211 to 225 of 631
Conduct assessments in a variety of settings on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test and foot exam (as appropriate) Identify diagnoses to be used in care management and active medic
Posted 4 days ago
Develop Others into a successful team aimed at increasing growth and market permeation by Continually building and nurturing agents through educational support on product information, selling skills, systems, and processes at United Healthcare Actively engage in the management and coaching of agent performance by implementing successful start strategy and guiding agents t
Posted 4 days ago
Create a positive experience and relationship with the member Help member set goals and develop a care plan to achieve those goals Proactively engage the member to manage their own health and healthcare Support the member to improve their wellbeing by staying out of the hospital, and attend regular visits to their primary physician As needed, help the member engage with m
Posted 4 days ago
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 for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Com
Posted 4 days ago
Establish and implement standard policies, procedures, processes, and best practices across the company to promote and ensure an effective compliance program through prevention, detection, and correction controls Conduct research on federal and/or state specific regulatory and contractual requirements and monitor changes to mitigate risks and achieve overall compliance In
Posted 4 days ago
You should expect to gain experience in many of the following areas Assist in preparation of income tax provisions for financial statements Assist in preparation of federal, state/local and international income tax returns Support tax controversy matters, including audits and notices Participate in tax planning, mergers & acquisitions, integrations, etc. Conduct tax resea
Posted 4 days ago
Preparation of income tax provisions for financial statements Ensure all tax filings are compliant with federal, state, and local tax regulations Assist with tax controversy matters, including audits and notices Assist with tax planning, mergers & acquisitions, integrations, etc. Conducting tax research and draft supporting memorandums Work with the technology that suppor
Posted 4 days ago
Investigate highly complex cases of fraud, waste and abuse Detect fraudulent activity by members, providers, employees and other parties against the Company Develop and deploy the most effective and efficient investigative strategy for each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking sys
Posted 4 days ago
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 for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Co
Posted 4 days ago
Identify new data points to advance analytic capabilities and help turn into actionable information Develop and maintain Forecasting, Tracking, and Reporting process for IFP marketing campaigns Predict emerging customer needs and develops innovative solutions to meet them Solve unique and complex problems with broad impact on the business Influence senior leadership to ad
Posted 4 days ago
Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person centered services Responsible for Level of Care guidelines and utilization management protocols Responsible for oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities Provide c
Posted 4 days ago
Develop, perform and manage the analyses of business and financial metrics as well as performance measures Develop and maintain financial reports to clearly communicate actual results, forecasted performance, and variances to plan, forecast and budget Develop, perform and manage team deliverables as it relates to financial planning, budgeting and forecasting Work closely
Posted 4 days ago
Identifies opportunities for specialty/enterprise products on all new sales Negotiate with underwriting when necessary Understand and effectively selling multiple products, requiring knowledge of Health Care Reform guidelines and how they differ between level funded and specialty products Develop and maintain solid broker/consultant relationships, telephonically, includin
Posted 4 days ago
Provide primary support for the Intelligence division and company overall during overnight, weekend and holiday hours. Specific shift hours vary; overnight 12 hours shifts generally run from 5 p.m. to 5 30 a.m. Provide consistent and constant monitoring of world news and events and ensure that proper protocols are followed when drafting event summaries and incident alerts
Posted 4 days ago
Use his/her own Recovery experience and training to assist families and consumers with defining their Recovery goals, and developing the skills and knowledge needed for the consumer's recovery Support the creation and assist with the implementation of a comprehensive Training and Education program with peers, families, Providers and staff Establish and maintain strong col
Posted 4 days ago
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