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Specialty Account Executive - Las Vegas,Nevada
UnitedHealth Group
-
Las Vegas, NV
Full oversight of the specialty sale to achieve health plan market sales goals and maintain profitability Advocate for specialty voluntary products to support increase in enrollment and size of sale and negotiate based on broker/customer feedback with underwriting; leveraging rate bank, product discount programs and packaged savings to leverage the best value to the custo
Email Job
Posted 3 days ago
Network Pricing Consultant - Remote
UnitedHealth Group
-
Greensboro, NC
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze payment appendices to provide options for various contracting approaches and methodologies Communicate results of financial impact and analysis to appropriate st
Email Job
Posted 4 days ago
HSS Clinical Coordinator - Sedgwick or Butler County, KS
UnitedHealth Group
-
Wichita, KS
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com
Email Job
Posted 4 days ago
Behavioral Health Care Advocate, Case Management - Remote
UnitedHealth Group
-
Hartford, CT
Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health and wellness oriented approach Assist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services Identify and remove barriers to procurement, delivery, participation in and success of services Provide supportiv
Email Job
Posted 4 days ago
Accounting Clerk- Lexington, KY
UnitedHealth Group
-
Lexington, KY
Review, validate and maintain financial and other records as they relate to client specific programs for Taft Hartley Fund Responsible for timely reconciliation of all accounts Process payments and retrieve required statements from websites Communicate financial discrepancies and resolve Responsible for all financial exchanges related to participant accounts Identify erro
Email Job
Posted 1 day ago
RN Field Clinical Care Coordinator/ HCBS - Weslaco, Edinburg or Pharr, TX
UnitedHealth Group
-
Pharr, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact
Email Job
Posted 1 day ago
RN Nurse Reviewer
UnitedHealth Group
-
Eden Prairie, MN
Utilize the Preferred One medical criteria and those of other regulatory bodies, (i.e. NCQA, DOH), the exempt and focused review programs, and the patient's benefit plan summary to perform medical necessity, level of service and appropriateness review Perform inpatient and outpatient pre admission, concurrent review and decision support based on medical necessity, appropr
Email Job
Posted 1 day ago
Oncology Preservice Review Nurse RN - Remote
UnitedHealth Group
-
Phoenix, AZ
Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize appropriate resources to conduct non clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources) Prioritize cases based on ap
Email Job
Posted 2 days ago
Medical Coder
UnitedHealth Group
-
Wausau, WI
Receive assigned medical charts to code Review medical charts electronically Abstract and code diagnosis and documentation information Document requested information from the medical record Perform ongoing analysis of medical record charts for the appropriate coding compliance The key challenge of this role centers around your ability to work quickly, accurately and indep
Email Job
Posted 2 days ago
HSS Clinical Coordinator RN - Kansas City, KS Metro Area
UnitedHealth Group
-
Kansas City, KS
Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare Utilize strong skill sets of managing multiple tasks at a time, being self motivated, driven toward quality results, managing time well, b
Email Job
Posted 4 days ago
Workers' Compensation Claims Adjuster (Lost Time) - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Evaluates new and on going claims to determine liability, giving consideration to contract provisions, disability management duration contract guidelines, medical evidence and vocational evidence. Investigates questionable claims. Determines need for additional medical information. Performs periodic follow ups to verify continued existence of a disabling condition. Respon
Email Job
Posted 4 days ago
HSS Coordinator - North Houston, TX
UnitedHealth Group
-
Houston, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Co
Email Job
Posted 1 day ago
Sr. Business Process Analyst - Anaplan Model Builder - WF Planning Mgmt - Remote
UnitedHealth Group
-
Minnetonka, MN
of Job To effectively and promptly Perform the Administration, build, and troubleshooting for Anaplan models within UHC Workforce Planning & Management, including bugs and enhancements, both in the backend and on the front end (UX) Support multiple different Anaplan models and use cases Understand the differences and similarities between models and assist cross functional
Email Job
Posted 1 day ago
Telephonic Case Manager RN Transplant
UnitedHealth Group
-
Wausau, WI
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 diversity and inclusion, talented peers, c
Email Job
Posted 2 days ago
Senior Snowflake and PowerBI Developer - Remote
UnitedHealth Group
-
Phoenix, AZ
Work with CICD frameworks to develop data solutions to support performing analysis, interpreting results, creating actionable insights, and presenting recommendations for use across the company Use business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data Partnering with stakeholders to unde
Email Job
Posted 3 days ago
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