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Sr Clinical Quality Analyst - Remote in New Mexico
UnitedHealth Group
-
Albuquerque, NM
Assesses trends in population/quality measures and identifying opportunities for quality improvement. Support accurate and timely issue resolution and data reporting and provide overall Prospective customer support Support the monitoring and tracking of custom measure / deliverable development with our external vendor and internal partners Collaborate with applicable inte
Email Job
Posted 6 days ago
Community Health Worker- Field Based in Southern Pines, Pinehurst, Rockingham N
UnitedHealth Group
-
Southern Pines, NC
Linking members to applicable community resources Complete field visits for high risk, hard to reach members Telephonic outreach to targeted members Keep the member out of the hospital by supporting regular visits to their primary physician Keep member actively engaged with their primary physician Support the member to ensure pick up of their Rx Proactively engage the mem
Email Job
Posted 6 days ago
Account Manager, Essential Plan - Rochester, NY - Remote
UnitedHealth Group
-
Rochester, NY
Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housings, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for member to provide excellent service and enrollment experience Le
Email Job
Posted 8 days ago
Field Based Provider Relations Advocate - Middle TN Region
UnitedHealth Group
-
Nashville, TN
Training and on going education of providers on policies and procedures On site assessments to ensure that providers are compliant with contractual terms Trouble shooting provider concerns internally with the expectation of timely resolution of issues Traveling to provider offices quarterly to build relationships, up to 75% travel within specific region in Tennessee Prese
Email Job
Posted 9 days ago
Case Manager LTSS - Field Work in Mesa County, CO
UnitedHealth Group
-
Grand Junction, CO
Intake/screening/referral, assessment/reassessment, development of support plans, on going case management, monitoring of the Member's health and welfare, documentation of contacts and case management activities in the Department prescribed system, resource development, and case closure Respect confidentiality and maintain confidences as described in the UHG Employee Hand
Email Job
Posted 9 days ago
Nurse Practitioner - Primary Care Plus Clinics - Lafayette, LA
UnitedHealth Group
-
Lafayette, LA
Provide primary care, including ordering and evaluating diagnostic/screening/laboratory tests, and management of minor acute illnesses Conduct comprehensive wellness assessments on members either in the clinic or patients' home as needed Assess diagnose and manage chronic conditions for patient population Identify deviations from normal, initiates and evaluates treatment
Email Job
Posted 12 days ago
HSS Clinical Coordinator, RN - Kansas City, MO
UnitedHealth Group
-
Kansas City, MO
Responsible for managing an average caseload of 45 50 Medicaid members; mostly adult members Responsible for performing assessments to determine members needs, develop care plans, provide education and community resources along with advocating for each member Perform field visits either in the home or long term facility as needed Address social determinants and ensure tha
Email Job
Posted 13 days ago
VP Sales, Public Sector - AZ, CA, CO, IL, MN, TX - Remote
UnitedHealth Group
-
Phoenix, AZ
Territory will include priority markets in the Central and West Regions with a focus on MN, IL, TX, AZ, CO, and CA Sales VP qualify top prospect utilizing EDGE sales methodology; identifying/creating compelling events that position UHC for success Individual will be an expert at consultative selling with a demonstrated track record of leveraging UHG capabilities to solve
Email Job
Posted 13 days ago
Field Care Advocate, Behavioral Health - Honolulu
UnitedHealth Group
-
Honolulu, HI
Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health and wellness oriented approach Assist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services Identify and remove barriers to procurement, delivery, participation in and success of services Provide supportiv
Email Job
Posted 13 days ago
Workers Compensation Medical Only Examiner - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Evaluates new and on going claims to determine compensability, medical evidence. Investigates questionable claims. Determines need for additional medical information. Performs periodic follow ups to verify continued existence of a disabling condition. Responds to telephone and written inquiries from claimants, attorneys, physicians and policyholders. Identifies and forwar
Email Job
Posted 13 days ago
Principal Medical FWA Investigator **Must Reside in Kentucky**
UnitedHealth Group
-
Louisville, KY
Investigate highly complex cases of fraud, waste, and abuse Detect fraudulent activity by members, providers, employees, and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current, and thorough case information in the Special Investigations Unit's (SIU's) case tracking
Email Job
Posted 13 days ago
Field Care Coordinator Sedgwick Butler and Harvey Counties, KS
UnitedHealth Group
-
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 for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com
Email Job
Posted 13 days ago
Sales Support Rotational Program - Roanoke, VA
UnitedHealth Group
-
Roanoke, VA
Participate in a 24 month Rotational Program that will provide a structured curriculum and on the job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Helpdesk Sales Support organization, you will also experience two, six month rotations fu
Email Job
Posted 13 days ago
Pharmacist Intern STARS
UnitedHealth Group
-
Downers Grove, IL
Perform telephonic member outreach and document telephonic interaction outcomes using appropriate note templates Follow standard operating procedures and utilize required scripting Deliver member outreach using a motivational interviewing style of communication Perform medication and disease state clinical discussions to improve health outcomes Use active and reflective l
Email Job
Posted 13 days ago
Nurse Intern - Integrated Care
UnitedHealth Group
-
Atlanta, GA
improving the quality, cost, and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind. The Nurse Intern Program is full time, 40 hours per w
Email Job
Posted 13 days ago
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