Field Clinical Coordinator RN - Shelby County, TN - Remote
Memphis, TN
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Strategic Account Executive, KA - Northern CA
Concord, CA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate, and manage the customer relationship at multiple levels,...

Strategic Account Executive TPA - Omaha, NE
Omaha, NE
Customer retention, based on established annual goals Strategic planning for multi year initiatives to identify opportunities to better manage healthcare trends Responsible for communica...

Associate Software Engineer - Remote
Minnetonka, MN
Maintenance and enhancement of existing EDI solution built on EDI Fabric in C# Troubleshoot and resolve EDI technical issues, including diagnosis and root cause analysis Troubleshoot cla...

Financial Analyst Intern, C&S (Part-Time)
Minnetonka, MN
Analyze and report on financials Assist in the development of program forecasts, budgets, and plans Research economic progressions to assist with the organization's financial planning Cr...

Broker Agent Service Senior Representative
Minnetonka, MN
Review applications, gather data, determine eligibility and compliance Process broker and agent licensing, appointment and contracting credentials for Medicare Supplement Products Ensure...

National Director, Dental & Vision - Remote
Chicago, IL
Develop key internal and external relationships to facilitate results. Understand and create a strategy based on analysis and reporting of sales and market trends, including sales plan e...

Preservice Review Nurse RN - Remote
Phoenix, AZ
Perform initial and ongoing reviews pertaining to primary role (PA, ICM, DCM, PACM), appropriately applying clinical criteria (InterQual, policies, National and Local Coverage Determinat...

Bilingual Spanish Telephonic RN Disease Case Manager, Remote in NV, AZ or UT
Las Vegas, NV
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 million...

QOI Project Analyst - Remote
Eden Prairie, MN
Demonstrate understanding of relevant organizations' operations, products, applications, strategies and processes to effectively support Quality Reporting Operations using relevant tools...

Senior Investigator - Remote in North Carolina
Raleigh, NC
Investigate medium to highly complex cases of fraud, waste, and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy...

Associate Clinical Administrative Coordinator - Las Vegas, NV
Las Vegas, NV
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and...

Senior Investigator - Remote Nationwide
East Brunswick, NJ
Investigate medium to highly complex cases of fraud, waste, and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy...

Senior Implementation Manager - Financial Protection - National Remote
Dallas, TX
Lead and manage implementation process for new and in force customers with a focus on supporting our National Account, larger Key Account and Leave Management business segments Drive and...

Behavioral Health Care Advocate - After Hours - Remote anywhere in USA
Tampa, FL
Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Make...