Claims care associate jobs

Feb 04, 2023

Claims Care Associate (Remote available)

**Alternate Locations:** Work from Home; US All Regions **Work Arrangement:** Work from Home **Relocation assistance:** : is not available for this opportunity. **Pay Range:** $12.60 - $18.89 **Bonus Potential:** 5% **Requisition #:** 69450 **The Role at a Glance** We are excited to bring on a **Claims Customer Care Associate** to join our Customer Care Team supporting Workplace Solutions in a remote environment. _Background Details_ The Customer Care Team will provide you with several w

Lincoln Financial Group Remote * (Santa Fe, NM, USA)

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Feb 04, 2023

Mobile and Web Application Penetration Tester (REMOTE)

Use data to make strategic decisions. GEICO Technology Solutions Cyber Security is seeking a Mobile and Web Penetration tester for its new Cyber Adversary Simulation and Red team. This dedicated team will perform penetration testing against web applications, our networks, and data stores. Additionally, they will employ social engineering to identify weaknesses in business processes and policies. In creating its test plans, the team will coordinate with application architecture teams, Underwriting Fraud, Claims Fraud, Cyber Threat Intelligence, and other teams to ensure alignment. It will also deliver a continuous view into corporate hygiene and attack surface through the use of breach and attack automation tools. Finally, it will provide metrics tracking testing coverage (visibility), time to remediate issues, and detection efficacy to show gaps and improvement opportunities. Responsibilities Include: • Conduct Web application, API, and Mobile Application penetration...

GEICO Martin's Additions, MD, USA

Feb 04, 2023

Utilization Management Coordinator - Remote

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion youbring to achieve your life's best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. The Associate Patient Care Coordinator provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization Management plan in data entry and to prepare letters utilizing standard templates. The Associate Patient Care Coordinator will also...

UnitedHealth Group Shavano Park, TX, USA

Feb 04, 2023

Utilization Management Coordinator - Remote

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion youbring to achieve your life's best work.(sm) WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. The Associate Patient Care Coordinator provides support to the UM department in administrative functions for UM organization determinations and appeal coordination. This position utilizes knowledge of Medicare and state HMO guidelines in order to facilitate and comply with the Utilization Management plan in data entry and to prepare letters utilizing standard templates. The Associate Patient Care Coordinator will also...

UnitedHealth Group Atlanta, GA, USA

Feb 04, 2023

Engineering Manager (REMOTE)

Come reimagine commercial insurance with us!GEICO Technology Solutions Commercial Engineering group is seeking a hands-on Engineering Manager to lead a team of engineers to design, develop and support amazingly powerful and intuitive applications for small business owners and insurance agents. In this position you will be hands on leading one to two engineering squads and collaborating with product owners/managers, designers, architects, and stakeholders to iteratively build impactful features. You will constantly identify and evaluate industry trends, create standards for best practices, drive the technology strategy and lead grow and develop a high performing diverse engineering team. We are looking for talented individuals to join us in our mission to be the leader in the digital commercial space for small businesses by providing a seamless acquisition process for protection needs, a convenient policy servicing option and a streamlined customer friendly claims...

GEICO Insurance Remote * (Macon, GA, USA)

Feb 04, 2023

STD & LTD Benefit Claim Specialist/Sr/Lead (Workplace Solutions)-Remote

Apply now Job no: 502057 Work type: Full Time Regular Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Remote, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming Categories: Customer Service, Claims/Claims Processing, Remote Work Ensures the accurate, prompt and thorough evaluation and management of disability claims by analyzing and determining the appropriate action steps while adhering to both internal and external regulations and ensuring an industry-leading customer experience. This role has direct impact...

Mutual of Omaha Insurance Company Remote * (AL, USA)

Feb 04, 2023

Patient Services Representative (Work From Home)

Job Title- Patient Services Representative Duration - 3 months Location- Anywhere in US (remote) Shift - 8:30 am -5:30 pm EST Position Summary; Under general direction of an Operations Manager, responsible for providing well defined services to patients, providers and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patient s healthcare provider. Primary Duties And Responsibilities: 1. Depending on the program specific contracted services an associate may perform one or more of the following activities: a. Inbound Phone Queue/General Program Inquires b. Determination for support programs (Copay, PAP, Medicaid, etc.) c. Pharmacy triage and coordination d. Order processing for wholesale orders e. Other follow-up activities (missing info, prior authorization, etc.) f. Intakes and...

Spectraforce Technologies Remote * (Atlanta, GA, USA)

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Philadelphia, PA, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group San Francisco, CA, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group San Jose, CA, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Chicago, IL, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group San Antonio, TX, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Boston, MA, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Las Vegas, NV, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Los Angeles, CA, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Charlotte, NC, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Austin, TX, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Dallas, TX, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Houston, TX, USA

Feb 04, 2023

Sr CMS Data Analytics Consultant - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) As a Sr CMS Data Analytics Consultant, you will help manage key process and model enhancements around data standardization and enrichment to enhance the value of analytics and reporting in support of OptumCare business goals as an individual contributor. This role requires Centers for Medicare & Medicaid Services Medicare Data File experience including MMR, MAO004, MOR and TRR data. The role also requires the knowledge and...

UnitedHealth Group Phoenix, AZ, USA

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464 claims care associate jobs found