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Full Time

The Practice Performance Coordinator is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is ex...

Indianapolis, IN, USA

Full Time

We are a team of skilled reporting and business analysts looking for an Associate Reporting Analyst to join us. Meet with client managers to assess and interpret their needs. Use your operational analytical skills to design / develop, program, maintain and...

Orlando, FL, USA

Full Time

The Clinical Quality Nurse will be responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. Position is responsible for ongoing mana...

Saginaw, MI, USA

Full Time

As a key member of the Analyst team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As a Senior HEDIS Analyst , you will grow and develop as you conduct and manage outcomes of various studies. You will be challenge...

9900 Bren Rd E, Minnetonka, MN 55343, USA

Full Time

Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Due to our expanding business, UnitedHealth Group is seeking Clinical Administrative Coordinators who share our passion for helping others live healthier live...

4425 E Cotton Center Blvd, Phoenix, AZ 85040, USA

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Full Time

POSITION SUMMARY: This position will be responsible for providing the highest level of support when answering phones, managing the client open visits and alert report, providing resolution to missed visits, short and long visits and high priority alerts an...

2300 Warrenville Rd, Downers Grove, IL 60515, USA

Full Time

In Wisconsin, Ascension operates 24 hospitals and hundreds of related healthcare facilities that together employ more than 23,500 associates. Across the state, Ascension provided more than $230 million in community benefit and care of persons living in pov...

Franklin, WI 53132, USA

Full Time

In Wisconsin, Ascension operates 24 hospitals and hundreds of related healthcare facilities that together employ more than 23,500 associates. Across the state, Ascension provided more than $230 million in community benefit and care of persons living in pov...

Franklin, WI 53132, USA

Full Time

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health a...

7600 NW 19th St, Miami, FL 33126, USA

Full Time

The Senior Investigator will be responsible for triaging, investigating and resolving instances of healthcare fraud and abusive conduct by medical professionals, insured members or the broker community. This individual will be leveraging information from c...

New Orleans, LA, USA

Full Time

The Clinical Quality Nurse will be responsible for strategically developing clinically oriented provider and community based partnerships in order to increase quality scores based on state specific quality measures. Position is responsible for ongoing mana...

Wichita, KS, USA

Full Time

In this role, you will work from home, 40 hours/week during the day. You will be logged on to the computer, performing medical chart reviews. For 40 years, our client has partnered with federal, state and local governments to make public health insurance p...

Buffalo, NY, USA

Full Time

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energ...

Hartford, CT, USA

Full Time

Are you an experienced RN looking for a position without direct patient care? We are actively recruiting a top-notch Registered Nurse for a fantastic temp to hire opportunity within an international firm located on the eastside of Rochester. This position...

Pittsford, NY 14534, USA

Full Time

The Practice Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expect...

6200 Northwest Pkwy, San Antonio, TX 78249, USA

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Full Time

Today, more than 130 million Americans suffer from a chronic illness, with 69% suffering from 2 or more chronic conditions. Due to this, 85% of Federal healthcare dollars are allocated to the treatment of chronic diseases, which has led Medicare to start r...

Wellbox.care

Work from Anywhere in the United States, OH, United States

Full Time

This is a work at home position in the El Paso, Midland, Odessa, TX market. This individual will spend about 75% of their time in the field visiting providers offices within the El Paso, Midland, and Odessa area. The ideal candidate will be self-driven, mo...

8119 Datapoint Dr, San Antonio, TX 78229, USA

CAREERBUILDER APPLY

Full Time | Pay: $56,000 - $60,000/year

Oversees the Utilization management activities by evaluating the necessity and efficiency of services through systemic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the members benefit plan....

3033 N 44th St, Phoenix, AZ 85018, USA

Full Time

Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know thei...

Phoenix, AZ 85001, USA

Full Time

The more health care changes, the more certain values count. Like quality, patient-centric care, compassion and a dedication to going the extra mile. As a Field-Based and Telephonic RN Case Manager, you'll wear many hats and work in a variety of environmen...

Jacksonville, FL, USA

Full Time

Reporting to the COO, this Senior Leadership position directs the strategic development, growth and operations in providing innovative care Medicare Duals, individuals who qualify for both Medicare and Medicaid. Overall goals of this position are to meet r...

Richmond, VA, USA

Full Time

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health a...

Tampa, FL, USA

Full Time

The Social Worker is responsible to act as a liaison and assists in coordinating resources for the care of health plan members with multiple co-morbidities and/or psychosocial needs. The primary scope is to provide counseling and assistance to patients and...

Bradenton, FL, USA

Full Time

Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know thei...

8119 Datapoint Dr, San Antonio, TX 78229, USA

Many of our nurses find case review to be an intellectually rewarding position and welcome an added dimension to their clinical activities. In this role, you will facilitate the arbitration of denied Medicare claims for Home Care and Dialysis patients. In...

Pittsford, NY OR Work From Home

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