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Clinical Coverage Review Medical Director - Remote
UnitedHealth Group
-
Austin, TX
Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer to peer telephone calls Use clinical knowledge in the application and interpretation of medical policy and benefit document language in the process of clinical co
Email Job
Posted 24 days ago
Sr. Internal Audit Consultant - Minnetonka, MN - Hybrid Role
UnitedHealth Group
-
Minnetonka, MN
Develop and execute Internal Audit department operations, methodology, technologies and tools, and continuous improvement efforts in alignment with direction provided by the OSCaR Leader, IAAS leadership, IIA audit standards, the Internal / External Audit Policy and the Charter of the UHG Board of Directors Audit Committee Ensure policies, procedures, and other core depar
Email Job
Posted 24 days ago
Experienced Senior Tax Associate
UnitedHealth Group
-
Minnetonka, MN
The preparation of quarterly and annual income tax provisions The timely and accurate preparation of federal and state income tax returns and quarterly estimates Assist with the IRS examination Assisting Tax leadership with M & A and other related projects Providing research support for the analysis of proposed and existing tax laws, regulations, and rulings Prepare and r
Email Job
Posted 24 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 25 days ago
Associate General Counsel, Medicare Part D - Remote
UnitedHealth Group
-
Minnetonka, MN
Advise UnitedHealthcare's Medicare Part D business Counsel on Part D product, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirements Provide strategic counsel to the business on the Pharmacy Benefit Management (PBM) Agreements, benefit implementation and management, and compliance oversight and monitoring Provide c
Email Job
Posted 25 days ago
Field Health Social Services Coordinator/IDD - Morgan Wonderland - SW San Antoni
UnitedHealth Group
-
San Antonio, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least 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
Email Job
Posted 25 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 25 days ago
HSS Clinical Coordinator RN - Kansas City, KS Metro Area
UnitedHealth Group
-
Kansas City, KS
Assess, plan and implement care strategies that are individualized and directed toward the most appropriate level of care for Medicare and Medicaid members while proactively engaging the member to manage their own health and healthcare Utilize strong skill sets of managing multiple tasks at a time, being self motivated, driven toward quality results, managing time well, b
Email Job
Posted 25 days ago
Medicare Market Growth Manager - Hybrid in Orange County, CA
UnitedHealth Group
-
Cypress, CA
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 25 days ago
Sr. Tax Associate
UnitedHealth Group
-
Minnetonka, MN
Seeking process improvement through efficiency or technology advancements in all areas of work Assisting with UHG's quarterly international tax provision and effective tax rate projections, including coordination with non US business lines Preparing US international tax compliance and reporting forms (including Forms 5471, 8858, 8865, 1118, etc.) Preparing responses to in
Email Job
Posted 25 days ago
Patient Access Supervisor - Emergency Department
UnitedHealth Group
-
Bakersfield, CA
Supervisory Position/Fortune 5 Organization/Excellent Compensation and Benefit Package!
Email Job
Posted 25 days ago
Mammography Tech Per Diem, PRN
UnitedHealth Group
-
Vista, CA
Make Extra Money/Fortune 5 Company/Friendly Work Environment!
Email Job
Posted 25 days ago
Associate Director, Healthcare Economics - Remote
UnitedHealth Group
-
Minnetonka, MN
Partners with business leaders to scope, create and execute business analytics using the appropriate data aggregation and visualization tools Creates backlog and prioritization methodology for analytics requests Evaluates existing tools and processes to create a long term strategy for sustainable analytics in a scaled business, offering ease and efficiency of data visuali
Email Job
Posted 26 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 27 days ago
Case Manager LTSS - Field Work in Chaffee, Custer, Fremont, Lake Counties - CO
UnitedHealth Group
-
Salida, CO
Intake/screening/referral, assessment/reassessment, development of support plans, on going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department prescribed system, resource development, and case closure Respect confidentiality and maintain confidences as described in the UHG Employee Hand
Email Job
Posted 27 days ago
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