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Customer First Representative - Remote in WV
UnitedHealth Group
-
Charleston, WV
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 t
Email Job
Posted 9 days ago
Maternity and NICU RN Case Manager - 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 10 days ago
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
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 6 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
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
Student Insurance Advocate - Oxford, OH
UnitedHealth Group
-
Dayton, 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 7 days ago
Facilities Specialist - Middletown, NY
UnitedHealth Group
-
Middletown, NY
Respond to client inquiries and concerns ensuring timely service delivery of excellent customer satisfaction Create and assign work orders to multiple technicians, subcontractors, and/or vendors Effectively communicate work order details with technicians, subcontractors, and/or vendors, and effectively provide up to date reports on work order statuses Experience working w
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
Bilingual (English/Spanish) Medicare Sales Agent - Miami, FL
UnitedHealth Group
-
Miami, FL
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 7 days ago
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