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Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation a
Posted Today
Secure and analyze information to approve, deny, manage, and track all complexities of certified and reported leaves, including federal and statutory Family Medical Leave Act (FMLA), state company specific and other leaves. Manage workflow and develop appropriate leave management strategies to ensure prompt and accurate decisions and communications to employers and employees. Provide responsive an
Posted 3 days ago
Manages the complete investigation, evaluation and resolution of assigned portfolio of complex claims emanating from Management and Professional Lines (MLPL) business segments, including directors and officers, financial institutions, professional liability insurances, employment practices, pension trustee liability and fidelity. Engages, directs and manages external advisors and vendors including
Posted Today
ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING Performs quality assurance review of IME reports, correspondences, addendums or supplemental reviews. Ensures clear, concise, evidence based rationales have been provided in support of all recommendations and/or determinations. Ensures that all client instructions and specification
Posted 8 days ago
Do you have the analytic skills and insights to find what our clients are looking for in a pile of health plan administrative claim data? Do you have current experience designing and leading research based on at least one of the following databases Truven MarketScan commercial, CMS Medicare 5% and 100% samples or health plan administrative claims data? Do you thrive in a fast paced environment? Mi
Posted 18 days ago
OneGroup Intern (Job ID 997) Hours/Week 35 40 hours per week Monday Friday Location US NY Syracuse Major Responsibilities Summary OneGroup, a leading Insurance and Risk Management firm in Central New York seeks a motived student or recent graduate to participate in the organization's day to day operations that includes a variety of critical business support and development tasks. This internship
Posted 5 days ago
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. SM As an Associate Claims Representative , you'll be responsible for analyzing complex healthcare claims that require research to dete
Posted Today
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. SM As an Associate Claims Representative , you'll be responsible for analyzing complex healthcare claims that require research to dete
Posted Today
You'll join a high caliber team where you're assisting, educating, problem solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work . Positions in this function are responsible fo
Posted Today
Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify pricing, prior authorizations, applicable benefits) Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare
Posted Today
Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify pricing, prior authorizations, applicable benefits) Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare
Posted Today
You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
Posted 4 days ago
You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
Posted 4 days ago
You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
Posted 4 days ago
You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provide
Posted 4 days ago
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