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It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. As a manager within our network contracting team, you'll guide the development and supp
Posted Today
Provides back up to the Manager as needed during his/her absenceFacilitates education sessions for Primary Care Physicians, Physician Business Managers, and Network coordinators including but not limited to RAPS University Uploads and maintains "frequently asked questions" on the company SharePoint site Analyzes progress notes and documentation sent by providers for validation following CMS guidel
Posted Today
Provides back up to the Manager as needed during his/her absenceFacilitates education sessions for Primary Care Physicians, Physician Business Managers, and Network coordinators including but not limited to RAPS University Uploads and maintains "frequently asked questions" on the company SharePoint site Analyzes progress notes and documentation sent by providers for validation following CMS guidel
Posted Today
Receives and responds to inquiries from all communication venues e.g. phone, queue, department e mail box or fax.. Coordinates and assists initial screening of prior authorization requests via all communication venues; as well as administrative preparation for clinical staff. Exhibits excellent phone and communication skills while providing complete and accurate information to customers. Requests
Posted Today
Receives and responds to inquiries from all communication venues e.g. phone, queue, department e mail box or fax.. Coordinates and assists initial screening of prior authorization requests via all communication venues; as well as administrative preparation for clinical staff. Exhibits excellent phone and communication skills while providing complete and accurate information to customers. Requests
Posted Today
Travel up to 100% Conduct in home assessments on health plan members Identify diagnoses to be used in care management and active medical management Formulate a list of current and past medical conditions using clinical knowledge, judgment and current findings Communicate gaps in care to member's PCP Identify referral needs Identify urgent and emergent situations for proper intervention Educate mem
Posted Today
Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process. Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insuran
Posted Today
This is a Statewide Traveler position which requires travel throughout the state of Texas and Oklahoma. We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of o
Posted Today
Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restl
Posted Today
Research issues and develop customer specific resolutions Build, maintain, and audit benefits in RxCLAIM Provide and design all pieces for implementation Serve as a resource to business partners and co workers Assist with the development of process improvement for the department Analyze data Design the benefit plan Support client management with research 'Perform other duties as assigned Generally
Posted Today
We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patie
Posted Today
Respond to and resolve, on the first call, 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 Help guide and educate customers about the fundamentals and benefits of consumer driven health care topics to select the best benefit plan options, maximize the value
Posted Today
Monthly reporting of the claim reserves for all companies and products Improving and updating the reserving methods and processes Maintaining required documentation and support Updating assumptions and additional monitoring reports as needed based on business changes Responsible for producing relevant statutory statement pages and auditor support Special projects involving experience analysis, dat
Posted Today
Responsible for developing product level assumptions for the company's business plan and maintaining the projection models in GGY AXIS actuarial software., including producing the GPV and supporting documentation Responsible for developing and maintaining the actuarial projections model (GGY AXIS actuarial software) for required financial needs, including GPV/CFT, GAAP/DAC analysis, and premium de
Posted Today
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm) The Clinically Integrated Network (CIN) Behavioral Health Case Manager (BHCM) is a participant in the collaborative process of assessment, planning, facilitation, care coordination, evaluati
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