Telephonic Case Manager RN - Remote
Springfield, MO
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 outcome...

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...

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...

Sr Workforce Analyst, Demand Planning - Remote
Minnetonka, MN
Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (E&I Member, Government Operations, and...

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...

RN Field Clinical Care Coordinator/HCBS - Fort Bend County, TX
Sugar Land, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals...

Behavioral Health Care Advocate, Case Management - Remote
Hartford, CT
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...