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Medical Claim Analyst at UnitedHealth Group Canada
Minneapolis, Minnesota, United States - Full Time
Skills Needed
Claims Support, Research, Investigation, Negotiation, Processing, Adjusting Claims, Attention To Detail, Microsoft Word, Microsoft Outlook, Microsoft Excel, Data Analysis, Healthcare Claims, Hipaa Compliance, Telecommuting, Customer Service, Documentation
Specialization
Candidates must have a High School Diploma or equivalent work experience and at least 1 year of experience in a related environment. Proficiency in computer applications, especially Microsoft Office, is required.
Full-time HouseCalls Nurse Practitioner - Phelps and Pulaski Counties, MO at UnitedHealth Group Canada
Waynesville, Missouri, United States - Full Time
Skills Needed
In Home Assessments, Medication Reconciliation, Patient Education, Clinical Assessments, Evidence Based Practice, Care Management, Communication Skills, Physical Assessment, Transportation, Geriatrics, Cardiology, Internal Medicine, Endocrinology, Home Health Care, Disease Process Knowledge, Compliance
Specialization
Candidates must have an active NP license in Missouri and national certification. Physical ability to perform job requirements and reliable transportation for home visits are also necessary.
Supervisor of Medical and Clinical Operations at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Emergency Department Registration, Leadership, Analytical Thinking, Insurance Knowledge, Medical Terminology, Workflow Organization, Staff Supervision, Training And Orientation, Performance Evaluation, Counseling, Patient Insurance Verification, Managed Care, Government Programs, Commercial Contracts, Team Performance, Problem Solving
Specialization
Candidates must have a High School Diploma or GED and at least 2 years of experience in a hospital patient registration department or physician office setting. Supervisory experience in healthcare and knowledge of medical benefits and terminology are also required.
Experience Required
Minimum 2 year(s)
Vice President of Revenue Cycle at UnitedHealth Group Canada
Lafayette, Louisiana, United States - Full Time
Skills Needed
Revenue Cycle Management, Electronic Health Record Systems, Financial Performance, Regulatory Compliance, Team Leadership, Data Analysis, Strategic Thinking, Communication, Adaptability
Specialization
A Bachelor's Degree in business or a related field is required, along with five years of management experience and healthcare billing experience. Extensive knowledge of revenue cycle management and EHR systems is essential.
Experience Required
Minimum 5 year(s)
Part Time Infusion Nurse - RN at UnitedHealth Group Canada
South Bend, Indiana, United States - Full Time
Skills Needed
Infusion Therapy, Patient Care, Clinical Documentation, Interdisciplinary Teamwork, Vascular Access, Medication Administration, Patient Education, Critical Thinking, Communication, Bls Certification, Home Health Agencies, Electronic Medical Records, Organizational Skills, Teaching Skills, Flexibility, Reliability
Specialization
Candidates must have an active RN license in Indiana and at least 1 year of clinical experience related to infusion therapy. Proficiency in electronic medical records and the ability to work independently in home settings are also required.
Experience Required
Minimum 2 year(s)
Registered Nurse - RN Field Case Manager - DC, MD, VA - Optum at Home at UnitedHealth Group Canada
Washington, District of Columbia, United States - Full Time
Skills Needed
Registered Nurse License, Basic Life Support Certification, Case Management, Post Acute Care, Electronic Medical Record, Geriatric Care, Long Term Services, Home And Community Based Services, Care Plan Development, Communication, Advocacy, Empathy, Collaboration, Health Education, Transportation Resources, Condition Education
Specialization
Candidates must have a current RN license and at least 1 year of clinical case management experience. Preferred qualifications include CCM certification and experience with the geriatric population.
Experience Required
Minimum 2 year(s)
Radiology Technologist - Float at UnitedHealth Group Canada
Holden, Massachusetts, United States - Full Time
Skills Needed
Radiographic Diagnostic Services, Imaging Equipment Operation, Technical Quality Evaluation, Troubleshooting, Radiation Safety Practices, Inventory Management, Life Support Measures, Emergency Protocol Knowledge, Age Appropriate Care, C Arm Operation, Interpersonal Skills, Organizational Skills, Communication Skills, Software Applications Knowledge, Cpr Certification, Emr Experience
Specialization
Candidates must complete a two-year program in Radiologic Technology and hold a valid license from the Commonwealth of Massachusetts. Knowledge of software applications and excellent interpersonal skills are also required.
Pharmacy Technician (Returns) - Community at UnitedHealth Group Canada
Berlin, Berlin, Germany - Full Time
Skills Needed
Pharmacy Management, Waste Management, Documentation, Collaboration, Problem Solving, Customer Service, Inventory Management, Regulatory Compliance
Specialization
A high school diploma or GED is required, along with an active Pharmacy Technician license or willingness to obtain one. Preferred qualifications include national certification and experience in pharmacy and prescription data entry.
Staff Pharmacist - Per Diem at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Pharmacy Degree, Pharmacist License, Independent Work, Critical Decision Making, Client Communication, Accuracy, Timeliness, Training Staff
Specialization
A Pharmacy degree from an accredited school and a current Pharmacist license in Texas are required. Candidates should demonstrate the ability to work independently and have weekend and weekday availability.
Clinical Staff Pharmacist In Charge at UnitedHealth Group Canada
Murphy, Texas, United States - Full Time
Skills Needed
Pharmacy Degree, Pharmacist License, Computer Applications, Independent Work, Critical Decision Making, Client Response, Accuracy, Effective Communication, Training Staff, Pharmacy Security
Specialization
A Pharmacy degree from an ACPE accredited school and a current Pharmacist license in good standing in Texas are required. Experience in a hospital setting and familiarity with Omnicell and Pyxis are preferred.
Experience Required
Minimum 2 year(s)
Per Diem Pharmacy Technician at UnitedHealth Group Canada
, Minnesota, United States - Full Time
Skills Needed
Customer Service, Prescription Filling, Inventory Management, Clerical Duties, Communication Skills, Medication Management, Pharmacy Compliance, Data Entry
Specialization
Candidates must have an active Pharmacy Technician license in Minnesota or the ability to obtain one within 14 days of accepting the offer. Preferred qualifications include National Pharmacy Technician Certification and experience in pharmacy and prescription data entry.
Senior Medical Coder at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Medical Coding, Cpt Coding, E/M Coding, Icd 10 Cm, Modifiers, Hcpcs Coding, Medical Terminology, Anatomy, Physiology, Clinical Documentation, Revenue Cycle, Coding Audits, Mentoring, Query Generation, Coding Software, Productivity Standards
Specialization
Candidates must have a High School Diploma or GED and a coding certification from AAPC or AHIMA. Additionally, 3+ years of coding experience in a healthcare setting and intermediate knowledge of coding guidelines are required.
Experience Required
Minimum 2 year(s)
Customer Service Representative at UnitedHealth Group Canada
Minneapolis, Minnesota, United States - Full Time
Skills Needed
Customer Service, Healthcare Experience, Call Center Experience, Computer Navigation, Problem Solving, Communication Skills, Empathy, Critical Thinking, Multi Tasking, Active Listening
Specialization
A high school diploma or GED is required, along with at least one year of healthcare industry experience. Familiarity with computer applications and the ability to complete training successfully are also necessary.
Software Engineer - 2328448 at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Software Development, Agile Methodologies, Testing Processes, Automation Scripts, Api Testing, Database Validation, Version Control, Troubleshooting, Debugging, Cross Browser Testing, Functional Testing, Regression Testing, Integration Testing, Mongodb, Selenium Webdriver, Github
Specialization
A Master's degree in a related field and two years of experience are required. Candidates must have experience in designing test cases, developing automation scripts, and performing API testing.
Experience Required
Minimum 2 year(s)
HSS Clinical Coordinator - Western, VA County Market at UnitedHealth Group Canada
, Virginia, United States - Full Time
Skills Needed
Care Coordination, Behavioral Health, Healthcare Environment, Ms Office, Community Collaboration, Medicaid, Medicare, Long Term Care, Geriatric Experience, Team Based Care, Managed Care, Intellectual Disabilities, Developmental Delays, Socioeconomic Needs, Quality Of Care, Service Utilization
Specialization
A Bachelor’s degree in a relevant field or equivalent qualifications is required, along with at least one year of care coordination or behavioral health experience. Proficiency in MS Office and a valid driver's license with reliable transportation are also necessary.
Experience Required
Minimum 2 year(s)
Clinical Manager RN, STAR+PLUS - El Paso, TX at UnitedHealth Group Canada
El Paso, Texas, United States - Full Time
Skills Needed
Leadership, Communication, Problem Solving, Analytical Skills, Service Coordination, Training, Compliance, Healthcare Management, Star+Plus, Managed Care, Team Leadership, Performance Standards, Electronic Charting, Bilingual, Field Staff Management, Quality Improvement
Specialization
Candidates must be graduates of an accredited nursing school with a current RN license in Texas and at least 7 years of healthcare experience, including 2 years in managed care. Management experience and familiarity with STAR+PLUS and LTSS program operations are also required.
Experience Required
Minimum 10 year(s)
Hybrid Case Management and Utilization Management - Remote WA State Only at UnitedHealth Group Canada
Olympia, Washington, United States - Full Time
Skills Needed
Care Management, Utilization Management, Behavioral Health, Coaching, Clinical Records, Problem Solving, Transitions Of Care, Coordination, Telephonic Support, Microsoft Skills, Data Entry, Customer Service, Mental Health, Substance Abuse, Medicaid, Medicare
Specialization
A Master's degree in a relevant field or an active RN license is required, along with 2+ years of experience in utilization or case management. Candidates must reside in Washington State and hold an unrestricted license to practice.
Experience Required
Minimum 2 year(s)
Medicare Appeals Intake Coordinator at UnitedHealth Group Canada
Cypress, California, United States - Full Time
Skills Needed
Communication Skills, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Microsoft Outlook, Adobe Acrobat, Knowledge Of Appeals Process, Basic Knowledge Of Ats, Basic Knowledge Of Gps, Proficiency In Cms Appeals Process, External Outreach, Document Processing, Email Management, Medical Terminology, Organizational Skills, Attention To Detail
Specialization
Candidates must have a high school diploma or equivalent and at least 2 years of experience in a business office environment. Knowledge of the appeals process and proficiency in various software applications are also required.
Experience Required
Minimum 2 year(s)
Senior Software Engineer - 2328449 at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Data Engineering, Data Integration, Data Modeling, Data Architecture, Etl, Elt, Python, Apache Spark, Azure Databricks, Snowflake, Sql, Devops, Terraform, Ci/Cd, Jenkins, Github Actions
Specialization
Candidates must have a Master's degree in a related field and three years of experience in data engineering and cloud-based solutions. Proficiency in Python, Apache Spark, and SQL, along with DevOps automation skills, is required.
Experience Required
Minimum 5 year(s)
OB/GYN Physician - OB/GYN - Kelsey-Seybold Northwest Campus at UnitedHealth Group Canada
Houston, Texas, United States - Full Time
Skills Needed
Obstetrics, Gynecology, Patient Care, Women's Health, Empathy, Value Based Care, Evidence Based Care, Cultural Competence, Team Collaboration, Professional Development, Surgical Skills, Prenatal Care, Postpartum Care, Diagnosis, Treatment, Health Education
Specialization
Candidates must be licensed in Texas and board certified or eligible. They should be graduates of an accredited medical school and have completed residency or be in residency when applying.
Medical Claim Analyst at UnitedHealth Group Canada
Minneapolis, Minnesota, United States -
Full Time

Start Date

Immediate

Expiry Date

14 Feb, 26

Salary

31.63

Posted On

16 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Support, Research, Investigation, Negotiation, Processing, Adjusting Claims, Attention To Detail, Microsoft Word, Microsoft Outlook, Microsoft Excel, Data Analysis, Healthcare Claims, HIPAA Compliance, Telecommuting, Customer Service, Documentation

Industry

Hospitals and Health Care

Description
This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to referral processing, obtaining required documents, medical records sorting and processing, preparing payment calculations, preparing the claim for a Nurse review, apply all Nurse findings to the claim, prepare and send reports, prepare and send provider packets. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm MST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence and quality standards This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will support timely processing of the member's claim. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED OR equivalent work experience Must be 18 years of age OR older 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications Experience with Microsoft Word (create correspondence and work within templates) and Microsoft Outlook (email and calendar management) Intermediate experience with Microsoft Excel (Sorting and filtering data, using formulas, and working with Tables) Ability to work Monday – Friday, 08:00AM – 05:00PM MST Preferred Qualifications: 1+ years of experience processing medical, dental, prescription or mental health claims 1+ years of experience processing insurance claims or billing/collections in a healthcare or commercial setting Familiarity with UB04’s Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

How To Apply:

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Responsibilities
The Medical Claims Analyst is responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes analyzing and identifying trends, preparing payment calculations, and ensuring timely processing of claims.
Medical Claim Analyst at UnitedHealth Group Canada
Minneapolis, Minnesota, United States - Full Time
Skills Needed
Claims Support, Research, Investigation, Negotiation, Processing, Adjusting Claims, Attention To Detail, Microsoft Word, Microsoft Outlook, Microsoft Excel, Data Analysis, Healthcare Claims, Hipaa Compliance, Telecommuting, Customer Service, Documentation
Specialization
Candidates must have a High School Diploma or equivalent work experience and at least 1 year of experience in a related environment. Proficiency in computer applications, especially Microsoft Office, is required.
Full-time HouseCalls Nurse Practitioner - Phelps and Pulaski Counties, MO at UnitedHealth Group Canada
Waynesville, Missouri, United States - Full Time
Skills Needed
In Home Assessments, Medication Reconciliation, Patient Education, Clinical Assessments, Evidence Based Practice, Care Management, Communication Skills, Physical Assessment, Transportation, Geriatrics, Cardiology, Internal Medicine, Endocrinology, Home Health Care, Disease Process Knowledge, Compliance
Specialization
Candidates must have an active NP license in Missouri and national certification. Physical ability to perform job requirements and reliable transportation for home visits are also necessary.
Supervisor of Medical and Clinical Operations at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Emergency Department Registration, Leadership, Analytical Thinking, Insurance Knowledge, Medical Terminology, Workflow Organization, Staff Supervision, Training And Orientation, Performance Evaluation, Counseling, Patient Insurance Verification, Managed Care, Government Programs, Commercial Contracts, Team Performance, Problem Solving
Specialization
Candidates must have a High School Diploma or GED and at least 2 years of experience in a hospital patient registration department or physician office setting. Supervisory experience in healthcare and knowledge of medical benefits and terminology are also required.
Experience Required
Minimum 2 year(s)
Vice President of Revenue Cycle at UnitedHealth Group Canada
Lafayette, Louisiana, United States - Full Time
Skills Needed
Revenue Cycle Management, Electronic Health Record Systems, Financial Performance, Regulatory Compliance, Team Leadership, Data Analysis, Strategic Thinking, Communication, Adaptability
Specialization
A Bachelor's Degree in business or a related field is required, along with five years of management experience and healthcare billing experience. Extensive knowledge of revenue cycle management and EHR systems is essential.
Experience Required
Minimum 5 year(s)
Part Time Infusion Nurse - RN at UnitedHealth Group Canada
South Bend, Indiana, United States - Full Time
Skills Needed
Infusion Therapy, Patient Care, Clinical Documentation, Interdisciplinary Teamwork, Vascular Access, Medication Administration, Patient Education, Critical Thinking, Communication, Bls Certification, Home Health Agencies, Electronic Medical Records, Organizational Skills, Teaching Skills, Flexibility, Reliability
Specialization
Candidates must have an active RN license in Indiana and at least 1 year of clinical experience related to infusion therapy. Proficiency in electronic medical records and the ability to work independently in home settings are also required.
Experience Required
Minimum 2 year(s)
Registered Nurse - RN Field Case Manager - DC, MD, VA - Optum at Home at UnitedHealth Group Canada
Washington, District of Columbia, United States - Full Time
Skills Needed
Registered Nurse License, Basic Life Support Certification, Case Management, Post Acute Care, Electronic Medical Record, Geriatric Care, Long Term Services, Home And Community Based Services, Care Plan Development, Communication, Advocacy, Empathy, Collaboration, Health Education, Transportation Resources, Condition Education
Specialization
Candidates must have a current RN license and at least 1 year of clinical case management experience. Preferred qualifications include CCM certification and experience with the geriatric population.
Experience Required
Minimum 2 year(s)
Radiology Technologist - Float at UnitedHealth Group Canada
Holden, Massachusetts, United States - Full Time
Skills Needed
Radiographic Diagnostic Services, Imaging Equipment Operation, Technical Quality Evaluation, Troubleshooting, Radiation Safety Practices, Inventory Management, Life Support Measures, Emergency Protocol Knowledge, Age Appropriate Care, C Arm Operation, Interpersonal Skills, Organizational Skills, Communication Skills, Software Applications Knowledge, Cpr Certification, Emr Experience
Specialization
Candidates must complete a two-year program in Radiologic Technology and hold a valid license from the Commonwealth of Massachusetts. Knowledge of software applications and excellent interpersonal skills are also required.
Pharmacy Technician (Returns) - Community at UnitedHealth Group Canada
Berlin, Berlin, Germany - Full Time
Skills Needed
Pharmacy Management, Waste Management, Documentation, Collaboration, Problem Solving, Customer Service, Inventory Management, Regulatory Compliance
Specialization
A high school diploma or GED is required, along with an active Pharmacy Technician license or willingness to obtain one. Preferred qualifications include national certification and experience in pharmacy and prescription data entry.
Staff Pharmacist - Per Diem at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Pharmacy Degree, Pharmacist License, Independent Work, Critical Decision Making, Client Communication, Accuracy, Timeliness, Training Staff
Specialization
A Pharmacy degree from an accredited school and a current Pharmacist license in Texas are required. Candidates should demonstrate the ability to work independently and have weekend and weekday availability.
Clinical Staff Pharmacist In Charge at UnitedHealth Group Canada
Murphy, Texas, United States - Full Time
Skills Needed
Pharmacy Degree, Pharmacist License, Computer Applications, Independent Work, Critical Decision Making, Client Response, Accuracy, Effective Communication, Training Staff, Pharmacy Security
Specialization
A Pharmacy degree from an ACPE accredited school and a current Pharmacist license in good standing in Texas are required. Experience in a hospital setting and familiarity with Omnicell and Pyxis are preferred.
Experience Required
Minimum 2 year(s)
Per Diem Pharmacy Technician at UnitedHealth Group Canada
, Minnesota, United States - Full Time
Skills Needed
Customer Service, Prescription Filling, Inventory Management, Clerical Duties, Communication Skills, Medication Management, Pharmacy Compliance, Data Entry
Specialization
Candidates must have an active Pharmacy Technician license in Minnesota or the ability to obtain one within 14 days of accepting the offer. Preferred qualifications include National Pharmacy Technician Certification and experience in pharmacy and prescription data entry.
Senior Medical Coder at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Medical Coding, Cpt Coding, E/M Coding, Icd 10 Cm, Modifiers, Hcpcs Coding, Medical Terminology, Anatomy, Physiology, Clinical Documentation, Revenue Cycle, Coding Audits, Mentoring, Query Generation, Coding Software, Productivity Standards
Specialization
Candidates must have a High School Diploma or GED and a coding certification from AAPC or AHIMA. Additionally, 3+ years of coding experience in a healthcare setting and intermediate knowledge of coding guidelines are required.
Experience Required
Minimum 2 year(s)
Customer Service Representative at UnitedHealth Group Canada
Minneapolis, Minnesota, United States - Full Time
Skills Needed
Customer Service, Healthcare Experience, Call Center Experience, Computer Navigation, Problem Solving, Communication Skills, Empathy, Critical Thinking, Multi Tasking, Active Listening
Specialization
A high school diploma or GED is required, along with at least one year of healthcare industry experience. Familiarity with computer applications and the ability to complete training successfully are also necessary.
Software Engineer - 2328448 at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Software Development, Agile Methodologies, Testing Processes, Automation Scripts, Api Testing, Database Validation, Version Control, Troubleshooting, Debugging, Cross Browser Testing, Functional Testing, Regression Testing, Integration Testing, Mongodb, Selenium Webdriver, Github
Specialization
A Master's degree in a related field and two years of experience are required. Candidates must have experience in designing test cases, developing automation scripts, and performing API testing.
Experience Required
Minimum 2 year(s)
HSS Clinical Coordinator - Western, VA County Market at UnitedHealth Group Canada
, Virginia, United States - Full Time
Skills Needed
Care Coordination, Behavioral Health, Healthcare Environment, Ms Office, Community Collaboration, Medicaid, Medicare, Long Term Care, Geriatric Experience, Team Based Care, Managed Care, Intellectual Disabilities, Developmental Delays, Socioeconomic Needs, Quality Of Care, Service Utilization
Specialization
A Bachelor’s degree in a relevant field or equivalent qualifications is required, along with at least one year of care coordination or behavioral health experience. Proficiency in MS Office and a valid driver's license with reliable transportation are also necessary.
Experience Required
Minimum 2 year(s)
Clinical Manager RN, STAR+PLUS - El Paso, TX at UnitedHealth Group Canada
El Paso, Texas, United States - Full Time
Skills Needed
Leadership, Communication, Problem Solving, Analytical Skills, Service Coordination, Training, Compliance, Healthcare Management, Star+Plus, Managed Care, Team Leadership, Performance Standards, Electronic Charting, Bilingual, Field Staff Management, Quality Improvement
Specialization
Candidates must be graduates of an accredited nursing school with a current RN license in Texas and at least 7 years of healthcare experience, including 2 years in managed care. Management experience and familiarity with STAR+PLUS and LTSS program operations are also required.
Experience Required
Minimum 10 year(s)
Hybrid Case Management and Utilization Management - Remote WA State Only at UnitedHealth Group Canada
Olympia, Washington, United States - Full Time
Skills Needed
Care Management, Utilization Management, Behavioral Health, Coaching, Clinical Records, Problem Solving, Transitions Of Care, Coordination, Telephonic Support, Microsoft Skills, Data Entry, Customer Service, Mental Health, Substance Abuse, Medicaid, Medicare
Specialization
A Master's degree in a relevant field or an active RN license is required, along with 2+ years of experience in utilization or case management. Candidates must reside in Washington State and hold an unrestricted license to practice.
Experience Required
Minimum 2 year(s)
Medicare Appeals Intake Coordinator at UnitedHealth Group Canada
Cypress, California, United States - Full Time
Skills Needed
Communication Skills, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Microsoft Outlook, Adobe Acrobat, Knowledge Of Appeals Process, Basic Knowledge Of Ats, Basic Knowledge Of Gps, Proficiency In Cms Appeals Process, External Outreach, Document Processing, Email Management, Medical Terminology, Organizational Skills, Attention To Detail
Specialization
Candidates must have a high school diploma or equivalent and at least 2 years of experience in a business office environment. Knowledge of the appeals process and proficiency in various software applications are also required.
Experience Required
Minimum 2 year(s)
Senior Software Engineer - 2328449 at UnitedHealth Group Canada
Eden Prairie, Minnesota, United States - Full Time
Skills Needed
Data Engineering, Data Integration, Data Modeling, Data Architecture, Etl, Elt, Python, Apache Spark, Azure Databricks, Snowflake, Sql, Devops, Terraform, Ci/Cd, Jenkins, Github Actions
Specialization
Candidates must have a Master's degree in a related field and three years of experience in data engineering and cloud-based solutions. Proficiency in Python, Apache Spark, and SQL, along with DevOps automation skills, is required.
Experience Required
Minimum 5 year(s)
OB/GYN Physician - OB/GYN - Kelsey-Seybold Northwest Campus at UnitedHealth Group Canada
Houston, Texas, United States - Full Time
Skills Needed
Obstetrics, Gynecology, Patient Care, Women's Health, Empathy, Value Based Care, Evidence Based Care, Cultural Competence, Team Collaboration, Professional Development, Surgical Skills, Prenatal Care, Postpartum Care, Diagnosis, Treatment, Health Education
Specialization
Candidates must be licensed in Texas and board certified or eligible. They should be graduates of an accredited medical school and have completed residency or be in residency when applying.