Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Process pharmaceutical rebates based on contract terms established and maintained in rebate billing system and monthly drug utilization reports Verify rebate eligibility by client formulary and line of business Run and audit rebate billing reports and submit invoices to pharmaceutical manufacturers Process incoming rebates, reconcile payments against billing invoice, resolve discrepancies,...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)The Strategic Claims Capability (SCC) is a small team of professionals dedicated to solving problems, driving improved performance and leading change across all UnitedHealth Group's business segments in an objective, provocative, and accountable way. We bring substantial and diverse health care, strategic and operational consulting, business development, program management and change leadership expertise to the table. We also deliver on some of the most complex programs that require an enterprise mindset.The SCC team partners with executives and their teams on engagements to drive meaningful change. Projects focus across a range of the Enterprise's...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Here's an idea. Let's build something. Let's put together a team of actuarial talent that can keep our Fortune 6 global organization at the forefront of an industry and at the table when more change for the health care system is planned. We've made a great start. Now we need you. As an Actuarial Consultant at UnitedHealth Group, you'll be charged with analyzing some of the world's most complex and abundant stores of data and delivering bold, business-savvy solutions. In addition to inspiring everyday challenge, you'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. In...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Strategic Claims Capability (SCC) is a small team of professionals dedicated to solving problems, driving improved performance and leading change across all UnitedHealth Group's business segments in an objective, provocative, and accountable way. We bring substantial and diverse health care, strategic and operational consulting, business development, program management and change leadership expertise to the table. We also deliver on some of the most complex programs that require an enterprise mindset. The SCC team partners with executives and their teams on engagements to drive meaningful change. Projects focus across a range of the...

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm) This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management...

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 care system as you do your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challengesPrimary Responsibilities: Drafting, evaluating, negotiating, and finalizing new business opportunities, client contracts within established standards Serving as the point of contact for internal customers on contractual matters, providing redlined recommendations, and negotiating directly with our external customers in partnership with business. Reviewing and analyzing RFPs to support business growth initiatives Administer and maintaining customer contract lifecycle You'll be rewarded and...

Job DescriptionThis position plays a key role in the Central Processing Services team that supports branch offices throughout the region. Support team members are responsible for all aspects of processing real estate transactions, which includes facilitating the transfer of data and documents into a centralized operating system, validating all necessary documentation required for file compliance, and adhering to deal audit guidelines for commission processing. Team members cross-train to support multiple offices, then concentrate in either commissions or transaction processing related tasks.This is a work from home opportunity. A preferred candidate will live within the greater Houston area or in Texas.Who you are:Self-motivated and able to work independently in a fast-paced, high volume paperless environmentCommitted to delivering consistently high level of customer service to real estate agents and branch officesDevoted to details, discovering missing, incorrect or incomplete...

No industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealth Group. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. As the Senior Health Care Economics Consultant, you will perform critical research and investigation of key business problems. Using phenomenal analytical skills, you will develop and improve quantitative data analytics and set performance targets for the enterprise. As a subject matter expert, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. You will lead a team in identifying potential areas for medical cost improvements and alternative pricing strategies. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry,...

Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare...

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 health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies. - Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses. - Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations. - Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. -Actively participate in team...

Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and...

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 health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies. - Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses. - Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations. - Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. -Actively participate in team...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The time has come to raise your game and help us raise ours. You've learned to lead. You've built a deep expertise in health care network operations. You've set your sights on having more impact in more ways. Now it's time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the resources, backing and opportunities that you'd...