Title: Care Navigator, Flex Location: United States Job Description: At Carrum, we are transforming how we pay for, deliver and experience healthcare. If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting-edge environment, we would love to connect with you. In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health. Today, 95% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally. Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures. Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study. The Care Navigator I supports the delivery of a thoughtful, high-touch patient experience by assisting with care coordination tasks under close guidance. In this role, the Care Navigator I focuses on learning Carrum’s referral, scheduling, and post-intake workflows while building strong patient communication and organizational skills. The hourly rate for this role is $26 and eligiible for full benefits and overtime. This is a flex role, typically working between 32-40 hours/week with opt-in overtime. You’re excited about this opportunity because you will... - Support patients through referral coordination, appointment scheduling, and basic follow-up tasks. - Learn how to navigate EHRs, CRMs, and internal tools to document and manage patient cases accurately. - Communicate clearly and compassionately with patients, providers, and internal teams. - Follow established SOPs to ensure consistency, accuracy, and timeliness in patient care workflows. - Escalate questions or complex scenarios appropriately while building confidence in your decision-making. - Develop foundational knowledge of Carrum’s care model, provider partnerships, and service lines. We’re excited about you because… - You bring empathy, curiosity, and a strong desire to help patients navigate healthcare. - You are detail-oriented, organized, and able to follow structured processes. - You are dependable and comfortable receiving feedback and coaching. - You demonstrate professionalism when handling sensitive patient information. - You are eager to learn new tools and workflows in a fast-paced environment. - You value teamwork and contribute positively to team culture. Key Responsibilities: - Manage a moderate caseload (~150-175 cases) of patients requiring coordinated referrals, scheduling, and follow-up. - Accurately document patient interactions and updates in CRMs. - Follow SOPs to complete tasks within defined SLAs. - Communicate status updates to patients and internal partners as directed. - Escalate complex cases to senior specialists or leadership when appropriate. - Participate fully in onboarding, training, and continuing education. Qualifications and Requirements: - High School Diploma or General Education Degree (GED) required; college education preferred. - Spanish Speaking preferred Why you’ll love working with us... - We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum. We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future. - We are working with some of the most recognized and esteemed names in the country. Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform. Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self-insured schools of California, and the State of Maine. - We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback. You can bring your authentic self to work every day and are encouraged to help others do the same. - We carve out time to let go of work to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States and two office locations in San Francisco and Chicago. We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in-person. - We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs). Our ERGS help employees build stronger connections through social, educational, and community activities. - You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways. Other benefits: - Stock option plan - Flexible schedules and remote work - Chicago and San Francisco offices available - Self-managed vacation days, within reason - Paid parental leave - Health, vision, and dental insurance - 401K retirement plan About Carrum We’re a health tech company that brings value-based care to the masses. We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human-centered design. Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation. We’ve been recognized by Harvard Business School and featured in TechCrunch, The Los Angeles Times, Washington Post, and Modern Healthcare. We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact. Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience. Autofill application Save time by importing your resume in one of the following formats: .pdf or .docx. Loading...

• Help people lead healthier, more fulfilling lives by improving access to mental healthcare. • Join the fastest growing behavioral health practice group in the country. • Commit to clinical excellence and patient care.

Role Description We are seeking a professional and caring Psychologist to join our team! In this role, you will: - Conduct psychological exams and testing - Diagnose and treat psychological disorders - Assist patients in addressing dysfunctional behaviors If you are an experienced Psychologist passionate about providing high-quality care and mental health solutions, we want to hear from you! Responsibilities - Identify psychological, emotional, and behavioral concerns and provide diagnoses - Create individualized treatment plans for each client - Implement evidence-based therapeutic treatment approaches - Refer clients to other providers when appropriate - Write and publish articles and share professional research - Maintain detailed and accurate documentation of patient information and treatment plan - Perform regular wellness checks and follow-up appointments Qualifications - Doctorate of Psychology (Ph.D., PsyD) - Currently licensed by the Association of State and Provincial Licensing Boards (ASPPB) - Successful completion of the Examination for Professional Practice in Psychology - Excellent communication and interpersonal skills Benefits - Flexible schedule - Opportunity for advancement - Training & development - Careers Advancement Opportunities - Flexible Scheduling - Competitive Compensation

Requisition Number: 2355870 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. 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. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Person will work Pacific Standard Time (PST) to work primarily with behavioral health provider community during their business hours 8 am to 5 pm PST in California and other Western US States which may include but not be limited to Idaho, Nevada, and Utah. - Activities include recruitment and contracting functions for the building and ongoing maintenance of a high quality, competitive behavioral health network (outpatient and facility providers) that meets all access & availability and regulatory standard/requirements. - Accountable for all system updates associated with California and other state commercial, Medicare and Medicaid contract negotiations/network changes/addition of new providers and programs, including fee schedule negotiations and fee schedule development and maintenance. Responsible for end recruitment and contracting, including end-to-end contracting processes for new programs and products and serving as a contracting subject matter expert for assigned states, lines of business and programs within those states - Will serve as contracting back-up to peers for other assigned states and will learn to learn those states too - Attendance at the various internal and extern meetings with State customers/regulators, Provider and Health Plan stakeholders in assigned states - Regular interface and leadership role with health plan leadership, account managers, internal behavioral health functional leadership including finance and underwriting, provider leadership, and state regulators - Work with behavioral health economics, legal, finance and underwriting in development, maintenance and monitoring of provider payment arrangements - Presents and reports verbally and in writing to state regulators via conference calls about Medicaid contracting, provider contracting, network adequacy, recruitment development and related topics - Works with behavioral health CPT, DRG, per diem and RBRVS and per member per month reimbursement methodologies - Uses higher-level discernment and decision-making abilities that enable someone to support and work with upper level-management and state regulators - When interacting with providers, manages health plan's clear expectations to providers about timelines for contracting, credentialing, reimbursement levels and methodology, site audits, and the like - Develops and maintains primary network contracting relationships with external (e.g., behavioral health providers, behavioral health groups, behavioral health agencies/community mental health agencies/federally qualified health clinics, facilities, provider associations, tribal government and other tribal organizations, government agencies) and internal customers; these relationships will be positive and productive - Issues provider applications, agreements and related documents to providers - Gathers completed provider applications and other documents that accompany the application, other documents required by state law and/or company policy; review these documents for completeness, accuracy, organize, and submit documents for credentialing - Assembles provider agreements consisting of base agreements, appendices and addendums, fee schedules and related documents - Coordinates and follows-up with provider relations advocates to ensure timeliness of submission of applications and related documents - Is continually engaged; promptly responds to external and internal customer inquiries; responsible for remaining engaged with external and internal customers until tasks are complete; responsible for proactively keep external and internal customers updated about status of requests; communicates with external and internal customers via phone and email and using each appropriately to develop strong working relationships, this includes being prepared for scheduled calls with customers and writing professional communications. - Understands our provider contracts and contract language, terms and conditions and occasionally review provider's proposed language changes and occasionally draft counter language for review by supervisor and legal counsel) - Models: personal responsibility, dependability, reliability and flexibility in being able to meet the needs of the team and business; accepts responsibility and accountability for actions; continually learns and retains/absorbs knowledge, information and skills to perform the position as you work independently - Models integrity and honesty; behaves in an honest, fair, and ethical manner; if says work is complete, it truly is complete and accurate according to standards. Takes the "higher road" when it comes to conflict and conflict resolution - Models stewardship of recourse and documents; is efficient and effective with use of work time; archives and saves fully executed agreements, current fee schedules and related documents in appropriate locations; responsible with public (Medicaid and - Medicare) and private funds when negotiating reimbursement in provider agreements - Reports to the Director of Outpatient Behavioral Health Contracting of the Western U.S.; Keep Director updated on timely basis about provider network development, contracting developments, rate negotiations, rate increase requests, emerging issues and the like; actively participates in Western U.S. Outpatient Behavioral Health Contracting Team Meetings and collaborates with peers - Use proprietary and other software programs for sending, updating and storage of provider/agency/group/facility contracts and numerous fee schedules and related contractual documents - Actively participates in scheduled and ad hoc joint Provider Relations - Outpatient Behavioral Health Contracting Meetings to ensure continuity of communication and coordination between; proactively copies provider relations colleagues on provider communications to keep them in the loop about provider communications - Actively participates on a regular basis with a variety of internal meetings with various functional areas including but not limited to provider services/provider relations, network strategy, legal, other contracting teams, project managers, health care economics, finance, underwriting, clinical, clinical operations, compliance, claims, consumer affairs, information technology, and sales. - Communicates throughout each workday via emails and phone communication with internal and external customers, including supervisor and team members - Works in a fast-paced work environment with multiple, every-changing competing priorities - Required to work office hours of 8:00 am to 5:00 pm PST as a telecommuter in order to respond to internal and external customers; this is a salaried position and will require more than 40 hours per week at times to keep up with work or complete work assignments 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: - 3+ years of health care/managed care experience that includes the following: - Significant hands-on experience with medical / facility and/or behavioral health provider contracting in the California market - Working at a health plan / managed care organization contracting with medical and/or behavioral health outpatient and facility providers - Negotiating behavioral health contracts between behavioral providers and health plans / managed care providers for commercial, medicare and/or medicaid lines of business - Working with both outpatient and facility reimbursement codes and methodologies - Interacting with behavioral health professionals and/or behavioral health organizational leaders when working with prospective providers - Solid working knowledge of California geography, counties, cities and providers (hospitals, clinics and other providers by location) as well as geography and behavioral health provider markets of in Western US - Proficiency using Excel to develop and analyzing behavioral health fee schedules using Excel - Proficiency with MS Word, Excel, PowerPoint and Access - Understanding and experience with health plan reimbursement, finance and underwriting principles - Ability to: use tact and diplomacy; use superior discernment in stakeholder and provider communications; communicate effectively, professionally and comfortably with staff at multiple levels and from multiple functional areas and from various professional fields within provider/agency/group/facility organizations - Experience contracting with providers for commercial, Medicare and Medicaid lines of business Preferred Qualifications: - 2+ years of experience with two or more of the following: - Experience working with health plan finance and/or underwriting staff developing provider payment strategies, reimbursement amounts, fee schedules and payment tables - Experience working with health plan legal counsel reviewing contract language modifications - Commercial, Medicare and/or Medicaid behavioral health provider contracting experience - High level of proficiency working with Excel spreadsheets, analyzing fee schedules, developing and maintaining fee schedules, and analyzing provider reimbursement increase requests - Behavioral health contracting experience in Idaho, Nevada and Utah a plus - Basic understanding of role of California health plan regulatory framework in California and other states - Knowledge of Medicare and CMS regulations and state Medicaid regulations - Exceptional verbal and written communications - Use appropriate demeanor, wear business appropriate dress, body language during interpersonal communications via video conference calls and in-person meetings - Use appropriate business language in written communications (emails, memos and letters) that are tailored to the to the situation and immediate audience / personalities - Foresee potential distribution and use of written (especially email) communications to audiences if later shared elsewhere by the recipient (e.g., executives, providers, regulators and media) - Ability to use tact and diplomacy when applicable, and use superior discernment in both internal and external stakeholder in both verbal and written communications on topics when communicating on a sensitive topic - Ability to confidently interact and communicate with individuals-internally and externally-in a variety of organizations levels and roles - Ability to always be courteous and professional ("taking the higher road") when interacting internal or external stakeholders regardless of how they behave or act - Ability to work with providers/agencies/groups and tell them "no" to various contract and reimbursement requests with respect and tact and confidence - Always treat external and internal stakeholders with dignity and respect - Solid internal and external customer service skills - Demonstrated track record of successful behavioral health contracting negotiation skills - Solid internal resource negotiation skills - Exceptionally well-organized self-starter who is able to learn quickly and often on own, work with minimal supervision and keep up with workload - Ability to: work in a very fast-paced work environment with multiple, competing priorities; follow-through with assignments and tasks is a MUST with both internal and external customers; keep up with heavy workload; learn the position and begin performing the work quickly; navigate complex, challenging external and internal stakeholder relationships without it interfering with ability to accomplish job duties and work directives in effective and efficient manner; negotiate contract language modifications with providers and work with legal counsel; manage multiple projects and assignments while juggling various internal and external conference calls and respond to providers, internal customers via email and phone on a timely basis and update fee schedules, and process rate increase requests, and issue contacts and amendments on timely basis *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 $72,800 to $130,000 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.