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...

Paralegal/Sr Legal Services Specialist (Regulatory/FDA Law) - Hybrid or Remote
Minnetonka, MN
Provide day to day paralegal and legal services support including leading or assisting on special projects from the Legal Team Work closely with Legal, Quality Management and Regulatory...

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...

Licensed Behavioral Health Care Coordinator, ALTCS - Remote in AZ
Phoenix, AZ
Apply clinical knowledge to Case Managers behavioral health reviews to enrollee's identified as needing or receiving behavioral health services Conduct behavioral health consults with Ca...

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...

Customer First Representative - Remote in WV
Charleston, WV
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and ex...

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 - Sedgwick or Butler County, KS
Wichita, KS
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals fo...

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...

Telephonic Nurse Case Manager - Optum Remote
Phoenix, AZ
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self manageme...

Maternity and NICU RN Case Manager - MD Market
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

HSS Clinical Coordinator RN - MD Market
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...