Telephonic Case Manager RN - Remote
New York, NY
Serve as primary care manager for members with complex medical/behavioral needs Engage members telephonically to complete a comprehensive needs assessment, including assessment of medica...

Regional Director of Policy - Remote
Minnetonka, MN
Predicts emerging customer (state, health plan and functional partner) needs and develops innovative solutions to meet them Solves unique and complex problems with broad impact on the bu...

Field RN Clinical Coordinator - Morrow and Knox Counties, OH
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...

HSS Clinical Coordinator RN - Fort Worth - Tarrant County, TX
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 millio...

National Accounts Strategic Client Executive - Charlotte NC
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 consu...

Field Care Coordinator, SW Region - Remote in New Mexico
Truth or Consequences, NM
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Coding Appeals RN - Remote - Works M-F 8:30-5:00
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 moderat...

HSS Clinical Coordinator RN-Dallas, TX
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 millio...

Broker Agent Service Senior Representative - National Remote
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 cont...

Sr Healthcare Economics Consultant - Remote
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 con...

Manager, Sourcing and Procurement - Remote
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 par...

Clinical Grievances RN - Remote in a PST
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 accreditat...

Medicare Market Growth Manager - Sales Manager - SW Florida
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,...

Customer Service Representative (Empire) - Remote in NY
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,...

Underwriting Consultant, Local Markets Eastern Region - Remote
Hartford, CT
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 de...