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Accounting Clerk- Lexington, KY
UnitedHealth Group
-
Lexington, KY
Review, validate and maintain financial and other records as they relate to client specific programs for Taft Hartley Fund Responsible for timely reconciliation of all accounts Process payments and retrieve required statements from websites Communicate financial discrepancies and resolve Responsible for all financial exchanges related to participant accounts Identify erro
Email Job
Posted 9 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 9 days ago
HSS Clinical Care Coordinator - Johnson/Wyandotte County, KS
UnitedHealth Group
-
Overland Park, KS
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 Com
Email Job
Posted 10 days ago
Network Pricing Consultant - Remote
UnitedHealth Group
-
Greensboro, NC
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze payment appendices to provide options for various contracting approaches and methodologies Communicate results of financial impact and analysis to appropriate st
Email Job
Posted 12 days ago
Data Engineer - Horsham, PA
UnitedHealth Group
-
Horsham, PA
Test Data Provision & Masking Operation Test data need & masking analysis ( Data structure, SQL queries) Working with Informatica tool to configure & invoke Data Copy and Masking jobs and maintain Gold Copy Maintenance of TDM Portal using UNIX scripting, Java Spring boot and Angular You'll be rewarded and recognized for your performance in an environment that will challen
Email Job
Posted 12 days ago
HSS Clinical Coordinator RN - 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 13 days ago
Health Plan Clinical Operations Manager - DC Office Hybrid
UnitedHealth Group
-
Washington, DC
The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D SNP) population in the District of Columbia and is excited to recruit for our leader of clinical oversight. This individual contributor will report directly to the Executive Director and will support them on coordinating select priorities, as well as have accountability in two key
Email Job
Posted 14 days 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
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 Based Community Health Worker - Greater Detroit Area, MI
UnitedHealth Group
-
Southfield, MI
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate care Utilize both company and community based resources to establish a safe and effective case management plan for members Collaborate with member, family, and healthcare providers Identify and initiate referrals for social service programs, including fin
Email Job
Posted 3 days ago
Community Well Care Coordinator - Lake County and Surrounding Areas, Indiana
UnitedHealth Group
-
Crown Point, IN
Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess 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
Email Job
Posted 3 days ago
Field Based Community Health Worker - Multiple Locations in Ohio
UnitedHealth Group
-
Kent, OH
Engage members either face to face or over the phone to have a discussion about their health Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care) Conduct comprehensive member assessment that includes bio psychosocial, functional, and behavioral health needs Utiliz
Email Job
Posted 3 days ago
Medicare Sales Agent
UnitedHealth Group
-
Colorado Springs, CO
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 3 days ago
Workers' Compensation Claims Adjuster (Lost Time) - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Evaluates new and on going claims to determine liability, giving consideration to contract provisions, disability management duration contract guidelines, medical evidence and vocational evidence. Investigates questionable claims. Determines need for additional medical information. Performs periodic follow ups to verify continued existence of a disabling condition. Respon
Email Job
Posted 3 days ago
Field Based Case Manager Bilingual Spanish Required - Miami, FL
UnitedHealth Group
-
Miami, FL
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 4 days ago
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