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HSS Clinical Coordinator RN - Fort Worth - Tarrant County, TX
UnitedHealth Group
-
Fort Worth, TX
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 equitable. Ready to make a difference? Join us to start Caring. Conne
Email Job
Posted 4 days ago
National Accounts Strategic Client Executive - Charlotte NC
UnitedHealth Group
-
Charlotte, NC
Solid understanding of both fully insured and self funded marketplace and pricing disciplines Establish and maintain "strong and appropriate" level relationships with customers and consultants; ensure UHG senior management has customer specific "board level" contacts Develop and monitor client financial performance including renewal planning, negotiation and profitability
Email Job
Posted 4 days ago
Paralegal/Sr Legal Services Specialist (Regulatory/FDA Law) - Hybrid or Remote
UnitedHealth Group
-
Minnetonka, MN
Provide day to day paralegal and legal services support including leading or assisting on special projects from the Legal Team Work closely with Legal, Quality Management and Regulatory Affairs (QMRA), Compliance and other cross business and functional stakeholders on activities related to enterprise wide regulatory and quality management systems, including coordination,
Email Job
Posted 4 days ago
Coding Appeals RN - Remote - Works M-F 8:30-5:00
UnitedHealth Group
-
Milwaukee, WI
Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances) Review of coding edits and reimbursement issues Works with less structured, more complex issues Solves moderately complex problems and / or conducts moderately complex analyses Translates concepts into practice Assesses and interprets customer needs and requirements Identifies solutions to non sta
Email Job
Posted 4 days ago
HSS Clinical Coordinator RN-Dallas, TX
UnitedHealth Group
-
Dallas, TX
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 equitable. Ready to make a difference? Join us to start Caring. Conne
Email Job
Posted 4 days ago
Broker Agent Service Senior Representative - National Remote
UnitedHealth Group
-
Eden Prairie, MN
Manages ongoing relationships and service delivery to clients for one or more accounts Acts as outward facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts Works closely with Sales Leads on renewals and upselling, but incumbents do not have specific sales goal accountability or primary respo
Email Job
Posted 4 days ago
RN Field Clinical Care Coordinator/HCBS- Fort Worth, TX-East
UnitedHealth Group
-
Fort Worth, 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 4 days ago
Radiation Oncology Preservice Review Nurse RN - Remote
UnitedHealth Group
-
Dallas, TX
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 4 days ago
Sr Healthcare Economics Consultant - Remote
UnitedHealth Group
-
Minnetonka, MN
Interpret and analyze claims, capitation, membership data, and recommend best approaches in support of underwriting, actuarial and utilization analyses Lead projects to completion by contributing to database creation, statistical modeling and financial reports Performs complex data validation and conceptual analyses. Create and update automated processes within client dat
Email Job
Posted 4 days ago
Manager, Sourcing and Procurement - Remote
UnitedHealth Group
-
Minnetonka, MN
Develop, lead and execute category management strategies, conduct sourcing / RFX events, manage suppliers and conduct financial analysis Draft, Review, and lead negotiations of third party supplier contracts, including Master Services Agreements (MSAs), Statements of Work (SOWs), Non Disclosure Agreements (NDAs) and amendments in cooperation with legal, internal stakehold
Email Job
Posted 4 days ago
Clinical Grievances RN - Remote in a PST
UnitedHealth Group
-
Phoenix, AZ
Perform clinical assessment of healthcare services provided to our members for appropriateness Understand relevant state and federal grievance and peer review requirements and accreditation standards applicable for processes supported Receives cases from the QIS non clinical team and reviews them against required clinical information, assessing for appropriateness and con
Email Job
Posted 5 days ago
Medicare Market Growth Manager - Sales Manager - SW Florida
UnitedHealth Group
-
Fort Myers, FL
Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities, product positioning, UHC tools, UHC value proposition, compliance, and market education Onboarding Reach out to new agents identified by the PHD to share UHC learning, growth tools and va
Email Job
Posted 5 days ago
Customer Service Representative (Empire) - Remote in NY
UnitedHealth Group
-
Lake Katrine, NY
Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Educate customers about the fundamentals and benefits of consumer driven health care, guiding them on topics such as selecting the best benef
Email Job
Posted 5 days ago
Health Engagement Nurse - Remote in Dublin, OH (up to 25% day travel)
UnitedHealth Group
-
Dublin, OH
Educate members on health education and condition management (formal and informal), as well as plan specifics and member resources, in collaboration with OptumHealth Referral of employees to available clinical programs including premium designated physicians Create, manage and implement employer specific programs based on employer needs Monitors and analyzes customer spec
Email Job
Posted 6 days ago
Sr Clinical Quality RN - Hybrid in Eastern MI Markets
UnitedHealth Group
-
Detroit, MI
Front Facing Practice Level Leadership Targeted Quality Improvement Gaps in Care Closure Relationship Management, Internal and External Community Engagement and Interaction Provider and Practice Education, Quality Oriented Health Topics Supports effective deployment of program at the practice level through strategic partnerships with participating practitioners and practi
Email Job
Posted 6 days ago
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