Senior Snowflake and PowerBI Developer - Remote
Phoenix, AZ
Work with CICD frameworks to develop data solutions to support performing analysis, interpreting results, creating actionable insights, and presenting recommendations for use across the...

Medical Director DMEPOS - Remote
Dallas, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings,...

Clinical Coverage Review Medical Director - Remote
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 pr...

Sr. Internal Audit Consultant - Minnetonka, MN - Hybrid Role
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...

Experienced Senior Tax Associate
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 exam...

Sr. Director, Compliance Investigations Employee Relations - Remote
Minnetonka, MN
Investigations Refine investigation protocols, documentation standards, and policy interpretation guidelines in partnership with Employment Law and ER Case Management leadership Conduct...

Network Pricing Consultant - Remote
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; phy...

Associate General Counsel, Medicare Part D - Remote
Minnetonka, MN
Advise UnitedHealthcare's Medicare Part D business Counsel on Part D product, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirem...

Provider Network Access Specialist - Remote
Albuquerque, NM
Confirm contract compliance requirements to meet the needs of Turquoise Care contract network standards Possess knowledge of Managed Care Organization (MCO) contracting/credentialing pro...

Data Engineer - Horsham, PA
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 an...

Accountant- Lexington, KY
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 e...

Specialty Account Executive - Las Vegas,Nevada
Las Vegas, NV
Full oversight of the specialty sale to achieve health plan market sales goals and maintain profitability Advocate for specialty voluntary products to support increase in enrollment and...

Accounting Clerk- Lexington, KY
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 p...

HSS Clinical Coordinator RN - Kansas City, KS Metro Area
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...

Workers' Compensation Claims Adjuster (Lost Time) - Las Vegas, NV
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...