Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

Welcome to one of the toughest andmost fulfilling ways to help people, including yourself. We offer the latesttools, most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your lifes bestwork.SM Dental Member Advocates are responsible for first - level response and resolution ofescalated issues with external and internal customers. This position is full - time (40hours / week) Monday - Friday. Employees are required to have flexibility to workany of our 8 hour shift schedules during our normal business hours of 8:00am -5:00pm. It may be necessary, given the business need, to work occasionalovertime. If you are located in the El Paso, TX area, you will have theflexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services byproviding support and guidance to existing and potential customers toensure continued...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your lifes best work.SM Dental Member Advocates are responsible for first-level response and resolution of escalated issues with external and internal customers. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime. If you are located in the Lubbock, TX area, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Manage overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) Position will support Dental Utilization Management and Utilization Review by performing clinical review of member records, performing medical necessity review, providing clinical support to Fraud, Waste and Abuse, and remediating provider behavior. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Review/audit member records to validate claims submission accuracy and identify potential quality of care issues Review/audit medical necessity review determinations made by dental consultants to determine if UHC review criteria were followed Lead the remediation of providers as the result of Fraud/Abuse and other...