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Senior Appeals Representative - US Telecommute (735714)

Full-time | M&R Ops - Claim Operations | Minneapolis, MN or Telecommute Considered

10/18/2017

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.Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analy...

Care Coordinator - Shelby County, TN (735943)

Full-time | Community & State Southeast HP | Memphis, TN or Telecommute Considered

10/18/2017

In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm)In this role as a Field Care Coordinator you will work in t...

Network Pricing Consultant- Telecommute (735053)

Full-time | E&I Healthcare Economics | Lake Oswego, OR or Telecommute Considered

10/18/2017

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)   The  Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting.  Network Pricing Consultant of Network Pricing c...

Senior Medical Coder - Telecommute in the US (735265)

Full-time | Optum360 | Atlanta, GA or Telecommute Considered

10/18/2017

Health care isn't just changing. It's growing more complex every day. Because of this hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)  Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As an I...

Senior Medical Coder / Claims Analyst - Telecommute (738234)

Full-time | Optum360 | Atlanta, GA or Telecommute Considered

10/18/2017

Health care isn't just changing. It's growing more complex every day. Because of this hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)  Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As an I...

Clinical Program Consultant - Telecommute (733890)

Full-time | Clin Ldrshp & Accountability | Minnetonka, MN or Telecommute Considered

10/18/2017

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) In this role you will be managing multiple projects that will be focused on improving HEDIS rates, Healthcare Effectiveness Data and Information Set, for our Medicare and Retirement population, which also includes dually enrolled members.Meetings are lead virtually to define requirements and proceed in a timely manner. You will be leadi...

Licensed Behavioral Care Advocate - Telecommute in Colorado (733491)

Full-time | Optum Ops-Pop Health Mgmt | GRAND JUNCTION-Colorado, CO

10/18/2017

You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing your life's best work. (sm) As a Behav...

Sr. Business Architect - UHC IS - Employer and Individual (732215)

Full-time | UnitedHealthcare IS | Hartford, CT or Telecommute Considered

10/18/2017

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   The Sr. Business Architect role is accountable for managing and communicating the architectural information supporting business/technology alignment for one or more capability domains of the UnitedHealthcare Employer & Individual (UHC E&I) business segment....

Prior Auth, RN Reviewer -MA License REQUIRED (734589)

Full-time | Optum Government Solutions | Boston, MA or Telecommute Considered

10/18/2017

There's energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Are you ready for a new path? Start doing your life's best work.(sm)   Primary Responsibilities: Responsible for performing prior authorization review of services that require notification, using applicable benefit plan documents, evidence - based medical policy and state specific recognized clinical guidelines and criteria      Determines medical approp...

Telephonic RN Case Manager - Telecommute in New Jersey (736066)

Full-time | Optum Ops-Pop Health Mgmt | Newark, NJ or Telecommute Considered

10/18/2017

There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you wont find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.(sm)   As a Case Management RN, you will drive positive outcom...

Jobs 1-10 of 240