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Student Insurance Advocate - Oxford, OH
UnitedHealth Group
-
Oxford, OH
Program Administration Collaborates with key university departments (Registrar, Bursar, IT Services, University Communications and Marketing, Health Services. Student Life, etc.) to ensure processes pertaining to the SHIP are as smooth and seamless as possible throughout the insurance plan year. Regularly assesses and facilitates the implementation of the annual online st
Email Job
Posted Today
Care Coordinator - Allen County Indiana and surrounding areas - Remote
UnitedHealth Group
-
Fort Wayne, IN
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage 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 care plans inclusiv
Email Job
Posted 1 day 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 1 day 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 1 day 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 3 days ago
Medical Assistant Primary Care Plus, Baton Rouge
UnitedHealth Group
-
Baton Rouge, LA
Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prior to physician's/nurse practitioner's examination, serv
Email Job
Posted 4 days ago
Senior Business Systems Analyst - Remote Nationwide
UnitedHealth Group
-
Horsham, PA
Translate business rules and business requirements into system level requirements as part of user story refinement, documenting and communicating system changes Generates requirement documents that communicate process workflows and functional needs to both business stakeholders and technical staff. Maintains expertise and understanding of existing system functionality to
Email Job
Posted 5 days ago
Underwriting Consultant, Local Markets Eastern Region - Remote
UnitedHealth Group
-
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 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 5 days ago
Accountant- Lexington, KY
UnitedHealth Group
-
Lexington, KY
Maintain general ledger accounts and related activities for the production of financial statements and reports for Taft Hartley Trust Funds Create, document, review and approve journal entries Analyze investment statement activity and reconcile for journal entries Process payments and retrieve required statements from websites Reconcile, analyze, and review general ledger
Email Job
Posted 6 days ago
Senior Clinical Admin Nurse, Emerging CARE - Remote
UnitedHealth Group
-
Phoenix, AZ
Acts as resource to members calling into a customer service setting addressing medical/health questions Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow up with the member Provide process and status on previously submitted prior authorizations or pre determination requests Effectively refers and enrolls memb
Email Job
Posted 6 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 6 days ago
Telephonic Case Manager RN Pediatrics
UnitedHealth Group
-
Wausau, WI
Make outbound calls and receive inbound calls to assess members current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in person or on phone interaction Support members with conditi
Email Job
Posted 6 days ago
Bilingual (English / Spanish) Complex Customer Care Representative - Las Vegas,
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 6 days ago
Multilingual (English / Mandarin / Cantonese) Service Account Manager - Brooklyn
UnitedHealth Group
-
Brooklyn, NY
Research issues and develop customers specific solutions Provide in person Member services to both M&R and DSNP members with their languages at retail store, services including but not limited to Benefits Policies, Procedures, and protocols (pre auth, enrollments, renew rewards, etc.) Claim / billing issues (follow up calls with resolution to identified issues in timely m
Email Job
Posted 7 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 7 days ago
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