Bilingual (English / Spanish) Complex Customer Care Representative - Las Vegas,
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 a...

Bilingual (English/Spanish) Complex Customer Care Representative - Las Vegas, NV
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 a...

Senior Clinical Admin Nurse - Hybrid in Columbia, TN
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...

Audit Analyst
Minnetonka, MN
Assist audit management or audit lead in the execution of internal audits including audit planning, detailing control procedures, and the related testing and reporting in accordance with...

On Site RN Case Manager - Community Transitional Center - San Diego, CA
San Diego, CA
Assess, plan, implement, coordinate, monitor, and evaluate case management activities for offenders being released from state and local prison and for those currently residing at the Com...

Health Plan CEO, Illinois - Community & State
Minnetonka, MN
Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement D...

Associate Director, Healthcare Economics - Remote
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 methodolo...

Medical Coder
Wausau, WI
Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits...

Sr. Director, Enterprise National Partnerships - DEI
Minnetonka, MN
DEI Partnerships, Strategies and DEI Integration Operations Lead strategy and execution for strategic partnerships (conferences, memberships, brand recognition and ESG integration) Overs...

Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
Cypress, CA
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Perform...

Bilingual (English / Spanish) Plan Advisor Representative - National Remote
Sharonville, OH
Provide an exceptional customer service experience when responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs...

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,...

Inpatient Care Management Nurse RN - Remote
Atlanta, GA
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of ca...

Inpatient Care Management Nurse RN - Indiana - Remote
Indianapolis, IN
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of ca...

Health Plan Clinical Operations Manager - DC Office Hybrid
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 clinic...