Top 334 Application consultant Jobs in Costa Mesa, Ca

Clinical Consultant - Physician Associate - Remote
UnitedHealthcare —Cypress, CA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Outlook
- 5 years
- Pass drug screening
2d
Formulary Consulting Group Lead - Remote
Optum —Irvine, CA
- $112,700 - $193,200 a year
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Travel
Quick Apply
Consultant, Scientific and Laboratory Informatics
Accenture —Irvine, CA
- $59,100 - $205,800 a year
- Full-time
- Computer Science
- Up to 50% travel
- System design
- Paid holidays
- Disability insurance
Educational Consultant
Elite Education USA —Irvine, CA
- Background check
- Sales
- Customer service
Patient Consultant
Bosley Inc —Newport Beach, CA
- $200,000 - $250,000 a year
- Full-time
- Spanish
- Dental office
- Surgery
- Disability insurance
- Health insurance
Quick Apply
18h
Franchise Business Consultant
Pearle Vision OK —Irvine, CA
- $100,871.67 - $161,801.63 a year
- Full-time
- Inventory management
- Mid-level
- Bachelor's degree
- Health insurance
- Paid time off
Horticulture Consultant
Waypoint Analytical, LLC —Anaheim, CA
- $73,000 - $95,000 a year
- Full-time
- Background check
- Spanish
- Customer service
Franchise Business Consultant
Pearle Vision —Irvine, CA
- $100,871.67 - $161,801.63 a year
- Full-time
- Inventory management
- Mid-level
- Bachelor's degree
- Health insurance
- Paid time off
College Consultant
Elite Education USA —Irvine, CA
- Part-time
- Background check
- Bachelor's degree
- Senior level
Small Business Consultant - Marketing
CSU Fullerton Auxiliary Services —Fullerton, CA
- $50 - $55 an hour
- Part-time
- Background check
- Spanish
- Mid-level
7d
Associate Director, Strategy & Innovation
Allergan Aesthetics —Irvine, CA
- $141,500 - $268,500 a year
- Full-time
- Hybrid work
- 7 years
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Videographer/Editor Consultant
Zoe Center —Whittier, CA
- $1,500 a month
- Contract
- Hybrid work
- Mid-level
- Organizational skills
Quick Apply
Sales Engineer / Lighting Technology Consultant
Yuji America Corp. —Los Alamitos, CA
- From $70,000 a year
- Full-time
- Background check
- Mid-level
- Residential
- Health insurance
- 401(k)
Quick Apply
Small Business Consultant – Restaurant Operations and Growth
CSU, Fullerton ASC Small Business Development Center —Irvine, CA
- $50 - $55 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Restaurant management
- Flexible schedule
Quick Apply
8d
Sales Consultant
Jaguar Land Rover Anaheim Hills —Anaheim, CA
- $60,000 - $120,000 a year
- Full-time
- Dealership
- Mid-level
- High school diploma or GED
- Wellness program
- Paid holidays
Quick Apply
ABA Caregiver Consultant
Uplift ABA Behavior Services —Anaheim, CA
- $30 - $35 an hour
- Full-time
- Hybrid work
- CPR Certification
- Current TB test
- BLS Certification
Quick Apply
Small Business Consultant – Retail Operations and Growth
Cal State Fullerton SBDC —Irvine, CA
- $50 - $55 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Research
- Flexible schedule
Quick Apply
8d
Sales Consultant
La-Z-Boy Inc. —Mission Viejo, CA
- $18 - $21 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
- Paid training
- Health savings account
Quick Apply
Sales Consultant
Santa Margarita Ford —Rancho Santa Margarita, CA
- $16.90 - $48.08 an hour
- Email
- Background check
- 18 years or older
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Workers' Compensation Claim Consultant
CCMSI —Irvine, CA
- $80,000 - $95,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance

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Clinical Consultant - Physician Associate - Remote

UnitedHealthcare -
Cypress, CA

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year
2 days ago

Qualifications

Microsoft Outlook
Advanced practice provider
Physician Assistant License
PA-C

Full Job Description

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Associate is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies
Work as part of an integrated team of medical director physicians, other physician associates, and other members of the appeals staff
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP (The appeals are in response to adverse determinations for medical services related to benefit design and coverage, medical necessity, and the application of clinical criteria of medical policies)
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales and benefit interpretations
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces

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:

Current Physician Assistant/Associate license in your state of residence
Current Board Certification by National Commission on Certification of Physician Assistants (NCCPA). (Physician Associate will maintain NCCPA certification for the length of employment)
5+ years of clinical PA practice experience
Intermediate computer skills: MS Office, Outlook, Word, and Excel
Ability to work Monday-Friday normal business hours

Preferred Qualifications:

1+ years of Utilization Management and Utilization Review processes
Experience with Appeals & Grievances
Experience with claims coding & review
Experience with project management
Experience with facilitating hospital admission process
Experience with participating in hospital inpatient admission process
Experience with conducting quality chart reviews
Inpatient PA experience
Knowledge of IPA, insurance, health plans and managed care functions
Proven ability to work well in a team environment

Leadership Priority Skills:

Use Resources
Get things done on time and on budget using available resources assigned for the tasks
Work with Others
Build and maintain productive relationships with coworkers using collaborative approaches
Execute
Understand the goals and tasks assigned, producing results by fulfilling and sometimes exceeding expectations
Support and Execute Change
Cooperate with and support change initiatives

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

application consultant jobs in costa mesa, ca

Clinical Consultant - Physician Associate - Remote

Formulary Consulting Group Lead - Remote

Consultant, Scientific and Laboratory Informatics

Educational Consultant

Patient Consultant

Franchise Business Consultant

Horticulture Consultant

Franchise Business Consultant

College Consultant

Small Business Consultant - Marketing

Associate Director, Strategy & Innovation

Videographer/Editor Consultant

Sales Engineer / Lighting Technology Consultant

Small Business Consultant – Restaurant Operations and Growth

Sales Consultant

ABA Caregiver Consultant

Small Business Consultant – Retail Operations and Growth

Sales Consultant

Sales Consultant

Workers' Compensation Claim Consultant

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