The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems.
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
We're making a solid 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 patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!
The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.
This is a full-time, Monday - Friday, 8am-5pm position in your time zone.
You'll enjoy the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Make outbound calls and receive inbound calls to assess members current health status
Identify gaps or barriers in treatment plans
Provide patient education to assist with self-management
Make referrals to outside sources
Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current, unrestricted RN license in state of residence
Active Compact RN License or ability to obtain upon hire
3+ years of experience in a hospital, acute care or direct care setting
Proven ability to type and have the ability to navigate a Windows based environment
Have access to high-speed internet (DSL or Cable)
Dedicated work area established that is separated from other living areas and provides information privacy
Preferred Qualifications
BSN
Certified Case Manager (CCM)
1+ years of experience within Medical/Oncology
Case management experience
Experience or exposure to discharge planning
Experience in a telephonic role
Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords:
telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license
$45k-53k yearly est. 1d ago
Looking for a job?
Let Zippia find it for you.
Account Executive
Sentry Insurance 4.0
Remote or Saint Louis, MO job
Our highly trained Account Executives present specialized commercial insurance, 401K, and life insurance products that are perfectly designed for the industries we serve.
You're not just in it to win it. You want to crush it every time. Because that's what our sales professionals do. Not just anyone has what it takes to build strong and profitable relationships. If you're a unique performer, Sentry offers a career opportunity that soars beyond commercial insurance sales.
We provide everything you need to carve out a sales career filled with success and purpose, including:
High earning potential with base salary, commissions, monthly/annual incentives, plus recognition trips
Outstanding benefits and a 401(k)-program matching dollar for dollar up to 8%
Opportunities for professional development and growth
Outstanding training and support
An industry-leading line of products and services
Total currently estimated projected compensation range for this position is $108,661-$144,661, which is a combination of base pay, currently projected renewal commissions, and currently estimated new business commission opportunities. Commission opportunities - both renewal and new business -- are based on achievement of sales objectives and compliance with the terms of the applicable incentive plan.
The Missouri territory includes: The greater St. Louis area. Residence within the sales territory is required.
What You'll Do
Sell directly to niche market accounts to increase premium volume
Retain profitable business by providing effective, quality service to policyholders
Build and maintain quality relationships with businesses
Work directly with Underwriting, Claims, Loss Control, Audit, Customer Service, and other key partners
Call on and pursue allniche market opportunities assigned to your geographic territory
Leverage current customers and relationships for new growth and sales opportunities
What it Takes
Bachelor's degree or equivalent work experience/related sales experience
The ability to obtain and maintain the necessary P&C, and Life licenses required to sell the products Sentry offers
Self-discipline and ability to thrive in a remote work environment
Ability to multitask, prioritize, communicate effectively, and remain organized
Strong analytical and math skills
Acceptable Motor Vehicle Record with a valid driver's license and ability to meet travel requirements
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Company car with gas card
Comprehensive, ongoing training, including licensure
Laptop, cell phone reimbursement, home office setup
Cutting edge proprietary technology that enables you to be more efficient and effective in the field
401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Group Medical, Dental, Vision, Life Insurance, Parental Leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
Pretax Dependent Care and Health ExpenseReimbursement Accountsto ease taxes on health spending.
Well-being and Employee Assistance programs.
Sentry Foundationgift matching programto encourage charitable giving.
About Sentry
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Get ready to own your future at Sentry. Opportunities await!
Casey Van Der Geest
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
$108.7k-144.7k yearly 2d ago
Remote Associate Counsel - Insurance Defense (NY)
Geico 4.1
Remote or New York, NY job
A leading insurance provider in New York is seeking an Associate Counsel to manage lawsuits filed in New York courts. You will handle pleadings, motions, and legal research while ensuring compliance with relevant laws. The ideal candidate will have 2 to 6+ years of litigation experience in insurance defense and hold a Juris Doctor degree. This position offers a competitive salary range from $118,900 to $186,550 annually along with comprehensive benefits, including incentives and a supportive work environment.
#J-18808-Ljbffr
$118.9k-186.6k yearly 2d ago
Field Service Coordinator - Bosque, Coryell, Hamilton, or McLennan Counties, TX- Remote
Unitedhealth Group 4.6
Remote or Waco, TX job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Behavioral Health Care Coordinator role will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Our team is made up of Behavioral Health Specialists, RNs, and Social Workers dedicated to helping members achieve their health care goals.
If you reside in or within commutable driving distance Bosque, Coryell, Hamilton, or McLennan Counties, TX and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Manage the care plan throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Possess one of the following:
Licensed Professional Counselor (LPC)
Licensed Bachelor Social Worker (LBSW)
Licensed Masters Social Worker (LMSW)
2+ years of experience working within the behavioral health setting
Intermediate level of proficiency working with MS Word, Excel and Microsoft Outlook
Valid driver's license, reliable transportation and the ability to travel up to 75% of the time in this assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Reside in or within commutable driving distance to Bosque, Coryell, Hamilton, or McLennan Counties, TX
Preferred Qualifications:
Medicaid Waiver experience
LIDDA and/or LMHA experience
Case Management and/or Care Coordination experience
Behavioral health experience
Field based work experience
Experience with electronic charting
Knowledge of community resources
Background in managing populations with complex medical or behavioral needs
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
A leading insurance company in California is seeking a Senior Staff Engineer to drive technical innovation and enhance existing systems. You will collaborate closely with product teams, lead a technical roadmap, and mentor others while utilizing your extensive experience in software development, cloud services, and modern programming languages. This role offers a competitive salary range and a vibrant workplace culture.
#J-18808-Ljbffr
$122k-159k yearly est. 5d ago
Underwriting Consultant - Remote
Unitedhealth Group 4.6
Remote or Minnetonka, MN job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Underwriting Consultant will analyze health benefit plan characteristics and assess risks within our underwriting guidelines to meet financial targets. This individual will analyze health benefit plan characteristics and assess risks in developing premiums. Will utilize established underwriting criteria and policies to provide proper rating methodologies. Will assist in maintaining pricing models to assist in the analysis of determining premiums. The Underwriting Consultant will evaluate and recommend alternative pricing options and plan design changes based on economic analysis and trends. This individual will also prepare financial modeling for budget calculation, and other ongoing reviews that directly aligns with client strategies. They will validate renewals and request for proposals for accuracy including utilization & experience reporting.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Prepare financial experience rating calculations and other ongoing financial reviews that directly aligns with client strategies
Validate renewals and request for proposals for accuracy including utilization and experience reporting
Evaluate and negotiate potential alternatives and options for New Business and Renewal groups with internal and external customers
Collaborate with the Sales and Account Management teams to project pricing and profitability and participate in the development of the business strategy
Support all requests associated with designated account(s) including annual renewal preparation, ad-hoc reporting, consultation, etc.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
5+ years of experience in healthcare underwriting for any variety of products: PPO, HMO, self-funded, ASO/fully-insured, group or individual
Intermediate level of proficiency with MS Office suite (including Word, Excel and PowerPoint)
Preferred Qualifications:
Experience working with Medicare products including Part D
Proven excellent communication skills, both orally and in writing and solid negotiation skills
Proven solid analytical, problem solving and critical decision-making skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$72.8k-130k yearly 3d ago
Staff ML Engineer - AI Systems Lead (Remote)
Geico 4.1
Remote or Palo Alto, CA job
A leading insurance company is seeking a Staff Machine Learning Engineer to architect scalable AIML solutions and lead technical initiatives. The ideal candidate will have over 6 years of hands-on experience in machine learning and software engineering, deep programming proficiency, and a strong understanding of system architecture. This role offers a comprehensive rewards program, workplace flexibility, and opportunities for career advancement.
#J-18808-Ljbffr
$105k-137k yearly est. 5d ago
Director of Automation & Operational Excellence (Remote)
Unitedhealth Group 4.6
Remote or Wausau, WI job
A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S.
#J-18808-Ljbffr
$97k-116k yearly est. 2d ago
Community Outreach Eligibility Specialist - Field Based - Boston, MA
Unitedhealth Group 4.6
Remote or Boston, MA job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
You never thought your career could help millions of lives. Well, here you can. As a Community Outreach Eligibility Specialist, you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You'll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You'll use your creativity, strategic lens and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group.
If you are located in Boston, MA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Maintain detailed knowledge of State and Federal insurance programs and effectively utilize such programs to insure all eligible are enrolled in appropriate MassHealth programs
Maintain detailed knowledge of MassHealth and attend all required MassHealth training forum meetings
Assist in eligibility determination and completion of MassHealth applications
Monitor, analyze and investigate pending applications and follow up as necessary
Interview all prospects/members and authorized representatives to screen for eligibility and obtain vital information for the purpose of completing and submitting MassHealth applications
Work with individual and/or family to obtain all required documentation for the completion of MassHealth application
Maintain proper documentation of all consumer interactions
Assist existing members with MassHealth Renewal process
Support the Sales/Marketing team by facilitating MassHealth applications for purpose of enrollment
Support existing COR team by conducting community events when needed
Establish and maintain internal and external relationships by leveraging the MassHealth Eligibility program
Conduct educational presentations to community organizations
Meeting or exceeding targeted growth, retention, and enrollment expectations
Provide explanations and interpretations within area of expertise
Share our mission to help people live healthier lives, throughout the communities we service
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
To be considered for this position, applicants need to meet the qualifications listed in this posting
Ability to obtain Health/Accident Insurance License within first 60 days of employment
Basic knowledge of MassHealth/Medicare
Ability to work flexible hours as needed
Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Ability to travel up to 75% of the time (local domestic travel within the community)
Preferred Qualifications:
Experience completing MassHealth Applications
Community Outreach experience within Healthcare
Bilingual in English/Spanish
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$35k-43k yearly est. 2d ago
Remote Insurance Defense Counsel (NY)
Geico 4.1
Remote or Melville, NY job
A leading insurance provider is seeking an Associate Counsel in New York to handle lawsuits in the Melville area. This remote position requires 2 to 6 years of litigation experience, a Juris Doctor degree, and admission to the New York Bar. Responsibilities include researching laws, preparing legal documents, and defending cases in court. The role also emphasizes the importance of strong communication and organizational skills in a supportive work environment that values innovation and inclusion.
#J-18808-Ljbffr
$51k-71k yearly est. 4d ago
Associate Claims Representative Liability-West
Sentry Insurance 4.0
Remote or Nashville, TN job
Experienced claims professionals expand your growth supporting The General business line! NSA claim investigations, liability decisions, and settlement negotiations.
This role will be filled following our hybrid work model at our Nashville, TN; Davenport, IA; Madison, WI; Stevens Point, WI; or El Paso, TX offices. This role is
NOT
available for remote work.
Area of support: MTN/PST
What You'll Do
As an Associate Claims Representative-Liability, you will have the opportunity to grow on your already solid claims foundation by conducting the following duties:
Support customers with empathy and understanding, assisting them through difficult situations and effectively communicating the claims process, the ongoing claim status, and decisions, including the reasoning behind them.
Verify coverage and reasonable payments by thoroughly reviewing the policy, reviewing accident details, and other pertinent information related to the claim.
Investigative claims by taking and reviewing recorded statements from involved parties and witnesses, reviewing policy reports and other pertinent evidence
Apply knowledge to evaluate claims exposure appropriately, establishing timely reserves.
Comply with industry regulations, legal requirements, and internal company policies through thorough documentation of all decisions, correspondence, and discussions that occur throughout the life cycle of the claim.
What it Takes
Bachelor's degree or equivalent work experience
Ability to obtain and maintain state specific property and casualty claims licensing as required
Previous experience working with Auto Liability Claims strongly preferred
Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.
Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge.
Demonstrated experience handling moderately complex claims, or other equivalent experience.
Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience.
Demonstrated experience providing customer-driven solutions, support, or service.
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday you'll work in office.
As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.
401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program.
Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off.
Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.
Well-being and Employee Assistance programs.
Sentry Foundation gift matching program to encourage charitable giving.
About Sentry
We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
Get ready to own your future at Sentry. Opportunities await!
Talent Acquisition Specialist
Shea Supa
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
$40k-45k yearly est. 1d ago
AI Compliance & Governance Director (Hybrid)
CNA 4.6
Remote or Chicago, IL job
A leading insurance company is seeking an AI Compliance Director in Chicago. This strategic role involves overseeing AI governance, monitoring regulatory frameworks, and conducting compliance-focused risk assessments. Applicants should have 10+ years of experience in compliance or AI governance, a relevant degree, and strong leadership skills. Competitive compensation is offered, with a pay range of $97,000 to $189,000 annually based on experience and location. The position also provides opportunities for growth within a hybrid work environment.
#J-18808-Ljbffr
$97k-189k yearly 1d ago
Senior Trial Attorney
Sentry 4.0
Remote or San Jose, CA job
Analytics and Performance - measures the performance of our site with respect to the pages you have visited to help us understand what content is most useful to you and to improve your experience by creating content and functionality to enhance your experience. Advertising - may collect information about your browsing habits, preferences and interaction with advertisements so that relevant content may be presented to you. We may use vendors to assist in determining what content and advertising will be most relevant to you, specifically, we may use vendors to set a unique cookie ID that is associated with your use of our websites and Properties so that relevant content and ads may be rendered to you, even after you leave our site. Social - set by social media platforms to enable you to visit our social media sites and to share content in your social networks. Social media platforms may track your activities outside of this site pursuant to their privacy notices and policy and tailor content and messages you see on other sites you visit.Managing your Cookie Preferences Explorer - Select settings, (lock icon), then privacy and security. For more information on Explorer privacy settings, click . Firefox - Select settings, then privacy protections. For more information, click . Google Chrome - Select settings, then privacy and security. For more information, click .Senior Trial Attorney page is loaded## Senior Trial Attorneylocations: San Jose, CA: Sacramento, CA: California - Remote: Stockton, CAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-140877As an experienced litigator, you'll apply your legal skills and experience to represent the interests of Sentry insureds by defending claims made under insurance policies.The ideal candidate for this position will be located in the East Bay, San Jose, or Sacramento area.**What You'll Do:**As a Senior Trial Attorney you'll apply your legal skills and experience to:* Represent the interest of the insured and Sentry in defending claims, ensuring that there is no conflict of interest between the policyholder and Sentry.* Handle a full caseload from minimal to highly complex matters through trial.* Handle pleadings, motion practice, depositions, written discovery, expert witness retention and discovery, dispositive motions, and trial preparation and presentation with minimal oversight.* Communicate and report to policyholders and claims associates on the progress of litigation, strategy, and evolution of matters.* Conduct examinations under oath, sworn statements, and similar non-litigated matters as may be necessary.* Assist in preparing forms for use throughout the department including, but not limited to, pleadings, discovery, jury instructions, dispositive motions, and correspondence.**What it Takes:*** Bachelor's degree and Juris Doctor Degree* 7+ years of related work experience* Experience as a licensed attorney with some insurance defense litigation, including experience taking/defending depositions, court appearances, handling dispositive motions, retaining expert witnesses, and trial experience as first chair or solo trial chair* Valid license to practice law, in good standing, in the state of California* Proven ability to deal with people where conflict and controversy exist* Ability to self-manage and operate as an attorney with a full caseload and minimal daily oversight* Bilingual preferred**What You'll Receive:**At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.* Sentry is happy to offer **flexibility** through a scheduled Hybrid work model. **Monday and Friday work from home** if you choose to, Tuesday through Thursday you'll work in office.* As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will **provide equipment** for your home office.* **Meal Subsidy** available for associates who report to an office.* 401(K) plan with a dollar for dollar match on your **first eight percent**, plus immediate vesting to help strengthen your financial future.* Continue your education and career development through Sentry University (SentryU) and utilize our **Tuition Reimbursement** program* Generous Paid-Time Off plan for you to enjoy time out of the office as well as **Volunteer-Time off*** Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness **benefits** to encourage a healthy lifestyle.* Well-being and **Employee Assistance** programs* Sentry Foundation **gift matching** program to encourage charitable giving.* Based on experience and qualifications, the pay range for this position on an annual basis is $138,644 - $190,635**About Sentry:**We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.Get ready to own your future at Sentry. Opportunities await!Joe LarsenTalent Acquisition *********************************Equal Employment Opportunity**Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.Our associates are the most important part of our company.We became one of the most financially strong mutual insurance companies in the U.S. by striving to provide the best possible service to our business customers. We do this by having conversations, forming relationships, and getting to know the people we work with and their businesses. We make that same commitment to our associates. When you join Sentry, we don't just want you to perform tasks each day. We want you to enjoy your time with us. You're in the driver's seat of your career path here-sharing feedback, creating goals, accessing professional development resources, and identifying how you can contribute to both your success and the success of the company.
#J-18808-Ljbffr
$138.6k-190.6k yearly 2d ago
Surest Key Account, Account Executive - Remote - California
Unitedhealth Group 4.6
Remote or Sacramento, CA job
Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together.
Surest is transforming the way people experience health benefits by offering a smarter, simpler, and more transparent health plan. We empower individuals to make informed care decisions while helping employers manage costs and improve outcomes. As part of our growing team, you'll play a key role in driving adoption and expanding our impact across markets.
The Surest AE is responsible for supporting both reactive and proactive sales efforts across local markets. This role serves as a subject matter expert (SME) on Surest products and capabilities, helping to position Surest effectively in competitive opportunities and drive pipeline growth. The ideal candidate will be a dynamic communicator, strategic thinker, and collaborative partner across internal and external stakeholders.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Reactive Sales Activities
Represent Surest as a product SME in "Know Us" meetings, finalist presentations, and broker events
Deliver compelling product descriptions and demos tailored to client needs
Support RFP responses, including plan positioning, pharmacy and clinical capabilities, exception requests, and product options
Respond to ad hoc inquiries related to product functionality and search capabilities
Assist in gathering client references and presale analytics to support sales efforts
Proactive Pipeline Development
Drive additional Surest opportunities through strategic outreach and relationship-building
Promote and schedule "Know Us" meetings to educate prospects and deepen engagement
Leverage Highspot and other marketing tools to support prospecting and lead generation
Collaborate with internal teams to identify and pursue new business opportunities
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
3+ years of experience in sales, account management, or business development within healthcare or benefits
3+ years of presentation and communication skills, with the ability to tailor messaging to diverse audiences
3+ years of experience supporting RFPs and navigating complex sales cycles
Ability to travel 50% in the state of California and neighboring states
Located in the state of California or able to relocate
Driver's License and access to a reliable transportation
Preferred Qualification:
Familiarity with digital sales enablement platforms (e.g., Highspot)
Ability to work cross-functionally with product, clinical, and underwriting teams
Self-starter with a proactive mindset and solid organizational skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,000 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$60k-130k yearly 2d ago
UnitedHealth Group Leadership Experience (ULE) Internship - Remote
Unitedhealth Group 4.6
Remote or Eden Prairie, MN job
Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together.
At UHG, we've built focused businesses organized around one giant objective: making healthcare work better for everyone. Through our two business platforms, UnitedHealthcare (UHC) and Optum, we strive to improve the healthcare system and advance the health and well-being of individuals and communities. This includes the entire spectrum of healthcare participants: individual consumers, employers, commercial payers, intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more.
For you, that means working on high performance teams against sophisticated challenges. It's a culture of optimism that's unlike any place you've ever worked. Incredible ideas in one incredible company.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Are you ready?
The UnitedHealth Group Leadership Experience (ULE) provides select participants pursuing advanced degrees with superior, cohort-based exposure, experiences, and development opportunities through best-in-class intern and full-time programs, specifically designed to develop the next generation of leaders, requiring highly motivated, passionate individuals with bright ideas and the will to lead.
The ULE Internship is ten weeks long and delivered remotely, with the option to travel. Projects will vary by business and are scoped and assigned closer to Internship start. We offer full-time placement opportunities post-graduation, based on performance. The start date is June 2, 2026
During your ULE internship experience, you will:
Lead high-priority work that supports one of our core businesses
Gain exposure to and knowledge of the healthcare industry, Enterprise-wide businesses, functions, strategies, and senior leaders
Develop relationships and networks
Receive hands-on training and support
Leverage business acumen and work experience to drive transformation
Learn from and present to executives
Contribute to fun and engaging cohorts
Lay the groundwork for a meaningful and impactful career at UHG
Examples of Intern projects:
Build a comprehensive go-to-market strategy for UHG's Type-2 diabetes program for direct-to-consumer, risk-bearing entity (ACO), multi-payer, Medicare, and / or Medicaid channels
Complete a market sizing analysis, including MVP definition and product / capability requirements for a new product in service of Optum's Health organizations and consumers
Refine and implement the digital services plan for one of Optum's CDOs via the identification and strategic development of digital health initiatives and capabilities
Comprehensive health equity strategy that reduces geographic health disparities and addresses specific populations' (ex. behavioral health, individuals of childbearing age) outcomes
Market expansion strategy driven by data focused on geographical areas coupled with demographic information to make strategic decisions on smart growth through expansion, implementation and system readiness
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Undergraduate degree
Currently pursuing an MBA or other relevant graduate degree with a target graduation date no later than July 2027
5+ years of previous professional work experience
Eligible to work in the U.S. without company sponsorship, CPT/OPT now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered)
Preferred Qualifications:
Outstanding academic achievement
Consulting and/or healthcare experience and/or involvement with consulting/healthcare clubs
Excellent interpersonal, influencing and communication skills at all levels
Practiced project management and navigating competing priorities
Demonstrated ability to articulate and solve complex problems through strategic, analytical and creating thinking
Adaptable and comfortable in ambiguity and high-impact situations
High emotional intelligence and capacity to GSD (get stuff done)
Champion of change and customer orientation
Learning/growth oriented
Aligned to UHG's values of Integrity, Compassion, Relationships, Innovation and Performance
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$38k-44k yearly est. 4d ago
Manager, Member and Administrative Operations, Remote in WA
Unitedhealth Group 4.6
Remote or Seattle, WA job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Member and Administrative Operations Leader is responsible for overseeing all elements of the Health Plan member experience along with assigned administrative functions including policies and procures, audit readiness, contract compliance and business continuity. While the role will give preference to candidates living in Washington and familiar with Washington Medicaid programs, this is not a requirement. This position will require limited travel to Washington (10%).
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Washington preferred. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Member Operations Leadership:
Lead a team of professionals primarily focused on member and provider materials
Create and execute the member experience strategy. This includes maintaining awareness of current member sentiment, creating strategies to improve experience within budget limitations, collaborating across the health plan and UHG enterprise to execute that strategy, and monitoring outcomes to adjust future iterations of the plan
Maintain situational awareness of local market factors that may impact members and create and implement member engagement strategies to address
Responsible for state required reporting on a monthly, quarterly and annual basis
Create new solutions to address difficult and long-standing challenges in improving health care outcomes including development and oversight of value added benefits
Oversee value added benefits (VABs) for Washington Medicaid. Maintain awareness of market dynamics and member needs. Understand and communicate strategic advantage of VABs. Advocate to leadership for VABs. Partner with national procurement teams to implement VABs. Track utilization of VABs
Set priorities to ensure task completion and performance goals are met for Enrollment Services
Oversee member call center functions and member materials creation and execution, including member handbook, ID card, welcome kit materials and member website
Communicate any observed enrollment issues to Washington Health Care Authority (HCA) state partners and ensure the adoption of policies, processes and best practices required for success
Partner with UHC policy team to create member experience and enrollment advocacy strategy. Represent that strategy directly to HCA and equip other Health Plan leaders to do so
Maintain awareness of all contract elements related to member experience and create and execute business plans to manage those requirements
Responsible for all elements of member materials, including creation, HCA approval, and publication. Responsible for selected provider materials, including, but not limited to Provider Manuals
Administrative Operations Leadership:
Oversee Health Plan Policy and Procedure committee and process
Represent Health Plan in regulatory audits for assigned business areas
Partner with enterprise resiliency team to oversee Health Plan Business Continuity requirements, including simulation facilitation, recovery team contact testing, and completion of related HCA reports
Partner with Compliance Officer and COPA Director to lead Health Plan leaders in the creation and maintenance of contract compliance business plans
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
5+ years of Medicaid experience
3+ years project management or strategy development and execution
2+ years representing Health Plan to regulators, such as HCA or other Medicaid agencies
1+ years of supervisory/leadership experience with direct responsibility for managing performance of employees
Proficiency with MS Office, which includes the ability to navigate and learn new and complex computer system applications
Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive presence
Proven ability to articulate business strategies and formulate concise solutions to complex problems
Ability to travel to Washington periodically (no more than 4 times annually)
Preferred Qualification:
Resident of Washington and familiarity with Washington Medicaid
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$56k-69k yearly est. 5d ago
Behavioral Health Care Advocate - After Hours Crisis - Remote CA
Unitedhealth Group 4.6
Remote or Los Angeles, CA job
**Premium pay offered for evenings, overnights, weekends, and holidays**
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.
For this role you must have an active and unrestricted license in your state of residence and you must be able to work nights, weekends and holidays.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Field inbound calls in a queue from members and providers for purpose of assessment and triage
Focus on initial inpatient admission for psychiatric and chemical dependency patients
Assess patients and determining appropriate levels of care based on medical necessity
Assess and manage member crisis calls
Determine if additional clinical treatment sessions are needed
Manage inpatient mental health cases throughout the entire treatment plan
Identify ways to add value to treatment plans and consulting with facility staff
Attend compliance training and team meeting
You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Independent, Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in behavioral health
Residence and licenses must be independent, active and unrestricted in the State of California
Proficient Microsoft skills (Word, Excel, Outlook)
Proven ability to talk and type at the same time and have the ability to navigate between multiple screens
Proven ability to work nights, weekends and holidays according to your schedule
Preferred Qualifications:
Inpatient experience
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$37k-43k yearly est. 1d ago
Provider Relations Advocate - Remote in KS
Unitedhealth Group 4.6
Remote or Overland Park, KS job
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. Connecting. Growing together.
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 solid 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 you'd expect from a Fortune 5 leader.
If you are in the State of Kansas or within 50 miles of the border, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Assist in end-to-end provider claims processing and resolution
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Assist in identifying gaps in network composition and services to support network contracting and development teams
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Investigate non-standard requests and problems, with some assistance from others
Work exclusively within a specific knowledge area
Prioritize and organize own work to meet deadlines
Provide explanations and information to others on topics within area of expertise.
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Investigate non-standard requests and problems, with some assistance from others
Work exclusively within a specific knowledge area
Provide explanations and information to others on topics within area of expertise.
Analyzes and investigates claim issues
Responsible for training providers on a variety of topics in both small and large settings
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
2+ years of experience working with Medical Providers
1+ years of experience with Medicaid Regulations
1+ years of experience in providing training or education
1+ years of medical insurance claims/billing experience
Willingness and ability to speak and meet with Providers directly on a variety of topics
Demonstrated excellent written and oral communication skills
Ability to work independently and remain on task with little to no day to day supervision
Demonstrated good organization, planning skills
Ability to prioritize and meet deadlines from multi staff members through the department
Intermediate level of proficiency in claims processing and issue resolution
Exceptional presentation, written and verbal communication skills
Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access
Driver's license and access to reliable transportation
Ability to travel on up to 25% of the time within the State of KS
Preferred Qualifications:
2+ years of provider relations and / or provider network experience
2+ years of experience of Medicaid experience
1+ years of KS Medicaid and Kansas Billing requirements
Previous experience with CSP Facets
Intermediate level knowledge MS Word, Excel, PowerPoint
Intermediate level of claims processing and issue resolution
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
A leading insurance company in California seeks a Senior Staff Engineer to lead the technical roadmap for their document management platform. You will innovate and build systems that integrate with various business applications. Ideal applicants have extensive experience in large-scale distributed systems, fluency in modern programming languages, and a passion for mentoring teams. The position offers competitive salary and a supportive work culture.
#J-18808-Ljbffr
$122k-159k yearly est. 1d ago
Actuarial Director or Manager (REMOTE OR MA)
Hanover Insurance Company 4.9
Remote or Worcester, MA job
Posted Thursday, September 25, 2025 at 4:00 AM
For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.
Our Personal Lines Actuarial department is seeking an Actuarial Director or Manager (or similar) for our Profitability Analytics (REPLAY) team to join our growing team in Worcester, MA Corporate Headquarters, or remote work location.
Open to various levels
POSITION SUMMARY:
The Profitability (REPLAY) Team Director role is responsible for managing a team of actuaries focused on profitability oversight through loss and premium analytics of the Personal Lines of business, as well as being expected to complete their own hands-on assignments.
The Personal Lines portfolio is over $2 billion of premium across 20 states for Auto, Home, and Other Personal Lines requiring an innovative, analytical, and business-oriented actuarial approach.
This role will have countrywide loss and premium analysis responsibilities including rate indications, loss and premium trends, projecting IBNR and loss development, and forecasting top and bottom-line plans. Additionally, this role partners with other actuarial functions in communicating profitability insights to key business partners (Executive Leadership, Finance, State Pricing, State Management, Reserving) in order to influence Personal Lines strategic direction.
This is a Full-time, Exempt role.
IN THIS ROLE, YOU WILL:
Manage and lead a team of actuarial analysts, ensuring technical execution of deliverables alongside personal growth of entire team
Forecast and monitor frequency and severity projections combining internal data, industry data, and macro-economic benchmarks
Use technical actuarial pricing methods to develop and communicate semi-annual rate indications including premium trend assumption updates
Project ultimate loss results for usage in Personal Lines Pricing decision including tracking of IBNR development against actual emergence
Effectively communicate technical analysis to business partners and executive leadership
Collaborate with business partners including Actuarial State Pricing team in strategy and profitability analyses
Build efficiencies and improvements into existing processes
May lead or participate in community training activity
WHAT YOU NEED TO APPLY:
Bachelor's Degree or higher in a relevant technical field
Seven+ years of technical experience in multiple LOB and/or actuarial disciplines such as pricing, reserving or advanced analytics
Experience with predictive modeling preferred
Minimum of 2 years in management capacity
ACAS required, FCAS preferred
Advanced communication skills
Advanced skills using Microsoft Office, including Excel
Intermediate programming skills, including the ability to develop and automate processes
Demonstrated knowledge of all techniques used to model various assumptions
Able to apply and interpret company policies and procedures
Able to direct activities of others, motivate and develop staff
Project organization and time management skills to balance conflicting priorities
Growth Mindset - Embraces a creative approach and a changing environment. Seeks to improve processes, constantly seek to learn, apply new techniques, challenge others and themselves to find a better way
Relationship Building - Understands the importance of developing and maintaining cooperative relationships with others at all levels of the organization by making others feel their concerns and contributions are important. Builds positive relationships with others to accomplish organizational goals.
Results Orientation - Excited by challenging goals and a desire to exceed standards of excellence. Exceeding the standard can include challenging personal goals, organization's standards, or current industry standards.
Talent Management - Proactively fosters building, mobilizing and evaluating the organizations' human assets. Establishes performance goals and measures in order to accomplish organizational goals.
Business Enterprise Knowledge - Understands how one's own function adds value to the organization and to customers. Makes decisions and recommendations clearly linked to the organization's strategy and financial goals, reflecting an awareness of external dynamics. Demonstrates awareness by providing clear explanations for actions taken relative to customer requirements, needs, and industry trends.
Strategic Thinking - Examines issues and plans with a long-term perspective. Able to critically evaluate external and internal factors.
Change Management - Designs and transforms an organization based on assumptions of human capability and resiliency. Understands the basic human patterns that operate during change, and effectively focuses the organization's capability on an effective transformation. Focuses and energizes a group to accomplish change together and holds them accountable to common goals.
Decisiveness - Makes decisions by quickly assessing the scope of an issue and providing options leading to its closure.
CAREER DEVELOPMENT:
It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.
BENEFITS:
We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you'll enjoy what you do and have the support you need to succeed.
Benefits include:
Medical, dental, vision, life, and disability insurance
401K with a company match
PTO
Cultural Awareness Day in support of IDE
On-site medical/wellness center (Worcester only)
The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.
As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: ********************** and include the link of the job posting in which you are interested.
Privacy Policy:
To view our privacy policy and online privacy statement, click here.
Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here.
Compensation:
The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.
#J-18808-Ljbffr
Zippia gives an in-depth look into the details of Safeco Insurance, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Safeco Insurance. The employee data is based on information from people who have self-reported their past or current employments at Safeco Insurance. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Safeco Insurance. The data presented on this page does not represent the view of Safeco Insurance and its employees or that of Zippia.
Safeco Insurance may also be known as or be related to General Insurance Company, Lloyds Safeco Insurance Company, Safeco, Safeco Corporation, Safeco Insurance and Safeco Insurance Foundation.