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Found 78 jobs

Jobs 1-10 of 78

Optum Post Pay Senior Investigator - Telecommute U.S. (744100)

Full-time | Optum Ops-Transactions | Eden Prairie, MN or Telecommute Considered

01/19/2018

Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm)   The Optum SIU Post Pay Investigator will be responsible for investigating suspected and validated fraudulent behaviors in healthcare. These cases can be very complex, and you will see an average of 5 to 10 ...

Network Contractor/ Analyst (Entry Level) – Milwaukee or Green Bay, WI (746209)

Full-time | UHN Regional | Milwaukee, WI

01/19/2018

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 Contractor/ Analyst develops the provider network (physicians, hospitals, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable...

MSLA - Provider Network Development Specialist - Tampa, FL (728433)

Full-time | OptumServe | Tampa, FL

01/19/2018

MSLA is a Medical Corporation that provides comprehensive independent medical evaluations (IME) and other IME related services to the government and private industry. Our business philosophy incorporates both exceptional customer service and quality evaluations, both of which are the primary factors for our rapid growth since our inception in 1998. No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You...

MSLA - Senior Provider Network Development Specialist - Multiple Locations - Telecommute (230841)

Full-time | OptumServe | Cypress, CA or Telecommute Considered

01/19/2018

MSLA is a Medical Corporation that provides comprehensive independent medical evaluations (IME) and other IME related services to the government and private industry. Our business philosophy incorporates both exceptional customer service and quality evaluations, both of which are the primary factors for our rapid growth since our inception in 1998. No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You...

Senior Business Intelligence Analytics Consultant - Multiple Locations (749038)

Full-time | C&S Ops - Encount & Bus Intel | Philadelphia, PA

01/19/2018

At UnitedHealthcare, our focus is on helping people live healthier lives.  As we work to better serve all populations, we have identified a need to look beyond the traditional path of member services.  myConnections’ mission is to transform the UnitedHealthcare Community & State business by expanding from Medicaid into the balance of government assistance programs for the low income population.  Our commitment to innovation has lead us to even more new ideas and an interest in better understanding how we can work in communities to help drive real change.   Expanding access to affordable, high ...

Healthcare Economics Consultant - Telecommute (746611)

Full-time | Community & State Finance | Phoenix, AZ or Telecommute Considered

01/19/2018

The Healthcare Economics Consultant, Medicaid Risk Adjustment, with an emphasis on risk adjustment, will develop member and provider analytics that support the plans with health-based reimbursement. The Analyst will work with very large data sets of healthcare claims and encounters and lead specific projects from conceptualization to completion, by running various risk adjustment models and contributing to database creation, statistical modeling, performance profiles, and financial reports. This individual will track the recipient / plan level risk scores, evaluate financial impact, and develo...

Concept Research Data Engineer - Eden Prairie, MN, Franklin, TN or US Telecommute (742708)

Full-time | OI Payment Integrity | Franklin, TN or Telecommute Considered

01/19/2018

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)   The Concept Research Data Engineer position requires strong data analysis and programming expertise utilizing healthcare data in order to detect incorrectly paid claims for all UHC segments (Medicare, Medicaid & Commercial) and claims platforms. The role is responsible for training team members on all data mini...

Associate Actuarial Analyst - Minnetonka, MN (744320)

Full-time | Medicare & Retirement Finance | Minnetonka, MN

01/19/2018

You're unique and so are we. Join our actuarial team and you'll work among an elite team of professionals who are helping to create historic results and an exceptional future for UnitedHealth Group.   As an Associate Actuarial Analyst, you'll be empowered, supported ,and encouraged to continue your professional development as you solve some of UnitedHealth Group's toughest challenges. You will use innovative tools, including the largest database of health care information in the world. You'll find an accelerated actuarial development path to support you in your continuing post-graduate educati...

It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the reso...

Healthcare Provider Network Contract Manager - NM / CO (745573)

Full-time | UHN Regional | Albuquerque, NM or Telecommute Considered

01/18/2018

It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the reso...

Jobs 1-10 of 78