UnitedHealth Group

The people of UnitedHealth Group are driven by a mission to help people live healthier lives and help make the health system work better for everyone.

UnitedHealth Group Remote * (Buffalo,NY)
Nov 25, 2020
Full-Time
The Sales Account Manager (SAM) is a field based position charged with enrolling Medicare beneficiaries, residing in a skilled nursing or assisted living facility, into the UnitedHealthcare Institutional Special Needs Plan (ISNP) or the UnitedHealthcare Assisted Living Plan. If you are located in Western NY, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Utilize the national sales model to generate leads and enroll beneficiaries into the UnitedHealthcare Nursing Home or Assisted Living Medicare Advantage plan Develop and manage account specific strategies to educate and engage facility personnel, resulting in the generation of interested residents and/or families (responsible parties) Utilize traditional sales strategies to uncover needs and introduce features and benefits of the plan Generate enrollments consistent with targets established for the territory Document all activity to ensure compliance with...
UnitedHealth Group Remote * (Harrisburg,PA)
Nov 25, 2020
Full-Time
Ifyou want to achieve more in your mission of health care, you have to be reallysmart about the business of health care. Challenge yourself, your peers and ourindustry by shaping what health care looks like and doing your life's bestwork.(sm) You'llbe rewarded and recognized for your performance in an environment that willchallenge you and give you clear direction on what it takes to succeed in yourrole as well as provide development for other roles you may be interested in. Qualifications: Undergraduatedegree or equivalent experience. The Sr. Implementation Director will be responsible for: Providing overall leadership and overall coordination for the implementationteam Representing Optum in client interactions and internal Optum Executive Meetingsregarding the DDI Communicating with client executives and senior leaders from other vendors andrepresenting Optum in the client Executive Review Board and Steering Committee. Responsible for approving client invoices and...
UnitedHealth Group Remote * (San Diego,CA)
Nov 25, 2020
Full-Time
For those who believe in the power of data to help write the next chapter in the history of health care, here's your opportunity. Advancement, an elite group of peers, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged at UnitedHealth Group to do your life's best work.(sm) The Senior Underwriting Consultant will analyze dental and vision benefit plan characteristics and assess risks as to frequency and potential severity of loss of clients. They will utilize underwriting criteria and policies to provide proper rating methodologies. They will also build and maintain models to assist in the economic analysis of market alternatives. The Underwriting Consultant is responsible for the evaluation and recommendation of alternative pricing options and plan design changes based on economic analysis and trends. This role is part of National Accounts Specialty Benefits, Dental, Vision and Financial Protection (Life, Disability,...
UnitedHealth Group Remote * (Baldwin,NY)
Nov 25, 2020
Full-Time
The Director of Business Development is responsible for selling the IE/ISNP value proposition to potential business partners in an assigned geography. The role is assigned business targets and penetration goals for Institutional Special Needs Plans (ISNP) and Institutional Equivalent Special Needs Plans (IE-SNP). If you are located in NY Tri-State Region - Westchester, Putnam, Rockland, Nassau and Suffolk Counties, or North and North East NJ , you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities: Analyze assigned geography to identify, segment and prioritize all skilled nursing facilities (SNFs) and/or assisted living facilities (ALs) Conduct traditional business development activities to engage customers, to illustrate the value proposition and benefits of participation with Optum/UnitedHealthcare, and to collaborate with Optum stakeholders to execute contracts which lead to successful implementation Provide a monthly pipeline...
UnitedHealth Group Remote * (Los Angeles,CA)
Nov 25, 2020
Full-Time
For those who believe in the power of data to help write the next chapter in the history of health care, here's your opportunity. Advancement, an elite group of peers, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged at UnitedHealth Group to do your life's best work.(sm) The Senior Underwriting Consultant will analyze dental and vision benefit plan characteristics and assess risks as to frequency and potential severity of loss of clients. They will utilize underwriting criteria and policies to provide proper rating methodologies. They will also build and maintain models to assist in the economic analysis of market alternatives. The Underwriting Consultant is responsible for the evaluation and recommendation of alternative pricing options and plan design changes based on economic analysis and trends. This role is part of National Accounts Specialty Benefits, Dental, Vision and Financial Protection (Life, Disability,...
UnitedHealth Group Remote * (Norristown,PA)
Nov 25, 2020
Full-Time
Combine 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 in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life s best work .SM What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: Primary Responsibilities: Analyze and apply denials to third party carriers in all media types Comply with departmental Business Rules and Standard Operating Procedures Focus efforts on decreasing the Accounts Receivable, increasing cash, and / or reducing bad debt Interpret explanation of benefits for appropriate follow up action...
UnitedHealth Group Remote * (Chicago,IL)
Nov 25, 2020
Full-Time
This individual contributor will be responsible for planning, executing, measuring and optimizing B2B demand generation campaigns for the Optum Population Health Solutions business. This position will maintain a working knowledge of assigned product line solutions, sales goals, key differentiators, and competitive landscape. This individual will partner with the sales team to understand prospect perceptions, the sales cycle and the pipeline in order to effectively support the sales process, drive opportunity pipeline, and increase customer retention. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Develop and execute B2B marketing programs and projects for assigned product lines with support and guidance of more senior team members Gather input from product, sales, and marketing partners to plan marketing programs, events, and campaigns to measurably create and influence B2B...
UnitedHealth Group Remote * (Portland,ME)
Nov 25, 2020
Full-Time
For those who believe in the power of data to help write the next chapter in the history of health care, here's your opportunity. Advancement, an elite group of peers, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged at UnitedHealth Group to do your life's best work.(sm) The Senior Underwriter will analyze Financial Protection Products- Group Life, Group Short Term Disability (STD), Group Long Term Disability (LTD) and Supplemental Health- plan characteristics and assess risk. The Senior Underwriter will be responsible for protecting profit while balancing sales growth pressure. If you are located within commutable distance from Portland, ME and Hartford, CT you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Analyze Group Life, Disability plan characteristics and assess risks as to frequency and potential severity of loss of clients Utilize...
UnitedHealth Group Remote * (Atlanta,GA)
Nov 25, 2020
Full-Time
This strategic client facing position has overall accountability for assigned Retiree Solutions clients. This senior level positions is assigned mostly tier I and tier II in-force accounts that are typically the largest most complex. The primary responsibility of this position is to develop strategic relationships with assigned clients and execute on exceeding client s needs and expectations that will drive revenue expansion and client retention. This position will be accountable for providing strategic direction and guidance to assigned internal resources that are responsible for delivering services to customers. The Senior SAE is responsible for the overall accountability for the account maintenance, growth and increased profitability of existing business, the acquisition of new business on existing accounts, customer satisfaction and the strategic direction of assigned accounts. The Senior position will have at least 75% of its cases Jumbo/Tier 1 accounts (10k lives or greater)....
UnitedHealth Group Remote * (Las Vegas,NV)
Nov 25, 2020
Full-Time
As a critical member of the network business development and contracting team, this role is responsible for implementing and measuring how the organization continues to move to alternative value-based program structures, and maintains the current network and negotiation of FFS, & risk based contracts with hospital, ancillary and professional providers. Significant interaction with key business and clinical leadership and provider partners. Manages implementation, performance, and maintenance of designated value based programs. This includes performing industry and regulatory analysis that will be used to identify, evaluate, and develop recommendations to support value based contracting, planning, and execution. If you are located in Utah, Idaho, or Nevada, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Provide strategic direction for and oversight of managed care network development activities specific to...
UnitedHealth Group Remote * (Chicago,IL)
Nov 25, 2020
Full-Time
Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm) You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Overseeing the delivery of legal services and related support to OptumHealth Financial Services, including its wholly owned subsidiary Optum Bank (Optum) Collaborating with colleagues across the UnitedHealth Group legal department Proactively identifying and resolving legal and related matters impacting Optum Assisting in the review, preparation and negotiation of various products, documents and contracts associated with the financial...
UnitedHealth Group Remote * (New York,NY)
Nov 25, 2020
Full-Time
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The ACO Account Manager/Network Contract Manager is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise - wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. The ACO Account Manager/Network Contract Manager may perform network analysis and strategy development and implementation; obtain data, verify validity of data, analyze data as required, and analyze network...
UnitedHealth Group Remote * (Houston,TX)
Nov 25, 2020
Full-Time
For those who believe in the power of data to help write the next chapter in the history of health care, here's your opportunity. Advancement, an elite group of peers, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged at UnitedHealth Group to do your life's best work.(sm) The Senior Underwriting Consultant will analyze dental and vision benefit plan characteristics and assess risks as to frequency and potential severity of loss of clients. They will utilize underwriting criteria and policies to provide proper rating methodologies. They will also build and maintain models to assist in the economic analysis of market alternatives. The Underwriting Consultant is responsible for the evaluation and recommendation of alternative pricing options and plan design changes based on economic analysis and trends. This role is part of National Accounts Specialty Benefits, Dental, Vision and Financial Protection (Life, Disability,...
UnitedHealth Group Remote * (Boston,MA)
Nov 25, 2020
Full-Time
No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) Optum combines data, technology, and expertise to power modern health care. The Data & Insights team drives the development, 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 (from the legacy Humedica business), 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...
UnitedHealth Group Remote * (Schaumburg,IL)
Nov 25, 2020
Full-Time
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) The Clinical Engagement Team oversees the clinical product lifecycle and day to day maintenance for the following clinical products: Medication Adherence, Diabetes Management, Orphan Drug Program, and Patterns of Care. The team applies key strategies to improve and maintain market share of these clinical products along with understanding the key indicators to assess product performance, make decisions regarding product features and viability, and leverage deep clinical product expertise for client sales and go to market support. The team comprises of clinical pharmacist product owners and senior analysts / specialists that support various functions to successfully meet the clinical product development and maintenance. The...
UnitedHealth Group Remote * (Minnetonka,MN)
Nov 25, 2020
Full-Time
The Business Analyst Consultant will serve as a member of the UnitedHealthcare Clinical Services Information Services team. This person will be responsible for the creation of reports pulling from a variety of UHC platforms to visualize enrollment, health and pharmacy claims, cost, and quality of our members and providers in the full range of clinical reporting. This is a position that is highly matrixed with the UCS Population Health management division, lines of business, and clinical support teams. The person must be a self-starter and possess outstanding analytical skills. This role reports to the Senior Director of Population Information Services for the Quality Solutions Delivery Technical Operations team. This individual will design and enhance reports for national, regional, and state quality reporting; provider profiling; and, other clinical quality aims. Scope of responsibilities understanding of various enterprise data platforms, working with various reporting...
UnitedHealth Group Remote * (Eden Prairie,MN)
Nov 25, 2020
Full-Time
Tough challenges? We know a thing or two about those. When you'reon a mission to help people live healthier lives, the stakes couldn't behigher. As a Business Analyst Consultant, you will help rewrite the futureof the health care system. You'll analyze data and deliver bold, business-savvyideas to impact the lives of millions. Along with ground-breaking challenge,you'll have the support and resources of a Fortune 6 company. Join us. You'll enjoy the flexibility to telecommute* from anywhere withinthe U.S. as you take on some tough challenges. Primary Responsibilities: Experience in projectorganization, event logistics, communication and planning for businessprocesses Analyze data to beable to budget, review, forecast and trend operational logistics Manage large andcomplex stakeholder groups using clear communications and processes Develop and implementeffective / strategic business solutions through timeline and plan management Support short - andlong - term...
UnitedHealth Group Remote * (Minnetonka,MN)
Nov 25, 2020
Full-Time
The Associate Director, Business Analysis report is responsible for managing information services requests including new reports, analyses and management of special projects for quality activities. Activities include executing on business requirements and providing thought leadership for SSRS, Tableau, and other types of reports to ensure HEDIS retrospective and prospective rates, quality ratings, and accreditation measures are maximized across the corresponding lines of business (Commercial, Medicare, & Medicaid). This position will lead a team of 7-8 business and reporting analysts who serve as in delivering actionable reporting and analytics in support of organization Blue Chips. This highly matrixed role also supports process improvement activities and develops associated action plans to manage full deliverable or project lifecycle. Additionally, this position is responsible for conducting and managing outcomes of various studies including analyzing, reviewing,...
UnitedHealth Group Remote * (New York,NY)
Nov 25, 2020
Full-Time
What makes your Actuarial career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best. The Director Actuarial Services, Pricing leads and manages teams with responsibility for coaching actuaries and developing student actuaries. This position will be a State Actuary supporting the Individual medical product line. They will work with the health plans to develop product strategy and pricing for the on-exchange individual products. The Director Actuarial Services, Pricing is a subject matter expert and trusted advisor for health plan leadership in ensuring that program rates are competitive, adequate and actuarially sound. This individual will lead and/or coordinate analytical efforts to support the rate setting process including competitive analysis, network analysis, risk adjustment, trend, actuarial benefit value analysis, etc. This individual will...
UnitedHealth Group Remote * (Los Angeles,CA)
Nov 25, 2020
Full-Time
What makes your Actuarial career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best. The Director Actuarial Services, Pricing leads and manages teams with responsibility for coaching actuaries and developing student actuaries. This position will be a State Actuary supporting the Individual medical product line. They will work with the health plans to develop product strategy and pricing for the on-exchange individual products. The Director Actuarial Services, Pricing is a subject matter expert and trusted advisor for health plan leadership in ensuring that program rates are competitive, adequate and actuarially sound. This individual will lead and/or coordinate analytical efforts to support the rate setting process including competitive analysis, network analysis, risk adjustment, trend, actuarial benefit value analysis, etc. This individual will...