Jobs at UnitedHealth Group in Carson, California

Description: Position Description: You will be doing project management; you must be able to articulate a project from beginning to end. You will be responsible for managing your time and. You will be managing quality management. The hole goal is to outreach members and connect them with the services they provide. You will be responsible for interacting with all in order to collaborate a more effe...
full job description

Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. The Provider Relations Advocate is responsible for assisting in the full range of provider relatio...
full job description

Description: The Senior Customer Service Representativeãis responsible for handling all incoming Billing and Eligibility phone calls and for serving as the primary customer interface for departmental inquiries. Responsibilities: Ensures quality customer service for internal and external customers: Responds to incoming customer service requests, both verbal and written. Identifies and assesses cust...
full job description

Description: Position Description: Positions in this function coordinate the processes and activities that focus on restoring service after an incident occurs. Monitors environment health and the facilitation of high severity incidents to improve the state of service availability and continuity. This function also includes those who operate and monitor computer and peripheral equipment. Coordinate...
full job description

Description: Position Description: The Claims Business Process Analyst provides analysis and advice to improve organizations productivity, helps refine strategy and infrastructure, contributes to procedure refinement and provides research to identify problems in the current work flow. Primary Responsibilities: Creating, controlling, and improving business processes. Diagnose process improvement ac...
full job description

Description: The Prior Authorization Pharmacy Technician is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity. Responsibilities: Respond to complex customer calls Resolve customer service inquiries which could include: Benefit and Eligibility information Billing and Payment issues Customer material requests Physician...
full job description

Description: Great account management is result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.The Field Account Manager is the ''field-based Service Owner'' responsible for the customer's (Benefit Manager) total s...
full job description

Description: Come grow your data analytics career with a top performing healthcare industry leader! The Healthcare Economics Analyst is part of the Medical Informatics department within UnitedHealthcare Employer & Individual. This position will be dedicated to performing quantitative analyses of utilization and health cost data. This role will be dedicated to the Performance Based Contracting init...
full job description

Description: Position Description: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.Primary Responsibilities:Foster and maintain a collaborative relationship with internal and external ...
full job description

Description: UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innova...
full job description

Description: Leadership! Clinical Quality and Audit! The Manager, Clinical Quality and Audit provides both clinical and operational expertise for all clinical delegation oversight processes and activities; supervises, motivates and engages staff. Responsible for maintaining compliance with federal, state and NCQA regulations and internal standards; collecting, analyzing and reporting data and metr...
full job description

Description: If you're interested in bringing your RN experience to a role that offers regular, Monday through Friday business hours and ample potential for advancement, apply to join us as one of our newest Senior Clinical Admin Nurses! Responsible for compiling medical information for provider appeals. Standard appeals must be completed within state regulations of 15-30 days. Review medical reco...
full job description

Description: Clinical Quality! Travel Required! The Senior Clinical Quality RN is responsible for scheduling, conducting and documenting annual audits, corrective action plans (CAP) and re-audits of HMO Commercial and Medicare Advantage delegated contracted Medical Groups and IPAs within regulatory driven timeframes. *Must be able to travel up to 75% of the time, which will include both local and ...
full job description

Description: This Clinical Pharmacist is responsible for the development, implementation and/or maintenance of specialized AppleCare Medical Group pharmacy programs such as Anti-Coagulation Clinic, Medication Reconciliation, Chemotherapy and Injectable review, and Poly-pharmacy. This position works collaboratively with the AppleCare Medical Management Chief Medical Officer, Medical Director, Inpat...
full job description

Description: Position Description:The incumbent is responsible for accurate and timely processing of pharmaceutical rebates by establishing and maintaining contract databases in the rebate billing system, verifying rebate eligibility by client, formulary and line of business, and by preparing rebate billing reports and invoices sent to pharmaceutical manufacturers. Establishes PC of system databas...
full job description

Description: Position Description: The person in this function are responsible for providing general support to case coordinators and members resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May research and resolve written Departmen...
full job description

Description: There's a lot more to come in the changes sweeping through our industry. So when the rules keep changing, it helps to be with the team that's writing them. Here, your performance, your ideas and your innUnitedHealthcare Medicare & Retirement will combine with a rich assortment of contributors to ensure you will always be challenged at UnitedHealth Group to do your life's best work.(sm...
full job description

Description: The primary duty of the Broker Account Executive is to promote health care sales and market UHC products telephonically, with a defined list of agents and brokers. The Broker Account Executive is part of the Inside Sales Dept and focuses on the small business market segment, those customers employing up to 99 employees. Job Responsibilities: Identifies potential health care business c...
full job description

Description: Position Description: OptumRx is a pharmacy benefit management company. Within Operations, the Benefits Department's primarily role is to support the adjudication of pharmacy claims by implementing benefits, formularies, client/pharmacy pricing and pharmacy network. It is responsible for the configuration of benefits and set-up of formularies, client and pharmacy pricing, and pharmacy...
full job description

Description: What makes your management career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission. This manager position will perform critical research and investigation of key business problems. He/she will perform quantitative analyses of utilization and health cost data, estimates and forecasts. This individual will ...
full job description

Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)The Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ...
full job description

Description: We are seeking an experienced IT Program and Project Manager to lead a team of PMs in our Cypress, CA office location. This group is dedicated to application services (ASG) project and programs in the Document Management Services domain. The ideal candidate will have human capital responsibility for 4-6 full time staff and a program budget in the $10-20MM range. The role summary is as...
full job description

Description: We will put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) Use your Sharp Business Skills to assist in end-to-end business process ac...
full job description

Description: The Director of Product & Innovation for California will be responsible for the innovation, development and management of the product portfolios in support of UnitedHealthcareâs CA HMO and/or Insurance licensed products. This position will be responsible to understand and influence operating platform capabilities and to drive medical product competitiveness. This position reports to t...
full job description

Description: The RN Manager of Inpatient Utilization and Case Management Projects is responsible for the implementation of specialized AppleCare Medical Group programs such as AppleCareâs Accountable Care Organization (ACO) Clinical program, Dual Eligible Project, and End of Life programs. This position also supports the Centers for Medicare and Medicaid Services Guidelines (CMS), Triple Aim of im...
full job description