Displaying 1 - 15 of 360 Jobs.
Provider Relations Advocate - Remote in HI
Honolulu, HI
Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future servic...
Honolulu, HI
Assist in end to end provider claims and help enhance call quality Coach, provide feedback and guide others Assist in efforts to enhance ease of use of physician portal and future servic...
Key Accounts Account Executive - North Carolina
Charlotte, NC
Sales representative for UHC Key Accounts is responsible for broker and direct sales to customers in the 100 5,000 employee range. The principle focus is the sale of new fully insured bu...
Charlotte, NC
Sales representative for UHC Key Accounts is responsible for broker and direct sales to customers in the 100 5,000 employee range. The principle focus is the sale of new fully insured bu...
Senior Director, Financial Protection Product Claim Ops - Remote
Minnetonka, MN
Set strategy for experience improvement that supports FP member NPS and retention goals Establish a culture focused on our people obsessed with continual improvements to our members' exp...
Minnetonka, MN
Set strategy for experience improvement that supports FP member NPS and retention goals Establish a culture focused on our people obsessed with continual improvements to our members' exp...
Radiation Oncology Medical Director - Remote
Minneapolis, MN
Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes Speak with providers by p...
Minneapolis, MN
Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes Speak with providers by p...
Senior Medical Assistant Service Center
New Orleans, LA
Collect pertinent patient data (e.g., vital signs; complaints; medications and allergies; health screening information) in order to identify care needs Provide relevant medical services/...
New Orleans, LA
Collect pertinent patient data (e.g., vital signs; complaints; medications and allergies; health screening information) in order to identify care needs Provide relevant medical services/...
Benefit Design Configuration Analyst Surest - National Remote
Dallas, TX
Execute the build and implementation of benefit plan adjudication rules Coordinate the integration or conversion of new clients and / or products as needed, often under aggressive timeli...
Dallas, TX
Execute the build and implementation of benefit plan adjudication rules Coordinate the integration or conversion of new clients and / or products as needed, often under aggressive timeli...
Senior Clinical Administrative Coordinator - Remote in MST OR PST
Phoenix, AZ
Make calls to qualified members to provide information and answer questions about health plan programs. Provide "best in class" customer service to enrollees. Meet established productivi...
Phoenix, AZ
Make calls to qualified members to provide information and answer questions about health plan programs. Provide "best in class" customer service to enrollees. Meet established productivi...
Behavioral Health Care Advocate - UM - Remote in CA
Chico, CA
Oversee initial inpatient admission requests for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits, revie...
Chico, CA
Oversee initial inpatient admission requests for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits, revie...
Telephonic Case Manager - Remote
Albany, NY
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self manageme...
Albany, NY
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self manageme...
Telephonic Case Manager - Remote
Albany, NY
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self manageme...
Albany, NY
Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self manageme...
Technical Solution Analyst - Business Systems - Remote
Eden Prairie, MN
Designs, develops, tests, documents and maintains database queries and reports Works with customers to define and document additional requirements and efficiency innovations to enrich re...
Eden Prairie, MN
Designs, develops, tests, documents and maintains database queries and reports Works with customers to define and document additional requirements and efficiency innovations to enrich re...
Manager Case Management - Remote in LA Only
Metairie, LA
Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating) Case management and coordination of care Takes lead role in...
Metairie, LA
Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating) Case management and coordination of care Takes lead role in...
Sr Clinical Quality RN - Hybrid in Eastern MI Markets
Detroit, MI
Front Facing Practice Level Leadership Targeted Quality Improvement Gaps in Care Closure Relationship Management, Internal and External Community Engagement and Interaction Provider and...
Detroit, MI
Front Facing Practice Level Leadership Targeted Quality Improvement Gaps in Care Closure Relationship Management, Internal and External Community Engagement and Interaction Provider and...
Strategic Account Executive, KA - Pennsylvania
Horsham, PA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels,...
Horsham, PA
Accountable for customer (employer) loyalty and satisfaction, as measured by survey results and persistency Establish, cultivate and manage the customer relationship at multiple levels,...
HSS Clinical Coordinator RN - Telephonic
New York, NY
Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and impleme...
New York, NY
Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and impleme...