Recovery and Resiliency Market Lead - Optum NM
Albuquerque, NM
Partner with community providers of peer support to expand the network and ensure quality services are available for our members Educate by creating new curriculum specific to state need...

Medical Director Clinical Coverage Review - Pharmacy - Remote
Houston, TX
Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided Conduct coverage review on some medical ca...

Field Case Manager - Citrus, Marion and Sumter Counties, FL - Bilingual Preferre
Ocala, FL
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals f...

Field Based Case Manager Columbia and Alachua Counties, FL
Lake City, FL
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals f...

Behavioral Health Care Coordinator/SPMI - Gregg County, TX
Longview, TX
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals f...

Population Health Lead - Remote in Dublin, OH
Dublin, OH
Manage projects from inception to completion through QI science methodology documentation including Project charters, PDSA cycles, Key Driver Diagrams, GEMBAs, Run Charts and Paretos Com...

Telephonic Case Manager RN - Remote
New York, NY
Serve as primary care manager for members with complex medical/behavioral needs Engage members telephonically to complete a comprehensive needs assessment, including assessment of medica...

Regional Director of Policy - Remote
Minnetonka, MN
Predicts emerging customer (state, health plan and functional partner) needs and develops innovative solutions to meet them Solves unique and complex problems with broad impact on the bu...

Field RN Clinical Coordinator - Morrow and Knox Counties, OH
Columbus, OH
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

HSS Clinical Coordinator RN - Fort Worth - Tarrant County, TX
Fort Worth, TX
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millio...

National Accounts Strategic Client Executive - Charlotte NC
Charlotte, NC
Solid understanding of both fully insured and self funded marketplace and pricing disciplines Establish and maintain "strong and appropriate" level relationships with customers and consu...

Field Care Coordinator, SW Region - Remote in New Mexico
Truth or Consequences, NM
Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs...

Coding Appeals RN - Remote - Works M-F 8:30-5:00
Milwaukee, WI
Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances) Review of coding edits and reimbursement issues Works with less structured, more complex issues Solves moderat...

HSS Clinical Coordinator RN-Dallas, TX
Dallas, TX
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millio...

Broker Agent Service Senior Representative - National Remote
Eden Prairie, MN
Manages ongoing relationships and service delivery to clients for one or more accounts Acts as outward facing, dedicated resource for assigned accounts, typically with direct client cont...