41 management solutions group claims manager jobs found in New York, NY

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 are seeking a skilled and motivated Database Administrator (DBA) for a growth opportunity on our team.  As a Snowflake Database Administrator for Optum State Government Solutions, you will be responsible for managing the delivery of a multi-Terabyte Snowflake Data Warehouse environment on Azure Cloud that will contain public and private health care enrollment, claims and encounter data from insurance carriers,...

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) The Optum 340B National Account Manager – Core Sales Specialist will be responsible for 340B territory sales growth, both through contracting new business and current client contract expansion within a given geographical market.  They will be growing the territory also through implementing strategic initiatives as assigned by leadership that fit the needs of the business that are contracting adjacent but important drivers of territory growth. This position will engage with and target DSH hospital systems and other similar HRSA...

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) The Sr. Hospital Account Manager is accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. The Sr. Provider Relations Advocate designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. The successful candidate will direct and implement...

If you are located within commutable distance of 1 East Washington St, Phoenix, AZ, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM Dedicated to only one account, will roll out 1/1/2023. The Senior Service Account Manager will be answering benefits questions related to coverage, assist in coordinating provider appointments, answer claims questions and processing needs, answer plan questions and give guidance on out-of-pocket costs, provider help. The role gives guidance on when to appeal and assist with any escalated issues, ensure that we are responsive within a timely manner depending on circumstances (2-hours urgent; 4-hours escalated; 24-hours...

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 Senior Provider Advocate Account Manager will be the assigned single point of contact for provider/healthcare system accounts while representing both government and commercial products to build and improve physician and practice manager satisfaction with UHC. This externally focused position will maximize the providers' ability to interact with UHC through both pre-scheduled engagements with the healthcare professional’s organizational representative to discuss new and upcoming changes occurring within UHC that will impact their specific account, discussing the provider/healthcare system’s organizational service issues, while also engaging...

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 Small Business Field Account Manager is the “Field-Based Service Owner” responsible for the distribution partner and customer’s total service experience with UnitedHealthcare.    The principal focus is to serve as the key liaison between the customer and the broker/employer service organization, monitoring service issue resolution and educating customers and their employees.  Primary Responsibilities: Lead, direct and conduct enrollment/benefit meetings and health fairs for assigned business  Educate and consult with employers on enrollment, benefits, value-added programs, and electronic service processes Expand customer expertise...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. It’s a big step forward when you realize that you’ve earned the trust to lead a team. Now, let’s determine just how big that step can be. Take on this role with UnitedHealth Group and you’ll be part of a team that’s reshaping how health care works for millions. Now, you can take advantage of some of the best resources and tools in the world to help serve our members. You’ll play a lead role in a high volume, focused and performance driven call center where the goal is always to connect with members and enhance the customer experience. This is no small opportunity. This is where you can bring your compassion for others while building your career. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm and 8:00am - 1:00pm...

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) Position in this function assesses and interprets customer needs and requirements. Identifies solutions to non-standard benefit and pricing requests and problems. Solves moderate to complex problems and/or conducts moderate to complex analyses. Works with minimal guidance; seeks guidance on only the most complex tasks. Translates concepts into practice. Provides explanations and information to others on difficult issues. Acts as a resource for others with less experience.   Primary Responsibilities: Maintain and perform intra-department audits Provide intra-departmental information and support on basic to difficult in-house...

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) In joining the Optum Advisory Services Trend Analytics Consulting team: you’ll be part of a team that is leader in health care cost analytics, with a proven track record of supporting health plans across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants.  Our consulting team has continued to expand capabilities and consulting presence by identifying, developing, and executing on new and exciting business opportunities.  As a member of our high-performing 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) Community & State (C&S) Network Program Managers work closely with United Health Networks (UHN), C&S Healthplans, Implementation & Business Alignment (IBA), Teams within Provider Operations, and have a dotted line relationship to various IT teams as needed. C&S Network Program Managers are each assigned 3-5 active new state or product implementations at one time. Positions in this function are responsible for end-to-end project management and point person for all of  Provider Operations, coordination of cross-functional teams, & highlighting areas of risk and mitigation plans. You’ll enjoy the flexibility to...

If you are located within Austin, TX, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM Senior Service Account Managers  are responsible for first-level response and resolution of escalated issues with external and internal customers. This position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 08:00am – 05:00pm. It may be necessary, given the business need, to work occasional weekends. Our office is located at 1821 RUTHERFORD LN STE 300, AUSTIN, 78754. *All Telecommuters will be required to adhere to UnitedHealth Group’s...

Req ID: 219177 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking an Angular Developer to join our team. This role may be based out of Chicago, IL, Dallas, TX, or Alpharetta, GA. The candidate for this role must be located within a commutable distance to these cities. This role will be hybrid - working in client office 1-2 days per week. NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in addition to core managed infrastructure,...

UnitedHealth Group 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) Optum Labs serves as UnitedHealth Group’s research and development hub. Our vision is to create the most effective, affordable, equitable, and engaging health care solutions that improve patient health outcomes and experience, enhance provider experience, bolster health equity, and make health care more affordable. Our teams leverage big data insights, artificial intelligence, machine learning, and disruptive product development while capitalizing on engineering, clinical, and scientific innovations to build innovative health solutions. Here, we have successfully leveraged healthcare data to bring together a more complete view of...

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) As a Senior Healthcare Economics Consultant in the OptumHealth Healthcare Economics & Actuarial Project Analytics organization, you will perform critical research and data analytics to measure the value of Optum’s products and drive product effectiveness. Your role will include researching and investigating key business problems through quantitative analyses of healthcare utilization and medical cost data...

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) The Data Engineer is responsible for providing data and analytic support and reporting to address payment integrity needs. They will work closely with clinical and operational staff to translate clinical requirements and goals into analytic solutions for business problems.  This position plays an important role in the development and implementation of business intelligence that addresses and improves payment...

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) The Data Engineer is responsible for providing data and analytic support and reporting to address payment integrity needs. They will work closely with clinical and operational staff to translate clinical requirements and goals into analytic solutions for business problems.  This position plays an important role in the development and implementation of business intelligence that addresses and improves payment...

Chubb’s global claims group is a market leading organization. This role will have the opportunity to work with some of the brightest and best talent in our businesses as well as exposure to our most senior executives and leaders.  Claims is at the heart of how Chubb help’s our clients when they are in their greatest need.   The Global Marketing and Communication team at Chubb is seeking amazing marketing and communication strategist to join our team for this key role. We are looking for passionate writers who can bring the heartfelt stories of how we help individuals and companies overcome great losses and come back stronger than ever. This role will have wide and vast impact across multiple business lines and helps drive differentiated value. This is a fast-paced environment and we’re looking for individuals who can provide timely, proactive, and comprehensive marketing and communications strategy, writing and presentations to drive better brand affinity both internally and...

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 Senior Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs.  Senior Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.  Responsibilities also include directing and implementing strategies relating to the...

Chubb’s global claims group is a market leading organization. This role will have the opportunity to work with some of the brightest and best talent in our businesses as well as exposure to our most senior executives and leaders.  Claims is at the heart of how Chubb help’s our clients when they are in their greatest need.   The Global Marketing and Communication team at Chubb is seeking amazing marketing and communication strategist to join our team for this key role. We are looking for passionate writers who can bring the heartfelt stories of how we help individuals and companies overcome great losses and come back stronger than ever. This role will have wide and vast impact across multiple business lines and helps drive differentiated value. This is a fast-paced environment and we’re looking for individuals who can provide timely, proactive, and comprehensive marketing and communications strategy, writing and presentations to drive better brand affinity both internally and...

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) If you are located within North Jersey, Bergen, Charlestown, WV you will have the flexibility to telecommute* as you take on some tough challenges.  Primary Responsibilities: Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Support development and management of provider networks Assist in end-to-end provider claims and help enhance call quality Help implement training and development of external providers through education programs Identify gaps in network composition and services to assist network contracting and...