Appeals and Grievances Medical Director - Otolaryngology (ENT) Specialty Require
Cypress, CA
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to a...

Community Well Care Coordinator - Monroe County Indiana and surrounding areas
Indianapolis, IN
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 n...

Community Health Worker - Harris County, Central, Northeast, TX
Houston, TX
Assess, plan, and implement care strategies that are individualized by the member and directed toward the most appropriate, lease restrictive level of care Utilize both company and commu...

HSS Clinical Coordinator RN - Winchester, VA - Remote
Winchester, VA
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

HSS Clinical Coordinator RN - Fredericksburg, VA - Remote
Fredericksburg, VA
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

HSS Clinical Coordinator - NE KS Market - Remote
Pittsburg, KS
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...

HSS Clinical Coordinator RN - Baltimore, MD Remote
Baltimore, MD
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Health Services Director, UHC Community Plan of NC - North Carolina Remote
Greensboro, NC
Leadership (Measured through performance metrics, Colleague Reviews) Overall local market health plan clinical operations for all products including achievement of annual clinical, quali...

Business Systems Analyst - Remote Nationwide
Horsham, PA
Act as liaison between Developers, QA, Business and Systems Analysts and project management groups Coordinate with individuals and teams to gather requirements within the OCIO IT organiz...

HSS Clinical Coordinator - Kansas City, KS Market
Leavenworth, 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...

Architect - Remote Nationwide
Horsham, PA
Collaborate with the Enterprise Architect or SME to understand the existing process/workflow in detail Work with Business/Systems Analysts to understand the Business requirements, and cr...

Reportable Events Analyst, Long Term Services and Supports - Remote in TN
Brentwood, TN
Implement and maintain data bases necessary to complete standard reportable event reports and analysis within agreed upon deadlines surrounding the HCBS LTSS population Complete ad hoc r...

Sourcing & Procurement Associate Director - IT, Minnetonka, MN or Remote
Minnetonka, MN
Develop, lead, and execute category management plans, competitive events, deal analysis, and complex negotiations for IT Software/Hardware and Services Support the end to end procurement...

Sr Sourcing and Procurement Consultant - IT, Minnetonka, MN or Remote
Minnetonka, MN
The Sr. Sourcing & Procurement Consultant, Sourcing & Procurement (IT) will be expected to Develop and support technology strategies for Hardware, Software Licensing and Maintenance Exec...

Associate General Counsel, Patent - Remote
Minnetonka, MN
Work with a wide range of internal clients and internal/external attorneys to address inquiries, assess development projects, and provide guidance on patentability Mentor and advise inve...