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Senior Workers Compensation Claims Adjuster - Las Vegas, NV
UnitedHealth Group
-
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 evidence and vocational evidence. Investigates questionable claims. Determines needs for additional medical information. Determine appropriate benefit calculations and payments. Performs revie
Email Job
Posted 2 days ago
Bilingual (English / Spanish) Plan Advisor Representative - National Remote
UnitedHealth Group
-
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 such as benefits, eligibility and claims, financial spending accounts and correspondence Research complex issues (such as Medical, Dental, Flex Spending, Pharmacy, etc.) across multiple da
Email Job
Posted 2 days ago
Complex Customer Care Representative - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 2 days ago
Complex Customer Care Representative - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 2 days ago
Bilingual (English / Spanish) Complex Customer Care Representative - Las Vegas,
UnitedHealth Group
-
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 2 days ago
Bilingual (English/Spanish) Complex Customer Care Representative - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics such as selecting the best benefit plan options, maximizin
Email Job
Posted 2 days ago
Bilingual Social Worker or LVN Service Coordinator- El Paso, TX STAR+Plus
UnitedHealth Group
-
El Paso, TX
Conducting telephonic or face to face holistic evaluations of Member's individual dynamic needs and preferences gathering relevant data and obtaining further information from Member/family identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services, and long term services and supports Provides e
Email Job
Posted 2 days ago
Clinical Administrative Coordinator - Las Vegas, NV
UnitedHealth Group
-
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 Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Email Job
Posted 2 days ago
Associate Clinical Administrative Coordinator - Las Vegas, NV
UnitedHealth Group
-
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 Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Email Job
Posted 2 days ago
Appeals Representative - Las Vegas, NV
UnitedHealth Group
-
Las Vegas, NV
Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating, and resolving all types of appeals and grievances Communicates with appropriate parties regarding appeals and grievance issues, implications, and decisions Analyzes and identifies trends for all appeals and grievances May re
Email Job
Posted 2 days ago
RN Field Clinical Care Coordinator/HCBS - SE Harris County, TX
UnitedHealth Group
-
Austin, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact
Email Job
Posted 2 days ago
RN Field Clinical Care Coordinator/HCBS - NE Austin, TX
UnitedHealth Group
-
Austin, TX
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact
Email Job
Posted 2 days ago
Reportable Events Analyst, Long Term Services and Supports - Remote in TN
UnitedHealth Group
-
Brentwood, TN
Implement and maintain data bases necessary to complete standard reportable event reports and analysis within agreed upon deadlines surrounding the HCBS LTSS population Complete ad hoc reports and analysis as requested by State partner or internal LTSS leadership Routinely analyze results of reportable event submissions, substantiations, and CAPs to identify trends such a
Email Job
Posted 2 days ago
Sourcing & Procurement Associate Director - IT, Minnetonka, MN or Remote
UnitedHealth Group
-
Minnetonka, MN
Develop, lead, and execute category management plans, competitive events, deal analysis, and complex negotiations for IT Software/Hardware and Services Support the end to end procurement process from sourcing through contracting, including pipeline management, in accordance with category strategy Review, develop, redline, and negotiate complex third party vendor contracts
Email Job
Posted 2 days ago
Sr Sourcing and Procurement Consultant - IT, Minnetonka, MN or Remote
UnitedHealth Group
-
Minnetonka, MN
The Sr. Sourcing & Procurement Consultant, Sourcing & Procurement (IT) will be expected to Develop and support technology strategies for Hardware, Software Licensing and Maintenance Execute on strategies by drafting commercial agreements, benchmarking rates, negotiating contract terms and conditions (leveraging UnitedHealth Group's terms and internal subject matter expert
Email Job
Posted 2 days ago
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