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Clinical Advocacy and Support - Medical Director, CCR - Remote
UnitedHealth Group
-
Houston, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer to peer discussions Be knowledgeable in
Email Job
Posted 1 day ago
Director - Trade Shows and Industry Events - Remote
UnitedHealth Group
-
Eden Prairie, MN
Strategic Planning In partnership with key stakeholders across marketing, oversees the strategic planning, budget and execution of industry programs and trade shows Trade show SME Support team and partner across marketing and sales stakeholders by being the subject matter expert on trade shows, enabling capabilities, proactively meeting their needs, communicating effectiv
Email Job
Posted 1 day ago
HSS Coordinator-LVN - College Station, TX
UnitedHealth Group
-
College Station, 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 1 day ago
Investigator - National Remote
UnitedHealth Group
-
Houston, TX
Assess complaints of alleged misconduct received within the Company Investigate low to medium 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
Email Job
Posted 1 day ago
Regional Sales Manager - National Remote
UnitedHealth Group
-
Eden Prairie, MN
Promote Excelsior's product portfolio to benefits brokers and help them increase their enrollment and average case size with all product lines Ability to negotiate and close sales Conduct in depth market presentations for brokers and employers Create and drive strategies for top producing agencies and Brokers Collaborate with Sales Management regarding pipeline, persisten
Email Job
Posted 1 day ago
Enrollment Eligibility Representative - Lexington, KY
UnitedHealth Group
-
Lexington, KY
Administration of Pension Benefits Collection of data from pension participants to determine eligibility and vesting schedule. Answer questions via telephone and email to convey information regarding the provisions of the pension plans. Create various types of members or employer correspondence including letters and emails. Collection and data entry of participant hours w
Email Job
Posted 1 day ago
Medicare Market Growth Manager - Remote from Western NY
UnitedHealth Group
-
Buffalo, NY
Build and maintain solid relationships with key brokers and others as necessary within the assigned territory Develops action plans and strategies to optimize Medicare sales Partner with peers and the Sales Director (SD) to identify and develop relationships with individuals and organizations that influence the buying behavior of our target consumer (e.g., Providers, Regu
Email Job
Posted 1 day ago
Customer Service Representative - National Remote
UnitedHealth Group
-
Dallas, TX
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e., benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits / EOBs) Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Own problem
Email Job
Posted 1 day ago
Field Care Coordinator - ALTCS - Maricopa County, AZ
UnitedHealth Group
-
Phoenix, AZ
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 1 day ago
Chiropractor Case Manager - Remote
UnitedHealth Group
-
Eden Prairie, MN
Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re
Email Job
Posted 1 day ago
Field RN Clinical Coordinator - Morrow and Knox Counties, OH
UnitedHealth Group
-
Columbus, OH
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 3 days ago
Market Growth Manager, Medicare - Remote in Binghamton, NY
UnitedHealth Group
-
Binghamton, NY
Build and maintain solid relationships with key brokers and others as necessary within the assigned territory Develops action plans and strategies to optimize Medicare sales Partner with the Community Developer (CD) and Sales Director (SD) to identify and develop relationships with individuals and organizations that influence the buying behavior of our target consumer (e.
Email Job
Posted 3 days ago
Behavioral Health Care Coordinator/SPMI - Smith County, TX
UnitedHealth Group
-
Tyler, 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 3 days ago
Financial Consultant - Virtual
UnitedHealth Group
-
Minnetonka, MN
Financial management of the UnitedHealthcare and UHG Global real estate portfolios Includes all day to day financial support both Operations costs and Capital costs for those portfolios month end, forecast, financial analysis, project tracking, etc. Customer relationship management (CRM) coordinate & lead review meetings; recommend and establish strategies, plans, and pro
Email Job
Posted 3 days ago
Field Based Community Health Worker-Roanoke and Lexington, Virginia
UnitedHealth Group
-
Roanoke, VA
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Utilize both company and community based resources to establish a safe and effective case management plan for members Collaborate with patient, family, and healthcare providers Identify and initiate referrals for social s
Email Job
Posted 3 days ago
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