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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)    You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Manages an account team with a focus on client trend management, strategic plan development and execution, cultivating multi - level client relationships and manages staff, both direct and indirect Manages client contract renewal activities with the primary goals...

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 and start doing your life's best work.(sm) Mass Health’s One Care program serves individuals with disabilities ages 21-64 and have Medicare Parts A and B and qualify for Medicare Part D. UnitedHealthcare Community Plan of Massachusetts will be responsible for the delivery and management of all covered medical services; Physical Health, Behavioral Health, Long-term Services and Supports (LTSS), additional Community Support Services, and care management for One Care enrollees. The Health Services Director (HSD) for long-term services provides strategic leadership and is accountable for all clinical programs for LTSS...

*** This is a remote salaried position - 8 flexible hours per week (part-time) *** ** Location is flexible - Oklahoma Medical License required ** * Remote position for chart review and high-level oversight of Psychiatric Nurse Practitioners treating Home-based Medical Care patients * Do you want to make a difference in healthcare? Landmark Health, part of the Optum and UnitedHealth Group family of businesses, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system. Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients  at no incremental financial cost   to them . We are not a fee-for-service practice; we benefit economically only if we...

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 and start doing your life's best work.(sm) The Director of Clinical Implementation & Audit is responsible for functions in areas across the health plan such as audit oversight, regulatory deliverables, provider relationship enhancement, vendor oversight, and quality clinical care delivery. This position includes activities that support program alignment with contractual requirements, monitoring, and preparation for quality review of multiple medical and clinical operations. Assumes accountability and ownership for many health plan deliverables, for example, Contract Risk Agreement (CRA) required reporting, On Request Reports...

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assesses and interprets needs of the Ambulatory...

Careers at Landmark , part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing  your life’s best work.(sm) The Nurse Care Manager (NCM) is an integral part of the Interdisciplinary Care Team (IDT) and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating...

naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)  Why naviHealth?  At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming...

JOB DESCRIPTION: NORC at the University of Chicago seeks a talented Data Analyst to perform claims analytics work related to Medicare, Medicaid, and private plans and conduct quantitative analyses supporting NORC’s health care projects.  At NORC, Data Analysts play a strategic role in supporting our research teams to produce valuable insights for our clients.  They work collaboratively and help break down silos and barriers across the organization to drive innovative work.  A person in this position, under the leadership of Data Scientists, contributes to the design and implementation of algorithms, models, and workflows to discover valuable information in large volumes of data from various sources; organizes, harmonizes, and analyzes data sets; uses various technologies to enable data visualization; and creates applications of general value to the company’s business. NORC recognizes that talented and skilled researchers live throughout the U.S. and actively supports remote...

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 and start doing your life's best work.(sm) The Senior Clinical Transformation Manager (Sr. CTM) is responsible for the ongoing clinical management, alignment, and facilitation of physician practices participating in UnitedHealthcare’s (UHC) Accountable Care Organizations (ACO), Value Based Programs, Patient Centered Medical Homes (PCMH), or Population Health Management programs. The Sr. CTM will lead multi-disciplined practice transformation and practice performance improvement initiatives. The selected candidate will guide practices in achieving affordability goals that include improved quality, efficiency, and utilization. The...

If you are located within Pacific OR Arizona Time zone area, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.  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 diversity and inclusion, 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. This position is full - time (40 hours / week), Monday - Friday. Employees are required to work any 8-hour shift between the hours of 6:00 AM - 5:00 PM PST (Pacific Standard Time zone) including the flexibility to work...

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) This role will provide financial support to win large and complex deals for Optum Corporate.  Success in this role will be dependent on your ability to successfully navigate and influence change across a matrix organization while quickly adapting to changing priorities. Coupled with the ability to clearly articulate business issues and recommended solutions in the context of a fast-paced and high-growth environment that has a...

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 and start doing your life's best work.(sm) The Director of Special Investigations : will be responsible for investigating allegations of Healthcare Fraud, Waste and Abuse impacting the Empire Plan benefit program of New York State in non - compliance per New York State, Medicare Part D or SOX requirements. The Director of Special Investigations will assess reported allegations, identify applicable governing laws, regulations, and policies, and conduct investigations, including analyzing documents and interviewing witnesses by developing functional, market level, and/or site strategy, plans, production and/or organizational...

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) Why naviHealth? At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care.  naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one...

If you are located within Wisconsin or Illinois, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. 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 diversity and inclusion, 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. The Payment Poster –is responsible for manually posting a high volume of insurance and patient payments into the Epic billing system.  He/she will code and post zero payment insurance denials; process electronic remittance advice (ERA)...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.  As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing  your life’s best work.(sm) As a Community Outreach Representative (COR) you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of...

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 and start doing your life's best work.(sm) The Director Actuarial Services will support the Individual exchange medical product line. This Director will serve as a subject matter expert and trusted advisor for health plan leadership in ensuring that program rates are competitive, adequate, and actuarially sound. You will also lead and/or coordinate analytical efforts to support the rate setting process (25% of time) and serve as the team’s tools and datalab owner (75% of time).    You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary...

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 and start doing your life's best work.(sm) How we are able serve and engage our members is governed largely by the role of public policy. By joining a team of policy experts as the Policy Director - Health Care Delivery & Access, you have the opportunity to engage in a fast paced, evolving and engaging area of health care. Our team works closely with health plans, functional partners and our government affairs colleagues to inform the broader business of emerging policy trends, establish policy positioning, build influence through advocacy and thought leadership, and support sustainable growth.  As a Policy Director -...

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 and start doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Evaluate, manage, and negotiate large national home infusion & specialty pharmacy contracts, reimbursement structure standards and other key process controls Forecast contract impacts to UHC lines of business, departments, health plans and Optum affiliate companies In coordination with UHC healthcare economics and national ancillary colleagues, manage departmental unit cost budgets, target setting, score carding, performance...

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 and start doing your life's best work.(sm) The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Network Contract Manager role with UnitedHealth Group will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people. You'll guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a...

JOB DESCRIPTION: The Education Department is seeking entry-level Survey Assistants to support tasks on the Survey of Doctorate Recipients project and operational data collection activities for other challenging, interesting, innovative multi-year projects.  #LI-AG1 #LI-remote#LI-hybrid#LI-onsite DEPARTMENT: Education and Child Development For more than 40 years, NORC has been committed to conducting high quality education-related research out of our Education Department. Our research covers the full array of education-relevant populations from pre-school children to post-graduate doctorate holders. NORC is a leader in conducting large national surveys, as well as more targeted state and local studies. The scope of our education research methodologies is wide-ranging, including primary data collection, analysis and reporting of existing data, transcript abstraction, classroom observations, qualitative analysis, and experimental and quasi-experimental designs....