Per Diem Medical Director Orthopedic Surgery or Neurosurgery - Remote
Minneapolis, MN
Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict o...

Field Clinical Coordinator RN - Shelby County, TN - Remote
Memphis, TN
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Strategic Account Executive, KA - Northern CA
Concord, CA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate, and manage the customer relationship at multiple levels,...

Strategic Account Executive TPA - Omaha, NE
Omaha, NE
Customer retention, based on established annual goals Strategic planning for multi year initiatives to identify opportunities to better manage healthcare trends Responsible for communica...

Associate Software Engineer - Remote
Minnetonka, MN
Maintenance and enhancement of existing EDI solution built on EDI Fabric in C# Troubleshoot and resolve EDI technical issues, including diagnosis and root cause analysis Troubleshoot cla...

Financial Analyst Intern, C&S (Part-Time)
Minnetonka, MN
Analyze and report on financials Assist in the development of program forecasts, budgets, and plans Research economic progressions to assist with the organization's financial planning Cr...

National Director, Dental & Vision - Remote
Chicago, IL
Develop key internal and external relationships to facilitate results. Understand and create a strategy based on analysis and reporting of sales and market trends, including sales plan e...

Preservice Review Nurse RN - Remote
Phoenix, AZ
Perform initial and ongoing reviews pertaining to primary role (PA, ICM, DCM, PACM), appropriately applying clinical criteria (InterQual, policies, National and Local Coverage Determinat...

Bilingual Spanish Telephonic RN Disease Case Manager, Remote in NV, AZ or UT
Las Vegas, NV
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of million...

Associate Clinical Administrative Coordinator - Las Vegas, NV
Las Vegas, NV
Manage administrative intake of members Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Process incoming and...

Manager of Utilization Management, Integrated Care Team - Remote
Phoenix, AZ
Manages and evaluates direct reports of UM Prior Authorization Nurses, Inpatient Care Managers, Clinical Coordinators, and other team associates Manages the compliance for UM to meet est...

Neonatal Intensive Care Unit NICU Social Worker - Remote
Houston, TX
Communicate directly with families of babies currently admitted or recently discharges from the NICU, physicians, and community/governmental agencies Collaborate with NICU nurses and/or...

OB Home Care Nurse - Field - Part Time
LaGrange, GA
Provide skilled nursing care for expectant mothers in the home care environment Travel to provide in home patient care and continuous education to patients and family members Continually...

OB Home Care Nurse - Field - Per Diem
Marietta, GA
Provide skilled nursing care for expectant mothers in the home care environment Travel to provide in home patient care and continuous education to patients and family members Continually...

Field Based Bilingual (English / Spanish) Community Health Worker - El Paso, TX
El Paso, TX
Manage assigned member caseload telephonically Complete home engagement visits, when telephonic outreach attempts (3), are unsuccessful. Create a positive experience and relationship wit...