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...

Sr. Director, Enterprise National Partnerships - DEI
Minnetonka, MN
DEI Partnerships, Strategies and DEI Integration Operations Lead strategy and execution for strategic partnerships (conferences, memberships, brand recognition and ESG integration) Overs...

Medical Assistant at Metairie
Metairie, LA
As part of a multi disciplinary care coordination team Addresses the total patient, inclusive of medical, psychosocial, behavioral, cultural, and spiritual needs Involves the individual...

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...

Bilingual (English / Spanish) Plan Advisor Representative - National Remote
Sharonville, OH
Provide an exceptional customer service experience when responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs...

Inpatient Care Management Nurse RN - Remote
Atlanta, GA
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...

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...