Enrollment Specialist - National Remote
Dallas, TX
Apply knowledges / skills to activities that often vary from day to day Demonstrate a moderate level of knowledge and skills in own function Make outbound calls to members who are eligib...

RN Health Coordinator - Field Based on Oahu, HI
Honolulu, HI
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 fo...

RN High Risk Case Manager - Remote in AZ, Maricopa/Pinal Counties
Phoenix, AZ
Make outbound calls, receive inbound calls, coordinate initial orders for home health nursing, enter authorizations, seek/review clinical records every 60 days and documentation The High...

RN High Risk Case Manager - Remote in AZ Pima/Pinal Counties
Tucson, AZ
Make outbound calls, receive inbound calls, coordinate initial orders for home health nursing, enter authorizations, seek/review clinical records every 60 days and documentation Interact...

Field Case Manager Bilingual Spanish Required
Miami, 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...

Actuarial Consultant - Remote
Minnetonka, MN
Development of new risk adjustment tools / analyses to expand UHC's ability to predict risk scores and revenue using emerging data Expand RAF program analytics to enhance valuations and...

Data Analyst, Long-Term Real Estate Planning - Minnetonka, MN
Minnetonka, MN
Analyze large data sets and identify trends and patterns Use statistical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for diagn...

Network Pricing Consultant - Remote in West Region
Phoenix, AZ
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; phy...

Multilingual (English / Mandarin / Cantonese) Service Account Manager - Brooklyn
Brooklyn, NY
Research issues and develop customers specific solutions Provide in person Member services to both M&R and DSNP members with their languages at retail store, services including but not l...

Field Based Peer Support Specialist - Albuquerque, NM
Albuquerque, NM
As requested, provide support to consumer or family members in making needed appointments Work with the Clinical Program Managers and the Clinical team to implement intensive, enhanced c...

Medicare Market Growth Manager - Remote in Maryland and DC
Baltimore, MD
Key Agent/Agency Performance Agent Development Mentor, coach and engage key agents/agencies through ongoing business and strategy planning. This includes identifying sales opportunities,...

Field Base Community Health Worker - Grand Rapids, Michigan
Grand Rapids, MI
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Utilize both company and communit...

Community Well Care Coordinator - Marion County and Surrounding Areas, Indiana
Indianapolis, IN
Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to comple...

Community Well Care Coordinator - Allen County and Surrounding Areas, Indiana
Fort Wayne, IN
Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to comple...

Community Well Care Coordinator - Lake County and Surrounding Areas, Indiana
Crown Point, IN
Assist with care management for high medical risks / needs members with comorbid behavioral health needs As a Care Coordinator Assess members face to face and/or telephonically to comple...