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SENIOR INVESTIGATOR - REMOTE IN NORTH CAROLINA - NOW HIRING

Investigate medium to 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 investig...

CompanyUnitedhealthcare
AddressCharlotte, NC
CategoryInformation Technology
Job typeFull-time, Part-time
Date Posted 4 days ago See detail

Senior Investigator - Remote in North Carolina - Now Hiring

Unitedhealthcare

Charlotte, NC

Investigate medium to 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 investig...

4 days ago seen See more...

RN Complex Case Manager - Remote in Las Vegas, NV

Unitedhealthcare

Las Vegas, NV

$58,300 - $114,300 a year

Performs the following case management skills on a daily basis:. Perform patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial). Develop individualized discharge pl...

a week ago seen See more...

Senior Investigator

Unitedhealthcare

Lansing, MI

$53.1K - $67.2K a year

Investigate medium to 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 investig...

a week ago seen See more...

Claims Adjustment Representative - Remote in TN

Unitedhealthcare

Chattanooga, TN

$54.1K - $68.5K a year

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Update claim information based on research and communication from member or provider. Complete necessary adjustments to claims and ensure t...

a week ago seen See more...

Claims Adjustment Representative - National Remote

Unitedhealthcare

Miami, FL

$16.54 - $32.55 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Update claim information based on research and communication from member or provider. Complete necessary adjustments to claims and ensure t...

a week ago seen See more...

Sr Communications Specialist - National Remote

Unitedhealthcare

Hartford, CT

$70,200 - $137,800 a year

Managing monthly policy communication and documentation workflow. Determining appropriate content distribution channels and related communication strategies. Overseeing production, approval, and distribution of materials. Leading/...

a week ago seen See more...

Behavioral Health Care Coordinator/SPMI-McAllen, TX

Unitedhealthcare

McAllen, TX

$55.5K - $70.2K a year

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 finan...

a week ago seen See more...

RN Care Coordinator - Remote, New Mexico Southwest Region

Unitedhealthcare

Las Cruces, NM

$72.2K - $91.5K a year

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs. Develop and implement person centered care...

2 weeks ago seen See more...

Long Term Disability Claims Specialist - National Remote

Unitedhealthcare

Dallas, TX

$48,300 - $94,500 a year

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjudicating...

2 weeks ago seen See more...

Medicare Sales Agent

Unitedhealthcare

De Pere, WI

$50,000 - $65,000 a year

Operating hours: Monday Friday 7:00AM 10:00PM CST local time; your shift will be provided during training with rotational weekend work. Full time position with flexibility desired based on the seasonality of our business. Fast...

2 weeks ago seen See more...

RN Care Coordinator - Nursing Facilities - San Antonio/Bexar, TX

Unitedhealthcare

San Antonio, TX

$73.8K - $93.4K a year

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 an...

2 weeks ago seen See more...

Market Growth Manager, Medicare - NYC/Long Island

Unitedhealthcare

Long Island City, NY

$70,000 - $155,000 a year

Build and maintain solid relationships with key brokers and others as necessary within the assigned territory. Develops action plans and strategies to optimize Medicare sales. Partner with the Community Developer (CD) and Sales Di...

2 weeks ago seen See more...

Senior Investigator

Unitedhealthcare

Baton Rouge, LA

$60.7K - $76.9K a year

Investigate medium to 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 investiga...

3 weeks ago seen See more...

Provider Network Access Specialist - Remote in New Mexico

Unitedhealthcare

Albuquerque, NM

$60.5K - $76.6K a year

Confirm contract compliance specifics to meet the needs Turquoise Care contract network standards. Work with cross-functional teams within UnitedHealthcare to strengthen Provider Networks across multiple functions including but no...

3 weeks ago seen See more...

RN Case Manager - Remote in Arizona

Unitedhealthcare

Phoenix, AZ

$87.8K - $111K a year

Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs. Develop and implement person centered care plans to address ne...

3 weeks ago seen See more...

Sr Industrial Engineer - Remote

Unitedhealthcare

Minnetonka, MN

$70,200 - $137,800 a year

Responsible for assigned operations, managing work standards, identifying cost savings, and other special engineering projects to drive cost efficiency and operational improvements. Act as a liaison with other segments of Business...

3 weeks ago seen See more...

Healthcare Services Coordinator

Unitedhealthcare

Waltham, MA

$19.47 - $38.08 an hour

Provide exceptional customer service. Multi - task, inbound / outbound phone calls to members and / or physicians. Complete assessments and documentation within a CER system. Provide benefit explanation. Health care knowledge surr...

3 weeks ago seen See more...

Appeals & Grievances Coordinator - Remote in NM

Unitedhealthcare

Albuquerque, NM

$50.4K - $63.9K a year

Analyze/research/understand how a service/procedure/authorization was processed and why it was denied/modified. Obtain relevant medical records to submit appeals or grievance for additional review, as needed. Leverage appropriate...

3 weeks ago seen See more...

Provider Relations Advocate - Remote in New Mexico

Unitedhealthcare

Albuquerque, NM

$78.6K - $99.5K a year

Resolves provider issues. Act as SME for Home and Community Based Services providers within the health plan. Assist in efforts to enhance ease of use of physician portal and future services enhancements. Contribute to design and i...

3 weeks ago seen See more...

Care Coordinator - Clark County Indiana and surrounding areas - Remote

Unitedhealthcare

Jeffersonville, IN

$55.5K - $70.2K a year

Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs. Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of me...

3 weeks ago seen See more...

Senior Provider Relations Advocate - Remote in East TN

Unitedhealthcare

Knoxville, TN

$82.8K - $105K a year

Oversee performance of end-to-end provider servicing. Resolve complex problems and provide guidance to members of own team. Drive the design and implementation of programs that build / nurture positive relationships between the he...

3 weeks ago seen See more...

Product Manager, IFP - Remote

Unitedhealthcare

Minnetonka, MN

$88,000 - $173,200 a year

Translate plan design strategy and policies (i.e., Certificates of Coverage) into detailed requirements. Communicate requirements to configuration and operational partners, ensuring information is organized, clarify complex detail...

3 weeks ago seen See more...

Proposal Operations Associate - Remote

Unitedhealthcare

Minnesota, United States

$23.22 - $45.43 an hour

Adhere to established C&S proposal processes, including use of required tools and resources. Support project management of RFP opportunities, including coordinating, scheduling, and supporting key RFP milestones and meetings. Supp...

3 weeks ago seen See more...

Proposal Writing Associate - Remote

Unitedhealthcare

Minnesota, United States

$23.22 - $45.43 an hour

Adhere to established C&S proposal process, including use of required tools and documents. Support RFP Excellence Office, opportunity owners, and proposal directors to prepare for and facilitate key internal review and strategy me...

3 weeks ago seen See more...

URS Sr Strat Acct Exec - CST - Remote

Unitedhealthcare

Austin, TX

$101K - $128K a year

Direct strategic, customer specific initiatives, which deliver value added services through the execution of client specific business planning. Own the customer relationship entirely and facilitate high level contacts and decision...

3 weeks ago seen See more...

HSS Coordinator -Telephonic Role - Remote in Texas

Unitedhealthcare

Sugar Land, TX

$53.3K - $67.5K a year

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 finan...

3 weeks ago seen See more...

Individual and Family Plan Agency Manager - Telecommute - KS or MO

Unitedhealthcare

Kansas City, MO

$101K - $128K a year

Business Growth by achieving assigned sales/membership growth targets in his/her territory/territories. Sales targets are achieved by building and managing agents and agencies within two sales channels 1) Direct Agents who are ind...

4 weeks ago seen See more...

Network Pricing Consultant - Remote

Unitedhealthcare

Atlanta, GA

$70,200 - $137,800 a year

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; physician; ancillary). Analyze financial impac...

4 weeks ago seen See more...

Business Operations Coordinator - National Remote

Unitedhealthcare

Estero, FL

$16.00 - $28.27 an hour

Organize and manage incoming claims Work through a queue with other team members to identify claim needs Identify billing discrepancies Determine member insurance coverage and eligibility status. Ensure compliance with federal and...

4 weeks ago seen See more...

RN Field Clinical Care Coordinator - HCBS-NE Harris, County TX

Unitedhealthcare

Houston, TX

$68.3K - $86.5K a year

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 for social service programs; including fin...

4 weeks ago seen See more...

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