Vice president network contracting new york city jobs at UnitedHealth Group

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 Associate Director of Network Contracting develops the provider network (Physicians & Skill...
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Description: Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include:- Perform individual case review for appeals and grievances for various healthplan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. Th...
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Description: What makes your Actuarial career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best.The Director of Actuarial Consulting is in a client-facing capacity, responsible for providing actuarial direction and strategy to the actuarial pricing team that support...
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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 Director of Network Contracting develops the provider network (physicians, hospitals, ancil...
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Description: SUMMARY: The Medical Director of Ambulatory Care interacts with physicians, staff, health plan staff, Associate Medical Directors, and health plan members when a physicianâs input is needed or required. The Medical Director of Ambulatory Care is responsible for the Medical Management functions that include Utilization Management, Case Management, and Disease Management Programs, as re...
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Description: Description UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 34 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to yo...
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Description: Great sales are the 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.(sm)Job Description:Sales representative for United Retiree Solutions (URS) responsible for channel partner, broker/consultant ...
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Description: Director of Compliance - Eden Prairie, MN Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health ca...
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Description: Great sales are the 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.Sales representative for United Retiree Solutions (URS) responsible for channel partner, broker/consultant and direct sales to ...
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Description: United Clinical Services Market Medical Director The Market Medical Director has accountability for ensuring that UHC Clinical Services (UCS) initiatives focusing on appropriate hospital utilization, affordability, clinical excellence, growth and focused improvement are implemented and successfully managed to achieve goals. This position is responsible for clinical leadership and exec...
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Description: United Clinical Services Market Medical Director The Market Medical Director has accountability for ensuring that UHC Clinical Services (UCS) initiatives focusing on appropriate hospital utilization, affordability, clinical excellence, growth and focused improvement are implemented and successfully managed to achieve goals. This position is responsible for clinical leadership and exec...
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Description: The Director, Product Management is responsible for overall product management activities of multiple products within a portfolio. These activities include working closely with the business to develop a strategic vision for the product offerings and effectively managing all aspects of product definition and launch to meet the organizationâs goals and market needs. Responsible for defi...
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Description: The Director, Product Management is responsible for overall product management activities of multiple products within a portfolio. These activities include working closely with the business to develop a strategic vision for the product offerings and effectively managing all aspects of product definition and launch to meet the organizationâs goals and market needs. Responsible for defi...
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Description: The Director, Product Management is responsible for overall product management activities of multiple products within a portfolio. These activities include working closely with the business to develop a strategic vision for the product offerings and effectively managing all aspects of product definition and launch to meet the organizationâs goals and market needs. Responsible for defi...
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Description: Bring your marketing bravado, and help change the world one bold idea at a time. You can help drive the change thatimproves the health care system for the benefit of millions. SUMMARY UnitedHealthcare Community & State serves the health care needs of the nationâs most venerable populations through federal and state health insurance programs. Join the team dedicated to Medicare and Med...
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Description: POSITION SUMMARY: Responsible for the medical oversight of the Care Advocacy Centerâs clinical activities. This includes development and implementation of medical consultation and supervision policies and services, quality assurance activities, the medical supervision of clinical staff, and collaboration with other Clinical Operations staff to oversee all clinical policies, procedures...
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Description: Associate Director, Quality Standars & Accreditation Core responsibilities include (but are not limited to): Quality Standards & Accreditation develops and manages the strategy and staff for driving requirements to support Accreditations, and other Quality initiatives as required (ISO). Primary Accountabilities: Supports the development and implementation of quality improvement interv...
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Description: The primary responsibilities of the Eastern Regional Director, Provider Solutions include the following: - Ensures delivery of end to end business model against customer commitments inclusive of all services (programs, physician/patient communications, reporting). -Leads internal customer performance management meetings. Internally drives customer performance against operational, valu...
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Description: This position is responsible for the PBM operational management of National and Key customers in coordination with National and Regional Account Executives. This position interacts with multiple layers of management to ensure issue and inquiry responses are accurate and ensure responses are completed on time and within scope. Responsibilities include, but are not limited to the follow...
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Description: The Client Program Operations Director will be dedicated to a large, complex national account and be responsible to champion the oversight and coordination of key development projects from design to product launch. They will work with all business units, multiple stakeholders across this large organization. They will provide a primary point of contact for the client with regards to âs...
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Description: The Director of Operational Excellence with UHG IT/Continuous Improvement will have responsibility in leading a team of 8 â 10 Six Sigma Black Belts. This includes responsibility for the portfolio of results oriented performance improvement initiatives using the proven methodologies of Lean and Six Sigma while ensuring accountability, focus, strategic alignment and the development of ...
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Description: What will inspire your life's best worktm? At UnitedHealth Group, advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best. The Director of Actuarial Services is responsible for providing actuarial direction, strategy and analytics in support of Medicaid Risk Adjustment services. Responsibili...
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Description: What makes your Actuarial career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best. The Associate Director, Actuarial Services is a subject matter expert and trusted advisor for health plan leadership in ensuring that program rates are competitive. This...
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Description: Responsibilities for a Medical Director include: -Conducts provider telephonic review and discussion, schedules on-site visits and shares tools, information and guidelines related to cost-effective health care delivery and quality of care -Responsible for appropriate utilization management-Clinical lead for healthcare affordability initiatives at the local market -Oversee the HEDIS da...
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Description: The Director of Strategic Consulting and Corporate Development is a seasoned business strategist and advisor with responsibility for partnering with business unit executives to provide thought leadership, strategic direction, and market analysis to guide growth and operational excellence. This person must convince Market unit leaders and operators of his/her value, earn their trust an...
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