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Loadingnew member or group data into the enrollment database & update the databasewith changes Respondingto member eligibility or group questions & verify enrollment status Workingwith various types of member correspondence Reconcilingeligibility discrepancies, analyzing transactional data & submittingretroactive eligibility changes Inventorycontrol of member and group transactions Workingwith und
Posted 1 day ago
The Executive Director is responsible for the overall management and direction of services including Ensure the safe and effective delivery of care and services. Maintain compliance with legal, regulatory and accreditation requirements. Overall profit and loss responsibility. Business development and revenue growth. Manage business operations and expense to ensure successful financial performance.
Posted 1 day ago
Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm) Primary
Posted 1 day ago
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 Telephonic Oncology Case Manager RN, you'll support our Oncology member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a han
Posted 1 day ago
Develop and apply statistical methods to evaluate program performance Identify and deploy appropriate analytic techniques to solve complex business problems and overcome measurement challenges Build statistical and machine learning models to model outcomes and improve program performance Perform analytic dataset creation and statistical modeling, and summarize results Work closely with stakeholder
Posted 1 day ago
The Medical Director is responsible for providing clinical leadership to both internal and external clients. The Medical Director is accountable for establishing utilization and quality outcomes for all Transplant related services. They will collaborate with the Product, Quality and Case Management teams to establish and implement clinical programs in support of Care Management goals. You'll enjoy
Posted 1 day ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) We are looking for talented professionals with flexibility, initiative and crisis/clinical exp
Posted 1 day ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) As an RN Telephonic Nurse Case Manager for the Kidney Resource Services program, you will be responsible for clinical operations and med
Posted 1 day ago
Work as part of an Agile team to deliver high quality business analytics solutions for OptumRx key stakeholders Lead discussions with customers to understand business process, identify challenges, and find opportunities for process and system improvements Analysis of complex problems and contribute to innovative solutions Exhibit confidence and an extensive knowledge of emerging industry practices
Posted 1 day ago
This isn't packaged goods. It's a bigger challenge than that. Here you're making a difference in people's lives, starting with your own. Join us and start doing your life's best work.(sm) 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
Posted 1 day ago
Here's the thing about challenges. They provide limitless opportunities for greatness. And what we have in mind for you is definitely big. At UnitedHealth Group, we're changing the future of health care and we have the expertise, advanced technology and global resources to make it happen. As a Pricing/Data Consultant, you'll work with the brightest minds in the business and find yourself digging d
Posted 3 days ago
Join Rally Health as a Software Engineer, Back End (hiring Regular to Principal Level)where you will code in Java and JVM based programming languages and develop Web application using Spring Boot and Play Framework. You will be part of a team that powers the identity and access for a suite of products. HealthSafe ID eliminates the need for portals to have their own ad hoc log in solutions, while a
Posted 4 days ago
As part of the Focus Claims Review team, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through OrthoNet. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provid
Posted 5 days ago
As a Rally Health Senior Product Manager, you'll work with the Pay for Care Product team to help build an defining product strategy, collaborating with marketing, engineering, design, program management, legal and other teams to strategize and build on product features. You Will Work with the Product team to build product strategy. Align with Product and XD on user experience and lead overall exec
Posted 11 days ago
Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Jo
Posted 14 days ago
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