Physical Therapist Case Manager - Remote
Eden Prairie, MN
Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly cont...

Occupational Therapist Case Manager - Remote
Eden Prairie, MN
Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly cont...

Sr. Clinical Grievances RN - Remote in MST, PST or AZ
Denver, CO
Proficient in review of medical records and the ability to identify pertinent information on which to base appropriate clinical decisions. Document relevant chronology of case review and...

Speech Language Pathologist Case Manager - Remote
Eden Prairie, MN
Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly cont...

Public Sector Field Account Manager - Cypress, CA Hybrid
Cypress, CA
Own the service experience of customers at the field level by working with the assigned team and other matrix partners as required to ensure issues are resolved promptly and accurately m...

VP Clinical Operations National Accounts - Remote
Eden Prairie, MN
Collaborate cross organizationally in the development, proposing and prioritization of customer solutions to reduce trend (programs, processes, benefit design, network, etc.) Works with...

Associate Enrollment Eligibility Representative - National Remote
Dallas, TX
Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior s...

Medical Director, Clinical Advocacy and Support - Remote
Houston, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings,...

Senior Financial Analyst - Hartford, CT
Hartford, CT
Compiles financial statements for various Management and Labor customers in prescribed formats by collecting financial data from Peoplesoft General Ledger and other finance data reposito...

Clinical Advocacy and Support - Medical Director, CCR - Remote
Houston, TX
Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings,...

Director - Trade Shows and Industry Events - Remote
Eden Prairie, MN
Strategic Planning In partnership with key stakeholders across marketing, oversees the strategic planning, budget and execution of industry programs and trade shows Trade show SME Suppor...

HSS Coordinator-LVN - College Station, TX
College Station, 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...

Investigator - National Remote
Houston, TX
Assess complaints of alleged misconduct received within the Company Investigate low to medium complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, em...

Regional Sales Manager - National Remote
Eden Prairie, MN
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 Conduc...

Enrollment Eligibility Representative - Lexington, KY
Lexington, KY
Administration of Pension Benefits Collection of data from pension participants to determine eligibility and vesting schedule. Answer questions via telephone and email to convey informat...