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NETWORK PRICING CONSULTANT - REMOTE

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...

CompanyUnitedhealthcare
AddressAtlanta, GA
CategoryInformation Technology
Salary$70,200 - $137,800 a year
Job typeFull-time
Date Posted a month ago See detail

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...

a month 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...

a month 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...

a month ago seen See more...

RN Field Clinical Care Coordinator/Transitions - Willow Meadows/Willowbend, 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...

a month ago seen See more...

RN Field Clinical Care Coordinator/HCBS - Pearland, TX

Unitedhealthcare

Pearland, TX

$70K - $88.6K 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...

a month ago seen See more...

Associate Director, HEDIS and Quality - Remote

Unitedhealthcare

Minneapolis, MN

$104,700 - $190,400 a year

Serve as a dedicated resource for our key large business client GEHA. Provide end-to-end clinical quality life cycle consulting services to this external client to improve clinical operation, and HEDIS scores for all segments of c...

a month ago seen See more...

Senior Regulatory Adherence Analyst - Remote

Unitedhealthcare

Minnetonka, MN

$70,200 - $137,800 a year

Conduct state - specific contractual, regulatory research. Participates in the development of business strategy. Monitor changes to requirements to mitigate risks and achieve compliance. Provide training, communications, and educa...

a month ago seen See more...

Clerk - Horsham, PA

Unitedhealthcare

Horsham, PA

$48.4K - $61.3K a year

Opening, indexing and distributing mail. Verify Membership. Maintain files electronically. Receive and distribute reports on daily basis. Process online maintenance transactions. Participate in all required skills training. Obtain...

a month ago seen See more...

Electronic Visit Verification (EVV) Liaison - Remote in New Mexico

Unitedhealthcare

Albuquerque, NM

$28.03 - $54.95 an hour

Meet with vendors regularly to review performance metrics and contractual compliance. Maintain standards of service delivery verification through the use of state mandated EVV system. Partner with state regulated Electronic Visit...

a month ago seen See more...

Support Service Coordinator/Remote - Harris County, TX and Surrounding areas

Unitedhealthcare

Sugar Land, TX

$48.2K - $61K a year

Create a positive experience and relationship with the member. Help member set goals and develop a care plan to achieve those goals. Proactively engage the member to manage their own health and healthcare. Support the member to im...

a month ago seen See more...

Associate Claims Representative - Remote in NY

Unitedhealthcare

Lake Katrine, NY

$16.00 - $28.27 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify prici...

a month ago seen See more...

Director of Performance Improvement - Pennsylvania Remote

Unitedhealthcare

Horsham, PA

$104,700 - $190,400 a year

Clinical program optimizationSupport Health Services with a data/measurement approach to evaluate which of our programs are working effectively and how to remediate programs that fall short of State expectations.Maximize MCO P4P d...

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Clinical Administrative Coordinator - Houston, TX

Unitedhealthcare

Sugar Land, TX

$41.8K - $52.9K a year

Provide Administrative Support to the Service Coordinators for two markets. Submit authorization request to HCBS, work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or p...

2 months ago seen See more...

Provider Installation Representative - Remote in EST, CST or MST

Unitedhealthcare

Wausau, WI

$16.54 - $32.55 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Creating and maintaining provider demographic, billing, and network contract information within a database. Audit provider loads for adhere...

2 months ago seen See more...

Data Engineer - 2218461

Unitedhealthcare

Eden Prairie, MN

$99,694 - $122,389 a year

ETL, Databricks , or Spark;. Azure or AWS;. DevOps, Cloud and Agile;. Hadoop;. SQL, including performance tuning;. HIVE;. SPARK SQL;. Parquet. SQL Server, Oracle, or Teradata; and. RDBMS....

2 months ago seen See more...

Clinical Administrative Coordinator/Star Plus - Remote - Texas

Unitedhealthcare

Sugar Land, TX

$46.3K - $58.6K a year

Maintain 100% adherence to State contract, CMS requirements, and Product & Program Requirements. 100% adherence to submission timelines of scheduled department reports, assigned metrics and state deliverables. Monitor the timely r...

2 months ago seen See more...

Coding Consultant, IFP Product - Remote

Unitedhealthcare

Minnetonka, MN

$85,000 - $167,300 a year

Serve as a coding resource and provide coding expertise and guidance for IFP Product and configuration partners. Develop and maintain code sets used to define IFP medical and specialty benefits (hearing, vision, dental), seeking a...

2 months ago seen See more...

Senior Investigator

Unitedhealthcare

Minnetonka, MN

$58,300 - $114,300 a year

Conduct confidential compliance investigations related to Agents/Brokers across all lines of business. Document all relevant findings in written reports. Utilize information from plan members (interviews), agents/brokers, sales op...

2 months ago seen See more...

(Bilingual in Spanish) GP Market Growth Manager Medicare - Tampa, FL - Remote

Unitedhealthcare

Tampa, FL

$61.1K - $77.4K a year

Develop Others into a successful team aimed at increasing growth and market permeation by:. Continually building and nurturing agents through educational support on product information, selling skills, systems, and processes at Un...

2 months ago seen See more...

RN Care Coordinator, Remote in New Mexico - NW Region

Unitedhealthcare

Gallup, NM

$70.5K - $89.3K 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 months ago seen See more...

Bilingual (English / Vietnamese) Senior Customer Service Advocate - National Remote

Unitedhealthcare

Dallas, TX

$19.47 - $38.08 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Respond to and resolve, on the first call, Customer Service inquires and issues by identifying the topic and type of assistance the caller...

2 months ago seen See more...

Field Based Provider Relations Advocate - Middle TN Region

Unitedhealthcare

Nashville, TN

$45.3K - $57.4K a year

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 time...

2 months ago seen See more...

Senior Operations Coordinator, PathWays Support Services Liaison - Remote in Indiana

Unitedhealthcare

Indianapolis, IN

$64.1K - $81.1K a year

Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools. Analyze, review, forecast, audit and trend complex data to support continuous quality improvement using app...

2 months ago seen See more...

Medicare Sales Agent

Unitedhealthcare

Englewood, CO

$19.47 - $38.08 an hour

Operating hours: Monday Friday 7:00AM 9:00PM 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 forw...

2 months ago seen See more...

SQL Developer - Remote

Unitedhealthcare

Minnetonka, MN

$70,200 - $137,800 a year

Gather, interpret, and analyze business needs and requirements. Create and interpret functional and technical specifications and design documents. Provides analytical support and expertise when compiling and reporting information....

2 months ago seen See more...

Associate Provider Service Representative - National Remote

Unitedhealthcare

Greensboro, NC

$16.00 - $28.27 an hour

7:55am 4:25pm CST. 8:30am 5:00pm CST. 9:00am 5:30pm CST. 9:30am 6:00pm CST. 10:00am 6:30pm CST. 10:30am 7:00pm CST. 11:00am 7:30pm CST. 11:30am 8:00pm CST. All Telecommuters will be required to adhere to UnitedHeal...

2 months ago seen See more...

Community Health Worker-Telephonic

Unitedhealthcare

Sugar Land, TX

$42.2K - $53.4K a year

Create a positive experience and relationship with the member Proactively engage the member to manage their own health and healthcare. Support the member to improve their wellbeing by staying out of the hospital, and attend regula...

2 months ago seen See more...

Snowflake and PowerBI Developer - Remote

Unitedhealthcare

Phoenix, AZ

$70,200 - $137,800 a year

Gather, interpret, and analyze business needs and requirements. Create and interpret functional and technical specifications and design documents. Partnering with stakeholders to understand data requirements. Developing data solut...

2 months ago seen See more...

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