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...

Provider Relations Advocate - Remote in New Mexico
Albuquerque, NM
Resolves provider issues Act as SME for Home and Community Based Services providers within the health plan Assist in efforts to enhance ease of use of physician portal and future service...

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...

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...

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,...

RN Case Manager - Remote in Arizona
Phoenix, AZ
Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and impleme...

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...

Key Accounts Manager of Account Management - Colorado
Englewood, CO
Management Manage and monitor client assignments Training of field account management staff, new hire and ongoing Maintain an acceptable level of persistency in teams book of business Pe...

UMR Director, Account Management - Minnetonka, MN
Minnetonka, MN
Manage and monitor client assignments as well as train the account management staff, new hires and ongoing Set team strategy to achieve and surpass goals, and consistently develop and ma...

Senior Provider Relations Advocate - Remote in Middle TN
Nashville, TN
Oversee performance of end to end provider servicing Resolve complex problems and provide guidance to members of own team Drive the design and implementation of programs that build / nur...

Senior Workers Compensation Claims Adjuster - Las Vegas, NV
Las Vegas, NV
Evaluates new and on going claims to determine compensability and liability, giving consideration to contract provisions, disability management duration contract guidelines, medical evid...