Universal American - Houston, TX
The Marketing Coordinator is responsible for supporting the development and execution of marketing and sales support programs to drive Universal Americans goals regarding membership, profitability, and market share. The candidate will be responsible for supporting the delivery o...
Provider Relations Representative
Universal American - Greenville, NC
Provide education, training, guidance, claims resolution and other duties as assigned for providers in the assigned Accountable Health Organization (ACO). Develop strong interpersonal relationships with providers. Strengthen and enhance the role of the provider relations represen...
Universal American - Nederland, TX
305418-763To maximize the components of the in-patient and out-patient settings by utilizing care coordination tools, criteria and protocols to:provide members with chronic and acute conditions the support, education and assistance in the prevention and/or maintenance of their di...
Business Development Manager (305267-763)
Universal American - Houston, TX
305267-763Coordinate all activities involved in the implementation and start-up of an Accountable Care Organization (ACO) with the CHS operations. Partner with the local market staff and leadership to ensure coordination of activities and support of the ACO partner (medical group...
Health Services Manager (305416-763)
Universal American - Houston, TX
305416-763Health Services Manager is an independent licensed clinician with strong care management knowledge within managed care industry. This position will manage a team of clinical and non-clinical staff within a functional area in Health Services, Pre-cert and/or Care Managem...
Health Services Manager (305414-763)
Universal American - Dallas, TX
305414-763Health Services Manager is an independent licensed clinician with strong care management knowledge within managed care industry. This position will manage a team of clinical and non-clinical staff within a functional area in Health Services, Pre-cert and/or Care Managem...
Medical Management Case Manager
Universal American - Beaumont, TX - Port Arthur, TX
Maximize the components of the in-patient and out-patient settings by utilizing care coordination tools, criteria and protocols to: Provide members with chronic and acute conditions the support, education and assistance in the prevention and/or maintenance of their disease and/or...
Database Administrator (305406-763)
Universal American - Houston, TX
305406-763The Database Administrator is responsible for the availability, security and integrity of all company data stored in Relational Database Managements Systems. In addition, the SQL Server Database Administrator works with a team of other Database Administrators to insure ...
District Sales Manager (305409-763)
Universal American - Queensbury, NY
305409-763Manager must be passionate about sales and service excellence. This role leads critical business group to ensure the district meets and/or exceeds production goals, and our existing customers receive consistently superior service. This position will recruit, train and g...
Pharmacy Operations Manager (305390-763)
Universal American - Houston, TX
305390-763Summary:This position will be responsible for supporting and assisting the pharmacy directors for STARS program management, regulatory and operational oversight of UA's Pharmacy Benefit Manager (PBM), and pharmacy department operations support.Responsibilities:STARS pro...
Care Management Application Analyst (305403-763)
Universal American - Houston, TX
305403-763SUMMARY:Responsible for understanding the assigned functional area of responsibility and the relationship between other functional areas. The candidate must be proficient to gather requirements, perform analysis, assist in development and testing processes. Additionally...
Universal American - Lake Mary, FL
305398-763Applies principles of accounting to analyze financial information and prepare financial reports in commission payments, agent debit and credit balances, or other Department functionalities by performing the following duties.Required SkillsPrepare analyses of commission ...
Financial Analyst (305384-763)
Universal American - Lake Mary, FL
305384-763Financial analysis of Traditional segment and Life Insurance Company results, with an emphasis on the development of analytical reports. Position will be required to perform the following duties:Required SkillsDevelop standard forecasting and reporting templates, and ot...
Financial Analyst (305384-763)
Universal American - Lake Mary, FL
305384-763Financial analysis of Traditional segment and Life Insurance Company results, with an emphasis on the development of analytical reports. Position will be required to perform the following duties:Required SkillsDevelop standard forecasting and reporting templates, and ot...
Supervisor of Support Service Coordinator & Case Manager Assistant (305358-763)
Universal American - Houston, TX
305358-763This position provides daily operational supervision and direction to designated Health Services Department's team members in order to facilitate smooth running of all aspects of the department and its operations while assuring adherence to company standards with applic...
Quality Assurance Specialist, Contract Management (305364-763)
Universal American - Houston, TX
305364-763Summary: The Quality Assurance Specialist supports the development and implementation of quality improvement interventions and pre-delegation audits, and assists in improving quality processes throughout the enterprise through coordinating and engaging in activities to ...
Quality Assurance Specialist, Contract Management (305365-763)
Universal American - Houston, TX
305365-763Summary: The Quality Assurance Specialist supports the development and implementation of quality improvement interventions and pre-delegation audits, and assists in improving quality processes throughout the enterprise through coordinating and engaging in activities to ...
Quality Assurance Analyst, Appeals and Grievances (305360-763)
Universal American - Houston, TX
305360-763Summary: Appeals & Grievances Quality Assurance is responsible for managing the day-to-day quality control of the Appeals and Grievances Department to ensure productivity, accuracy and timeliness as mandated by the Centers for Medicare and Medicaid (CMS) or other regula...
Universal American - Houston, TX
305353-763Summary: Assist in the development of enterprise-wide medical policy and medical review guidelines for achieving all quality and medical management strategic objectives. Provide clinical expertise to staff, communicate with providers, and serve as the Co-Chair of the Qu...
Data Warehouse Architect (305331-763)
Universal American - Houston, TX
305331-763The Data Warehouse Architect's role is to strategically design and implement data warehouses, data marts, and data stores, while ensuring high levels of data availability. This individual is also responsible for defining data standards and models for warehouse architect...