Preservice Review Nurse - Las Vegas, NV
Las Vegas, NV
Evaluate and assess each request verifying eligibility and specific product Determine benefit level based on site of service Utilize written criteria to approve, pend or send the case to...

Manager, Proposal Development - Remote
Minnetonka, MN
Manage and execute the proposal production for assigned RFPs in accordance with the established project process Analyze RFP documents to identify and document specific proposal productio...

Health Services Director - Remote in Wisconsin
Milwaukee, WI
Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff Work most often impacts a large busi...

Mid-Market Field Account Manager - Hybrid in Charlotte or Greensboro, NC
Charlotte, NC
Address any escalated issues sent to them, the SAE, or other field employee Work with the central team and their manager to coordinate resolution Meet with customers quarterly (or more o...

Community & State Health Plan Compliance Officer - Indiana
Indianapolis, IN
Ability to manage elements of a health plan compliance program with an understanding of state based government health care programs and products Engage in complex remediation strategy &...

Bilingual (English / Spanish) Provider Customer Service Representative - Remote
Las Vegas, NV
Serve as a resource or Subject Matter Expert for team members or internal customers. Handle escalated calls, resolve complex customer issues. Demonstrate outstanding service to identify...

EPSDT Coordinator - Remote in KY
Louisville, KY
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...

Utilization Management RN - Optum Remote
Albuquerque, NM
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of ca...

Senior Clinical Admin Nurse - Remote
Phoenix, AZ
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...

Registered Nurse RN Utilization Review/ICM Louisiana
New Orleans, LA
Perform initial and concurrent review of inpatient cases applying evidenced based criteria (i.e. MCG / Interqual criteria) Discuss cases with facility healthcare professionals to obtain...

Sr. Payroll Tax Specialist - Remote
Minnetonka, MN
Responsible for researching and resolving payroll tax issues Act as an SME for payroll tax questions and issues, troubleshoot when needed Partner with HR Operations to manage escalated c...

Data Engineer
Eden Prairie, MN
Build high performance data pipelines from POC to mature algorithmic data cubes Implement automated workflows and routines using workflow scheduling tools Develop set processes for data...

Business Operations Coordinator - National Remote
Estero, FL
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 eligibilit...

Senior Account Executive, Specialty Benefits Northern VA, DC, or Columbia, MD
Columbia, MD
Develop and maintain strong broker/consultant relationships Develop and maintain key internal relationships Understand customer and broker/consultant needs and provide value added consul...

Account Executive, Small Business 2-50 - Remote in Toledo/Cleveland, OH
Toledo, OH
Identifies opportunities for specialty/enterprise products on all new sales Negotiate with underwriting when necessary Understand and effectively selling multiple products, requiring kno...