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Underwriting Consultant Local Markets West Region - Remote
UnitedHealth Group
-
Cypress, CA
Primary focus will be on a Local Market book of business Intricate focus on product integration to maximize company financials Work closely with underwriting and local market sales to derive competitive financial responses Meets quarterly reporting requirements Anticipates customer needs and proactively develops solutions to meet them Serves as a key resource on complex a
Email Job
Posted 7 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 8 days ago
Senior Pharmacy Care Technician
UnitedHealth Group
-
Downers Grove, IL
Perform telephonic customer outreach to improve health quality outcomes in collaboration with clinical pharmacists Provide additional telephonic engagement with providers and pharmacies Assess and interpret customer needs and requirements, triaging to a clinical pharmacist when appropriate Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience a
Email Job
Posted 8 days ago
Senior Clinical Admin Nurse - Hybrid in Columbia, TN
UnitedHealth Group
-
Columbia, TN
Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet based wellness tools and resources Outreach to membership providing pre admission counseling to mem
Email Job
Posted 9 days ago
HSS Clinical Care Coordinator - Johnson/Wyandotte County, KS
UnitedHealth Group
-
Overland Park, 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 9 days ago
RN Health Coordinator - $5,000 Sign On - Field Based Hawaii
UnitedHealth Group
-
Honolulu, HI
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, 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 Com
Email Job
Posted 10 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 11 days ago
HSS Clinical Coordinator RN - MD Market
UnitedHealth Group
-
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati
Email Job
Posted 12 days ago
Health Plan Clinical Operations Manager - DC Office Hybrid
UnitedHealth Group
-
Washington, DC
The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D SNP) population in the District of Columbia and is excited to recruit for our leader of clinical oversight. This individual contributor will report directly to the Executive Director and will support them on coordinating select priorities, as well as have accountability in two key
Email Job
Posted 13 days ago
Senior Investigator
UnitedHealth Group
-
Lansing, MI
Investigate medium to highly complex cases of fraud, waste, and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case t
Email Job
Posted Today
Community Well Care Coordinator - Lake County and Surrounding Areas, Indiana
UnitedHealth Group
-
Crown Point, IN
Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered
Email Job
Posted 2 days ago
Field Based Community Health Worker - Multiple Locations in Ohio
UnitedHealth Group
-
Kent, OH
Engage members either face to face or over the phone to have a discussion about their health Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care) Conduct comprehensive member assessment that includes bio psychosocial, functional, and behavioral health needs Utiliz
Email Job
Posted 2 days ago
Medicare Sales Agent
UnitedHealth Group
-
Colorado Springs, CO
Answer incoming phone calls from prospective members, identify the type of assistance and information the customer needs with the goal to convert caller to a qualified lead and sale Follow up with members on questions or to review current or new products and services Navigate multiple computer systems to document member information while maintaining active listening and e
Email Job
Posted 2 days ago
Field Based Case Manager Bilingual Spanish Required - Miami, FL
UnitedHealth Group
-
Miami, FL
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 3 days ago
Medical Coder
UnitedHealth Group
-
Wausau, WI
Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica
Email Job
Posted 7 days ago
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