Audit Analyst
Minnetonka, MN
Assist audit management or audit lead in the execution of internal audits including audit planning, detailing control procedures, and the related testing and reporting in accordance with...

On Site RN Case Manager - Community Transitional Center - San Diego, CA
San Diego, CA
Assess, plan, implement, coordinate, monitor, and evaluate case management activities for offenders being released from state and local prison and for those currently residing at the Com...

Director Compensation, UHC Global - Remote
Minnetonka, MN
The UHC Director Compensation will lead all total rewards related strategies and activities in support of the Segment goals including Provide a full spectrum of consulting and analytical...

Health Plan CEO, Illinois - Community & State
Minnetonka, MN
Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement D...

Associate Director, Healthcare Economics - Remote
Minnetonka, MN
Partners with business leaders to scope, create and execute business analytics using the appropriate data aggregation and visualization tools Creates backlog and prioritization methodolo...

Medical Coder
Wausau, WI
Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits...

Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
Cypress, CA
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Perform...

Associate Clinical Administrative Coordinator
Las Vegas, NV
Manage administrative intake of members Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers Reviewing incoming a...

Medical Director DMEPOS - Remote
Dallas, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings,...

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...

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...

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-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...

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 - 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...