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Market Growth Manager (MGM) - Texas panhandle - Remote
UnitedHealth Group
-
Lubbock, TX
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 3 days ago
Principal Data Scientist - Remote
UnitedHealth Group
-
Minnetonka, MN
Part of a team of dedicated actuaries and data scientists to study the usage of ML based algorithms applied to historical pharmacy, inpatient notification data, prior authorization data and ultimate utilization and claims data to identify predictive capabilities that can enhance UHC's current trend forecasting models Work with the operational team to identify opportunitie
Email Job
Posted 3 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
Strategic Account Executive TPA - Michigan
UnitedHealth Group
-
Grand Rapids, MI
Customer retention, based on established annual goals Strategic planning for multi year initiatives to identify opportunities to better manage healthcare trends Responsible for communicating and managing escalated issues and problem resolution as appropriate Maintains appropriate documentation including action plans, meeting notes, Strategic Customer Business Plans, Sales
Email Job
Posted 9 days ago
Bilingual (English/Spanish) Complex Customer Care Representative - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 9 days ago
Facilities Specialist (2pm -10pm) Middletown, New York
UnitedHealth Group
-
Middletown, NY
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. Connect
Email Job
Posted 11 days ago
Licensed Behavioral Health Care Coordinator, ALTCS - Remote in AZ
UnitedHealth Group
-
Phoenix, AZ
Apply clinical knowledge to Case Managers behavioral health reviews to enrollee's identified as needing or receiving behavioral health services Conduct behavioral health consults with Case Managers, daily and maintain a quarterly schedule for identified members needing or receiving behavioral health services Serve as member advocate by addressing stigma, following Guiding
Email Job
Posted 12 days ago
Sr. Data Analyst - Remote
UnitedHealth Group
-
Minnetonka, MN
Part of a team of dedicated actuaries and data scientists to study the usage of ML based algorithms applied to historical pharmacy, inpatient notification data, prior authorization data and ultimate utilization and claims data to identify predictive capabilities that can enhance UHC's current trend forecasting models Work with the operational team to identify opportunitie
Email Job
Posted 3 days ago
Behavioral Health Care Coordinator/SPMI - San Antonio, TX
UnitedHealth Group
-
San Antonio, 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
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 11 days ago
RN Clinical Tribal Coordinator - Phoenix, AZ
UnitedHealth Group
-
Phoenix, AZ
Care Management allocation Care Management responsibilities 80% time allocation which includes case consultations with a case load of 45 50 Utilization of hotspotting tool and other internal resource tools that identify at risk AI members Community, relationship building, education 20% (Interventions and efforts to be logged and tracked, reviewed with Manager, including o
Email Job
Posted 12 days ago
Medical Director Clinical Coverage Review - Pharmacy - Remote
UnitedHealth Group
-
Houston, TX
Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided Conduct coverage review on some medical cases, based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in
Email Job
Posted 3 days ago
Regional Director of Policy - Remote
UnitedHealth Group
-
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 business Participates in the development of business strategy Develops and manages business plans to achieve objectives Leads large, complex projects related to policy, advocacy and influenc
Email Job
Posted 4 days ago
RN Nurse Care Coordinator - Nursing Facilities - Brownsville, TX
UnitedHealth Group
-
Brownsville, TX
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care. Identify and initiate referrals for member transition to community request and provide assist with social service programs, including financial, psychosocial, community and state supportive services. Manage the care plan
Email Job
Posted 3 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
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