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Provide support and strategic counsel on a wide variety of matters including, regulatory compliance and oversight, contracts, STARs, the Inflation Reduction Act, and finance Collaborate with colleagues across the legal, compliance, and regulatory affairs departments You'll be rewarded and recognized for your performance in an environment that will challenge you and give y
Posted Today
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 potentially refine the operations of existing programs and/or introduction of new programs Consolidation of Medicare Advantage risk adjustment data received from the Centers for Medicare &
Posted Today
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 diagnostic and predictive analytics efforts Create data visualizations and reports to communicate findings to stakeholders Communicate and present findings, orally and visually in a way that ca
Posted Today
Evaluation of active M&A targets to synthesize their business offerings, strategic value, and key drivers of revenues and profits to UnitedHealth Group Senior Executives Accuracy and quality of all core financial statement projections, valuation models (DCF, transaction and trading comparables, LBO) and earnings per share accretion / dilution analysis Managing the due dil
Posted Today
Create and manage the C&S member marketing strategies as assigned including initiatives centered specifically around clinical/quality gaps in care Build omni channel marketing communication plans that adhere to applicable regulatory requirements and ensure the voice of the member is reflected in the work. Ensure utilization of marketing best practices across the team incl
Posted 1 day ago
Responsible for assigned operations, managing work standards, identifying cost savings, and other special engineering projects to drive cost efficiency and operational improvements Act as a liaison with other segments of Business Enablement to improve operational coordination and standardization Collaborate with other teams to deploy enterprise productivity tools Complete
Posted 2 days ago
Perform audit and risk surveillance activities in accordance with IIA audit standards and the Internal Audit & Advisory Services Charter Executes Internal Audit's segment specific strategies and framework for data enabled Key Risk Indicators (KRI) and Continuous Auditing (CA) by determining and documenting relevant management metrics and mitigating controls for top risk a
Posted 5 days ago
Develop, lead, and execute category management plans, competitive events, deal analysis, and complex negotiations for IT Software/Hardware and Services Support the end to end procurement process from sourcing through contracting, including pipeline management, in accordance with category strategy Review, develop, redline, and negotiate complex third party vendor contracts
Posted 6 days ago
The Sr. Sourcing & Procurement Consultant, Sourcing & Procurement (IT) will be expected to Develop and support technology strategies for Hardware, Software Licensing and Maintenance Execute on strategies by drafting commercial agreements, benchmarking rates, negotiating contract terms and conditions (leveraging UnitedHealth Group's terms and internal subject matter expert
Posted 6 days ago
Work with a wide range of internal clients and internal/external attorneys to address inquiries, assess development projects, and provide guidance on patentability Mentor and advise inventors on patentability and invention disclosures Assist in the management of a growing docket of patent filings Perform analytics on patent portfolio and create reporting Assist in the dev
Posted 6 days ago
Evaluating active M&A targets to synthesize their business offerings, strategic value, and key drivers of revenues and profits to UnitedHealth Group Senior Executives & Board Members Building and reviewing core financial statement projections, valuation models (DCF, transaction and trading comparables, LBO) and earnings per share accretion / dilution analysis Managing the
Posted 7 days ago
Provide legal and strategic advice on all aspects of real estate matters to the UnitedHealth Group Real Estate Services team Draft, review, and negotiate various commercial real estate agreements including leases and related documents (e.g., letters of intent, subleases, intercompany leases, estoppels, landlord consents, amendments, assignments, etc.), constructions agree
Posted 8 days ago
Perform utilization management, utilization review, or concurrent review of behavioral health and substance abuse admissions and continued stays Ensure that behavioral health care services provided are medically necessary per standard guidelines Ensure that behavioral health care services are provided in the most appropriate setting Integrate a collaborative process which
Posted 9 days ago
Promote Excelsior's product portfolio to benefits brokers and help them increase their enrollment and average case size with all product lines Ability to negotiate and close sales Conduct in depth market presentations for brokers and employers Create and drive strategies for top producing agencies and Brokers Collaborate with Sales Management regarding pipeline, persisten
Posted 11 days ago
Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if
Posted 12 days ago
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