UnitedHealth Group Jobs & Careers - Remote Work From Home & Flexible

• US National

Design, code, test, document, and maintain high-quality and scalable Big Data, Cloud solutions. Design and architect data solutions to suit client product needs. Develop and implement analytic solutions.

• MN, ND, SD, NE, IA, MO, WI, IL, IN, MI

Deliver remote care through an 8-week evidence-based program. Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes. Participate in team meetings and maintain confidentiality a..

• US National

Deliver remote care for 8 weeks, monitor progress, provide follow-up communications, coordinate care, document session notes, assist participants with accessing resources and obtaining consent and authorization forms.

• Houston, TX, or US National (Not hiring in CA, CO, CT, NV, NJ, NY, RI, WA)

Provide social work services to families of critically ill newborn infants. Communicate with families, physicians, and community/governmental agencies. Assist families in applying for benefits and assess for social, economic, and emotional factors.

• US National

Bring traditional actuarial skills to provider organizations as the healthcare market evolves. Develop strategies, evaluate studies on pricing and utilization, analyze trends, lead meetings, mentor junior analysts, and collaborate with cross-function..

• Nashville, TN

Oversee performance of end-to-end provider servicing, resolve complex problems and provide guidance to team members, drive the design and implementation of programs that build positive relationships with providers and practice managers.

• Torrance, CA

Provide telephonic nursing assessment, evaluation, and advice to patients through established protocols; Direct patients to appropriate care based on assessment; Document interactions and maintain records.

• US National

Define and develop APIs for integration with various data sources in the enterprise. Analyze and define customer requirements. Assist in defining product technical architecture. Collaborate with management, quality assurance...

• US National

Lead large evaluation and policy analysis projects, contribute to business growth by identifying opportunities and developing winning proposals, and lead and develop a team of consultants. PhD in related field and experience required.

• US National

Research and develop AI methods, design and build tools for AI testing and monitoring, provide oversight and review of proposed AI, conduct red team/adversarial reviews, manage third-party AI assessors, lead AI due diligence efforts...

• Phoenix, AZ, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Manage and evaluate UM Prior Authorization Nurses, Inpatient Care Managers, Clinical Coordinators and other team associates. Manage compliance for UM to meet established performance metrics. Develop, implement, review and revise policies, procedures ..

• MN

Manage Revenue Cycle Management (RCM) A/R and cash application process. Improve cash flow/DSO through effective accounts receivable and collections. Ensure effective RCM A/R and Cash App processes, improving financial and operating controls.

• ND, SD, NE, KS, OK, TX, MN, IA, MO, AR, LA, WI, IL, KY, MS, AL

Develop strategic relationships with assigned clients, exceed client's needs and expectations, drive revenue expansion and client retention, provide strategic direction and guidance to internal resources responsible for delivering services to customers.

• New York, NY, or US National

Seeking a Sr Storage Engineer with 10+ years of experience in IT or engineering. Responsible for managing storage infrastructure, including SAN, NAS, public cloud storage and data protection. Define and enforce standards for storage and mentor others..

• CO

Provide consultation to providers and/or consumers on a variety of issues including benefit information, safety issues, confirmation of prior authorizations and approvals, procedures for higher levels of care evaluations, and request for an explanation...

• Miami, FL

Develop and implement sales strategies to penetrate assigned markets and generate revenue. Manage sales resources and conduct presentations to targeted providers. Coordinate marketing efforts with other departments.

• ME, MA, NH

Build and grow a productive team of sales agents and strategic partners. Develop and execute marketing strategies to achieve sales targets. Conduct trainings, presentations, and outreach activities. Analyze data and recommend improvements for sales a..

• Seattle, WA, Portland, OR

Develop sales plan, research targets, make cold calls, use consultative sales process, create relationships with manufacturers, close sales, serve medical practice accounts and manage expenses. Travel 50%.

• Overland Park, KS, Kansas City, MO

Manage provider groups by educating providers, developing strategies aligned with company initiatives, driving process improvements impacting revenue and quality metrics, conducting provider meetings, collaborating with internal teams, and analyzing ..

• US National

Serve as the subject matter expert on Azure and one other cloud platform. Develop digital solution blueprints and architect digital native properties. Work with various data platforms and integration platforms.

• HI

Review diagnostic evaluations, obtain clinical information, determine treatment necessity, manage outpatient cases, coordinate care transitions, provide education and resources, quote benefits, and provide referrals.

• TN

Review diagnostic evaluations, manage outpatient cases, coordinate benefits, and provide education/resources to parents/caregivers for Applied Behavior Analysis treatment. Requires Tennessee residency and clinical license.

• Eden Prairie, MN, or US National

Manage complex projects for healthcare clients, conducting data analytics, leading cross-functional teams, and presenting solutions to senior leaders. Requires 5+ years of consulting and project management experience and excellent communication skill..

• AZ

Review diagnostic evaluations, obtain clinical information, determine treatment necessity, manage outpatient cases, coordinate benefits, provide education and resources, quote benefits, and provide referrals.

• Minneapolis, MN

Codes medical records using coding classifications, analyzes for accuracy, provides feedback to improve documentation quality, collects data elements, addresses incomplete records and identifies areas of improvement in coding.

• NY

Assist in end-to-end provider claims, enhance physician portal, build positive relationships between health plan and providers, support development of provider networks, implement training programs for external providers.

• NM

Confirm contract compliance, strengthen provider networks, conduct advocacy activities, analyze data, own network adequacy reporting, act as health plan subject matter expert, perform network analysis, provide guidance and support to others.

• US National

Develop testing automation strategy, collaborate with stakeholders, mentor team of specialists, ensure compliance with regulatory requirements, maintain project plans, budgets, and timelines, investigate and diagnose problems, provide subject matter ..

• Worcester, MA

Process prescription requests accurately and timely. Handle patient calls, medication refills/renewals, and prior authorizations. Work independently with multiple tasks in a fast-paced environment while maintaining patient safety and satisfaction.

• CA

Review diagnostic evaluations, obtain clinical information, determine treatment necessity, manage outpatient cases, coordinate benefits and transitions, provide education and resources, quote benefits and provide referrals.

• Eden Prairie, MN, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Review diagnostic evaluations, obtain clinical information, and determine medical necessity for Applied Behavior Analysis. Manage outpatient cases, coordinate benefits, and provide education and resources to parents/caregivers.

• MN

Integrate a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollees health needs, using education, communication, and all available resources...

• Phoenix, AZ, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Identify and establish new customers within a territory. Build strategic partnerships with consultants, brokers, and distribution channel partners. Conduct sales presentations and conferences to create awareness of products and services.

• Eden Prairie, MN, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Lead client engagement delivery for large-scale and complex projects. Develop data programs and forecast models using analytical tools. Manage a team of Actuarial Consultants, provide coaching, and support cross-business collaboration with Optum actu..

• US National

Manage VA IT opportunities, collaborate with senior growth executives, conduct research and data analysis on healthcare consulting projects, and stay up-to-date with industry best practices. Required: direct sales experience...

• US National

Perform quantitative analysis, design complex evaluation analytic plans, work with large-scale data sets, apply statistical methodologies, write effective code, create surveys, prepare reports and presentations, and develop strategic working relation..

• US National

Responsible for managing operations, identifying cost savings, and driving cost efficiency and operational improvements. Collaborate with other teams to deploy enterprise productivity tools and develop innovative solutions using industrial engineerin..

• Falls Church, VA, or US National

Perform quantitative analysis for Medicare and Medicaid payment models. Develop payment calculations, conduct financial analysis, apply machine learning and predictive modeling. Query large healthcare databases and write detailed documentation of ana..

• US National

Develop services, controls, and patterns for public cloud that enable security and privacy at scale. Help define technical solutions to meet business needs through Agile process. Foster high-performance, collaborative technical work resulting in high..

• US National

Develop and implement information security policies and procedures. Oversee cyber threat intelligence services to internal and external stakeholders. Build, grow, and lead effective intelligence teams. Mentor, train, and develop skills of the team.

• Minnetonka, MN, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Identify and track threat campaigns, analyze malware, develop threat actor profiles, monitor threat landscape, manage intelligence requirements, perform research and collection, develop threat intelligence reporting, support Cyber Defense and Enginee..

• US National

Develop and manage data assets and infrastructure for public health surveillance and research activities. Extract, link, validate, and refresh data from multiple DBMS sources. Collaborate with analysts to provide technical specifications and maintain..

• US National

Manage project delivery teams responsible for day-to-day project execution, including teams responsible for calculating payments, conducting financial and trend analysis, calculating quality metrics...

• US National

Manage batch job migration and conversion activities for the Health Services Data Warehouse. Learn and follow operational protocols and best practices. Test and ensure accuracy of batch job conversions. Lead and mentor other developers in job convers..

• Minneapolis, MN

Responsible for insurance billing follow-up, claim resolution, and accounts receivable management. Assists in training and mentoring team members. Monitors trends and participates in process improvement initiatives.

• Minneapolis, MN

Understand and correct errors on insurance claims, reconcile accounts using various resources, process third-party rejections, resolve complex denials, provide training to new employees, assist in policy development.

• Minneapolis, MN

Process and resolve complex denials, trend analysis, appeals, and provide training to new employees. Utilize various resources to reconcile accounts and deal with difficult revenue cycle situations. 3+ years of experience in revenue cycle operations ..

• Minnetonka, MN, or US National

Lead digital brand strategy and execution across multiple paid media channels. Drive research, strategy, design, forecasting and execution of digital brand programs to grow, engage and retain members. Oversee growth activities for Google, Bing, Meta,..

• Ireland

Perform data quality evaluation and manipulation, support financial forecasts and ad-hoc data analytics, perform meaningful analytics to curb spend, develop studies on pricing and healthcare costs. Utilize best practices for coding and ML skills.

• Minnetonka, MN, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Lead the transformation of financial protection benefits and services by defining and delivering operational claim strategies, process improvement, and innovative solutions. Collaborate with cross-functional leaders, hire and lead a high-performing team.