Univera Healthcare

Job Description: Summary:The Large Group Underwriter is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases as well as managing the experience rated block of business to produce desired MLR and profit targets. Th

Job Description: Summary:The Large Group Underwriter is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases as well as managing the experience rated block of business to produce desired MLR and profit targets. Th

Job Description: SummaryThe Accounts Payable Specialist reconciles and pays all approved expenditures for Lifetime Healthcare Companies in an accurate and timely manner duties include but not limited to invoice and employee expenses and auditing scanning entry and payment processing.

Job Description: SummaryThe Accounts Payable Specialist reconciles and pays all approved expenditures for Lifetime Healthcare Companies in an accurate and timely manner duties include but not limited to invoice and employee expenses and auditing scanning entry and payment processing.

Job Description: Summary:The Database Administrator will provide enterprise-wide administration and production support for corporate databases. This position will be responsible for installing testing configuring monitoring performance tuning security and developing evaluation plans e

Job Description: Summary:The Database Administrator will provide enterprise-wide administration and production support for corporate databases. This position will be responsible for installing testing configuring monitoring performance tuning security and developing evaluation plans e

Job Description: Summary:The Manager of Provider Relations manages the staff that serves as the primary contact for participating Providers. This includes managing the internal and external operations of the department training prioritizing assignments auditing and interacting with ex

Job Description: Summary:The Manager of Provider Relations manages the staff that serves as the primary contact for participating Providers. This includes managing the internal and external operations of the department training prioritizing assignments auditing and interacting with ex

Job Description: Summary:This position is responsible for ensuring projects and initiatives within the portfolio meet objectives by increasing employee adoption/usage of the changes to business process systems and technology roles organizational structures and more. The Portfolio Chan

Job Description: Summary:This position is responsible for ensuring projects and initiatives within the portfolio meet objectives by increasing employee adoption/usage of the changes to business process systems and technology roles organizational structures and more. The Portfolio Chan

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

Job Description: Summary:The position is responsible for collaborating with leaders across a 2000 person organization to support strategy around how to drive organizational effectiveness through collaboration sharing best practices ensuring effective change management productivity and

Job Description: Summary:The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal reso

Job Description: Summary:The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal reso

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities.Essential Accountabilities:Level I Accurately and efficiently retrieves medical records via remote EMR access fax and/or on-site

Job Description: Summary:The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities.Essential Accountabilities:Level I Accurately and efficiently retrieves medical records via remote EMR access fax and/or on-site

Job Description: Summary:This role leads the strategic vision roadmap and execution of the Candesa UM product driving innovation and ensuring strong alignment with organizational goals. As a crossfunctional connector the position partners closely with teams across the organization to

Job Description: Summary:This role leads the strategic vision roadmap and execution of the Candesa UM product driving innovation and ensuring strong alignment with organizational goals. As a crossfunctional connector the position partners closely with teams across the organization to

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including but not limited to Medical and Pharmacy Utilization Management quality management member care management and medical policy processes and support for our various

Job Description: Summary:The Community Investments and Partnerships (CIP) Regional Lead is responsible for developing recommending executing and overseeing regional CIP strategy with matrix accountability to regional executive leadership. This individual leads the collaborative select

Job Description: Summary:The Community Investments and Partnerships (CIP) Regional Lead is responsible for developing recommending executing and overseeing regional CIP strategy with matrix accountability to regional executive leadership. This individual leads the collaborative select

Job Description: The Spring/Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful projects are m

Job Description: The Spring/Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students the opportunity to attend development workshops network and be part of our company. Our college interns work on meaningful projects are m

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:The Cyber Incident Response (IR) Engineer role is critical in detecting investigating and responding to cybersecurity threats across the enterprise. This role supports and leads security operations through proactive threat hunting tool development forensics an

Job Description: Summary:The Cyber Incident Response (IR) Engineer role is critical in detecting investigating and responding to cybersecurity threats across the enterprise. This role supports and leads security operations through proactive threat hunting tool development forensics an

Job Description: Summary:As a professional within the network contracting and administration team the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis evaluating provider reimbu

Job Description: Summary:As a professional within the network contracting and administration team the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis evaluating provider reimbu

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound

Job Description: Summary:This role serves as subject matter expert for The Lifetime Healthcare Companies Records & Information Management (RIM) Program. This position consults with Enterprise Legal & Supplier Solutions (ELSS) Information Technology and business partners to ensure the

Job Description: Summary:This role serves as subject matter expert for The Lifetime Healthcare Companies Records & Information Management (RIM) Program. This position consults with Enterprise Legal & Supplier Solutions (ELSS) Information Technology and business partners to ensure the

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim

Job Description: Summary:The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by tim