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Found 154 Jobs
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Location : All Job Fields : Communications, Medical & Clinical Operations, Real Estate Services
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Director of Communications, UHC Corporate Communications- MN (562391)
Full-time Minnetonka, MN
Job Posting: 7/24/2014
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Region: North America Country: United States
State/Province: MN City: Minnetonka
Position Description:
This isn't packaged goods. It's a bigger challenge than that. Here you're making a difference in people's lives, starting with your own. Join us and start doing your life's best work.(sm)Join our team and lead internal and external communication programs for UnitedHealthcare, with primary emphasis on creating change and communication planning processes. This position will serve as executive communications consultant to UnitedHealthcare senior leadership on various topics that position the leadership  team as thought leaders in the marketplace, engage employees and articulate the long-term stra...

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Sr. Director, AARP SHIP (556170)
Full-time Eden Prairie, MN
Job Posting: 7/23/2014
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Sr. Director, AARP SHIP
Posted 7/23/2014
Region: North America Country: United States
State/Province: MN City: Eden Prairie
Position Description:
 Become a member of the growing Optum Shared Services family. This Medicare Operations role is dedicated to serving our expanding AARP membership.  You will have the opportunity to lead a team of 150 professionals responsible for delivering health and wellness programs to over 3 million SHIP members. The primary responsibilities of the Sr. Director, AARP SHIP are as follows: Provide leadership to and is accountable for the operational performance and direction of the AARP SHIP program including:- MyCarePat- At Your Best- NurseLine (including TDS and ERDS)- Support integration of the above prog...

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Sr Clin Appeals RN (553918)
Full-time CA
Job Posting: 7/23/2014
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Sr Clin Appeals RN
Posted 7/23/2014
Region: North America Country: United States
State/Province: CA City:
Position Description:
- Reviews the work of others.- Develops innovative approaches.- Sought out as expert.- Serves as a leader/ mentor.Candidates who also have one or more of the following will be preferred:-Appeals experience strong preferred-CPT and/or ICD9 experience is preferred-Managed care experience is strongly preferred-Utilization review and/or case management experience is preferred-Previous experience in a telephonic role

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Clinical Practice Consultant - Work from home near Milwaukee (554031)
Full-time Milwaukee, WI or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: WI City: Milwaukee
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Clinical Practice Consultant is responsible for ongoing management of practices participating in UnitedHealthcare's Value Based Programs such as Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The CPC will work closely with our...

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RN Clinical Practice Consultant - Northeast (554030)
Full-time Providence, RI or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: RI City: Providence
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  The RN Clinical Practice Consultant is responsible for ongoing management of practices participating in UnitedHealthcare's Value Based Programs such as Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The Registered Nurse CPC will ...

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Clinical Appeals Reviewer - Maryland Heights, MO (559417)
Full-time Maryland Heights, MO
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: MO City: Maryland Heights
Position Description:
Position Description:Energize your career with one of Healthcare's fastest growing companies.   You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference a...

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Social Worker Las Vegas Nevada (560683)
Full-time Las Vegas, NV
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: NV City: Las Vegas
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) Social workers are responsible for providing social work services to patients and families. They function as a member of the departmental team which includes educating the patient, family and members of the healthcare team regarding benefits, community resources, referrals for counseling and other pertinent information. Social worke...

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Peer Support Counselor - West Valley City, UT (561578)
Full-time West Valley City, UT
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: UT City: West Valley City
Position Description:
Position Description:Energize your career with one of Healthcare's fastest growingcompanies.   You dream of a great career with a great company – where you canmake an impact and help people.  We dream of giving you the opportunity todo just this.  And with the incredible growth of our business, it's adream that definitely can come true. Already one of the world's leadingHealthcare companies, UnitedHealth Group is restlessly pursuing new ways tooperate our Service Centers, improve our Service levels and help people leadhealthier lives. We live for the opportunity to make a difference and righ...

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Clinical Appeals RN Work from Home (556785)
Full-time Phoenix, AZ
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: AZ City: Phoenix
Position Description:
The position is responsible for handling clinical reviews for Medicare member appeals within the 72 hrs AND 30 days timeframe required for appeals cases. This position is crucial for the A&G clinical team to maintain the TAT associated with the clinical reviews on all appeals and grievances and ascertain that members receive requested care when medically appropriate, in order to comply with CMS guidelines pertaining to the clinical review functions within A&G (CMS Chapter 13) 

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Operations Program Consultant - Telecommuter (557020)
Full-time Eden Prairie, MN
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: MN City: Eden Prairie
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Operations Program Consultant will be leading strategic initiatives across business teams and operating groups to coordinate and manage projects, define performance and expected results. The Operations Program Consultant will need to determine project time frames, determine procedures for accomplishing project and staffing requireme...

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Sr Operations Program Consultant - Telecommuter (557019)
Full-time Eden Prairie, MN or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: MN City: Eden Prairie
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Senior Clinical Program Consultant will be leading the strategic initiatives across business teams and operating groups to coordinate and manage projects, define performance and expected results. This Consultant will need to determine project time frames, determine procedures for accomplishing project and staffing requirements manag...

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Social Worker SMA Montecito and West Flamingo locations (558170)
Full-time Las Vegas, NV
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: NV City: Las Vegas
Position Description:
This Social Worker will work at both our West Flamingo and Montecito locations.  Southwest Medical Associates (SMA) is a multi-specialty group of physicians, Nurse Practitioners, and Physician Assistants consisting of over 200 providers, fourteen clinical locations including nine health care centers, five urgent care clinics and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout southern Nevada. SMA is headquartered in the greater Las Vegas, NV area.Southwest Medical Associates is now part of the Optum division under the greater UnitedHealth G...

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Director of Operations – Medical Behavioral Integration Programs (558577)
Full-time Glendale, CA or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: CA City: Glendale
Position Description:
For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your lifes best work.OptumHealth Behavioral Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-art predictive modeling, outcomes management and evidence-based best practices. The resul...

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Clinical Appeals Reviewer - Schaumburg, IL (557958)
Full-time Schaumburg, IL
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: IL City: Schaumburg
Position Description:
Position Description:Energize your career with one of Healthcare's fastest growingcompanies.   You dream of a great career with a great company – where you canmake an impact and help people.  We dream of giving you the opportunity todo just this.  And with the incredible growth of our business, it's adream that definitely can come true. Already one of the world's leadingHealthcare companies, UnitedHealth Group is restlessly pursuing new ways tooperate our Service Centers, improve our Service levels and help people leadhealthier lives. We live for the opportunity to make a difference and righ...

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Clinical Appeals RN, Work from Home US based (544317)
Full-time Houston, TX
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: TX City: Houston
Position Description:
We currently seek an experienced RN with strong interpersonal skills to join our team. The chosen Clinical Appeals RN would be responsible for reviewing incoming member cases to determine if the appropriate care was given. If you see yourself in home-based position that offers great potential for career advancement, we encourage you to apply today! In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a pro...

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Practice Performance Manager (Stars) (551357)
Full-time Jersey City, NJ or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: NJ City: Jersey City
Position Description:
The Practice Performace Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.  The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results.Multiple positions available.   You will cover one of the fo...

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Practice Performance Manager (Stars) (551362)
Full-time Basking Ridge, NJ or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: NJ City: Basking Ridge
Position Description:
The Practice Performace Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.  The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results. Multiple positions available.  You will cover one of the fo...

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Recovery & Resiliency Manager - Texas Star+Plus Expansion (550556)
Full-time Houston, TX or Telecommute Considered
Job Posting: 7/23/2014
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Region: North America Country: United States
State/Province: TX City: Houston
Position Description:
Recovery & Resiliency Manager The Recovery & Resiliency Manager will have overall responsibility for the successful functioning of the Recovery and Resiliency unit (R&R unit) and will serve as part of the behavioral health management team, and will supervise a staff of three peer support specialists. The R&R unit is responsible for developing peer-based programs and services that enhance consumer engagement and help the consumer reach their recovery goals. This may include working directly with consumers and families upon request, recruiting consumers and families for Optum and/or health plan ...

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Practice Performance Manager - STARS - Tallahassee FL (556394)
Full-time Tallahassee, FL
Job Posting: 7/22/2014
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Region: North America Country: United States
State/Province: FL City: Tallahassee
Position Description:
The Practice Performace Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.  The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results. This is a field based position covering the Tallahassee, FL...

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Clinical Administrative Coordinator - Sunrise, FL (559123)
Full-time Sunrise, FL
Job Posting: 7/22/2014
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Region: North America Country: United States
State/Province: FL City: Sunrise
Position Description:
Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SMWe are seeking a Clinical Administrative Coordinator for our Sunrise, FL Office. In this role you will be responsible for drafting Approval, Denial, Termination, and Reduction of Service letters for our Medicaid and/or Medicare Program clients. This employee is required to evaluate Clinical documentation to ens...

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