Responsible for strategically enhancing and maintaining site security and emergency response protocols across assigned UHG campuses, ensuring the continual application of consistent security measures and policies Fostering a visible, in person presence to cultivate trust and accessibility among all levels of personnel, from frontline employees to top executives, ensuring

Coordinates the UHC to UMR RFP migration requests Reviews ASA, SPD, SBC's Provides support to assigned Sales Office to minimize the administrative work of SAE's & FAM's Report requests for Stewardship/Annual Review Meetings with customers/brokers Scheduling customer/broker reports on InfoPort Creating standard presentation templates as needed Conducts and/or coordinates n

Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medicati

Develop and execute campaign list pulls for major direct marketing efforts (email, direct mail, SMS text, Social Media, etc.) as well as smaller, trigger based programs that are consistent with marketing strategy, campaign objectives and best practices This individual will use their knowledge of the customer and prospect data to assist in providing direction on targeting

Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS “A Day in the Life” video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you’re part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine we change lives for the better. People with serious mental or chronic i

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS “A Day in the Life” video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you’re part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine we change lives for the better. People with serious mental or chronic i

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connect

Build and maintain solid relationships with key brokers and others as necessary within the assigned territory Develops action plans and strategies to optimize Medicare sales Partner with peers and the Sales Director (SD) to identify and develop relationships with individuals and organizations that influence the buying behavior of our target consumer (e.g., Providers, Regu

Lead in the development and execution of IT internal audits including audit planning, detailing control procedures and the related testing and reporting in accordance with professional and departmental standards including financial (Sarbanes Oxley testing) and operational projects Prepare clear, accurate and complete workpapers in accordance with department quality standa

Perform audit and risk surveillance activities in accordance with IIA audit standards and the Internal Audit & Advisory Services Charter Executes Internal Audit's segment specific strategies and framework for data enabled Key Risk Indicators (KRI) and Continuous Auditing (CA) by determining and documenting relevant management metrics and mitigating controls for top risk a

Manage overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership Provide expertise and customer service support to members, customers, and / or providers Identify and resolves operational problems using defined processes, expertise, and judgment Investigate claim and / or customer service

Focus on initial and concurrent reviews for higher levels of care Inpatient admission for psychiatric and chemical dependency patients via telephone Make patient assessments and determine appropriate levels of care Obtain information from providers on outpatient requests for treatment. Facility Based Care Advocates only work with providers for outpatient request prior to

Provide advocacy and system navigation of behavioral health services and social services and supports Build partnerships with individuals, families, youth, and key stakeholders to promote recovery, resiliency, and wellness Oversee the provision of, and ensure the availability of, Peer Support services by having access to reports to monitor, track, and trend these services

Provide legal advice to UnitedHealthcare Payment Integrity regarding payment strategy and policy development Provide legal advice to Special Investigations Unit regarding fraud, waste, and abuse and related issues Advise on the implementation of federal and/or state legal/regulatory requirements impacting the health care industry (particularly in the topics specified abov