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Position Description: Positions in this function are responsible for all related aspects of claim system processes and claim business rules. Includes claims systems utilization, capacity analyses/planning and reporting. Includes claims-related business and systems analysis. Ensures data integrity, data security and process optimization. Primary Responsibilities: Answering questions/emails regardin...
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Posted 3 days ago
PositionDescription: Positions in this function are predominantly involved in developing business solutions by creating new and modifying existing software applications. Primary contributor in designing, coding, testing, debugging, documenting and supporting all types of applications consistent with established specifications and business requirements to deliver business value. Primary Responsibil...
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Posted Tue 22nd May
Position Description: This position is a Fraud Waste and Abuse (FWA) Analyst that is responsible for activities that include assistance with vendor oversite and issues management for the program on behalf of Community and State markets. Focus is on product and program implementation, performance, and compliance. Primary responsibility is oversight of the end to end work done to support FWA activit...
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Posted Tue 22nd May
You're empowered to do your best by assisting with Operational Projects throughout the organization! Are you a subject matter expertise in project management, scope definition, risk identification, methodology and resource allocation or facilitation? Assist us with strategic initiatives crossing business teams and operating groups as a Senior Project Manager to coordinate and complete projects, de...
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Posted Tue 22nd May
Position Description: The Associate Provider Installation Specialist is responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Associate Provider Installation Specialists are a...
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Posted Tue 22nd May
Position Description: This position provides local and national support for Fraud Waste and Abuse programs to the C&S Health Plans, management skills and utilization of internal and external resources to accomplish the goals and objectives that translate into efficient and compliant Medicaid and Medicare operations for C&S. Identifies and supports tactical business plans for the Health Plans inclu...
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Posted Tue 22nd May
UnitedHealthcare's Quality Management & Performance is an integrated team serving all UnitedHealthcare businesses, focused on improving the health of our members, enhancing our operational effectiveness, reinforcing our brand and reputation for high-quality health plans and helping members lives healthier lives. We are seeking a Senior Clinical Quality Analyst to perform detailed analysis and repo...
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Posted Tue 22nd May
Primary Responsibilities: Incident Management: Provide 24x7 support for the VCC infrastructure support by the Network Services Contact Center team Assist in troubleshooting efforts when incidents occur Contribute to root cause analysis for recurring or major incidents Manage and execute activities related to remediation plansChange Management: Plan and track maintenance activities for the Contact ...
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Posted 3 days ago
Primary Responsibilities: Organizes sorts and filters data in order to distinguish patterns and recognize trends Develops and maintains data preparation and validation routines to support data mining and has experience in creating complex data mining algorithms Use advanced statistical and inferential analysis programs to provide specialized data analysis Selects, recommends and applies appropriat...
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Posted 3 days ago
Position Description: This person will help operations identify opportunities for decreasing operational processing costs and/or increasing medical cost savings. Perform complex data analysis to identify patterns, correlations among business data elements, trends and anomalies in order to generate insights into historical and future operational performance. Using advance excel and statistical skil...
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Posted 3 days ago
What makes your Compliance career greater with UnitedHealth Group? Growth opportunities with the potential to impact the health care system ensure it will always be challenging and exciting. The OptumHealth Privacy Office is seeking a Privacy Manager to support the OptumHealth companies in maintaining compliance with state and federal privacy laws/regulations. The Privacy Manager works closely wit...
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Posted Tue 22nd May
Primary Responsibilities: Partner with project teams and interact with customers to find solutions for projects and operational issues for existing and proposed applications Develop new and enhance existing web applications in support of business objectives related to streamlining professional network business functions Demonstrate the knowledge and ability to perform in all of the basic database ...
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Posted Tue 22nd May
Primary Responsibilities: Define and document business processes and projects Consult with business departments to identify requirements Define project scope and objectives Model business processes (current and future) Evaluate system changes for downstream system and/or organizational impacts Prioritize and track all issues to resolution Escalate issues to the Project Manager as appropriate Provi...
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Posted Tue 22nd May
Primary Responsibilities: Administration, maintenance, and support for SAS software and infrastructure. Supported SAS resources will include PC SAS, server-based SAS, SAS Enterprise Guide, and SAS Enterprise Business Intelligence. SAS business user support and assistance. Management of SAS licensing (PC SAS and server-based SAS). Support and development for SAS scheduled production and self-servic...
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Posted Tue 22nd May
Primary Responsibilities: Consults with Information Technology and business leaders on the development and implementation of strategic business solutions through research, audit, and analysis of data and/or business process Interacts with all levels of management Plays a key role in developing, documenting and maintaining complex business models for Information Technology projects Participates in ...
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Posted Tue 22nd May
Position Description: Solid organizational skills and focus on accuracy and attention to detail. Excellent analytical, problem solving and troubleshooting abilities Self-motivated with the ability to work both independently and in a team environment Providing accurate and timely estimates for tasks Provide support and leadership in critical production support issue resolution Support the team for ...
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Posted Tue 22nd May
Primary Responsibilities: Define and document business processes and projects Consult with business departments to identify requirements Define project scope and objectives Model business processes (current and future) Evaluate system changes for downstream system and/or organizational impacts Prioritize and track all issues to resolution Escalate issues to the Project Manager as appropriate Provi...
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Posted Tue 22nd May
Position Description: We are hiring two field-based staff; one in southern New Mexico and one in northern New Mexico. The northern New Mexico staff member will be accountable for Albuquerque, the surrounding metropolitan statistical area and all communities north. The southern New Mexico staff member will be accountable for all communities south of the Albuquerque MSA. Both members will be account...
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Posted Tue 22nd May
Primary Responsibilities: Uses his/her own experience and training to assist Consumers and their parents/guardians with defining their recovery goals, and developing the skills and knowledge needed to promote resilience. Collaborates with Care Coordinators, Utilization Managers, providers, parents/guardians, community agencies and organizations, and the school system to facilitate access to and tr...
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Posted Tue 22nd May
*Telecommuter Position with Occassional Face-to-Face Meetings* Completes the following types of attendant care service reviews : New Initial assessment, transfer from one managed care organization to UnitedHealthcare Community Plan New Mexico for initial assessment, annual renewals, and any assessments due to a member's change in condition. Responsibilities include: Effectively utilizes tasking qu...
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Posted Tue 22nd May
The telecommunications industry encompasses voice, Internet, and video communications. For those who are employed by this industry, it can be steady employment with very good pay, even though some overtime work may be required. For those looking to enter this industry, those with the most current technological skills will have the best advantages.
Featured Telecommunications Employers: MasTec Jobs, AT&T Jobs, Verizon Jobs, Qwest Jobs, Sprint Jobs, T-Mobile Jobs, Nextel Jobs, SBC Communications Jobs, Motorola Jobs, Qualcomm Jobs, BellSouth Jobs
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