Opportunities with Optum Behavioral Care Opportunities with Optum Behavioral Care are focused on improving millions of lives through technology-enabled behavioral health care. Start a rewarding career where we strive to provide simple access to various behavioral
Senior Claims Representative - REMOTE The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense
Senior Pharmacy PA/Appeals Technician 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
Location: Fully Remote Schedule: Flexible Compensation: Up to $85 per hour Job Type: Full-time, Part-time About the Role We’re looking for entrepreneurial, empathetic Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within Medicare
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation