Jobs at Optum

Perform in-home long-term care insurance assessments: collect demographics, physician and medication information; complete brief cognitive screening; evaluate ADL/IADL functional independence; document in real time using a point-of-care web application on a laptop or tablet.

As a Medical Assistant, you will provide high-quality patient care, assist medical personnel, document patient information, and maintain patient rooms according to standards.

Lead end-to-end client onboarding and implementation of pharmacy benefit plans. Serve as primary client contact, coordinate cross-functional teams (formulary, specialty, networks), manage risks and audits, present to stakeholders, track and report implementation status, and mentor implementation team members. Travel 20-25%.

Conduct investigations into healthcare fraud, waste, and abuse using claims data and regulatory guidance. Collect evidence, perform interviews/fieldwork, document findings, support legal proceedings, collaborate with state/federal partners, and maintain SIU case records. Ensure regulatory compliance and contribute to settlement negotiations.

Provide ambulatory gastroenterology care on a per-diem basis including evaluation and management of new and established patients, diagnostic screenings, follow-up, and procedures (colonoscopy, endoscopy). Collaborate with primary care and specialists, document care using clinic computers, and use ASC for cancer checks. Schedule includes built-in administrative time and dedicated medical assistant support.

Per diem hospital pharmacist delivering safe, accurate medication services: verifying orders, compounding sterile/non-sterile products, providing clinical pharmacy services, collaborating with care teams, supervising technicians, ensuring regulatory compliance, and supporting pharmacy operations in a 24/7 centralized pharmacy.

Provide dermatology outpatient care including medical diagnosis and treatment of chronic skin diseases and procedures (cryotherapy, skin cancer removals, shave biopsies). See 16–20 patients/day, work independently with support, M–F daytime schedule, no nights/weekends or on-call. Use EMR and participate in clinical partnership and professional development programs.

Provide clinical review and adjudication of appeals and grievances across health plan products, respond to regulatory inquiries, communicate decisions and rationale to medical and network leadership, participate in quality and process improvement initiatives, and contribute clinical strategy on committees and projects.

Remote Medical Director responsible for clinical review and adjudication of appeals and grievances across health plan products, regulatory responses, stakeholder communication, quality improvement, and contributing clinical/strategic input to committees and projects.

Provide direct patient care in a clinical setting: collect vitals and histories, assist with injections, EKGs, phlebotomy, prepare/clean rooms, coordinate care, document in EMR, handle calls and messages.

Manage end-to-end provider credentialing: process applications and re-applications, load and audit provider files in MD Staff and related systems, ensure compliance with NCQA/CMS/state requirements, identify process improvements, and resolve complex credentialing issues.

The Internal Medicine Physician will provide primary care to patients aged 18 and older, manage chronic diseases, conduct wellness checks, and collaborate with a multidisciplinary team while adhering to a quality-focused model of care.

Provide outpatient primary care in a clinic setting: conduct consults, follow-ups, well checks, screenings, and manage primarily adult and senior patients. Work M–F, no weekends or call, with dedicated nursing and medical assistant support and an average daily census of 18–20 patients.

Lead market-level patient experience initiatives across Southern California clinics: manage complaint intake and service recovery, analyze patient metrics (NPS, CAHPS, HOS), design and deliver training, coach leaders, drive process improvements, and engage targeted low-performing sites to implement and sustain measurable improvements.

Provide direct patient care in a clinical setting: take vitals, document EMR, assist with injections, EKGs, phlebotomy, prepare rooms, coordinate care, handle calls and messages per protocols.

Provide patient care under RN/clinician supervision: prepare patients for exams, obtain vitals and records, administer medications and tests, collect and transport specimens, maintain treatment areas and supplies, perform telephone screening, notify pharmacies of prescriptions, and carry out additional operational duties as assigned.

Review clinical documentation to assign appropriate medical codes (diagnosis, procedures, E&M), generate and follow up on queries, perform and respond to coding audits, mentor others, and use Epic/EHR and coding software while applying coding guidelines and compliance to support accurate charge capture and revenue cycle.

Provide remote medical leadership for orthopedic surgical and spinal claims review, including clinical coding review, provider discussions and appeals, staff clinical support, regulatory compliance, and participation in training and coding quality activities.

Handle end-to-end provider claims and provider network support, assist in program design to strengthen provider-plan relationships, support network development and contracting, deliver provider education and training, identify network gaps, and perform related administrative duties to maintain provider networks.

Provide outpatient primary care M-F 8–5 with no call or weekends. Manage consults, follow-ups, well checks, screenings; primarily adult/senior patients. Average 18–20 patients/day with dedicated nursing and MA support and set visit lengths.