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Bilingual (English / Spanish) Complex Customer Care Representative - Las Vegas,
UnitedHealth Group
-
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 and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 11 days ago
Multilingual (English / Mandarin / Cantonese) Service Account Manager - Brooklyn
UnitedHealth Group
-
Brooklyn, NY
Research issues and develop customers specific solutions Provide in person Member services to both M&R and DSNP members with their languages at retail store, services including but not limited to Benefits Policies, Procedures, and protocols (pre auth, enrollments, renew rewards, etc.) Claim / billing issues (follow up calls with resolution to identified issues in timely m
Email Job
Posted 12 days ago
RN Case Manager, Remote in KY - Multiple Locations
UnitedHealth Group
-
Louisville, KY
Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for both healthcare and community based services; including but not limited to financial, psychosocial, community and state supportive services Develop and implement care
Email Job
Posted 12 days ago
Telephonic Case Manager RN Transplant
UnitedHealth Group
-
Wausau, WI
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c
Email Job
Posted 12 days ago
Medical Assistant Lafayette
UnitedHealth Group
-
Lafayette, LA
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual patient and caregiver, as appropriate, in decision making Facilitates communication and coordination among members of the care team Provides patient care to include patient assessment prio
Email Job
Posted 13 days ago
Patient Access Supervisor - Emergency Department
UnitedHealth Group
-
Bakersfield, CA
Supervisory Position/Fortune 5 Organization/Excellent Compensation and Benefit Package!
Email Job
Posted 14 days ago
Regional Sales Manager - National Remote
UnitedHealth Group
-
Eden Prairie, MN
Promote Excelsior's product portfolio to benefits brokers and help them increase their enrollment and average case size with all product lines Ability to negotiate and close sales Conduct in depth market presentations for brokers and employers Create and drive strategies for top producing agencies and Brokers Collaborate with Sales Management regarding pipeline, persisten
Email Job
Posted 3 days ago
Medical Director Clinical Coverage Review - Pharmacy - Remote
UnitedHealth Group
-
Houston, TX
Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided Conduct coverage review on some medical cases, based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in
Email Job
Posted 5 days ago
Student Insurance Advocate - Oxford, OH
UnitedHealth Group
-
Oxford, OH
Program Administration Collaborates with key university departments (Registrar, Bursar, IT Services, University Communications and Marketing, Health Services. Student Life, etc.) to ensure processes pertaining to the SHIP are as smooth and seamless as possible throughout the insurance plan year. Regularly assesses and facilitates the implementation of the annual online st
Email Job
Posted 5 days ago
Clinical Grievances RN - Remote in a PST
UnitedHealth Group
-
Phoenix, AZ
Perform clinical assessment of healthcare services provided to our members for appropriateness Understand relevant state and federal grievance and peer review requirements and accreditation standards applicable for processes supported Receives cases from the QIS non clinical team and reviews them against required clinical information, assessing for appropriateness and con
Email Job
Posted 7 days ago
Bilingual (English/Spanish) Complex Customer Care Representative - Las Vegas, NV
UnitedHealth Group
-
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 and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 11 days ago
Facilities Specialist - Middletown, NY
UnitedHealth Group
-
Middletown, NY
Respond to client inquiries and concerns ensuring timely service delivery of excellent customer satisfaction Create and assign work orders to multiple technicians, subcontractors, and/or vendors Effectively communicate work order details with technicians, subcontractors, and/or vendors, and effectively provide up to date reports on work order statuses Experience working w
Email Job
Posted 12 days ago
Chiropractor Case Manager - Remote
UnitedHealth Group
-
Eden Prairie, MN
Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re
Email Job
Posted 3 days ago
RN Nurse Care Coordinator - Nursing Facilities - Brownsville, TX
UnitedHealth Group
-
Brownsville, TX
Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care. Identify and initiate referrals for member transition to community request and provide assist with social service programs, including financial, psychosocial, community and state supportive services. Manage the care plan
Email Job
Posted 5 days ago
Population Health Lead - Remote in Dublin, OH
UnitedHealth Group
-
Dublin, OH
Manage projects from inception to completion through QI science methodology documentation including Project charters, PDSA cycles, Key Driver Diagrams, GEMBAs, Run Charts and Paretos Complete data analysis for projects to determine progress and if SMART aims are achieved or root causes of performance Lead multidisciplinary teams to complete project tasks Recommend appropr
Email Job
Posted 5 days ago
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