Audit Analyst
Minnetonka, MN
Assist audit management or audit lead in the execution of internal audits including audit planning, detailing control procedures, and the related testing and reporting in accordance with...

On Site RN Case Manager - Community Transitional Center - San Diego, CA
San Diego, CA
Assess, plan, implement, coordinate, monitor, and evaluate case management activities for offenders being released from state and local prison and for those currently residing at the Com...

Director Compensation, UHC Global - Remote
Minnetonka, MN
The UHC Director Compensation will lead all total rewards related strategies and activities in support of the Segment goals including Provide a full spectrum of consulting and analytical...

Health Plan CEO, Illinois - Community & State
Minnetonka, MN
Create an overall vision for the health plan team to ensure they can navigate a rapidly changing industry and leverage innovation to capture opportunities for growth and/or improvement D...

Associate Director, Healthcare Economics - Remote
Minnetonka, MN
Partners with business leaders to scope, create and execute business analytics using the appropriate data aggregation and visualization tools Creates backlog and prioritization methodolo...

Medical Coder
Wausau, WI
Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits...

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,...

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...

Inpatient RN Case Manager - Las Vegas, NV - $10k Sign-On Bonus for External Can
Las Vegas, NV
Assess and create a discharge plan to ensure patient receives quality medical care. Implement care strategies that are individualized for patients and directed toward the most appropriat...

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...