69 jobs found

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.  OptumRx is looking for a Finance Manager to support the PBM Operations teams.  This position is an integral part of the PBM finance team providing financial support and leadership to our business partners which includes SG&A management including cost management, monthly reporting, month-end close, forecasting/budgeting activities, cost metrics, and revenue reporting. If you are located in...

UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing 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: Review medical claims data for accuracy and assist with the resolution of any discrepancies Analyze medical data and interpret key drivers of healthcare trends Conduct studies on healthcare utilization and costs to identify savings opportunities Provide management with actuarially informed findings and conclusions Assist in peer review of analyses completed by actuarial analysts Mentor and supervise actuarial analysts in the technical aspects of the team's projects You’ll be rewarded...

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) A specialty pharmacy provides critical medications used to treat people with serious health conditions requiring complex therapies.  Optum Specialty Pharmacy (OSP) takes a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient.  Over the last decade, specialty plan costs have grown 20X the rate versus traditional prescription drugs.  As a result, specialty drugs represent...

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) Lead accounting efforts for one of Optum Insights newest Market Performance Partnerships. Primary Responsibilities: If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier...

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)  The Senior Product and Project Consultant, Advisory Services is a consulting expert within Optum Advisory Services (OAS) – Payer Enterprise Delivery Services practice. OAS Payer Enterprise Delivery Services is a rapidly growing business that serves clients across the health care ecosystem. We provide on-demand access to consulting talent with unparalleled experience and combine it with premium customer care and flexible...

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 is an exciting role within the rapidly growing Optum HouseCalls division within UnitedHealth Group. HouseCalls is a service offered by Optum to eligible members, where a Nurse Practitioner visits the member’s home once a year to conduct a thorough medical health assessment on the member. This is a highly sought after service in the Medicare market with positive clinical benefits for our members and the company.  As a Senior...

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)   The Project and Product Consultant, Advisory Services is part of the Optum Advisory Services (OAS) - Payer Enterprise Delivery Services practice. OAS Payer Enterprise Delivery Services is a rapidly growing business that serves clients across the health care ecosystem. We provide on-demand access to consulting talent with unparalleled experience and combine it with premium customer care and flexible contracting, allowing...

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...

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.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: This role is responsible for leading the Pricing and Underwriting teams for OptumRx.  This includes: pricing and underwriting new business, renewals, and market checks across client segments for a ~$100B+ growth business Partner with...

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.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Assist in running the day-to-day PCM (pharmacy and client payments) striving for operational excellence and improving our Net Promoter Scores Partner with other departments, including Retail Network Ops, Provider Relations, Claims Operations...

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) The Sr. Manager Revenue Cycle Analytics role plays a pivotal role of connecting operational and executive leadership with the timely, accurate, and comprehensive insights to the financial health of the end-to-end revenue cycle. Acting as the ‘voice of data’ in the team, this role identifies the most impactful areas for improvement, supports operational excellence projects, and reports on end performance.  This role sits at the...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.    Primary Responsibilities: Management of multiple projects simultaneously, requiring collaboration with various Subject Matter Experts, supporting complex clinical and technological implementation content development Recommend and creates solutions and/or changes to existing programs and / or processes to improve the effectiveness of training for clinical audiences and in support of infrastructure for growth of the Education Solutions team Works across the organization collaboratively to define and implement provider-focused training solutions that support business strategy, resulting in...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  Position in this function is under the leadership and direction of the Chief of the Office for Provider Advancement (OPA), this position will lead strategic development, implementation, and execution of strategic and operating objectives to support the advancement of health equity across the enterprise, driving alignment across UHG and Optum, within Optum Health (OH), and with executive leadership and key stakeholders. Responsible to lead the Health Equity Pillar of Excellence within the OPA and carry on the duties as assigned in pursuit of OPA’s mission.  Responsible for planning, coordinating, directing and monitoring all operational, organizational, strategic and financial aspects of the Health Equity pillar, under...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position has responsibilities for Quality Performance Improvement activities for specific contracts across multiple geographies. Serves on multiple Optum Clinical and Quality Committees and leadership teams designed to provide strategic direction for all local care delivery groups within Optum. The Director, Contract Stars Performance Improvement provides strategic direction, leadership, and oversight for performance.  This role is responsible for planning, organizing, and directing the administration of all Quality Programs\Strategies. Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff. Responsible for...

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) As a Senior Healthcare Researcher in OptumCare Advanced Analytics group, you will perform critical research and data analytics that measure the value of OptumCare’ s programs and drive program effectiveness. Your role will include developing study methods, analyzing complex data with statistical and visual techniques, building predictive models, and interpreting and presenting findings. You’ll work closely with business leaders and...

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) Clinical Performance (CP) is charged with effectively implementing, monitoring, and executing on clinical documentation, quality, and affordability programs that promote patient health while improving the provider practice experience with a special focus on Medicare Risk Adjustment. Clinical Performance processes on a national level by providing support in all markets served by OptumCare Delivery.   The Senior Data Engineer will be...

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.  You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Functions as implementation primary point of contact for all inbound and outbound integrations between client systems and Optum Medicaid Management Services (OMMS) Works directly with client and Optum business and technology leadership to plan and...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  This position includes focus of managing the Behavioral Health network in multiple states with emphasis on provider education and support, claims investigation, and contracting support. There is direct provider support through phone and email engagement, along with online meetings. Communication skills to address escalated issues and collaborating with multiple partners is necessary. Knowledge of behavioral claims, contracting processes, and provider types is preferred. This position obtains data, verifies validity of data, and analyzes data as required.  You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assess and...

We are seeking a detail-oriented data entry operator to compile, capture, and maintain our digital database. As a data entry operator, you will be required to compile, merge, and format documents for data entry, check documents for errors, input data and update the database, and manage the digital filing systems. To be a successful data entry operator, you should possess excellent typing skills and be attentive to detail. Skilled data entry operators should be able to quickly identify data errors and demonstrate precision in their work. Pay: $17.00 - $26.00 per hour Data Entry Operator Responsibilities: Gathering, collating, and preparing documents, materials, and information for data entry. Conducting research to obtain information for incomplete documents and materials. Creating digital documents from paper or dictation. Reviewing all documents and information for accuracy and informing the supervisor of any errors or inconsistencies. Capturing data into digital...

Network Infrastructure Engineering Senior Advisor (Automation) As a network automation engineer, we are bringing Software Engineering, Agile & DevOps principles to Enterprise Networking. The network team is looking for an engineer to help drive our automation tasks to completion. We are looking for someone to join our team to work on automating our network operations to the furthest extent possible. Our Goals: Deliver infrastructure as code that has had automated end-to-end testing, documentation via published work & development processes & standards. Greatly reduce repetitive boring manual tasks so you can work on the fun challenging projects that advance efficiency and operational integrity of Cigna's IT infrastructure. Prevent fat finger mistakes or other errors and revert configurations back to the last working configuration in order to restore network services as quickly as possible. As a Network automation engineer you will: Interact with network...