UnitedHealth Group

The Clinical Content Developer is responsible for developing and updating clinical content for Optum Clinical Products, ensuring it meets best evidentiary practice standards. They will also perform quality assurance and respond to client inquiries regarding the content. | Candidates must be licensed healthcare professionals (RN, NP, PA) with at least 3 years of direct patient care experience and 1 year of professional writing experience. Knowledge of Medicaid policies and experience in utilization management are also required. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Join our team at Optum Insight, where we are leveraging cutting-edge AI and machine learning technologies to revolutionize healthcare delivery, enhance customer engagement, and drive innovation across our digital platforms. The licensed Clinical Content Developer RN, NP, PA develops and updates the clinical content of Optum Clinical Products. Using critical appraisal and review of medical literature, synthesis of clinical information, and data analysis and with collaboration of external peer reviewers, their role is to ensure the clinical content represents best evidentiary practice standards and will meet requirements for different users, applications, and contexts. The Clinical Content Developer is also responsible for quality assurance (QA) of the content and for responding to internal and external client questions and concerns. We are looking for a licensed RN, NP, or PA, with a broad clinical background who can join our fully remote team and collaborate with us on the development of quality content for the InterQual suite of products. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Utilizing the principles of evidence-based medicine (EBM), design, develop, and update clinical content through the critical appraisal and synthesis of information gathered from extensive review of the medical literature and Medicaid State Policy for InterQual content products. Collect and incorporate feedback from external peer reviewers and clients to ensure real-world clinical accuracy and usability Perform Quality Assurance of clinical content and create and maintain clinical documentation, as required Serve as a clinical resource and subject matter expert for both internal and external customers Leverage AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks. Evaluate emerging trends to drive continuous improvement and strategic innovation. Collaborate with Product Development (PD), Product Management (PM), Product Owner (PO), and Business Systems Analyst (BSA) as needed Participate in developing project plans, monitoring tasks, and ensuring on-time delivery of clinical development projects Participate in field research that contributes to product advancement as needed Travel Limited <10%25 You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Healthcare professional - RN, NP, PA - with a license in good standing 3+ years of experience in direct patient care 1+ years of experience writing professionally or summarizing clinical research studies Experience in developing content for prior authorization workflows, especially for Medicaid policies Understanding of state-specific Medicaid policies and how they intersect with national medical necessity standards, experience in UM/UR specifically for Medicaid LOB Demonstrated proficiency with various software applications, including but not limited to MS Word, MS Excel, MS PowerPoint Preferred Qualifications: 5+ years of advanced practice experience in Inpatient or Ambulatory care setting 3+ years of experience in a clinical associated environment or a case management role Experience with utilization management (UM), case management, or use of evidence-based guidelines such as InterQual/Clinical Decision Support applications or Medicaid State Policies. Proven willingness to learn and explore new technologies Research and Evidence-Based Medicine (EBM) knowledge or experience Proven knowledge of medical coding schemes Demonstrates ability to adopt technology or has proficiency with various software applications, including but not limited to MS Office suites, Teams, and proprietary software Proven problem-solving and critical thinking skills; ability to step through logical pathways to arrive at results Proven solid verbal and written communication skills Proven results-oriented, effective as both a team member and independent worker with attention to detail and ability to multi-task *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Senior Project Manager will oversee product delivery and execution, working with various stakeholders to launch innovative healthcare solutions. This role involves developing product roadmaps, managing project changes, and continuously improving project delivery methodologies. | Candidates must have at least 5 years of project management experience, including end-to-end product delivery and cross-functional teamwork. Additionally, 3 years of experience in AI/ML and proficiency in tools like Smartsheet and Microsoft Office are required. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Join our team at Optum Insight, where we are leveraging cutting-edge AI and machine learning technologies to revolutionize healthcare delivery, enhance customer engagement, and drive innovation across our digital platforms. As the Sr. Project Manager, Dental you have the unique opportunity to act as an entrepreneur within OptumInsight, partnering with all levels of leadership in product, engineering, strategy, and operations to deliver cutting edge solutions such as Real Time Settlement You will accomplish this by being embedded in and contributing to all levels of product development including planning, development, strategy and operations. This role will also have a tie into overall dental strategy. Primary Responsibilities: Project Management: Product delivery & execution: Responsible for working with stakeholders across product, engineering, data science, and research to take the product from production to launch Develop product roadmaps: Translate product vision and strategy into detailed requirement documents and prototypes Align project plan creation with OI tools and processes - Ability to gather requirements from multiple stakeholders and stitch together a comprehensive end-to-end plan. Ensuring tasks have clear owners and due dates, risks are called out, and gaps are closed in a timely, transparent manner Implement and manage project changes as necessary through Accelerate process Invent and simplify methodologies: Plan, design, and develop a portfolio of methodologies, tools, and systems for project delivery. Continuously innovate and improve processes to optimize efficiencies Solid presentation and communication skills essential in keeping stakeholders appraised of project status, issues, risks, and actions Strategy / GTM: Leverage AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks. Evaluate emerging trends to drive continuous improvement and strategic innovation. Organize and participate in customer meetings and bring together all business stakeholders to meet customer demands Customer evangelist. Gain deep understanding of customer experience, business needs, and existing internal and/or competitive products relevant to the domain. Stay connected to customer trends, needs, and pain points in healthcare Define product strategies: Identify risks and create product roadmaps for consistent messaging across teams Partner with Strategy and Product leads to deliver best in class documentation, communication, and artifacts to our senior leadership teams Go To Market & Pricing: Work with different stakeholders to identify the right GTM strategy for your product. Define the pricing strategy for your product Manage ambiguity: Able to work in a complex, matrixed environment. Independently take steps necessary to understand complex businesses, customer needs, and technologies across a variety of customer personas and product categories You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of Project Management experience with managing successful product delivery, operations, go-to-market, and post-launch roadmap 5+ years direct experience supporting project management workstreams, such as planning, requirements, development, testing, and deployment 5+ years of experience with end-to-end product delivery, including feature and operational delivery and tradeoffs (prioritization) and contributing to engineering & technology strategy discussions 5+ years of experience working with cross-functional teams (e.g., research, engineering, UI/UX, Program Management, etc.) 3+ years of AI/ML experience Proficient in Smartsheet, Excel, Power Point, Microsoft Word, and Microsoft Office Ability and willingness to travel up to 25%25 Preferred Qualifications: 7+ years of Project Management experience 3+ years of healthcare experience, preferably within dental payer / provider domain Experience dealing with ambiguous complex products and technologies. Ability to independently take steps to work with stakeholders across the business to understand requirements and organize those into comprehensive project plans Demonstrated experience in project management or related disciplines within the Dental domain Demonstratable experience in product management in technology, such as provider / payer technology, cloud computing, data science, and applied machine learning Excellent interpersonal skills with experience working with and influencing executive level leaders High energy, self-managed, self-starter; thrives in a constantly changing, ambiguous environment Solid communication skills (written and verbal/presentation) with an emphasis on being able to logically structure thoughts and create organized visuals for stakeholders Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Data Quality Analyst will develop data quality, data analysis, and test automation within a continuous delivery lifecycle. Responsibilities include creating test cases, data profiling, and ensuring quality assurance controls for data processes. | Candidates must have 2+ years of experience in a Quality Assurance or Data Quality role and proficiency in SQL and database technologies. Experience in the healthcare industry and with Business Intelligence tools is preferred. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Data Quality Analyst role will work within the UnitedHealthcare STARS & Quality team and be responsible for development of world-class data quality, data analysis, and test automation within a continuous delivery lifecycle. You will be accountable for ensuring the proper Quality Assurance controls are adhered to for inbound data, internal analytics and outbound results to customers while ensuring operational excellence. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Create and execute test cases within an ETL, data warehouse, and reporting application environment Data profiling and system integration testing of ETL, batch processes, reporting deliverables, and user interface applications with an emphasis on data quality Understand and create SQL queries with the ability to troubleshoot issues found in stored procedures and/or customer data. Perform exploratory analysis and queries to identify issues that are not covered by automation Support implementation of software, tools and capabilities to automate system integration testing and continuous delivery / DevOps agenda in a Data Warehouse environment Generate and maintain quality metric reports. Analyze and optimize QA business processes. Monitor and report quality metrics for the UHC STARS & Quality team Collaborate and communicate effectively across teams throughout the QA lifecycle. Share and communicate ideas both verbally and in writing to staff, business sponsors, managers, and technical resources in clear concise language that is appropriate to the target audience Use database statistics and data trending to compare data between deliveries to identify issues You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Years of post-high school education can be substituted/is equivalent to years of experience Required Qualifications: 2+ years of experience in a Quality Assurance or Data Quality role within a data warehouse environment 2+ years of experience working with one or more of the following database technologies: Snowflake, Cloud-Database Environment, MS-SQL Server, Teradata 2+ years of SQL query experience Equivalent work experience Experience developing or testing Business Intelligence reporting within Power BI or Tableau Preferred Qualifications: Experience within the healthcare industry Knowledge of HEDIS and Star Quality Specifications Demonstrated self-motivation and initiative Proven solid verbal and written communication skills Key CLL Skills Building and Applying Technical and Functional Skills Delivering Results Using Time and Resources Efficiently Communicating with Others Being Accountable *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The HSS Service Coordinator will assess, plan, and implement individualized care strategies for STAR/CHIP members with special healthcare needs. They will manage care plans and advocate for patients to ensure their needs are met effectively. | Candidates must have a current LPN/LVN license in Texas and at least 3 years of clinical experience. Proficiency in Microsoft Office and the ability to travel to meet members in various settings are also required. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is working with STAR / CHIP members with Special Healthcare Needs. In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Must be located in Texas and be able to travel to local office /community based on business needs. If you reside in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) Current, unrestricted LPN/LVN license in the state of Texas 3+ years of clinical experience in a healthcare role Intermediate level of proficiency in Microsoft Office including Microsoft Word, Excel, and Outlook (ability to create, edit, save and send documents, spreadsheets and emails) Proven ability to travel in assigned regions to visit Medicaid members in their homes, and/or other settings, including community centers, hospitals, nursing facilities, or providers' offices Proven ability to travel up to 10%25 of the time for team meetings, company events, or member engagement Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Live in a location that can receive an approved high-speed internet connection or leverage an existing high-speed internet Preferred Qualifications: Certified Case Manager (CCM) Experience with Texas STAR and CHIP Case management experience Experience working with members with a serious mental illness (SMI) and/or experience with members with mental illness Experience in managed care Bilingual English / Spanish / Chinese/ Mandarin *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Epic Revenue Cycle Analyst will provide guidance to a team, mitigate client incidents, and support Epic product design and testing. They will also serve as a subject matter expert and collaborate with various stakeholders to optimize system functionality. | Candidates must have at least 4 years of healthcare experience and 2 years of Epic certifications in relevant billing applications. Direct supervisory experience and knowledge of revenue cycle metrics are also required. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Enterprise Epic Services team is building an innovative, comprehensive Epic services capability using the collective expertise of our clinical, consulting, delivery, technology and operations teams. Our Center of Excellence, located in Nashville, TN, is bringing together some of the greatest minds in the industry to further our mission of making the health system work better for everyone. For you, that means working on high performance teams to leverage the power of technology and services delivery to improve care. Solid candidates for this role will be able to demonstrate self-motivation, individual leadership and team collaboration. Most importantly, our OEES team will foster a culture of diversity and inclusion and drive innovation for our company and our clients. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Team Lead works closely with the manager to provide guidance to a team and may also function as a Project Manager In conjunction with the manager, provide direction to a small team Mitigate escalations of client incidents and issues Review Application Analysts' resolutions, testing plans and solutions for accuracy and completeness Provide Epic product support including design, build, and testing for assigned Epic module(s) related to Epic Revenue Cycle/Billing applications Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy Lead medium to large complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases Mentor team members on Epic functionality as well as workflows, documentation, best practices, change management, etc. Serve as a subject matter expert for Epic Revenue Cycle modules and workflows Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs Function as a liaison between Revenue Cycle Operations (RCO), Information Technology (IT) and Third-Party Systems Identify system optimization and enhancement opportunities and collaborate with vendors and other IT analysts in order to design and implement effective solutions Provide support of application incidents reported through the help desk; including 24/7 on call coverage as required Obtain and maintain in-depth knowledge of software functionality; acquire and utilize knowledge of operational workflows to be implemented Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software Work with trainers to develop and maintain application specific training curriculum and materials Adhere to organization standards for system configuration and change control Develop solid relationships with end user communities, customers and business partners Attend, participate in, and contribute to meetings throughout the facility. Establish team goals and monitors progress toward goals Handle HR related activities for direct reports You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 4+ years of healthcare experience 2+ years of Epic certifications/proficiencies in either Resolute Professional Billing, Hospital Billing, Claims, or Home Health Billing 4+ years Epic application experience including Epic project experience Subject Matter Expert (SME) in relevant applications Direct supervisory experience Proven knowledge of revenue cycle metrics, KPIs, and process improvement techniques relative to these areas Experience in hospital or ambulatory revenue cycle operations Preferred Qualifications: Completed Epic CEE (Continued Epic Education) to maintain certifications, proficiencies, and badges Epic Tapestry certification Ability to demonstrate and have a history of team management (informal or formal), cross-team communication and leadership skills Proficiency with Excel, Visio, PowerPoint and SharePoint Knowledgeable in policies and procedures related to the operational functions Key Competencies: Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Solid analytical and problem-solving skills In-depth knowledge of Epic EMR and the full implementation lifecycle of Epic’s suite electronic medical record applications from conception through development into production Ability to work with a minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities and complete assignments in a timely manner utilizing excellent customer service skills Teamwork and Collaboration. Consultative and collaborative style with demonstrated ability with cross-functional teams Demonstrated ability to translate user requirements into system specifications Demonstrate the ability to build and maintain solid internal relationships as well as motivate and inspire other team members through solid consultative skills Demonstrates a solid ability to build partnerships and influence others. Work across team, group and business boundaries to drive commonality and reusability in solution to real-world problems Demonstrate solid relationship management skills and ability to handle challenging interpersonal situations Excellent written and verbal communication skills *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Revenue Cycle Engagement Manager will lead day-to-day activities for complex consulting projects with healthcare provider clients, focusing on various revenue cycle functions. This role involves managing client relationships, driving project execution, and ensuring high levels of client satisfaction. | Candidates must have over 5 years of relevant healthcare consulting experience and proven expertise in revenue cycle operations. Experience with Epic Revenue Cycle and the ability to manage projects effectively are also required. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This role will drive day-to-day activities as Engagement Manager partnering with healthcare provider clients across a range of complex traditional, strategic, and/or clinical revenue cycle projects. This particular GL29 position will be focused on supporting projects across revenue cycle functions, including front-end, mid-cycle, back-end, and strategic areas of revenue cycle focus, such as automation. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead day-to-day activities for large, high complexity consulting projects with healthcare provider clients, providing project management, change management, and best practice expertise Serve as principal point of day-to-day contact for client project lead across both diagnostic and implementation engagements alike Gather needed data/information for the engagement and conduct appropriate analyses (e.g., cost/benefit analysis, benchmarking, requirements analysis, gap analysis) Serve as formal people manager to 1-2 Consultant and/or Project Lead level staff across GLs 27 and 28 Cultivate the client's perception of Optum as a trusted partner and strategic advisor (e.g., build credibility, demonstrate full understanding of their business, leverage other resources within OptumInsight) Drive high levels of client satisfaction by driving results that meet or exceed the client's expectations Demonstrate solid relationship management skills and ability to handle challenging interpersonal situations Collaborate with the client to confirm their expectations regarding key outcomes for the engagement Identify/understand the client's business issues and size the financial impact associated with key performance improvement opportunities through financial analysis and scenario modeling Identify and manage stakeholders to engage in applicable engagement activities (e.g., obtain buy-in, identify interviewees, provide needed information, influence others) Establish optimal communication cadence with client and demonstrate sufficient executive presence to lead onsite presentations with C-Suite executives Develop and present superior quality client deliverables Identify/develop solutions to meet client needs (e.g., analytics, workflows, system selection and implementation, test plans, training plans) Develop work plans for the engagement (e.g. project plans, staffing plans, budgets) and obtain appropriate buy-in and approvals Manage engagement execution (e.g., status updates, reporting, risk management) and profitability, by managing successful project delivery within allotted project budget (managing billable hours utilized across the team) Ensure engagement quality through running to criticism with both team members and clients alike, regularly seeking proactive feedback and adjusting course as needed based on feedback provided Present engagement deliverables to applicable stakeholders (e.g. presentations, blueprints, staffing analytics, diagnostic findings and recommendations) Prepare customized client recommendations to realize improvement opportunities identified based on industry best practices and emerging ‘best-in-class’ approaches and facilitate implementation of recommendations Apply knowledge of change management principles to drive implementation of engagement objectives Leverage project documents and deliverables to provide re-use/transferability for other engagements (e.g., de-identifying content, cataloguing deliverables, storing documents in appropriate shared folders) Identify lessons learned and communicate to appropriate stakeholders across both internal team and client, as appropriate Maintain ongoing contact with clients to identify and address emerging issues/concerns Leverage and contribute to the applicable knowledge repositories (e.g., Microsoft Teams, SharePoint, analysis tools, project toolkits) Contribute to practice-level initiatives including business development and thought leadership beyond client project work Stay current on important issues in the healthcare industry (e.g., political/ economic market forces, costs, capabilities, initiatives, legal/regulatory requirements) Share professional and domain knowledge with peers and colleagues to build overall organization capabilities Effectively delegate project work to internal team members Coach and mentor junior staff and provide development support in enabling junior staff to grow professionally and develop new skill sets Up to 60%25 travel You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of relevant healthcare consulting experience Healthcare provider organization experience (either via consulting or provider organization leadership role(s) Proven deep content expertise and subject matter expertise across revenue cycle, including but not limited to: front-end (patient access, financial clearance, patient engagement, price transparency), mid-cycle (coding, clinical documentation integrity, revenue integrity), back-end (patient financial services, denial management, prevention, and follow-up, underpayments, strategic pricing, EHR optimization, and automation Overall provider revenue cycle operations experience, preferably across both acute care and professional settings Experience managing projects that achieved budget and timeline goals Epic Revenue Cycle experience Ability to work independently with minimal supervision Proven solid critical thinking, relationship building, and storytelling skills Ability to lead and motivate cross-functional teams Ability to drill down to the root cause of client challenges and deploy creative problem solving Proven exceptional written and verbal communication skills Proven ability to drive quantifiable results Ability and willingness to travel up to 60%25 Preferred Qualifications: Epic Revenue Cycle experience with certification in either HB Resolute or PB Resolute *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The QPI Manager leads and executes quality improvement initiatives to meet regulatory requirements and performance benchmarks. This role involves data-driven interventions, formal reporting, and continuous monitoring of quality metrics. | Candidates must have 5+ years of experience in healthcare quality improvement and solid knowledge of quality metrics like HEDIS and CAHPS. Proficiency in data analysis and project management is also required. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Quality Performance Improvement (QPI) Manager is responsible for leading, developing, and executing quality improvement initiatives that align with state and federal regulatory requirements. This role ensures the health plan meets or exceeds performance benchmarks through data-driven interventions, formal reporting, and continuous monitoring. The QPI Manager will serve as the primary liaison for state quality reporting and will oversee the development and implementation of Performance Improvement Projects (PIPs), Quality Improvement Plans (QIPs), and other quality-related initiatives. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Ideal candidate will reside in the state of Washington. Primary Responsibilities: Program Management & Development Design, implement, and manage the health plan’s Quality Performance Improvement Program (QPIP) Lead the development and execution of PIPs and QIPs in accordance with state and federal guidelines Develop and maintain policies and procedures related to quality improvement Data Monitoring & Analysis Monitor and analyze quality performance metrics (e.g., HEDIS, CAHPS, CMS, NCQA) Use data to identify trends, gaps, and opportunities for improvement Develop dashboards and tracking tools to monitor progress and outcomes Intervention Design & Implementation Collaborate with internal teams and external providers to design and implement evidence-based interventions Evaluate the effectiveness of interventions and adjust strategies as needed Provide technical assistance and training to providers and staff State & Regulatory Reporting Prepare and submit formal quality reports to state agencies, including annual QIPs and PIPs Ensure compliance with all regulatory and accreditation requirements Serve as the primary point of contact for state quality audits and reviews Stakeholder Engagement Facilitate cross-functional quality improvement committees and workgroups Communicate quality goals, progress, and outcomes to internal and external stakeholders Foster a culture of continuous quality improvement across the organization You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of experience in healthcare quality improvement, preferably within a managed care or health plan setting Project management experience, manage timelines, create chapter, manage end to end, timelines Solid knowledge of HEDIS, CAHPS, CMS, NCQA, and state Medicaid/Medicare quality requirements Experience with data analysis, performance measurement, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma) Proficiency in Microsoft Office Suite and data visualization tools (e.g., Excel, Power BI, Tableau) Advanced level proficiency with Excel Adhere to PST work schedule Preferred Qualifications: Certification in healthcare quality (e.g., CPHQ) Experience managing state-submitted quality improvement projects Familiarity with value-based care and population health strategies Reside in the state of Washington Excellent written and verbal communication skills, especially in formal reporting *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Senior Account Manager is responsible for the quality and economic performance of physician practices, developing high-performing provider networks. This role involves analyzing data, educating providers, and driving process improvements to enhance revenue and quality metrics. | Candidates must have 3+ years of experience in a related medical field and knowledge of Medicare operations. Proficiency in Microsoft Office and the ability to travel 25% of the time are also required. | 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 to start Caring. Connecting. Growing together. The Senior Account Manager has geographic responsibility for the quality and economic performance of the physician practice with the goal of developing a high performing provider network within the State of Kansas and Missouri. This includes analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. The Senior Account Manager will develop and sustain a solid day-to-day relationship with stakeholders, the physician and office staff to effectively implement the business solutions developed by the Client Services leadership team. They are accountable for overall performance and profitability for their assigned groups as well as ownership and oversight to provide redirection as appropriate and approved. The responsibilities of this position include capabilities in the following areas: strategic planning and analysis; understanding of HEDIS, Star ratings, accurate documentation and coding; highly developed communication skills; and the ability to develop clear action plans and drive process. Essential Job Functions: Educate providers to ensure they have the tools needed to meet quality, coding and documentation, and total medical cost goals per business development plans Develops strategies and create action plans that align provider pools and groups with company initiatives, goals, quality outcomes, program incentives, and patient care best practices Drive processes and improvement initiatives that directly impact revenue, HEDIS/STAR measures and quality metrics, coding and documentation process and educational improvements Conduct new provider orientations and ongoing education to provider and their staff on healthcare delivery products, health plan partnerships, processes, and tools Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues Conduct provider meetings to share and discuss reporting data and analysis, issue resolution needs, implement escalation processes for discrepancies, and handles or ensures appropriate scheduling, agenda, and materials Collaborates with internal clinical services teams, alongside operational leaders, to monitor utilization trends to assist with developing strategic plans to improve performance Assists provider groups with investigating standard and non-standard requests and problems, to include claims and member support services Maintains effective support services by working effectively with the medical director, operations, and cross functional teams, and other departments Demonstrate understanding of providers' business goals and strategies in order to facilitate the analysis and resolution of their issues Performs all other related duties as assigned If you are located in MO, you’ll enjoy the flexibility to work remotely *as you take on some tough challenges. Primary Responsibilities: Solid analytical skills required to support, compile and report key information Drive processes that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, and total cost of care, as appropriate Use data to identify trends, patterns and opportunities for the business and clients. Develop business strategies in line with company strategic initiatives Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities Evaluate and drive processes, provider relationships and implementation plans Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the performance of related metrics and goals Collaborate with internal leaders to foster teamwork and build consistency throughout the market Serves as a liaison to the health plan and all customers Requires solid presentation skills, problem solving and ability to manage conflict and identify resolutions quickly. Have the ability to communicate well with physicians, staff and internal departments You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of experience in a related medical field or health plan setting (network management, contracting and/or recruitment, or provider relations) Knowledge of state and federal laws relating to Medicare Solid working knowledge of Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage Understanding of IPAs, Clinically Integrated Networks, Medicare Shared Savings Programs, capitation/value-based contracting, and narrow networks Proficiency in Microsoft Word, Excel and PowerPoint Willing or ability to travel 25%25 of the time Preferred Qualifications: Demonstrated ability to act as a mentor to others Demonstrated ability to communicate and facilitate strategic meetings with groups of all sizes Demonstrated ability to work independently, use good judgment and decision-making process Demonstrated ability to adopt quickly to change in an ever-changing environment Proven solid business acumen, analytical, critical thinking and persuasion skills *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Lead and develop scalable AI/ML systems and AI agent solutions, manage ML engineers, and drive AI productization and innovation. | 7+ years building large scale AI/ML systems, 4+ years Python and cloud AI/ML infrastructure experience, and 1+ year building AI Agents with LLMs. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Step into a technical leadership role where your work directly impacts lives. As a driving force behind model deployment and productization, you’ll lead a team of ML engineers building scalable, high-performance AI systems that power real-world healthcare solutions. Collaborate across disciplines to turn cutting-edge research into production-ready tools, mentor top talent, and push the boundaries of innovation in NLP, Gen AI and Agentic AI systems. If you're passionate about engineering excellence and want to make a meaningful difference through AI, this is your moment. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Design, develop, and deploy AI-powered solutions using no-code, low-code, and advanced platforms, translating business needs into scalable applications that enhance products, workflows and decision-making Partner with product managers, data scientists, platform engineers, and business stakeholders to translate business requirements into scalable machine learning systems and ensure alignment across engineering, product, and operations teams Champion best practices in software engineering, including code reviews, testing, CI/CD, and observability. Drive architectural decisions and contribute to long-term technical strategy for AI/ML systems Own the full lifecycle of AI/ML initiatives—from problem definition and data exploration to model development, deployment, and monitoring. Define project scope, success metrics, and timelines in collaboration with cross-functional teams and ensure timely delivery of high-quality solutions by managing technical execution, risk mitigation, and stakeholder communication Lead ML Engineers who are responsible for coding and developing software that deploys machine learning models, agents and prompts into production environments. This includes ensuring scalability, reliability and performance of deployed models. Mentor and guide junior engineers and peers, fostering a culture of continuous learning, technical rigor, and ownership Stay ahead of the curve on emerging AI/ML technologies, tools, and research, and evaluate their applicability to business problems. Embrace and promote a culture of innovation through rapid iteration, experimentation and data driven decision-making You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: BS/MS in Computer Science or related majors 7+ years of experience building large scale AI/ML systems on cloud 4+ years of experience working with various AI/ML infrastructure, tools and platforms across the full stack of AI/ML technology 4+ years of experience working with Python with strong CS fundamentals with expertise in distributed systems and programming languages 4+ years if working experience in GCP, Azure or AWS platforms. GCP is preferred. 1+ years of experience building AI Agents and solutions leveraging LLMs Preferred Qualifications Proven track record of leading technical projects from start to finish working with a cross functional team Solid communication skills with the ability to explain complex technical concepts to diverse audiences Bias for Action Passion for innovation and staying current with emerging AI/ML trends, including GenAI and LLMs *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #OptumTechPJ

Lead pharmacy strategy development and account management to drive retention, profitability, and satisfaction for integrated pharmacy clients. | 5+ years account management experience with proven retention and sales success, proficiency in Microsoft Suite, willingness to travel, and preferred pharmacy industry and financial knowledge. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. If you are located in Eastern / Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Provide strategic planning, direction and leadership in direct support of UnitedHealthcare Employer & Individual integrated medical & pharmacy growth and retention initiatives for existing OptumRx integrated accounts as well as certain standalone pharmacy clients where UnitedHealthcare Employer & Individual segments have an existing or targeted relationship Take lead role in pharmacy strategy development for existing OptumRx integrated pharmacy clients to achieve retention, profitability and satisfaction objectives as set by UnitedHealthcare Organize internal resources as necessary to support pharmacy growth and retention for existing clients including engaging OptumRx and UnitedHealthcare Leadership for complex competitive renewals Collaborate with Strategic Account Executives and OptumRx Directors to define customer needs to enable company to differentiate and position for growth and retention Understand the competitive landscape and effectively position pharmacy management programs, participating as account management lead for pharmacy in best and final meetings, industry forums, broker and consultant meetings Work closely with the Strategic Account Executives, OptumRx Directors, the health plan leadership and assigned region to provide OptumRx subject matter expertise and support in achieving desired growth and retention results Deliver integrated pharmacy value proposition and related training, program updates for UHCE&I leadership, account management teams, and matrix partners including underwriting and other operational partners as needed Implements effective pharmacy strategy and goals which are aligned with and supportive of those of the company and our customers. Networking, collaboration and consensus building - uses internal networks to get things done; utilizes assistance of others who have a stake in the outcome and proactively participates in achieving customer satisfaction and service performance in a continually changing environment Possess a thorough understanding of the commercial healthcare marketplace and key sales drivers in order to align our pharmacy value proposition to solve their key business challenges Channel customer needs and expectations into the larger organization's priorities initiatives and services Strategic Vision - Understands and communicates the company's long term and short-term value proposition to achieve the desired goals of pharmacy management Effectively expresses ideas and information in writing and orally to individuals and groups at all levels using two-way communication and a high impact communication style Demonstrates skill in organizing, leading and inspiring individuals toward pursuit of customer satisfaction in a rapidly changing environment. Drives disciplined, fact-based decisions Drives change and innovation through continually seeking and implementing innovative solutions; thrives on continuous change; inspires people to stretch beyond their comfort zone, takes well-reasoned risks on 'what has always been done' and change direction, as required Model and demand integrity and regulatory compliance Execute with discipline and urgency; drive exceptional performance; deliver value to the customer; get directly involved when needed; actively manage financial performance; ensure accountability for results You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of experience with account management team ensuring that existing clients are satisfied with and recognize the value of the solutions they currently use and as a result renew their existing relationships and actively engage in discussions regarding the use of additional solutions Experience and proven ability to retain and sell business Proficiency with Microsoft Suite of products Willingness to travel as required up to 25%25 Driver’s License and access to a reliable transportation Preferred Qualifications: 5+ years of account management/sales experience in the PBM/RX industry 5 + years of experience working with understanding of pharmacy financials and pricing coupled with the ability to negotiate using the data *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Provide legal support for healthcare regulatory matters, manage complex commercial disputes, advise business leaders on compliance and liability, and collaborate with regulators and business teams. | Juris Doctorate with 5+ years legal experience in healthcare or managed care litigation/regulatory practices and 5+ years management experience, strong communication and interpersonal skills. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. OptumRx is an innovative pharmacy benefit management organization managing the prescription drug benefits of commercial, Medicare and other governmental health plans, as well as those of employers and unions. Services offered by the company include pharmacy network contracting, rebate contracting and administration, mail order pharmacy facilities, specialty drugs and retail drug claims processing. OptumRx is part of Optum, a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide OptumRx primary legal support for legal and regulatory matters arising under Medicare, Medicaid, Health Insurance Marketplace and other governmental health programs, including compliance counseling, audit preparation and defense. Regulatory legal support for OptumRx clinical formulary and utilization management teams. Management of both internal and external complex commercial disputes, including providing business leaders with effective advice and counsel on contractual disputes and regulatory matters; coordinating legal and business support of, and compliance with governmental investigations, inquiries and third-party legal requests and subpoenas and other strategic matters Advise business leaders on potential liability and exposure, and resolving disputes inside and outside of litigation. Identify, interpret, and apply legal and regulatory requirements and determine their implications for the business (e.g. applicable contractual obligations, regulatory agencies, state/federal requirements, proper implementation of the requirements) Cultivate and maintain strong collaborative relationships with business clients, regulators and OptumRx business partners Collaborate with business clients achieving timely and successful resolution of government inquiries, demand letters and data requests Provide ongoing education and training on best practices on legal and compliance matters to business clients Participate in occasional business travel to meet with regulators, clients and business teams As a member of the OptumRx legal team, close collaboration with colleagues is expected, as well as a willingness to adapt to the changing legal support requirements of our growing business You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Juris Doctorate degree 5+ years legal experience in health care or managed care litigation or regulatory practices 5+ years management experience Proven solid verbal and written communication skills Proven solid customer service and interpersonal communication skills Proven ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts, with demonstrated ability to lead and contribute to team effort Preferred Qualifications: Experience working with the pharmacy and pharmacy benefits management industries Experience working with regulatory investigation and/or government audit Government investigations or enforcement experience Understanding of the managed health care industry *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Define product vision and strategy, lead complex initiatives, translate business needs into product plans, collaborate across teams, and monitor product performance in healthcare utilization management. | 3+ years product management and development experience, knowledge of acute health system functions, systems integration, EMR integration, Agile methodologies, and strong leadership and communication skills. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Join our team at Optum Insight, where we are leveraging cutting-edge AI and machine learning technologies to revolutionize healthcare delivery, enhance customer engagement, and drive innovation across our digital platforms. Utilization Management plays a critical role in driving value and appropriate resource utilization in today’s healthcare environment. Optum Provider Utilization Management Services is a fast-paced product organization with a focus on growth, client delivery, and solution advancement with a goal of increasing efficiency within acute UM processes within hospitals and health systems. As a Product Manager, you will be responsible for helping to set and bring our strategic vision to life. You will work to deliver innovative service and technology solutions to challenges facing Utilization Management teams working within acute care hospitals and health systems using solid collaboration and facilitation skills. You will understand and apply product management discipline to new and existing products and initiatives to create value for our clients and drive growth for our business. The successful candidate must be passionate about improving health care processes through strategic thinking and tactical execution, be adaptable to changing market and business needs, be confident during interactions with senior leaders, providers, business and technical partners, and demonstrate resiliency advancing initiatives in a complex, sometimes ambiguous environment. The successful candidate must also have familiarity with both product development and product management phases and framework. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Define and maintain product vision, strategy, and roadmaps in collaboration with business stakeholders Leverage AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks. Evaluate emerging trends to drive continuous improvement and strategic innovation. Collect and translate business needs into actionable plans and measurable outcomes Own end-to-end planning and execution of complex initiatives that may apply to one or multiple products Write product requirements and prioritize product features for assigned products Participate in sprint planning and sprint review activities Serve as a liaison between operations, IT, growth and other stakeholder groups to ensure efficient and effective product advancement Communicate effectively across all levels of the organization Quickly adapt to shifting priorities and changing business needs Monitor and acts on product performance data and customer feedback Provides input on departmental plans and priorities to achieve business goals, address operational challenges, and mitigate risks You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of product development and/or product management experience 3+ years of experience leading major initiatives within a complex, matrixed organization Experience working in or a solid understanding of acute health system functions and processes Experience with systems integration Experience integrating EMRs with other technologies Experience with health information exchange standards Experience with product development standards (Agile) Proficiency using Microsoft product suite, including Visio, Excel, and PowerPoint Demonstrated planning, organizational, analytical and critical thinking skills Confident, yet collaborative leader with a proven track record of building and influencing relationships with external and internal executives, clinicians and/or stakeholders Preferred Qualifications: Advanced degree, MHA, MBA, or related 2+ years of project management experience and holds a PMP certification Experience working within a clinical setting specifically within the Utilization Mgt. function Experience using AI or with AI-enabled products *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The RN Clinical Care Coordinator will manage a panel of members with complex medical and behavioral needs, focusing on care coordination activities. Responsibilities include conducting needs assessments, developing care plans, and collaborating with care teams and community resources. | Candidates must have a current RN license in Tennessee and at least 2 years of clinical experience. Preferred qualifications include a BSN or higher degree and experience in community case management. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The RN Clinical Care Coordinator - will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. This is a home-based position with field responsibilities, approximately 25%25 of the time within Montgomery, Dickson, Humphreys and Surrounding counties in TN. If you are located in or within commutable distance to Clarksville, Dickson, Waverly, TN, or surrounding cities, you will have the flexibility to work remotely* as you take on some tough challenges Primary Responsibilities: Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted independent licensure as a Registered Nurse in Tennessee 2+ years of clinical experience 1+ years of experience with MS Office, including Word, Excel, and Outlook Access to reliable transportation and ability to travel up to 25%25 within Montgomery, Dickson, and Humphreys Counties in TN and the very close surrounding areas to meet with members and providers Live in TN Preferred Qualifications: BSN, Master’s degree or higher in clinical field CCM certification - must be obtained within 18 months of hire 1+ years of community case management experience coordinating care for individuals with complex needs Experience working in team-based care Background in Managed Care *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Assess, plan, and implement individualized care strategies for patients. Manage care plans and communicate with stakeholders to ensure quality coordinated care. | Candidates must have a current RN license in Texas and at least 2 years of experience in a healthcare role. Familiarity with Microsoft Office and the ability to travel within the designated territory are also required. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. If you are located within 50 miles of McLennan, TX or surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. This is a Field Based role with a Home-Based office. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted RN license in the state of TX 2+ years of experience working within the community health setting or in a health care role Familiarity with Microsoft Office, including Word, Excel, and Outlook A valid driver’s license, reliable transportation and the ability to travel up to 75%25 within McLennan County, TX designated territory to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices High-speed internet at residence Reside within 50 miles from McClennan County, TX Preferred Qualifications: 1+ years of experience with long term care services and support, Medicaid or Medicare Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations. Demonstrated ability to create, edit, save and send documents, spreadsheets and emails Reside within commutable distance of assigned duties *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Capability Analyst will maintain and enable the Approved Product List across retailers while collaborating with cross-functional teams. This role involves supporting data analysis, preparing strategies, and managing retailer onboarding initiatives. | Candidates should have over 5 years of experience in operations and system analysis, with a strong background in data and process modeling. Experience in consumer payments or healthcare, along with proficiency in analytical tools, is preferred. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum Financial, we combine Fintech and Healthcare, two of the fastest-growing fields on the planet, with a culture of performance, collaboration, and opportunity and this is what you get - leading edge technology that is improving the lives of millions. Here, innovation is not about another gadget; it is about providing advanced, state-of-the-art payment solutions to help those we serve be healthier, happier, and more productive. We create direct spending solutions driven by our extensive financial tech experience to help those we serve be healthier, happier and more productive. Our platform helps members manage their health plans, supplemental benefits and rewards all in one place. You’ll have the opportunity to make it easier for consumers to manage their own health by making healthier products more affordable and their purchases streamlined. If you are a driven individual that thrives in fast-paced environments, values diversity and wants meaningful work that impacts the lives of many, then this is the team for you. The Capability Analyst role will be a key player in the Platform Management Team. You will spearhead enablement across technical and operational workstreams that will help scale our payment network. In this role, you will partner across the organization including Project Managers, Product Managers, Analytics Team and the Customer Success Team to manage our Approved Product List across each retailer, designing strategy to optimize the platform. This position is a remote position with limited travel. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Primarily maintain and/or enable Approved Product List (APL) across retailers working with cross-functional teams Collaborate frequently with the Product Team to help design, optimize, or solve technical hurdles for a seamless APL deployment Support data analysis to monitor and innovate relevant metrics on the platform and subsequently help bridge identified gaps with the Team Prepare and present strategies and business reviews to leaders and the broader Team Support various initiatives around retailer onboarding including managing functional testing for a successful launch Remediate, administer and report APL related issues across the platform You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of related work experience in operations, system analysis with a solid background in data and process modeling 3+ years in consumer payments, healthcare or related industry 3+ years of working on large data sources with a primary focus on data manipulation and governance Preferred Qualifications: Solid background using analytical tools SQL, R/ SAS or Python, including data visualization tools (PowerBI or Tableau) Experience using Confluence, JIRA and other product management tools Working knowledge of retail SKU/UPC data Deep proficiency with Microsoft Office products (Excel and PowerPoint) Proven ability to manage multiple tasks in a fast-paced environment Proven sound judgment, problem resolution, decision-making, & experience working under strict deadlines Proven excellent conceptual, problem solving, and analytical skills Proven great communication skills, experienced in storytelling and deck creation *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Engagement Manager will support client relationships by understanding and articulating client needs while serving as a subject matter expert for closed environment analytics platforms. They will facilitate strategy sessions, develop case studies, and communicate customer feedback to improve products and processes. | Candidates must have at least 3 years of experience in life sciences or healthcare operations, supporting client engagements, and utilizing data for recommendations. Preferred qualifications include experience with pharmaceutical companies, statistical data analysis, and programming languages such as SQL, Python, and R. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum combines data, technology, and expertise to power modern health care. The Client Solutions Team drives the adoption and use of Optum’s data assets and technology solutions in the Life Sciences industry. Optum's industry-leading data assets include clinically robust Electronic Health Record (EHR) data spanning the care continuum, eligibility-controlled affiliate and non-affiliate insurance claims data, a new class of deterministically linked Integrated EHR and claims data, and linked profile data including socio-economic information and health risk assessments (HRAs). Optum’s data assets enable our clients to enrich their view of the patient and the patient journey through the healthcare system, serving needs across a spectrum of functional areas including real world evidence, health economics and outcomes research, safety and surveillance, epidemiology, and product commercialization. Optum’s ODDW (Optum’s De-identified Data Workspace) is a closed platform space, and the Engagement Manager will be a SME in assisting our Life Science clients and associated Third Parties in navigating and solutioning requests within the ODDW space. Our wealth of data and tool solutions, combined with our industry expertise, is uncovering novel insights and driving real world change. We’re now looking for a dynamic Engagement Manager to support Client Solutions Team, working closely with our clients across the industry. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Support client relationships: listen, understand, and articulate client needs Interface with clients and develop solid client-vendor relationships Serve as a subject matter expert for closed environment analytics platforms Facilitate strategy and planning sessions with clients to determine how data Optum’s product offerings can be leveraged to answer key business questions and improve operations Partner with internal sales team to prioritize opportunities requiring pre-sales analytic efforts Develop case studies and business proposals to support business needs Partner with analytic teams to accurately define project objectives and determine methods for fulfilling objectives; establish and communicate timelines to all impacted parties, including potential delays Communicate and evaluate customer feedback in collaboration with Optum’s product development team to improve and advance products and processes Predict emerging customer needs and participate in the development of innovative solutions to meet those needs This Client Solutions Team manages, grows, and develops relationships with research, scientific, and commercial leaders at life sciences companies using Optum’s data assets and technology applications. The Engagement Manager is expected to support the Associate Director serving as the primary point of contact for a collection of clients. The Engagement Manager should become an expert in the contents and uses of Optum Life Sciences' data applications. Success in this role requires: (a) the ability to engage and educate clients and prospects about the data products and utilization with the ODDW platform; (b) creativity to identify and frame specific, even novel, responses to the client's request; (c) comfort working in a matrixed and geographically dispersed organization; and (d) flexibility to navigate organizational change and shifts in responsibilities The Engagement Manager (EM) must have superior communication skills including presentation development and delivery. EM must have the ability to translate technical explanations into easy-to-understand answers for customers. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of professional experience, preferably in the life sciences and/or healthcare operations, healthcare technology experience 3+ years with experience supporting client engagements or consulting client engagements for internal/external customers. 3+ years of experience communicating through multiple mediums to a variety of stakeholders 3+ years of analytical and problem-solving experience 3+ years of experience utilizing data to make recommendations based on analysis Ability to perform occasional travel periodically to conduct training at client sites and attend meetings Preferred Qualifications: Experience with pharmaceutical and biotech companies Experience with statistical data analysis Experience in Life Sciences related to respect to delivery/implementation of products and solutions Experience in SQL Experience with Python, R languages Experience with AI/ML modeling, AWS products (SageMaker, EMR, etc) and related packages/libraries Experience with NLP modeling Knowledge of insurance claims data Demonstrated ability to consult with clients on how to effectively use data to achieve business objectives *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Senior Business Analyst is responsible for transforming raw data into actionable insights and developing executive-level reports and dashboards. This role involves collaborating with cross-functional teams to ensure data accuracy and facilitate process improvements. | Candidates must have at least 5 years of experience working with hospitals and analyzing large data sets, along with 3 years of experience presenting to executive audiences. Advanced skills in Excel, PowerPoint, Word, and Outlook are also required. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Business Analyst plays a critical role in transforming raw data into actionable insights that support strategic decision-making across the organization. This position is responsible for designing, developing, and maintaining executive level reports and dashboards that provide visibility into key performance indicators (KPIs), operational metrics, and business trends, oversight of systemic trends through deep analytical analysis and facilitating process improvement that will minimize the fiscal impact of denials. The analyst collaborates closely with cross-functional teams to understand reporting needs, ensure data accuracy, and deliver timely, meaningful analyses. The Sr Business Analyst will facilitate regular information sharing with Optum and client leadership. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Prepare and present highly professional monthly reports Act as a project leader on global initiatives as assigned by leadership Review problems to identify root causes Analyze outcomes for trends and opportunities Collaborate with team members to address service area specific issues, barriers to improvement Collaborate with other operational leaders to develop solutions Be a resource and responsive to client’s needs as related to report findings Work with site stakeholders to facilitate their corrective action plan to address key issues Facilitate effective goal-oriented communication between the client and Optum leadership; with the intent to provide meaningful information designed to affect operational change towards efficiencies in care, improve revenue, and decreased denials and audits Perform other duties and responsibilities as required, assigned, or requested You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 5+ years of experience working with hospitals and operations or clinical professionals 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement 3+ years of experience presenting to executive level audiences 3+ years of Project Management experience with an understanding of action items, next steps, assignment of tasks, measuring improvement, holding others accountable 3+ years of experience with documenting processes and practices (process maps, job aids, instructions) Demonstrated advanced Excel, PowerPoint, Word, and Outlook skills with ability to build reports, presentations, spreadsheets, and process maps Ability to travel up to 10%25 if needed for client meetings Preferred Qualifications: Hospital accounts receivable experience *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Lead all phases of small to medium size application projects including Epic software upgrades and enhancements. Collaborate with end users to design and build Epic enhancements and maintain documentation. | Active Epic certification in at least one area and 4+ years of Epic experience as an analyst are required. Direct client healthcare domain knowledge such as Periop and Anesthesia workflows is also necessary. | Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Epic Optime Sr Analyst combines healthcare and technology to enhance lives through performance, collaboration, and opportunity. Innovation focuses on making healthcare data accessible, safe, and reliable. The Optum Enterprise Epic Services team in Nashville, TN, leverages clinical, consulting, delivery, technology, and operations expertise to improve care. Solid candidates demonstrate self-motivation, leadership, and collaboration, fostering diversity and inclusion. Responsibilities include leading application projects, providing Epic product expertise, collaborating with end users, and maintaining documentation. Required qualifications include active Epic certification, Epic experience, and healthcare domain knowledge. Preferred qualifications include team management, device integration, and proficiency with Excel, Visio, PowerPoint, and SharePoint. Key competencies include time management, Epic EMR knowledge, teamwork, relationship building, and solid consultative skills. Careers with Optum focus on improving healthcare through innovative ideas and high-performance teams. The Optum Enterprise Epic Services team is building an innovative, comprehensive Epic services capability using the collective expertise of our clinical, consulting, delivery, technology and operations teams. Our Center of Excellence, located in Nashville, TN, is bringing together some of the greatest minds in the industry to further our mission of making the health system work better for everyone. For you, that means working on high performance teams to leverage the power of technology and services delivery to improve care. Solid candidates for this role will be able to demonstrate self-motivation, individual leadership and team collaboration. Most importantly, our OEES team will foster a culture of diversity and inclusion and drive innovation for our company and our clients. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead all phases (e.g. design, build and testing) of small to medium size application projects including Epic software upgrades, adoption of new Epic functionality and/or significant enhancements to integrated workflows Provide Epic product function expertise for the design, build, and testing for assigned module(s), including but not limited to Optime/Anesthesia Collaborate with end users to design, scope and build Epic enhancements and configure system build to resolve incidents in accordance with Service Level Agreements (SLAs) Provide technical and or clinical consultation including application configuration and integration with third party applications. Review, analyze, and evaluate system needs to develop recommendations for customers Develop, support and maintain workflow documentation, test scripts and configuration guides for core pieces of application functionality Perform daily monitoring of applications in production use; including 24/7 on call coverage as required Work with trainers to develop and maintain application specific training curriculum and materials Develop solid relationships with operational stakeholders, customers and business partners Troubleshoot and/or resolve application issues and escalate more complex issues as appropriate You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Active / current Epic certification in at least one area; Optime and Anesthesia 4+ years Epic experience as an analyst Direct client healthcare domain knowledge such as Periop workflows, and Anesthesia workflows Ability and willingness to travel up 25%25 Preferred Qualifications: Experience with device integration and/or Capsule Proficiency with Excel, Visio, PowerPoint and SharePoint Proven ability to demonstrate and have a history of team management (informal or formal), cross-team communication and leadership skills Key Competencies: In-depth knowledge of Epic EMR and the full implementation lifecycle of Epic’s suite of EMR applications Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Teamwork and Collaboration. Consultative and collaborative style with demonstrated ability with cross-functional teams Demonstrate the ability to build and maintain solid internal relationships as well as motivate and inspire other team members through solid consultative skills Demonstrates a solid ability to build partnerships and influence others. Work across team, group and business boundaries to drive commonality and reusability in solution to real-world problems Demonstrate solid relationship management skills and ability to handle challenging interpersonal situations *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Assess, plan, and implement individualized care strategies for patients while managing care plans throughout the continuum of care. Communicate with stakeholders to ensure quality coordinated care and advocate for patients and families as needed. | Candidates must have a current unrestricted RN license in Texas and at least 2 years of experience in a community health setting. Familiarity with Microsoft Office and the ability to travel within the designated territory are also required. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a Field Based role with a Home-Based office. If you are located within 50 miles of College Station (Brazos County), TX or surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, at least restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted RN license in the state of TX 2+ years of experience working within the community health setting or in a health care role Familiarity with Microsoft Office, including Word, Excel, and Outlook A valid driver’s license, reliable transportation and the ability to travel up to 75%25 within Brazos County, TX designated territory to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices High-speed internet at residence Reside within 50 miles from (Brazos County) College Station, TX Preferred Qualifications: 1+ years of experience with long-term care services and support, Medicaid or Medicare Knowledge of the principles of most integrated settings, including federal and State requirements like the federal home and community-based settings regulations Proven ability to create, edit, save and send documents, spreadsheets and emails Reside within commutable distance of assigned duties *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Healthcare Economics Analyst conducts financial and network pricing modeling, analysis, and reporting to support provider network contracting. Responsibilities include managing unit cost budgets, target setting, and performance reporting. | A Bachelor’s degree in business, economics, statistics, mathematics, or a related field is required. Candidates should have proficiency in MS Excel and Word, along with strong written and verbal communication skills. | At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Healthcare Economics Analyst supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Healthcare Economics Analyst conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models. If you are able to work EST hours, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Conduct financial and network pricing modeling, analysis and reporting Assess and interpret customer needs and requirements Identify solutions to non-standard requests and problems Solve moderately complex problems and/or conduct moderately complex analyses Work with minimal guidance; seek guidance on only the most complex tasks Translate concepts into practice Provide explanations and information to others on difficult issues Act as a resource for others with less experience You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor’s degree in business, economics, statistics, mathematics, or a related degree Demonstrated ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts Intermediate level of proficiency in MS Excel and Word Proven solid written and verbal communication skills Preferred Qualifications: Finance or related discipline internship Experience with provider payment methodologies and healthcare products Experience in healthcare field Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.