The Director will lead cross-functional GTM initiatives, including pricing strategy, commercial models, and portfolio planning to drive scalable growth. They will partner with Finance and other stakeholders to translate market requirements into decision-ready recommendations and operationalize pricing and packaging strategies.
Design, develop, test, and maintain scalable software applications, REST APIs, and backend services across the full development lifecycle. Collaborate with cross-functional teams in an Agile environment to deliver features, resolve production incidents, and implement AI-powered solutions.
The Telephonic Case Manager RN is responsible for assessing, planning, and coordinating care for transplant patients through telephonic interaction. They identify gaps in treatment plans, provide patient education, and facilitate connections to necessary health resources.
The Clinical Triage Specialist is responsible for delivering high-quality, compassionate care by managing after-hours and holiday triage calls from patients and families. They must accurately document clinical interactions in the electronic medical record and coordinate with on-call nurses to ensure timely patient assessments.
The analyst will manage charge description master consistency, approve service fees, and ensure accurate billing practices within the Epic system. They will also analyze third-party payment trends and collaborate with the revenue cycle team to improve process efficiencies.
The Pharmacy Care Coordinator facilitates prior authorizations, reviews medical benefits, and manages financial assistance for patients with acute and chronic conditions. They also collaborate with internal teams and healthcare professionals to ensure seamless delivery of benefits while maintaining strict confidentiality.
Set and lead UnitedHealthcare’s enterprise Employer & Individual marketing strategy across B2B and B2C audiences, products, and markets, including product positioning, member engagement, sales enablement, and go-to-market execution. Build an integrated marketing organization and operating model, advise senior leaders, and manage insights, measurement, budgets, and external partners to drive growth, retention, and enterprise value.
The Coder II is responsible for assigning accurate diagnostic and procedural codes to patient health records to support data retrieval and claims processing. They also provide documentation feedback to providers and ensure coding meets established quality and performance standards.
This position manages Medicare Advantage Part D prescription benefits by resolving pharmacy service calls and processing coverage determinations. The role also involves supporting pharmacy quality initiatives and performing general clerical duties to ensure compliance with CMS standards.
Lead clinical transformation and performance improvement initiatives for physician practices participating in value-based care programs, using data to improve quality, efficiency, utilization, and savings. Build practice relationships, guide action plans and workflows, deploy clinical support tools, and coordinate with internal teams and external partners to achieve program goals.
The clinician will screen and assess patients for mental health and substance abuse disorders while providing evidence-based treatments like CBT and DBT. They are also responsible for maintaining accurate electronic medical records and monitoring patient treatment responses.
Manage a portfolio of strategic merchants and partners to drive performance, growth, and operational excellence across the payment network. Lead cross-functional initiatives and serve as the primary escalation point for complex merchant issues.
The Senior Investigator is responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse by analyzing claims data and conducting field interviews. They must maintain accurate case documentation, ensure regulatory compliance, and collaborate with state and federal partners.
The Inpatient Care Management Nurse performs initial and concurrent reviews of inpatient cases using evidence-based criteria to ensure appropriate utilization of health services. They collaborate with medical directors and facility staff to facilitate effective discharge planning and ensure members receive the most appropriate level of care.
The Care Coordinator applies clinical knowledge to manage care for medically complex members, ensuring access to services and providers. They conduct assessments, develop individualized care plans, and collaborate with multidisciplinary teams to improve health outcomes.
Provide outpatient psychiatric evaluations and medication management while collaborating with a multidisciplinary team to coordinate patient care. Maintain accurate electronic medical records and ensure compliance with all regulatory requirements and clinical standards.
Manage high-volume inbound and outbound calls while coordinating care and processing referrals, prior authorizations, and medical records. Collaborate with hospitals, clinics, and the clinical team to resolve member inquiries and ensure efficient service delivery.
The Senior Tech Product Manager will lead the strategy, development, and optimization of digital product initiatives while driving cross-functional collaboration. They are responsible for defining product roadmaps and utilizing data-driven insights to enhance customer engagement and business growth.
The engineer will design, deploy, and maintain enterprise Network Detection & Response (NDR) sensors and pipelines to ensure accurate security monitoring. They will also collaborate with network and security teams to remediate visibility gaps and build platform observability using automation tools.
The Information Security Engineer is responsible for triaging security alerts from various sources and providing front-line support to users regarding security issues. They will also perform threat investigations, document incidents, and identify process improvements to enhance detection and workflow efficiency.
The role involves assigning accurate CPT and ICD-10 codes for outpatient acute interventional radiology services while maintaining quality and productivity standards. Additionally, the coder will analyze CCI edits, provide documentation feedback to providers, and participate in departmental educational meetings.
Design, build, and maintain secure, scalable cloud infrastructure and deployment pipelines on Google Cloud Platform. Architect and deploy agentic AI workflows to automate incident triage, root-cause remediation, and system self-healing.
The Market Medical Director provides physician-executive leadership for a home-based clinical model, ensuring safe execution and high-quality care for complex populations. They are responsible for building clinician capability, interpreting clinical performance signals, and partnering with market leadership to drive measurable improvements in quality and affordability.
The Clinical Appeals RN will review and interpret clinical documentation to determine the appropriateness of medical services and defend prior authorization decisions at appeal hearings. They will also collaborate with leadership to ensure operational efficiency and act as a resource for the team regarding complex clinical issues.
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address gaps in care and educate members on disease processes and health management.
The role involves leading the implementation of SRE practices, including SLIs, SLOs, and error budgets, to improve system reliability and operational excellence. You will also design and support scalable cloud-native platforms while driving automation and incident response efforts.
The role involves conducting outreach to newly enrolled Medicaid members to perform initial health screenings and identify medical, behavioral, and social needs. You will document results, explain program benefits, and connect members to appropriate care teams and community resources.
The Senior Customer Service Representative will manage incoming healthcare claim calls, verifying data and resolving issues for providers and members. They are responsible for documenting information accurately in computer systems while meeting performance goals for quality and efficiency.
Manage phone metrics and ensure team performance meets expectations while focusing on first call resolution. Provide guidance, training, and feedback to team members to resolve complex scheduling issues and customer complaints.
The registered nurse is responsible for managing incoming calls from patients and healthcare providers to assess needs using triage guidelines. They facilitate appropriate care options, referrals, and communication between patients and medical providers.
