62 risk management jobs found in Las Vegas, NV

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) Actively participate in the overall risk management program for assigned CDOs. Promotes a culture of safety in all interactions with staff and clinicians at assigned CDOs, by focusing on development of positive relationships and non-punitive investigations and solutions to reported events. Responsible for proactively responding to adverse event reports, working with leaders and SMEs at assigned CDOs to investigate and resolve...

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) We’re making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward.  As a Telephone Case Manager RN with UnitedHealth Group, you’ll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of...

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) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. This is a Telephonic RN Case Manager position that will be supporting the Enhanced Family Support (EFS) Program in the one nurse model - providing case management support from fertility, maternity through post-partum. You’ll enjoy the flexibility to...

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 and start doing your life's best work.(sm) There comes a point when you're ready to take off the training wheels and start guiding others. If that's where you are today, let's talk about where you can be tomorrow with our leading, global health care organization. Provider networks across the health care system are becoming more efficient and effective everyday thanks to companies like UnitedHealth Group and people like you. Here's an opportunity to put your expertise to work in new ways as you help strike the balance between health care costs and resources. In this consultative role, you'll ensure that healthcare contracts are...

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 and start doing your life's best work.(sm) You've been working your way to this opportunity for some time now. 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. It's time to join our leadership team and help UnitedHealth Group as we help make the health system more efficient and effective. You'll leverage your expertise and knowledge in new ways as you strike the balance between health care costs and resources.  As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader....

 Are you out of work due to virus impact or looking for a change? Our Multi-Million dollar firm is seeking to hire both licensed and non-licensed life and/or health insurance agents. No license? We can help! We have MANY clients contact us through direct mail, email and through telemarketers in need of coverage. * Advancement available every 2 months * Opportunity to travel * Average sale is between $300-$700 * On-the-job training * College degree is a PLUS We are seeking to hire individuals interested in full/part time with the opportunity to work in the business field. We will help you build a foundation to begin your career and help you excel in it. **You can work out of any city. Please submit resume and current phone number. Expect a call from our hiring manager to set up an interview.

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) The Inpatient Coding Compliance Auditor will provide expert coding audit services across various acute hospital organizations for inpatient services.  Review medical record documentation and related coding of inpatient encounters utilizing the ICD-10-CM/PCS classification system.  Verify coding accuracy and that coders base code assignment in a manner consistent with relevant laws, regulations, official coding guidelines and...

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) The Compliance Director implements and manages the OptumInsight Provider Compliance Program at outsource clients, including facility and physician/ambulatory revenue cycle services as well as and care coordination/utilization review. Conducts risk assessments and develops Compliance Workplans. Coordinates with client Compliance, Privacy, and OptumInsight Operations and QA to implement and manage ongoing monitoring of standard...

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) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Analyze provider reimbursement arrangements, design, and implement sound tools and applications to efficiently measure, monitor and forecast revenue from payers and reimbursement to providers Evaluate financial impacts of network configurations across hospital, ancillary and...

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others and start doing your life's best work.(sm) UHG’s Employee Relations (ER) Investigation Team is a centralized, neutral fact finder for US ER investigations arising from employee complaints or reports of misconduct and/or inappropriate behaviors that may violate company policies, including UHG’s Sexual and Other Harassment, Non-Discrimination, Non-Retaliation, and Equal Employment Opportunity policies, as well as UHG’s Code of Conduct. The ER Investigation Team is responsible for reviewing each employee complaint, ensuring neutrality,...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. UnitedHealth Group / Optum  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 This role will be responsible for ongoing management of market/reporting population specific quality measure medical record collection. The Clinical Quality Analyst will work in partnership with the market-level quality director to strategically increase HEDIS®, CMS STARs and state - specific measure performance scores by planning, performing, coordinating and monitoring medical record collection activities to meet or exceed quality standards, contractual requirements and pay for performance incentives.  This role is...

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 and start doing your life's best work.(sm) There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that...

Careers at Landmark , part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm) The Nurse Care Manager (NCM), is an integral part of the Interdisciplinary care team (IDT), and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating...

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  Discharge Care Manager ( Tennessee Only)  at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The  Discharge Care...

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) The Outpatient Coding Compliance Auditor conducts audits of outpatient facility and/or professional services coding to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers and/or professional Evaluation and Management(E/M) codes assigned for all specialties and chart types. The Auditor validates assigned codes for accuracy based on medical record documentation and established ICD-10-CM, CPT-4 coding guidelines,...

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 you bring to achieve your life’s best work.(sm) Maintains and oversees the loading of benefit plan information and fee schedule into claims processing system to ensure claims payment accuracy and consistency.  Supports interdepartmental teams through benefit plan processing, analysis, and maintenance.  Provides additional support to interdepartmental teams regarding plan benefits and fee schedules. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Manages and configures benefit plan configuration methodologies within specified timeframes into claims payment system Understands and maneuvers within health plan partner online websites Tests and audits claims payment accuracy against benefit configuration...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)   At Optum, the mission is clear: Help people live healthier lives and help make the health system work better for everyone. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining OptumServe you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U.S. health care system. As a Psychiatrist and Behavioral Health Director for Optum Serve, you will have to opportunity to serve the men and women who have given so much to our nation. This is a multifaceted role that is highly rewarding as your work as you...

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 and start doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Project Management and oversight of clinical programs under the guidance of the Clinical Program Director and Designer and in collaboration of internal and external teams.  Operational and financial analytics to identify opportunities for clinical programs and measure outcomes. This role will require a methodical and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of...

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 you bring to achieve your life’s best work.(sm) Let’s face it, no industry is moving faster than health care, and no organization is better positioned to lead health care forward than Optum/ UnitedHealth Group. We're out to use data and technology to help drive change and make the health care system work better for everyone. When you join us as a Project Manager, you'll be engaged in a complex business model that is highly adaptable, allowing you to address emerging needs quickly and effectively. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead or contribute to the development of program or project scope statements, in consultation with applicable stakeholders (e.g. program/project charter, Statement of...

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others and start doing your life's best work.(sm) As the Environmental, Social and Governance ("ESG") landscape evolves and becomes increasingly important to UHG’s corporate strategy and reputation, external stakeholders (shareholders, regulators, customers), increasingly expect end-to-end controls, accuracy, consistency and accountability for ESG internal and external reporting processes across the enterprise.  The ESG Data & Process Excellence Analyst is responsible for ensuring the accuracy and integrity of UHG’s ESG metrics, key...