by Ronald Barron | May 5, 2023 | Uncategorized
Job Description
Title: Senior Project Manager I – Remote
Location: Eden Prairie MN; US
Job Category: Project Management
Job Type: Full-time
Travel Percentage: -1
Job Description:
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.
On the one hand, no industry is moving faster than health care. On the other, no organization is better positioned to lead health care forward than Optum and UnitedHealth Group. That’s what makes this opportunity so applause worthy. We have hundreds of business verticals across our matrixed organizations that are bringing thousands of new ideas, services and products to the marketplace every year. Our goal is simple. Use data and technology to help drive change and make the health care system work better for everyone. When you join us as a Project Manager, you’ll be engaged in a complex business model that is highly adaptable to build solutions that meet their customer needs in a competitive and effective way.
In this role, the Project Manager, Consumer Office Data and Analytics, is accountable for all digital activities ensuring smooth roll-out, operational readiness, and maintenance of solutions produced by the digital releases happening across the organization. The main purpose of this role will be to prevent operational risks or failed internal processes, people and systems as a result of the digital releases. Furthermore, the Digital Analytics Project Manager will work across multiple operations and will be responsible for the day-to-day delivery of projects and ongoing digital release activities, helping our operations to achieve readiness success.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- End-to-end project management, including but not limited to scope definition, budget management, risk identification, as well as leveraging Waterfall, Agile, Scrum methodologies for resource allocation and capacity management
- Assist with strategic digital analytics initiatives crossing multiple business teams and operating groups to coordinate and complete projects spanning from websites, applications, and mobile platforms
- Ensure project documentation is accurate and complete, communications on project status are timely, risks and issues are identified and proactively escalated to the appropriate stakeholders
- Ensures projects are completed on time and within scope by supporting the Digital Analytics team members to be accountable for their tasks within the project plan timeframe
- Ability to support the team in prioritization of workload is essential, including time management of multiple cross-functional teams’ iterations simultaneously
- Facilitate effective meetings documenting key findings and clear next steps
- Efficient communication between all project stakeholders, including internal teams and operations
- Able to work cross-functionally within the organization based on projects needs to support the Digital Analytics team OKRs
- Build presentations to management on project updates, project cycle, and expected results
- Ensures projects are completed on time and in scope
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:
- Undergraduate degree or equivalent years of work experience
- 4+ years of digital experience
- 4+ years of experience
- Knowledgeable about the Product/Software Development Lifecyle (PDLC, SDLC)
- Proficiency with MS Project, MS Excel, MS Power Automate, MS Power Apps, CA Agile or JIRA
Preferred Qualifications:
- PMP certification
- Experience managing projects using Waterfall and Agile methodologies
- Experience with healthcare
- Demonstrated ability to manage multiple projects and multitask under pressure
- Demonstrated ability to work in a fast-paced environment and adapt to ever changing priorities
- Demonstrate problem-solving and strong analytical skills
- Proven self-motivated, able to work in a team, and demonstrates the ability to work independently
- Proven passion for and commitment to a consumer and client driven culture
California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
APPLY HERE
by Ronald Barron | May 4, 2023 | Uncategorized
Job Description
Partner Enablement Web Developer (Remote/Anywhere)
UK /
COLLABORA PRODUCTIVITY /
FULL-TIME
/ REMOTE
Collabora Productivity Ltd. is a software company specialising in bringing the innovation created in Open Source projects such as LibreOffice to the market, along with services, long term support and software consultancy. We combine years of open source software leadership with an understanding of the challenges that businesses, non-profits, and governments face.
Collabora Productivity brings deep technical expertise around the Office space, from our preferred Open Document format to many other, including legacy, document formats such as OpenXML and Microsoft binary formats, using modern technologies.
We are looking for a talented Engineer, a hacker, who can get involved in a diverse set of Partners’ products and development improved COOL integration there.
Key Responsibilities
-
- Building technical engagement in partner relationships, including:
- bonding with their development teams
- integrating existing Collabora Online integration features into Partners’ products
- communicating around timelines and tickets
- occasional responsibility for helping partners solve technical issues, including connecting Partner’s staff to the right internal resources
Technical Skills
- Excellent Communication Skills
- Deep Linux Administration Skills
- Wide but not extremely deep experience of multiple Web platforms from PHP, React, golang, Java, NodeJS – to enable extending and creating existing integrations around our embedded iframe: WOPI-like REST API implementation, PostMessages etc.
- Docker experience a bonus
- Kubernetes experience a bonus
Commercial Skills
- Understanding client needs and reconciling time constraints, available technologies and resources and open source best practices
- Occasional Sales-engineering work to support sales and marketing
- Occasional Account management work required for new partners and customers
- Ability to work in a global context with clients and engineers spanning continents
- Applicants must be available to work in European business hours
APPLY HERE
by Ronald Barron | May 4, 2023 | Uncategorized
Job Description
Medical Review Coding QA Auditor (Outpatient)
Job Code:2023-53-R-014
Location:United States – Remote
Status:Regular Full Time
Pay Range:70550.00-95450.00
Responsibilities:
The Medical Review Coding QA Auditor (Outpatient) is responsible for conducting Quality Assurance (“QA”) reviews of medical review audit work completed by the medical review coding audit team members to ensure the accuracy of claim findings and applicable documentation for our clients. Communicates and supports the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools. Responsible for performing some audit activity and consistently achieves or exceeds productivity goals and quality standards. Serves as subject matter expert, provides supplemental escalation support, and may perform special project activity as needed.
Duties
- Performs limited volume of outpatient coding reviews on medical records to maintain subject matter expertise, and additionally as needed to support business needs.
- Conducts quality assurance reviews on medical review audit work completed by the medical review coding audit team members, maintaining productivity and quality standards as defined by department policy.
- Objectively and accurately documents quality review results in accordance with department quality policies and procedures, scoring and reporting all QA results in an approved QA tracking system and routes record appropriately within audit platform based upon how QA review resulted in concurrence with audit finding or identified corrections required.
- Reviews audit documentation and conducts research, analyzes claims data, applies knowledge of client SOW, applicable concept guidelines, policies, and regulations as necessary to determine if audit result is accurate and includes complete details to support findings.
- Provides correction to narrative rationale to correspond with audit determination and flags patterns of concern to audit leadership for real-time intervention, preventing an accumulation of improper findings
- Contributes to the continuous improvement feedback process and suggests or makes any edits, documentation, next steps, and reporting as may be necessary in accordance with department process and audit leadership direction.
- May support findings during the appeals process, if needed.
- May perform primary audit activity as assigned by management
- Monitors, tracks, and reports on all work conducted in accordance with QA process and management direction.
- May prepare QA reports for management that includes a variety of data and trends at the individual, department, and client program level, as well as date range or concept based/trended, or other characteristic that will provide valuable business insights.
- Consults with internal resources as necessary.
- Become subject matter expert for assigned business segment(s).
- Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation, and business trends.
- Participates in and contributes to applicable department meetings.
- Successfully completes, retains, applies, and adheres to content in required training as assigned that includes but not limited to information security, anti-harassment and other compliance and policy/procedures training applicable for position.
- Proactively contributes to continuous improvement of activities and sets positive example
- Contributes collaboratively to identifying opportunities for improvement of audit results and continuous improvement initiatives.
- May support training material/tools and best practices development.
- May identify/make recommendations to management for supplemental team/concept type training.
- May support training activities for new audit staff or provide supplemental training for existing staff as needed.
- Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results.
- Receives feedback and adjusts work priority as necessary.
- Serves as positive role model and example for other audit staff and conducts work in accordance with company policies, government regulations and law.
- Performs job duties with high level of professionalism and maintains confidentiality
- Perform other incidental and related duties as required and assigned to meet business needs.
*Note – All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.
Required Skills and Knowledge:
- Demonstrated ability to perform claim payment audits with high quality and production results, as well as successful application of skills to conduct quality assurance review of audit work completed by others.
- Must be able to manage multiple assignments effectively, create documentation outlining findings, QA review results and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members.
- Thorough working knowledge of CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding.
- Proficiency with MCS 1500/UB 04 forms
- Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules and regulations.
- Working knowledge of encoder
- Proven ability to review, analyze, and research coding issues
- Reimbursement policy and/or claims software analyst experience
- Familiarity with interpreting electronic medical records (EHR)
- Basic understanding of accounting principles for accounts payable and receivable as it relates to medical billi ng.
- Independent, out-of-the-box thinker; Performs successfully against work given in the form of objectives and projects; leads by example.
- Understands processes, procedures, and workflow; and demonstrated ability to identify areas of opportunity
- Demonstrated ability to consistently apply sound judgment and good effective decision making.
- Understands Medical Review Audit and Quality Assurance objectives, activities, and key drivers in achieving operational goals.
- Ability to efficiently and effectively run reports, analyze information, identify meaningful trends, and identify potential solutions.
- Strong communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external.
- Demonstrated ability to collaborate effectively in a variety of settings and topics.
- Excellent editing and proofreading skills.
- Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively.
- Excellent time management and delivers results balancing multiple priorities.
- Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data.
- Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues.
- Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures.
- Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions.
- Ability to create documentation outlining findings and/or documenting suggestions.
- Strong general computer skills, including, but not limited to Desktop and MS Office applications (Intermediate Excel Skills), application reporting tools, and case management system/tools to review and document findings.
- Solid technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools.
- Ability to be flexible and thrive in a high pace environment with changing priorities.
- Adaptable to applying skills to diverse operational activities to support business needs.
- Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives.
- Serves as a positive role model; and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams.
- Capability of working in a fast-paced environment, flexibility with assignments and the ability to adapt in a changing environment
- Ability to obtain and maintain client required clearances, if applicable, as well as pass company regular background and/or drug screening.
Additional Requirements:
- Ability to obtain and maintain client required clearancesas well as pass company regular background and/or drug screening.
- Completion of Teleworker Agreement upon hire, andadherence to the Agreement (and related policies and procedures) including, butnot limited to: able to navigate computer and phone systems as a user to workremote independently using on-line resources, must have high-speed internetconnectivity, appropriate workspace able to be compliant with HIPAA, safety& ergonomics, confidentiality, and dedicated work focus without distractionsduring work hours.
Physical Requirements:
**NOTE: Must be able to meet requirements for andperform work assignments in accordance with Company policies and expectationson a home remote basis (and must meet Performant remote-worker requirements)until at which time staff may be notified and required to work from aPerformant office location on an ad-hoc or periodic basis.
- Basic office equipment required to perform remote workis provided by the company.
- Job is performed in a standard busy office environmentwith moderate noise level (or may be home-office setting subject to Companyapproval and Teleworker Agreement), sits at a desk during scheduled shift, usesoffice phone or headset provided by the Company for calls, making outboundcalls and answering inbound return calls using an office phone system; views acomputer monitor, types on a keyboard, and uses a mouse.
- Reads and comprehends information in electronic(computer) or paper form (written/printed).
- Sit/stand 8 or more hours per day; has the option tostand as needed while on calls; reach as needed to use office equipment.
- Consistently viewing a computer screen and typesfrequently, but not constantly, using a keyboard to update accounts.
- Consistently communicates on the phone as requiredprimarily within the department and company and may include client contacts orother third-party depending on assignment with account holders, may dialmanually when need or use dialer system; headset is also provided.
- Occasionally lift/carry/push/pull up to 10lbs.
Education and Experience:
- Current certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
- Not currently sanctioned or excluded from the Medicare program by OIG
- 3+ years of direct experience in medical chart review for all provider/claim types for outpatient
- 5+ years relevant auditing experience in a provider or payer environment demonstrating breadth and depth of knowledge/skills for the position. (less than 5 yrs. may be considered for internal candidates based upon demonstrated skills and results).
- Prior experience in role with responsibility for conducting primary audit, utilization or prior-authorization work, or quality review of audit work performed by others (QA function, appeals function, lead, supervisory role, etc.)
- Prior experience in payer edit development and/or reimbursement policy a plus.
- Prior experience working in remote setting preferred.
Other Requirements:
Performant is a Government contractor and subject tocompliance with client contractual and regulatory requirements, including butnot limited to, Drug Free Workplace, background requirements, and clearances(as applicable).
- Must submit to and pass pre-hire background check, aswell as additional checks throughout employment.
- Must be able to pass a criminal background check; mustnot have any felony convictions or specific misdemeanors, nor on state/federaldebarment or exclusion lists.
- Must submit to and pass drug screen pre-employment (andthroughout employment).
- Performant is a government contractor. Certain clientassignments for this position requires submission to and successful outcome ofadditional background and/or clearances throughout employment with the Company.
APPLY HERE
by Ronald Barron | May 4, 2023 | Uncategorized
Job Description
Implementation Engineer
REMOTE /
PROFESSIONAL SERVICES – PROFESSIONAL SERVICES /
FULL TIME
/ REMOTE
Founded in 2012, EasyPost is a YC unicorn whose mission is to make shipping simple for businesses, from garage startups to the Fortune 500. Shipping, now more than ever, is the backbone of the global economy, but integrating the technology-enabled operations of a modern business with the low-tech and complex shipping industry has always been a challenge. EasyPost solves this problem with the first developer-friendly REST API for shipping, and we continue to push boundaries and discover new ways to simplify shipping for all. Our team is rapidly growing, and this is the perfect time to get on board. Join us, and help build the shipping infrastructure of the future.
About the role:
We seek an energetic, can-do engineer who understands happy customers are the key to our long-term success. While using your engineering knowledge to design, build, and implement unique supply chain and ecommerce solutions, you will be responsible for interacting, assisting, and training new, existing, and prospective customers in the use or our software.
Additionally, the applicant will support our sales staff in sales engineering situations, including product demonstrations and PowerPoint presentations at tradeshows, customer locations or via webinars. Responsibilities may also include creation of technical notes, support videos, and product FAQ’s. New Grads are welcome to apply.
What you will do:
- Manage implementation projects and delivering on project timeline and scope of work.
- Analyze customer systems and IT landscapes to determine best implementation approach.
- Install company software suite at customer sites.
- Design, build, and configure solutions to ensure software meets customer’s business needs and follow best practices, standards, and documentation.
- Work closely with customer on functional and user acceptance testing. -Coordinate with customer to resolving technical issues.
- Communicate with customer on managing changing project priorities.
- Provide customer training and technical support.
- Perform software upgrades and configuration changes.
About you:
- Software Engineering concepts and troubleshooting skills.
- Experience with Java, Javascript, C, C#, or Python.
- Working knowledge of HTML, XML, JSON, and SQL.
- Working knowledge of Windows, UNIX, or LINUX.
- Ability to troubleshoot network and printing issues.
- Experience in Supply chain, logistics, warehouse, shipping, or transportation management is a bonus.
- The applicant must have good writing and communication skills as the position requires frequent interactions with customers, reseller partners and prospects.
- A college degree in a technical discipline is a requirement. Computer Science, Mathematics or Engineering is preferred.
What We Offer:
- Comprehensive medical, dental, vision, and life insurance
- Competitive compensation package and equity
- 401(k) match
- Monthly work from home stipend of $50 net
- Flexible work schedule and paid time off
- Collaborative culture with a supportive team
- A great place to work with unlimited growth opportunities
- The opportunity to make massive contributions at a hyper-growth company
- Make an impact on a product helping ship millions of packages per day
APPLY HERE
by Ronald Barron | May 4, 2023 | Uncategorized
Job Description
Title: Manager, Operations & Strategy
Location: Remote
About AbleTo
Join our mission-driven organization, where your work matters and a diversity of ideas and backgrounds are welcomed. AbleTo is the leading provider of high quality, technology-enabled behavioral health care. We believe that everyone deserves access to high-quality care and offer a suite of technology-enabled services to empower people to lead better lives through better mental health. A proprietary platform connects individuals with AbleTo highly trained licensed providers who deliver weekly sessions by phone or video supported by an integrated digital experience. Members also have access to mental health coaches, and digital support programs. Our outcomes-focused approach is proven to improve both behavioral and physical health and lower medical costs.
Overview
AbleTo is hiring a Manager to the Operational Excellence team to support the scaling of our business. Reporting to the Director, Operations & Strategy, you’ll lead key strategic cross-functional projects critical to AbleTo’s growth. You will scope, design, and implement process improvements with guidance from the Director and other department leads, as well as analyze opportunities for further improvement of company performance. Projects span the entire company, touching on topics from the provider experience to member engagement to operations efficiency. You will be joining a trusted, tight-knit team with direct access to the C-suite, SVPs and VPs across AbleTo.
What You’ll Do:
- Lead distinct strategic cross-functional projects by owning the project scope, driving a fast-paced timeline, and managing stakeholder relationships
- Design sustainable solutions for complex operational problems with a clear implementation plan and expected results
- Present findings and recommendations to key stakeholders, supporting the change management process across various levels of the organization
- Develop a deep understanding of the payor-provider model and how an innovative healthcare tech company pulls strategic levers to scale operations
- Build strong relationships with individuals at all levels within AbleTo and support change management
- As needed, support other strategic activities or ad hoc analyses
Who You Are:
- Bachelor’s degree in Business, Economics, or other related field with quantitative training
- 2-4 years in management consulting, business operations, investment banking, or data analytics
- Acute business sense; ability to quantify in dollars and bring structure to complex, ambiguous problems and design sustainable solutions
- Strong organizational and project management skills to successfully prioritize responsibilities for multiple projects, with effective and timely follow-up
- Strong analytical skill set and comfort navigating complex or incomplete data; proficiency in Excel required
- Track record of collaboration and building trust across various levels/functions of an organization
- A self-starting and proactive work style, including the ability to take ownership in a fast-paced environment
- A natural curiosity and ability to quickly learn new business processes
- A genuine desire to serve others and improve mental healthcare
- Healthcare experience preferred
Why You Should Join Our Team:
We’re proud to be a Great Place to Work-Certified company. We want you to show up and feel your best at work, and that means respecting your time outside of work. Our inclusive, flexible workspace prioritizes a work/life balance. We offer competitive salaries, comprehensive health benefits (for full-time employees), and professional perks such as 401K matching, fully funded HRA, and generous time off, including mental health days because your well-being is important to us.
At AbleTo, we’re empowering people to get better and stay better. Want to join us? Take the next step in your career by applying for this role today.
The salary range is $60,000 to $110,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, AbleTo offers benefits such as a comprehensive benefits package, incentive and recognition programs, and 401k contribution (all benefits are subject to eligibility requirements).
APPLY HERE
