Inpatient Care Management Nurse RN - Indiana - Remote
Indianapolis, IN
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...

Health Plan Clinical Operations Manager - DC Office Hybrid
Washington, DC
The UnitedHealthcare Community Plan of DC proudly serves the Dual Eligible Special Needs (D SNP) population in the District of Columbia and is excited to recruit for our leader of clinic...

Provider Network Access Specialist - Remote in New Mexico
Albuquerque, NM
Confirm contract compliance specifics to meet the needs Turquoise Care contract network standards Work with cross functional teams within UnitedHealthcare to strengthen provider networks...

Customer First Representative - Remote in WV or OK
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...

Behavioral Medical Director - Remote
Houston, TX
Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person centered services Responsible for Level of Care guidelines and utilization management p...

Nutritionist - Indianapolis, IN
Indianapolis, IN
Serves as a resource for UnitedHealthcare's care management and service coordination teams, including reviewing care plans for members who are on medically prescribed diets, receiving ga...

Senior Director of Actuarial Services - Remote (Minnetonka, MN preferred)
Minnetonka, MN
Lead an analytics team focused on supporting the portfolio of Utilization Management (UM) savings programs for the M&R business. Includes communicating findings and potential opportuniti...

HSS Coordinator-Nacogdoches, TX
Nacogdoches, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals f...

HSS Coordinator-Austin (Travis County), TX
Austin, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals f...

Inpatient RN Case Manager - Las Vegas, NV - $10k Sign-On Bonus for External Can
Las Vegas, NV
Assess and create a discharge plan to ensure patient receives quality medical care. Implement care strategies that are individualized for patients and directed toward the most appropriat...

Mid Market Account Executive - Northern CA
Concord, CA
Identify potential health care business customers Develop business relationships with agents and/or brokers to increase sales Promote sales of health care and ancillary products to Mid M...

Health Plan Growth and Marketing Senior Manager - DC Office Hybrid
Washington, DC
Growth Define, develop and implement a data driven, locally focused membership growth strategy for the DC health plan. This includes areas/skills such as Strategic thinking and planning,...

Individual and Family Plan Agency Manager - Telecommute - KS or MO
Kansas City, MO
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...

HSS Coordinator - Fort Worth, TX
Fort Worth, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals f...

HSS Coordinator - Grapevine, TX
Grapevine, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care Identify and initiate referrals f...