16 to 30 of 580
Negotiate with providers, vendors and internal business partners to meet business requirements on schedule, on quality, and on budget Collaborate with UnitedHealth Networks and UnitedHealthcare market leaders to ensure appropriate contracting to enable clinical data exchange with providers Understand and actively communicate barriers to implementation of electronic clinical data exchange; drive re
Posted 1 day ago
Assist with conducting trainings, performing quality checks and issue resolution for new hires and continuous learning trainings for existing specialists Review and decide on inquiries from Provider Network Management and Accounts Payable in regards to payment to providers Review and decide on when to apply or waive charge and cost on services that will be charged to the customer based on contract
Posted 1 day ago
Project Scope Definition and Management Lead a team of project managers in specific region on the delivery of new construction and renovation projects Ensure alignment and understanding of program / project scope and objectives with the organization's strategic objectives and the Voice of the Customer, with business leadership Raise awareness of any misalignment or misunderstanding of project sco
Posted 1 day ago
Evaluation of member discharge needs including delays in care and readmission prevention plan Collaboration with providers and members to coordinate care post discharge Participate in rounds with the Medical Director to discuss cases as needed Identification of internal or community based program support or resources Coordination with the facility Discharge Planner to ensure post hospital services
Posted 1 day ago
Prepare plan materials such as administrative documents and customer education materials Analyze and code state approved forms Research and resolve structure issues Conduct database loading Maintain acceptable and appropriate quality levels and production turnaround times Assist with the development of process improvements for the department Use test cases to ensure proper coding and deploying eff
Posted 1 day ago
Perform initial and concurrent review of inpatient cases applying MCG and Interqual criteria for approval and sending to Medical Directors if review is necessary for determining an adverse determination Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with UnitedHealthcare Medical Directors on performing utilization management Participation in discussions wi
Posted 1 day ago
Responsible for comprehending the unit policies and procedures to process and maintain complex Producer commission payment records while ensuring a high level of customer service and maximizing productivity Work queue Assigning handling multiple Microsoft Outlook mailboxes You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction
Posted 1 day ago
Establish and maintain positive clinical rapport with patients and their families, working closely with them in the provision of infusion therapy, education related to self care and self administration, and clinical monitoring of patient response to therapy Assess patient appropriateness for home infusion therapy, including safety of the home environment, availability of caregiver support, and wil
Posted 1 day ago
In charge of leading the practice and introducing the overall technical vision for the entire portfolio Help define technical solutions and architectures to meet business needs through Agile process Develops services, controls, and reusable patterns that enable the team to deliver value safely, quickly, and sustainably in both Cloud and on Prem Provide technical guidance to delivery teammates incl
Posted 1 day ago
Develop services, controls, and patterns for public cloud that enable security and privacy at scale Help define technical solutions to meet business needs through Agile process Foster high performance, collaborative technical work resulting in high quality output Gather and analyze data to aide in informed decision making while providing detailed, realistic estimates Interact skillfully with busin
Posted 1 day ago
Develop territory sales plan Research and identify sales targets Use consultative sales process, probe for customer information and barriers Develop creative solutions to gain profitable business Creates relationships with manufacturers Close sales Serve needs of medical practice accounts and solve issues Manage territory T&E and customer related expenses You'll be rewarded and recognized for you
Posted 1 day ago
Identify automation opportunities Develop Automation scripts by building Frameworks with various automation tools; Selenium, Appium Should be able to explore the various tools to identify the right tool to the application in need Design new and reusable utilities for common test scenarios, utilities Contributes to the library/framework to the benefit of Scrum team Develop and implement efficient a
Posted 1 day ago
Develop comparative benefit packages Apply underwriting guidelines to prepare renewal and / or prospect rates Support Marketing in completing group experience retention illustrations and address questions on request for proposals Analyze health benefit plan characteristics and assess risks around loss of clients Utilize underwriting criteria and policies to provide proper rating methodologies Revi
Posted 1 day ago
Moderate work experience within own function. Some work is completed without established procedures. Basic tasks are completed without review by others. Supervision / guidance is required for higher level tasks. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide d
Posted 1 day ago
Bring new ideas and innovative approaches to the development process Apply Software Engineering Patterns to Solve Problems Develop, test, and debug application source code per specifications Evaluate and learn new technologies that would provide business value Manipulate application test/production data as required by the regulatory and product specialists Perform comprehensive QA review and testi
Posted 1 day ago
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