NewNetwork Pricing Consultant - Remote Pst/Mst/Cst UnitedHealth Group Inc.Network Pricing Consultant - Remote Pst/Mst/CstChicago, ILRemote$72,800–$130,000 / yearAs a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. While this role primarily supports West Region markets, you'll enjoy the flexibility to work remotely from anywhere in the U.S. For hires residing in the Minneapolis or Washington, D.C. areas, on-site work is required at least four days per week.
NewAssociate Director, Network Contracting - Remote UnitedHealth Group Inc.Associate Director, Network Contracting - RemoteChicago, ILRemote$112,700–$193,200 / yearAs an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Required Qualifications: 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistChicago, IllinoisRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteChicago, IllinoisRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Technical Support Representative *100% Remote* ArsenaultTechnical Support Representative *100% Remote*Chicago, IllinoisRemoteSolutions include, but are not limited to, resolving connectivity and latency problems, application updates, verifying proper hardware and software set up, power cycling equipment, assisting with navigating around application menus, and troubleshooting other related issues. The Technical Support Representative will provide technical and network problem resolution to end-users (customers) by performing a question diagnosis while guiding users through step-by-step solutions.
Lead, State Affairs – Remote Hybrid within Western Region Kraft HeinzLead, State Affairs – Remote Hybrid within Western RegionChicago, IllinoisRemoteDemonstrated SME depth in at least two areas relevant to KHC (e.g., food safety/labeling; agriculture and nutrition programs; packaging/EPR; tax/incentives; workforce/labor; environment/climate; privacy/data), evidenced by authored comments/testimony or task force participation. We spark joy around mealtime with our iconic brands, including Kraft, Oscar Mayer, Heinz, Philadelphia, Lunchables, Velveeta, Planters, Maxwell House, Capri Sun, Ore-Ida, Kool-Aid, Jell-O, Primal Kitchen, and Classico, among others. .
Prescribing Nurse Practitioner or Physician Assistant (Virtual - Remote) - 1099 Contractor Lyra Health IncPrescribing Nurse Practitioner or Physician Assistant (Virtual - Remote) - 1099 ContractorILRemoteRequirements: Graduate from an accredited (CCNE) Psychiatric-Mental Health Nurse Practitioner (PMHNP) program; OR graduate from an accredited PA program (ARC-PA) with certification through PANCE with preference for Certificate of Added Qualifications in psychiatry, post-graduate fellowship in psychiatry, or other academic psychiatry certificate program completion, including a Doctor of Medical Science with Psychiatry concentration. With our advanced matching technology, supportive provider platform, and opportunities for training and clinical consultation, being part of our network is an incredible chance to do what you love (like patient care) with support for the things you don't love (like self promotion and scheduling).
Psychiatrist (Virtual - Remote) - 1099 Contractor Lyra Health IncPsychiatrist (Virtual - Remote) - 1099 ContractorILRemoteWith our advanced matching technology, supportive provider platform, and opportunities for training and clinical consultation, being part of our network is an incredible chance to do what you love (like patient care) with support for the things you don't love (like self promotion and scheduling). Lyra Clinical Associates partners with Lyra Health, a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships.
Behavioral Health Care Advocate - UM - Remote UnitedHealth Group Inc.Behavioral Health Care Advocate - UM - RemoteChicago, ILRemote$60,200–$107,400 / yearThe Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community-based treatment setting. 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.
Customer Service Representative II (Remote) American Medical AssociationCustomer Service Representative II (Remote)Chicago, ILRemote$23.63–$30.83 / hourRESPONSIBILITIES: Sales and Up service Programs: Takes all steps necessary to exceed service expectations by actively participating in AMA Membership, Health Solutions, Journal and other sales and up service programs that achieve specific unit and service representative goals. Accurately forwards inquiries to AMA subject matter experts when inquiries are beyond the scope of the USC (eg, legal or political matters, high level policy questions, media inquiries).
UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - Remote UnitedHealth Group Inc.UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - RemoteChicago, ILRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy.
Sr. Manager Claims (Remote) American Medical AssociationSr. Manager Claims (Remote)Chicago, ILRemote$104,872–$138,737 / yearAbility to effectively present information and respond to questions from staff, management, plan participants and business partners, using excellent verbal and written communications skills including creating and writing reports, business correspondence and procedure manuals. Act as a primary contact on claims related topic with partner carriers claims and compliance departments (including management teams); serves as an internal subject matter expert in both AMAI processes and claims regulations.
Remote Paralegal Eden Senior CareRemote ParalegalSkokie, ILRemote$0–$55,000 / yearEden Senior Care , founded in 2016, is a growing Healthcare Management company, focused on managing and operating Skilled Nursing, Rehabilitation and Assisted Living communities in Minnesota, Ohio Wisconsin. Support commercial real estate transactions, including purchases, sales, leases, title review, Change of Ownership (CHOW) filings, and state licensing submissions.
NewRemote Mental Health Therapist (LMFT, LCPC, LCSW) Gotham Enterprises LtdRemote Mental Health Therapist (LMFT, LCPC, LCSW)Chicago, ILRemote$115,000–$120,000You’ll conduct assessments, create treatment plans, and provide ongoing therapy, with administrative and billing tasks handled for you. In this position, you’ll work exclusively through secure telehealth platforms, delivering focused, goal-driven care.
NewStrategic Account Executive - Remote UnitedHealth Group IncStrategic Account Executive - RemoteSchaumburg, ILRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The SAE partners with the client"s executives, consultants, and internal OptumRx leaders to develop and execute a multi-year strategic roadmap focused on pharmacy trend management, member experience, clinical innovation, digital engagement, and measurable business outcomes.
Regional Manager, Clinical Informatics (Remote) Stryker CorpRegional Manager, Clinical Informatics (Remote)Chicago, ILRemote$135,600–$225,900 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Minimum 8 years of relevant experience required consisting of: 5 years in nursing or healthcare field with 2 of those years in a management or leadership role in a healthcare setting.
Strategic Client Executive II, NA Central Region - Minneapolis Or Chicago Preferred - Remote UnitedHealth Group Inc.Strategic Client Executive II, NA Central Region - Minneapolis Or Chicago Preferred - RemoteChicago, ILRemote$75,000–$160,000 / yearEstablish and maintain 'solid and appropriate' level relationships with customers and consultants; ensure UHG senior management has customer specific 'board level' contacts. Demonstrated excellent communication and interpersonal skills (internal/external) with the ability to build solid relationships with Senior level staff at large employer groups.
Program Manager, Medicare Stars & Quality Improvement (Remote in Illinois) Molina Healthcare IncProgram Manager, Medicare Stars & Quality Improvement (Remote in Illinois)ILRemoteResponsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement. Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise.
Appeals M.D. - Family Or Internal Medicine Required - Remote UnitedHealth Group Inc.Appeals M.D. - Family Or Internal Medicine Required - RemoteChicago, ILRemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. 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.
Sr Mgr Analytics Consulting (Remote) HCSCSr Mgr Analytics Consulting (Remote)Chicago, IllinoisRemoteAt Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.