitioner- Home Based Medical Care - Brunswick County, NC

    Unitedhealth Group 4.6company rating

    Leland, NC Jobs

    **Providers can work flexible hours between 8AM-8PM, seven days a week** **$5,000 Sign-on Bonus for External Candidates** **Optum is seeking a Part Time Nurse Practitioner to join our Home-based Medical Care team to see patients for 10 hours per week in Brunswick County NC. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.** **As a member of our Landmark team, you will help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.** At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** **Position Highlights & Primary Responsibilities:** + Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable + Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter, including visits to address changes in condition + Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization + Consults with Physician Leaders and coordinate with PCP in these decisions as available + Comfortable with basic procedures of episodic nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, basic wound care, etc. New hire and annual skills training provided + Performs post discharge visits to ensure patient stability is consistent with their goals of care + Participates in HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery + Participates in clinical after hours on-call program on rotational basis 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:** + Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC) + Current, unrestricted NP or PA licensure in State of Practice + Nurse Practitioner must actively hold, unrestricted RN licensure in State of Practice + Access to reliable transportation/vehicle driving to patient homes around Brunswick County, you must comply with all the terms of the Optum Motor Vehicle Safety policy **Preferred Qualifications:** + 2+ years of clinical experience, primary care, home-based medical care, geriatrics, palliative care, emergency/urgent care, or similar setting + Proven knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems + Proven knowledge of CPT, ICD-10 and HCPC codes + Proven knowledge of clinical standards of care + Demonstrated awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $39k-43k yearly est. 60d+ ago
  • Remote Life Insurance Agent - Entry Level

    Primerica 4.6company rating

    Jacksonville, FL Jobs

    div class="col col-xs-7 description" id="job-description" pb ONLINE EXPANSION! /bWe are not just another Financial Services Firm, we are a company that is dedicated to helping licensed agents become a successful Broker! strong Life Insurance, Investments or Mortgage Loans/strong. If you're not yet licensed, we will help you get those done. We cover the cost of licensure. We will train you from start to finish. We are looking for coachable, team players, with an entrepreneurial mindset and the drive to help others. Part-time or Full-time.br/bAbout Us:/bbr/We are a leading financial services firm named as one of FORBES Magazine's Best Insurance Companies. We are dedicated to providing exceptional support and solutions to our clients. Our team is passionate about helping individuals achieve their financial goals, and we're looking for individuals to join us in this mission!/pulli Currently, this position is ONLY for U.S. residents/lili Must be able to pass a background check/lili Must be a people-person with excellent communication skills/li/ulb Licensing Overview:/bbr/This opportunity will begin with the Life Insurance License. That is the only required license. You will have the ability to also obtain the Securities License (SIE, 6, and 63 - among others) and the Mortgage Loan Origination License. We provide comprehensive training and mentorship while obtaining your professional licenses, while showing you how to build a sustainable business. br/br/bThis is a 1099 opportunity, not a W2./bbr/br/bKey Responsibilities:/bulli Assist clients with inquiries regarding financial products and services/lili Collaborate with senior team members to ensure client satisfaction/lili Maintain accurate records of client interactions and transactions/lili Build and train a team (Training and process provided)/lili Stay updated on industry trends and regulatory changes/li/ulb What we provide:/bulliA Competitive Performance-based Compensation Package/lili Zoom Training amp; Bonus program/lili Ongoing Support System To Ensure Success/lili Marketing Concepts Provided/lili Opportunities for Growth and Advancement Within the Company/lili State of the Art Platform For Business/liliE amp; O Coverage Included/lili No Quotas/li/ulp This opportunity is ideal for individuals seeking a bcareer shift, additional income, or a leadership role/b in financial services. br/br/bApply now to schedule an interview and learn more about building a career in financial services!/b/p /div
    $29k-42k yearly est. 2d ago
  • Onsite Health Coach - Per Diem - Evernorth - Downtown Miami FL

    The Cigna Group 4.6company rating

    Miami, FL Jobs

    Part time - Per Diem - Onsite Health Coach - Miami FL Bilingual Spanish strongly preferred **Evernorth Workplace Care** offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. **Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.** Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: - Provide onsite face-to-face customer coaching and support - Identify customer health education needs through targeted health assessment activities. - Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. - Empower customers to become an active participant in their own health outcomes. - Assist Customer in overcoming barriers to better health - Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. - May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. - Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. - Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. **Qualifications** : - Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion - Bachelor's degree in a health-related field. Master's degree preferred. - Registered Dietitian licensed in respective state is preferred - CPR/BLS certification through the American Red Cross or American Heart Association is required. - High energy level, with dynamic presentation skills is required. - Positive role model in demonstrating healthy behaviors - Passion for health improvement - Ability to work independently - Customer-centric focus - Ability to proactively collaborate professionally with the client and other matrix partners. - Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. - Proven administrative abilities, with strong computer and software application skills. - Bilingual Spanish is preferred **Bonus points for** : - CHES (Certified Health Education Specialist) - Motivational interviewing training/experience. - Smoking cessation and diabetes experience. This position is based in person, in Miami Florida. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $28k-35k yearly est. 9d ago
  • Entry Level Financial Services

    Primerica 4.6company rating

    Orlando, FL Jobs

    EXCITING NEWS! Our office is now seeking hardworking individuals who are ready to put in the work to achieve their financial freedom! NO PREVIOUS EXPERIENCE NECESSARY. WE WILL TRAIN THE RIGHT PERSON. can be fully remote. Great for the stay-at-home career seeker. All required pre-licensing courses & required state licenses are covered by the company. Company Description: Taking control of your financial future can feel overwhelming. And, if you're like many people, it's hard to even know where to start. When you consider that financial education isn't often taught in schools, it's no wonder so many of us enter adulthood knowing very little about the fundamentals of healthy money management. Our goal is to empower you to make informed financial choices through education and then match you with the right financial solutions - term life insurance, investments, auto & home insurance, and more - that can help you achieve your financial goals. Role Description: This is a part-time remote role for a Entry Level Financial Services(Entry Level). You will be responsible for educating potential clients about financial products and assisting them in choosing the right policies to meet their needs. You will also be responsible for processing applications, collecting premiums, and maintaining customer records. Strong communication and customer service skills are essential in this role. The desired candidate would possess the following skills: Excellent customer service skills Entrepreneurial Mindset Strong leadership and decision-making skills Ability to develop, manage and drive growth Access to Internet or Wi-Fi connection Requirements: Must be 18+ (This is a FEDERAL requirement) Must pass a background check (No Felonies) Self-Disciplined, Self-Accountability Trustworthy & Honest Must be living and authorized to work in the US What we provide: Training Bonus program State and Federal Licenses Part-time or Full-time Flex options No Quotas or Caps on Commissions Stock opportunities Key Responsibilities: 1.Generate New Business: Proactively identify and pursue new business opportunities through networking, and other lead generation methods. 2. Build and Maintain Relationships: Cultivate strong relationships with prospective and existing clients to understand their needs and provide tailored solutions. 3. Product Knowledge: Develop a deep understanding of our products and services to effectively communicate their value proposition to clients. 4. Sales Presentations: Deliver persuasive sales presentations and demonstrations to potential clients, showcasing the benefits and features of our offerings. COMMISSION ONLY!
    $26k-32k yearly est. 60d+ ago

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