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Clinical Coverage Review Medical Director - Remote
UnitedHealth Group
-
Austin, TX
Conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer to peer telephone calls Use clinical knowledge in the application and interpretation of medical policy and benefit document language in the process of clinical co
Email Job
Posted 1 day ago
Sr. Internal Audit Consultant - Minnetonka, MN - Hybrid Role
UnitedHealth Group
-
Minnetonka, MN
Develop and execute Internal Audit department operations, methodology, technologies and tools, and continuous improvement efforts in alignment with direction provided by the OSCaR Leader, IAAS leadership, IIA audit standards, the Internal / External Audit Policy and the Charter of the UHG Board of Directors Audit Committee Ensure policies, procedures, and other core depar
Email Job
Posted 1 day ago
Clinical Administrative Coordinator - National Remote
UnitedHealth Group
-
Dallas, TX
Manage administrative tasks for the Complex CARE clinical team Handle outbound calls to members and providers Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers Check verification of eligibility for members as well as benefit information via various internal websites and applications Check discharge
Email Job
Posted 1 day ago
Experienced Senior Tax Associate
UnitedHealth Group
-
Minnetonka, MN
The preparation of quarterly and annual income tax provisions The timely and accurate preparation of federal and state income tax returns and quarterly estimates Assist with the IRS examination Assisting Tax leadership with M & A and other related projects Providing research support for the analysis of proposed and existing tax laws, regulations, and rulings Prepare and r
Email Job
Posted 1 day ago
Program Integrity Manager, Virginia Medicaid - Remote
UnitedHealth Group
-
Virginia Beach, VA
Works to ensure that internal processes are executed, especially related to intersegment responsibilities, for fraud, waste, and abuse (FWA) vendors' instances of health care FWA by medical profession or insured member Acts as FWA subject matter expert for Federal and local FWA regulations and subsequent regulatory policy and process implementation Keeping apprised of cur
Email Job
Posted 1 day ago
Plan Advisor Representative - Remote in OK
UnitedHealth Group
-
Oklahoma City, OK
Provide an exceptional customer service experience when responding to and resolving 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 Research complex issues (such as Medical, Dental, Flex Spending, Pharmacy, etc.) across multiple da
Email Job
Posted 1 day ago
Sales Support Rotational Program - Denver, CO
UnitedHealth Group
-
Englewood, CO
Participate in a 24 month Rotational Program that will provide a structured curriculum and on the job sessions that will expose you to broad skills, tools, and functional departments within the Sales & Distribution Organization. Along with training and a core role within the Producer Helpdesk Sales Support organization, you will also experience two, six month rotations fu
Email Job
Posted 1 day ago
Sr. Director, Compliance Investigations Employee Relations - Remote
UnitedHealth Group
-
Minnetonka, MN
Investigations Refine investigation protocols, documentation standards, and policy interpretation guidelines in partnership with Employment Law and ER Case Management leadership Conduct thorough, timely, objective, efficient and equitable investigations into employee complaints and allegations of misconduct, in line with agreed upon investigation framework and applicable
Email Job
Posted 1 day ago
Sr. Sourcing and Procurement Consultant
UnitedHealth Group
-
Minnetonka, MN
Develop, lead and execute category management, sourcing/RFx, vendor management and financial analysis efforts across the Enterprise in human capital, legal services and other indirect spend categories as assigned Review, develop, redline, and negotiate complex third party vendor contracts, including Master Services Agreements (MSAs), Statements of Work (SOWs), Non Disclos
Email Job
Posted 1 day ago
Telephonic Case Manager RN - Remote
UnitedHealth Group
-
Springfield, MO
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c
Email Job
Posted 1 day ago
Associate General Counsel, Technology Legal - Remote or Minnetonka, MN
UnitedHealth Group
-
Minnetonka, MN
Serve as business counsel for the Optum Technology organization Provide legal support for transactional matters, such as software licenses, cloud computing arrangements, collaboration and joint development agreements, supply agreements, equipment purchase and lease agreements, mobile app development agreements, offshore sourcing arrangements, and IT services agreements Ne
Email Job
Posted 2 days ago
Network Pricing Consultant - Remote
UnitedHealth Group
-
Greensboro, NC
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts (e.g., facility; physician; ancillary) Analyze payment appendices to provide options for various contracting approaches and methodologies Communicate results of financial impact and analysis to appropriate st
Email Job
Posted 2 days ago
Paralegal or Sr Legal Services Specialist - Hybrid or Remote
UnitedHealth Group
-
Minnetonka, MN
Provide day to day paralegal and legal services support including leading or assisting on special projects from the Legal Team Work closely with Legal, Quality Management and Regulatory Affairs (QMRA), Compliance and other cross business and functional stakeholders on activities related to enterprise wide regulatory and quality management systems, including coordination,
Email Job
Posted 2 days ago
Program Manager, Immigration - Eden Prairie, MN or Remote
UnitedHealth Group
-
Eden Prairie, MN
Deliver technical immigration case consultations, provide guidance and education on GMIT best practices and policies to internal stakeholders Provide consultative guidance including assessing visa eligibility. Partner with immigration counsel to provide immediate and long term strategic case recommendations Partner with managers, talent acquisition, people business partne
Email Job
Posted 2 days ago
Associate General Counsel, Medicare Part D - Remote
UnitedHealth Group
-
Minnetonka, MN
Advise UnitedHealthcare's Medicare Part D business Counsel on Part D product, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirements Provide strategic counsel to the business on the Pharmacy Benefit Management (PBM) Agreements, benefit implementation and management, and compliance oversight and monitoring Provide c
Email Job
Posted 2 days ago
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