• Design, organize, lead and execute training sessions for care professionals on product knowledge effectively • Ensure patients globally in both clinical trial and commercial settings are treated at the highest standards and if necessary to provide onsite support • Plan, organize, and execute Investigator Meetings, Advisory Board Meetings and other equivalent events and present on behalf of the company as needed • Support research, development and commercialization efforts through collecting and synthesizing observation in the medical field and clinicians’ feedback • Develop robust partnership relationship with HCPs within current and future therapeutic area • Educating employees the insights and information gained from academic papers and conference • Identify challenges for the mid to long-term global R&D and medical communication and propose/execute solutions from medical perspective.

Own Coding Compliance I Increase Access to Healthcare I Fully Remote Access TeleCare is transforming healthcare delivery through telemedicine — and we’re growing! Our technology platform, Telemed IQ, empowers hospitals and health systems to deliver life-saving care in real time across every major specialty. We are seeking an experienced, strategic, results-driven Medical Coding Director who thrives in fast-paced environments and wants to make an impact in healthcare. The Opportunity As a direct report to the Vice President, Revenue Cycle Management, the Medical Coding Director is responsible for oversight of the day-to-day operations of all coding activities related to Revenue Cycle. This position plans, monitors, and executes both policy and procedure throughout the company to support and guide the Coding team. The Director will ensure compliance with all Federal and State mandated laws and has a collaborative relationship with the Corporate Compliance Department. Additionally, the Director will assist or prepare reports for the Company’s leadership teams. What You’ll Do Manage and direct the company’s Revenue Cycle Management (RCM) Coding team to promote compliance with all requirements for physician and hospital documentation, coding and billing standards. Responsible for interviewing and selecting staff for Coding positions, both with onshore, direct hires as well as contracted workers (offshore teams). Track metrics related to the coding accuracy and monitor key revenue cycle performance indicators related to coding. Serve as subject matter expert on accurate coding documentation guidelines, while keeping abreast of any upcoming changes; working to fold those changes into our organization seamlessly. Assist in the investigation and resolution of denials and front-end rejections impacting RCM activities and build solutions to reduce future occurrences. Lead and manage the ongoing implementation and execution of coding processes, workflows, and rules. Work with Analytics team to build KPI dashboards and present slides/data weekly to stakeholders. Provide strategic support on projects that overlap with coding and/or compliance with policies and regulations governing RCM. Partner with multiple Access Telecare teams to identify and create new opportunities to lower revenue cycle costs or reduce errors, either through efficiency or AI solutions. Collaborate with Compliance Team to actively participate as coding, documentation and billing resource and consultant for providers. Build documentation repository of coding knowledge to share with all RCM teams. Collaborate with our many vendor partners on improved processes. Manage any payor audits that are requested; ensuring all information is received timely; and work with the teams if deficiencies are found. Work collaboratively with Compliance Team and department heads to support implementation of elements and activities of the Company’s Compliance Program pertaining to compliance to company policies and healthcare regulations governing RCM. Support the creation, implementation, and regular review of policies and procedures designed to meet compliance requirements pertaining to RCM Compliance and oversight. In collaboration with Compliance Team, work with department heads to make certain that revenue functions are operating in compliance with regulatory requirements Work with stakeholders to ensure internal controls, policies and procedures governing RCM and related functions are consistent with state and federal law and compliance plans. Provides direct supervision of staff, including assignment of work tasks, coaching and general performance management Coaches, develops and mentors direct reports with an emphasis on building career paths for professional growth. Administers progressive discipline, including corrective action when necessary, to ensure high levels of job performance and compliance with company policy. Conducts formal performance appraisals for all direct reports and develops action plans for continued development and performance improvement. Manages payroll activities for direct reports to include timekeeping, approval for time off requests, and other administrative functions. Other duties as assigned What You’ll Bring Bachelor’s degree with focus in Business Management, Healthcare Administration or a related field. CCS, CPC, RHIT, or RHIA required. At least 5 years of related work experience including revenue cycle auditing/monitoring or other auditing/risk management role in a healthcare organization At least 5 years in leadership in a healthcare role At least 3 years managing and reporting on key performance indicators Experience with EMR, Charge Capture Systems, Practice Management, and niche revenue cycle bolt-on technologies (Athena & Hybrid Chart experience a plus) Experience in managing teams, supervising team members, and managing outsourced teams Understanding of federal laws and regulations affecting coding requirements Knowledge of 1995-97 Coding guidelines and 2021-23 E/M Coding guidelines Working knowledge of healthcare payor guidelines Ability to effectively lead a team to achieve business goals in a fast-paced environment with multiple competing priorities Extensive knowledge of medical terminology, CPT and ICD-10 coding Knowledge of extracting data, data analytics, MS Excel, Pivot tables, and creating reports Ability to build strong relationships both internal and external customers and colleagues Ability to maintain strict confidentiality Telehealth and multi-state exposure preferred Proficient skills in Microsoft Office applications, especially Word, PowerPoint, Excel, and Outlook. Goal oriented individual accustomed to working in a complex environment Ability to manage multiple work streams, projects, tasks, and goals Proven business acumen, analytical and negotiation skills Proven ability able to work in a fast-paced operation with high standards of excellence Proven problem-solving skills Outstanding professional written and verbal communication skills Ability to prepare accurate reports and maintain timely records Ability to maintain strong working relationships within and outside of the organization. Ability to balance multiple projects concurrently, follow through and focus on details Ability to thrive in a high growth, fast-paced organization and 100% Remote based environment Must be able to remain in a stationary position 50% of the time Occasional travel for meetings and collaboration Why Join Access TeleCare? Competitive total compensation, including base salary + performance incentives. 100% Remote work with national impact and executive visibility. Comprehensive health, dental, vision, life, and 401(k) benefits. Flexible vacation and wellness days — we value performance and balance. Lead a core business function at the forefront of healthcare innovation. Collaborative culture built on ownership, transparency, and results. Ready to Own Something That Matters? If you’re a data-driven leader who thrives on challenge, accountability, and impact — and you’re ready to take full ownership of a business-critical operation — we want to talk to you. We love what we do and if you want to know more about our vision, mission and values go to accesstelecare.com to check us out. Access TeleCare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, marital status, national origin, disability, protected veteran status, race, religion, sex, or any other characteristic protected by law.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Director of Nurse Case Management is responsible for providing leadership and oversight in the Clinical Operations Department. This role ensures the delivery of high quality, cost effective case management services while maintaining compliance with company policies, customer expectations, and applicable regulatory requirements. - Partner closely with the SVP of Clinical Operations, clinical teams, and key stakeholders to drive performance, quality outcomes, and departmental growth. - Provide leadership and direction to Case Managers, Supervisors and their designated teams. - Oversee the assignment of referrals and ensure timely and accurate time and notes entry into the case management database. - Maintain adherence to all Opus Medical guidelines and customer requirements. - Drive and manage the overall case management workflow, including reviewing documentation for accuracy, quality, and compliance. - Conduct regular review of departmental reports, invoices, logs, and expense data to monitor performance and identify areas for improvement. - Uphold and enforce compliance with all company policies and legal requirements regarding personal health information (PHI and IIHI). - Ensure quality of service delivery across the department and oversee the resolution of client complaints and escalations. - Manage human resources matters within the department, including performance management, coaching, and development of supervisors. - Foster a culture of accountability, collaboration, and continuous improvement across the case management team. - Provide clinical oversight and direction for case management clinical activities as a licensed RN. - Participate in marketing and client support activities, attend client meetings, and represent the case management department in organizational and external initiatives. - Travel may be required. Qualifications - Strong working knowledge of case management principles, workers’ compensation, and/or managed care options. - Ability to lead, develop, and motivate a high-performing team in a fast-paced, remote environment. - Strong analytical skills with the ability to interpret operational reports and drive informed decisions. - Excellent verbal and written communication skills. - Ability to effectively manage relationships and resolve escalations professionally. - Proficiency in case management platforms and Microsoft. - Thorough understanding of HIPAA and all applicable regulations governing personal health information (PHI and IIHI). Requirements - Active Registered Nurse (RN) license in good standing required. - Bachelor of Science in Nursing (BSN) is required. - Master’s degree in Nursing, Healthcare Administration, or a related field is preferred. - Nationally recognized case management certification is preferred such as a CCM, ACM, or equivalent. - Additional certifications in workers' compensation, disability management, or utilization review are a plus. - A minimum of 5-7 years of clinical nursing experience is required. - A minimum of 3-5 years in case management. - Supervisory or leadership experience is preferred. Performance Metrics - Team retention, engagement, and performance outcomes. - Case assignment accuracy and timeliness. - Effective case processing within expected timeframes as well as report review completion on required schedules. Work Environment & Location - Remote with occasional travel as required for customer visits, team offsites, or industry events. Compensation & Benefits - Competitive base salary + performance-based bonus. - Comprehensive benefits package (healthcare, 401k, PTO, etc.). - Professional development and coaching opportunities.

Requisition Number: 2339875 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. This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year. Primary Responsibilities: Work with providers, facilities, and members to perform utilization management and authorization for outpatient services Ensure that behavioral health care services provided are medically necessary, per standard guidelines Ensure that behavioral health care services are provided in the most appropriate setting Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers 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: Preferred Qualifications: Experience working with children, adolescents, and families Experience working with the autism population Managed care experience Experience working in a hospital setting Experience with medical or behavioral health collaboration within different organizations Proven excellent customer service skills Proven excellent organizational skills *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 $60,200 to $107,400 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.