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Intern Optum Clinical Review Jobs in Romeoville, IL

R&D Engineering Intern

Chicago, IL ยท On-site

$17.25 - $22.50/hr

400 N Aberdeen St, STE 575 R&D Engineering Chicago, IL 60642 Intern Contact: info@rhaeos.com ... reviews and assist in clinical research related to new platform indications including understanding ...

IL Pharmacy Intern

Oak Lawn, IL ยท On-site

$25/hr

Participation in mock job/residency interviews with CV review * Project opportunities to work with ... leader in clinical innovation, health outcomes, consumer experience and value-based care.

Intern - 2026 Community Mental Health

Chicago, IL ยท On-site

$15.50 - $20.50/hr

... clinical supervision. You are our future leaders, and here you will have an opportunity to gain ... For further information, please review the Know Your Rights notice from the Department of Labor.

Pharmacy Intern Grad

Montgomery, IL ยท On-site

$33.50 - $45.30/hr

Supports efforts on enhancing customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or ...

Pharmacy Intern Grad

Chicago, IL ยท On-site

$17.25 - $21.50/hr

Supports efforts on enhancing customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or ...

Pharmacy Intern Grad

Naperville, IL ยท On-site

$16.75 - $20.75/hr

Supports efforts on enhancing customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or ...

Pharmacy Intern Grad

Geneva, IL ยท On-site

$16.25 - $20.25/hr

Supports efforts on enhancing customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or ...

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Intern Optum Clinical Review information

What does an intern Optum Clinical Review do?

An Intern in Optum Clinical Review typically assists healthcare professionals in reviewing medical records, evaluating clinical documentation, and supporting the assessment of medical necessity for various treatments and services. Their responsibilities may include data entry, researching clinical guidelines, and helping to ensure compliance with healthcare policies. The role provides hands-on experience in the healthcare industry, particularly in the areas of utilization management and clinical quality improvement. Interns often work closely with nurses, physicians, and other healthcare professionals to learn about the clinical review process and gain valuable industry insights.

What kinds of projects and tasks can an intern at Optum Clinical Review expect to work on during their internship?

As an Intern at Optum Clinical Review, you can expect to assist clinical teams by supporting the review of medical records, analyzing healthcare data, and helping to prepare case summaries. Interns often participate in quality assurance processes, conduct research on clinical guidelines, and collaborate with nurses, physicians, and analysts to support utilization management. This role provides exposure to real-world healthcare operations and offers the opportunity to develop practical skills in clinical evaluation and administrative processes. Regular feedback and mentorship are also part of the experience, helping interns to grow professionally in a team-oriented environment.

What are the key skills and qualifications needed to thrive as an intern in Optum Clinical Review, and why are they important?

To thrive as an Intern in Optum Clinical Review, you need a foundational understanding of healthcare concepts, attention to detail, and typically be pursuing a degree in nursing, pharmacy, or a related healthcare field. Familiarity with clinical review software, electronic health records (EHRs), and Microsoft Office Suite is often required. Strong analytical thinking, effective communication, and a willingness to learn are vital soft skills for this role. These competencies ensure accurate clinical evaluations, support team collaboration, and contribute to high-quality patient care decisions.

What is the difference between Intern Optum Clinical Review vs Clinical Reviewer?

AspectIntern Optum Clinical ReviewClinical Reviewer
Required CredentialsTypically pursuing or holding a relevant healthcare degree (e.g., Nursing, Health Administration)Licensed healthcare professional (e.g., RN, MD, or licensed clinician)
Work EnvironmentInternship setting within healthcare or insurance companies, focusing on learning and support rolesFull-time clinical setting, reviewing patient cases and medical records
Employer & Industry UsageUsed in healthcare insurance companies like Optum, focusing on training and entry-level reviewCommon in healthcare facilities, insurance companies, and managed care organizations

The main difference is that Intern Optum Clinical Review roles are typically entry-level internships aimed at gaining experience, often requiring ongoing education, while Clinical Reviewers are licensed professionals responsible for evaluating medical cases and making clinical decisions. Interns focus on learning and support, whereas Clinical Reviewers perform independent case assessments.

What are popular job titles related to Intern Optum Clinical Review jobs in Romeoville, IL?

For Intern Optum Clinical Review jobs in Romeoville, IL, the most frequently searched job titles are:

What cities near Romeoville, IL are hiring for Intern Optum Clinical Review jobs?

Cities near Romeoville, IL with the most Intern Optum Clinical Review job openings:

National Account Director (NAD) - Emisar / Optum / UHC

Jazz Pharmaceutical

Chicago, IL โ€ข On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


Job description

If you are a current Jazz employee please apply via the Internal Career site

Jazz Pharmaceuticalsis a global biopharma company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases - often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines, including leading therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments. Our patient-focused and science-driven approach powers pioneering research and development advancements across our robust pipeline of innovative therapeutics in oncology and neuroscience. Jazz is headquartered inDublin, Irelandwith research and development laboratories, manufacturing facilities and employees in multiple countries committed to serving patients worldwide. Please visitwww.jazzpharmaceuticals.comfor more information.

Job Description

Brief Description:

The National Account Director - Emisar / Optum / United is responsible for developing and managing all aspects of the relationship with the Emisar, Optum Rx and United Healthcare. The National Account Director will represent the entire Jazz portfolio of products and be responsible for ensuring appropriate market access within assigned accounts. The National Account Director serves as the key Market Access point of contact for Emisar, Optum Rx and United Healthcare, across Commercial and Medicare books of business for Jazz Pharmaceuticals. The National Account Director will model the Jazz core values of integrity, passion, collaboration, innovation, and pursuit of excellence.

Essential Functions

  • Execute on market access strategies to ensure appropriate access for the Jazz portfolio of products within Commercial and Medicare books of business at Emisar, Optum Rx, and United Healthcare.
  • Establish broad and deep relationships within target accounts, with key decision-makers/influencers (e.g., pharmacy directors, medical directors, clinical decision makers) who impact coverage and reimbursement decisions.
  • Positively influence decision-makers, policies, guidelines, and contracts to facilitate timely and clinically appropriate coverage, access, and reimbursement for Jazz products.
  • Create, maintain, and execute stakeholder engagement plans for all target accounts.
  • Represent Jazz and its products at industry events and conferences to engage PBM and Health Plan industry stakeholders.
  • Create opportunities for live engagement with Emisar, Optum Rx and United Healthcare to deliver payer value propositions and business updates.
  • Execute market access strategies to ensure appropriate access to Jazz's portfolio of products within target accounts.
  • Collaborate with Regional Account Directors (RADs) and field sales colleagues to leverage access opportunities and overcome access obstacles for Jazz products.
  • Strategically cultivate and leverage a broad network of relationships with key managed markets individuals within target accounts (e.g., pharmacy, medical, clinical contacts, contracting directors/chiefs), and industry organizations.
  • Coordinate all Jazz activities and resources with accounts and serve as the single point of contact.
  • Collaborate strategically across multiple internal stakeholders (Sales, Marketing, Legal, Access Services, and PVO/HEOR) to address access challenges, execute market access strategies, and ensure clinically appropriate patients have access to our medicines.
  • Conduct quarterly business reviews of the market access landscape and opportunities with appropriate sales colleagues in each business unit.
  • Collaborate with internal and external partners to ensure all applicable Jazz reimbursement support services are optimized the accounts as appropriate.
  • Ensure all relevant internal stakeholders, reporting tools, and reimbursement support programs are kept up to date with Jazz product access and reimbursement information for targeted accounts.
  • Identify opportunities to demonstrate or provide value to all stakeholders and work with internal and external partners to develop and execute these opportunities.
  • Anticipate potential obstacles and bring together all appropriate stakeholders to proactively develop mitigation plans.
  • Leverage all applicable marketing tools and resources to educate external stakeholders on Jazz products, associated diseases, and the value these products provide.
  • Create and maintain detailed strategic account plans for Emisar, Optum Rx and UHC accounts and present these plans during regular business reviews with senior management.
  • Mobilize resources and senior management support to capitalize on new opportunities and/or address unforeseen threats.
  • Be the subject matter expertise for all aspects of your targeted accounts to inform Market Access, brand strategy development and decision making.
  • Strategically negotiate discount agreements in alignment with Jazz's contracting guidelines and in compliance with applicable policies, laws, and regulations.

Desired Skills and Experience

  • At least 10 years of pharma/biopharmaceutical experience and 4 years of proven success as an Account Manager calling on National commercial and/or government and/or Medicaid payers.
  • At least two years of experience in a direct management or team leadership role, either field or headquarters based.
  • Demonstrated ability to develop a network of relationships with key individuals within targeted accounts.
  • Demonstrated ability to effectively lead cross-organizational projects and teams with and without direct management authority.
  • Demonstrate an understanding of healthcare, payers, formulary/PDL development, coverage and reimbursement issues, and compliance laws and regulations.
  • Demonstrate a high level of proficiency across all Jazz core competencies of Business Acumen, Communication Skills, Critical Thinking / Decision-Making, Drive for Results, Influence and Impact, Interpersonal Skills / Self-Awareness, Planning and Organization and Self-Management / Development.
  • Demonstrate Jazz core values of integrity, passion, collaboration, innovation and pursuit of excellence.
  • Operate in a compliant manner that algins with company policies in all activities and communications

#LI-Remote

Jazz Pharmaceuticals is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law.

FOR US BASED CANDIDATES ONLY

Jazz Pharmaceuticals, Inc. is committed to fair and equitable compensation practices and we strive to provide employees with total compensation packages that are market competitive.For this role, the full and complete base pay range is:

$224,000.00 - $336,000.00

Individual compensation paid within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, and other pertinent factors. The goal is to ensure fair and competitive compensation aligned with the candidate's expertise and contributions, within the established pay framework and our Total Compensation philosophy. Internal equity considerations will also influence individual base pay decisions. This range will be reviewed on a regular basis.

At Jazz, your base pay is only one part of your total compensation package. The successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan.

The successful candidate will also be eligible to participate in various benefits offerings, including, but not limited to, medical, dental and vision insurance, 401k retirement savings plan, and flexible paid vacation.For more information on our Benefits offerings please click here: https://careers.jazzpharma.com/benefits.html