Remote Associate Director, Network Pricing & Claims Integrity
Optum
- Remote job
Optum, a UnitedHealth Group company, is seeking an Associate Director to lead Network Pricing for Drug Pricing & Claims Integrity. This advanced analytics role focuses on pricing strategy, adjudication logic, data flows, and contract interpretation within the RxClaim platform. You’ll enjoy the flexibility to work remotely from anywhere in the U.S.; however, for Minneapolis or Washington, D.C. area work in the office a minimum of four days per week. #J-18808-Ljbffr Optum
$112.7k - $193.2k
...Associate Director, Network Pricing OptumRx is looking for a curious, adaptable, and self-motivated Associate Director to be part of our Network Pricing team as a leader in Drug Pricing & Claims Integrity. This is an advanced analytics role where you will learn and...Remote jobNetworkClaimsMinimum wageFull timeContract workWork experience placementLocal area$112.7k - $193.2k
...Associate Director Of Healthcare Economics - Network Pricing At UnitedHealthcare, we're simplifying the health care experience... ...enjoy the flexibility to work remotely * from anywhere within the U.S.... ...analysis, risk management, and claims data manipulation ~ Moderate proficiency...Remote jobNetworkClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal area$112.7k - $193.2k
...Associate Director - Healthcare Economics Optum is... ...West continues its integration into the National... ...contract and network strategies. You... ...flexibility to work remotely from anywhere... ...revenue cycle data (claims, encounters), and... ...Advantage Bid Pricing Tool experience,...Remote jobNetworkClaimsMinimum wageFull timeContract workWork experience placementWork at officeLocal area$160.3k - $297.7k
...Job Description Summary#LI-Remote The Associate Director, Access & Reimbursement Manager, NPS Immunology... ...decentralized systems of care, integrated delivery networks, academic medical institutions,... ...and coding education (as needed), claims processing, reimbursement, and integration...Remote workNetworkClaimsFull timeWork at officeLocal area$160.3k - $297.7k
...Description Summary#LI-Remote The AD, Access &... ...Christi, and Lubbock, TX. Associate must reside within... .... The Associate Director, Access & Reimbursement... ...systems of care, integrated delivery networks, academic medical institutions... ...(as needed), claims processing,...Remote workNetworkClaimsFull timeWork at officeLocal area- ...going beyond basic care to health programs integrated across the entire continuum of care.... ...internal and/or external partners (e.g., claims; call center; benefits; clinical) to ensure... ...improvement1+ years of experience with network management, acquisitions or...NetworkClaimsTraineeshipLocal area
$112.7k - $193.2k
...of Optum Payment Integrity's Intelligent Fraud... ...organizations ensure claims are paid... ...apply data science, network analytics, and machine... ...flexibility to work remotely * from anywhere... ...payer clientsSupport pricing, packaging, and... ...collaboration with the Director of Product and GTM...Remote workNetworkClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$94.5k - $171.7k
.... This is the place to do your life's best work.(sm)The Associate Director, Network Pricing within OptumRx is responsible for the oversight of client... ...: Associate Director Network Pricing, Telecommute, Remote, Work from HomeBrand: OptumRxJob ID: 943315Employment Type...Remote workNetworkContract workWork experience placement$112.7k - $193.2k
...,700 - $193,200/yearJob Area: Network Contracting & PricingCompany:... ...analyst to be part of our Network Pricing team. This is an intermediate... ..., performance reporting, and associated financial modelsYou'll enjoy the flexibility to work remotely * from anywhere within the U.S...Remote workNetworkMinimum wageFull timeContract workWork experience placementLocal area- ...you will doThe Lead, Pricing & Planning, Global Rare... ...insights are effectively integrated into business cases,... ...better insights on claims/rebate data integrity,... ..., Integrated Delivery Networks, Specialty Pharmacies,... ...working arrangements, remote work options, and tax...Remote workNetworkClaimsHourly payContract workLocal areaRelocation packageFlexible hoursShift work
$160.3k - $297.7k
...Job Description Summary#LI-Remote The Associate Director, Access & Reimbursement (ADAR) is a field... ...and decentralized systems of care, integrated delivery networks, academic medical institutions,... ...and coding education (as needed), claims processing, reimbursement, and integration...Remote workNetworkClaimsFull timeWork at officeLocal area$191k - $253k
..., sensor fusion, and networking technology to the military... ...frontier, enhancing Remote Sensing, Command and... ...are developing fully integrated hardware and software... ...execution-driven Associate Director to help lead Growth... ...fraudulent outreach claiming to be from Anduril, please...Remote workNetworkClaimsFull timeContract workWork experience placementWork at officeImmediate startShift work$147.55k - $193.66k
...Oscar. We're hiring an Associate Director, Product Marketing,... ...Location: This is a remote position, open to candidates... ...sales teams, broker networks, and general agencies... ...Maintain total brand integrity and adherence to... ...reviews. Ensure all claims match regulatory parameters...Remote workNetworkClaimsFull timeWork at office$157.6k - $236.4k
...through modernization, integration, and fintech-aligned... ...business outcomes.Location: Remote with travel to client... ...solutionsSupport pricing strategy, commercial structuring... ...unsolicited emails claiming to be from the company... ...via social media networks and DXC never asks for...Remote workNetworkClaimsMinimum wageFull timeContract workWork at officeFlexible hours2 days per week$160.3k - $297.7k
Summary The Associate Director, Access & Reimbursement (ADAR)... ...Katy. The position is remote with field... ...staff on programs to integrate products into office... ...billing and coding staff, claims departments, revenue... ...through specialty pharmacy networks. Knowledge of reimbursement...Remote workNetworkClaimsWork at officeLocal area- Optum is seeking an Associate Director of Healthcare Economics (Remote) to drive network pricing analytics, forecasting, and provider reimbursement initiatives. This role partners with executive leadership across finance, contracting, and clinical operations to optimize...Remote jobNetwork
$177.48k
...Contracts (Construction) Associate... ...live our values of integrity, inclusion, innovation... ...for an Associate Director to join our Capital... ...delays, change orders, claims, and other challenges... ...a professional network, including with senior... ...and working remotely. This model creates...Remote workNetworkClaimsFull timeContract workTemporary workFor contractorsFor subcontractorLocal areaFlexible hours$91.7k - $163.7k
...PBM Network Pricing Analyst Optum is a global organization that delivers... ...is to deliver high-quality, integrated services to promote optimal... ...PBM pricing fundamentals, claims and contract data flows, analytical... ...the flexibility to work remotely from anywhere within the U.S...Remote jobNetworkClaimsMinimum wageFull timeContract workWork experience placementLocal area$112.7k - $193.2k
...and self-motivated analyst to be part of our Network Pricing team. This is an intermediate analytics role... ...target setting, performance reporting, and associated financial models. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...Remote jobNetworkMinimum wageFull timeContract workWork experience placementLocal area$72.8k - $130k
...StatesSalary: $72,800 - $130,000/yearJob Area: Network Contracting & PricingCompany:... ...motivated professional to join our Network Pricing team in a hybrid role that combines PBM network... ...of PBM pricing fundamentals, claims and contract data flows, analytical tools...Remote workNetworkClaimsMinimum wageFull timeContract workWork experience placementLocal area$118.69k - $189.91k
...continuous assessment of pricing strategies across the... ...profitability trends associated with pricing decisions... ..., Actuarial, Network Management, Operations... ...organizations, and internet sites claiming to represent Blue... ....com.SummaryLocation: Remote Flex - North Carolina;...Remote workNetworkClaimsFull timeLocal areaFlexible hoursShift work$144k - $168k
...application process. Associate Director, Commercial Data... ...knowledgeable people. We value integrity, open-mindedness and... ...expertise in Veeva Network, Veeva CRM, master... ...specialty pharmacy, hub, or claims data preferred.... ...may be eligible for remote work within the United...Remote workNetworkClaimsFull timeWork at office$146k - $343k
...Systems Engineer - Federal Systems Integrators (FSI)This role has been designated as ‘Remote/Teleworker’, which means you... ...design across:Campus and branch networking (wired & wireless)Data center networking... ...credentials of any third party claiming to represent the company. Any...Remote workNetworkClaimsFull timeWork experience placementLocal areaImmediate startWork from home- ...Plansis hiring an Integrated Care Manager/ Registered... .../Medicaid - Remote in NOVA (Fairfax,... ...Interfaces with Medical Directors, Physician... ...solving with provider, claims or service issues.... ...quality provider network features a robust... ...Sentara Health employs associates in the following...Remote workNetworkClaimsPermanent employmentFull timeTemporary workHome officeShift work
$188.27k - $260k
...by delivering completely integrated virtual care and navigation... ...personalized virtual and in-person networks for everyday primary care,... ..., and technology-forward Associate Clinical Director, Integrated Care Quality (... ...a permanent, full-time remote footprint in the United...Remote workNetworkPermanent employmentFull timeHome officeShift work$155k - $201.5k
...the Role: We are seeking an Associate Director, Marketing – Disease Education & Integrated Marketing to join our dynamic marketing... ...'ll Work This is a fully remote role that can be performed... ..., mentorship connections, and networking opportunities ~ Employee...Remote workNetworkFull timeFor contractorsLocal areaFlexible hours- ...Plansis hiring an Integrated Nurse Case Manager... ...Interfaces with Medical Directors, Physician... ...solving with provider, claims or service issues.... ...Education: ~ Associate or Bachelors Degree... ...quality provider network features a robust... ...Spotsylvania, VA, Remote, Virginia Benefits...Remote workNetworkClaimsPermanent employmentFull timeTemporary workShift work
$191k - $253k
...vision, sensor fusion, and networking technology to the military in... ...networking, autonomy, systems integration, robotics, and more. You... ...developing on, or optimizing remote sensing systems. (Radar, Lidar... ...or fraudulent outreach claiming to be from Anduril, please report...Remote workNetworkClaimsFull timeTemporary workWork experience placementLive inImmediate start$146k - $220k
...vision, sensor fusion, and networking technology to the military in... ...Anduril is seeking a Senior Integration & Test Engineer to join the... ...from ship decks, beaches, or remote island clearings, providing... ...questionable or fraudulent outreach claiming to be from Anduril, please...Remote workNetworkClaimsFull timeContract workWork experience placementImmediate start- ...performed to ensure the integrity of all Price Data (used for Risk... ...analysis prepared by Associates and Senior Associates... ...2 days per week of remote work Tuition Reimbursement... ...to connect to our network while working... ...individuals falsely claiming to represent our company...Remote workNetworkClaimsDaily paidLocal area2 days per week
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