Design and implement scalable software solutions while owning complex technical areas from architecture to deployment. Mentor other engineers and collaborate cross-functionally to reduce technical debt and ensure system reliability.
UnitedHealth Group
390 Remote Job Openings at UnitedHealth Group
Contact insurance providers to resolve payment delinquencies, claim errors, and delays to recover overdue payments. Adhere to Accounts Receivable policies and handle complex billing inquiries, potentially collaborating with legal counsel.
Principal Software Engineer - Remote or Hybrid in MN and DC
UnitedHealth Group
·
Full Time
·
2 hours ago
UnitedHealth Group
Design, develop, and operate secure cloud platform services while leading a team of engineers to align technical solutions with architectural principles. Focus on automating repetitive tasks, managing security controls, and mentoring the Cloud Platform team to reduce technical debt.
Senior ABA Clinical Quality Specialist - Hybrid
UnitedHealth Group
·
Full Time
·
3 hours ago
UnitedHealth Group
The role manages the full lifecycle of ABA site reviews, including pre-visit data analysis, onsite operational assessments, and post-visit quality reporting. It focuses on ensuring provider compliance with clinical standards and implementing quality action plans to improve health outcomes.
Financial Clearance Representative Associate
UnitedHealth Group
·
Full Time
·
3 hours ago
UnitedHealth Group
Responsible for completing the financial clearance process and verifying insurance eligibility for patients. This includes securing prior authorizations for medications and coordinating with medical staff and insurance payers.
Senior Epic Patient Experience Analyst
UnitedHealth Group
·
Full Time
·
3 hours ago
UnitedHealth Group
Design, build, and optimize AI-enabled Epic solutions to improve patient access and engagement. Partner with clinicians and IT teams to translate business needs into functional requirements and scalable technical solutions.
RN MSK Preservice Review Nurse Remote
UnitedHealth Group
·
Full Time
·
3 hours ago
UnitedHealth Group
Review Musculoskeletal care requests to determine medical necessity and appropriateness of inpatient and outpatient services. Maintain communication with involved parties and adhere to documentation and performance guidelines.
Design and develop scalable micro-frontends and backend services for patient-facing healthcare applications. Modernize legacy systems into reusable UI components and integrate AI-powered capabilities to optimize development workflows.
The Account Coordinator monitors operational activities for claims and reviews for assigned accounts while serving as the primary point of contact for employer clients. They coordinate with internal teams to implement systems, resolve billing issues, and contribute to continuous process improvement.
Corporate Development Analyst - Lafayette, LA
UnitedHealth Group
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Full Time
·
3 hours ago
UnitedHealth Group
The role involves preparing financial and operational proformas for acquisitions and partnerships while coordinating due diligence. The analyst also manages M&A databases and supports strategic projects under the Vice President of Corporate Development.
Behavioral Health Care Advocate - Utilization Management Remote
UnitedHealth Group
·
Full Time
·
4 hours ago
UnitedHealth Group
Perform utilization review and management for behavioral health admissions and continued stays to ensure medical necessity. Coordinate care plans and manage transitions between care settings to optimize member health outcomes.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
4 hours ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff on a 24/7 rotating schedule. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Clinical Documentation Integrity Specialist RN (MNA)
UnitedHealth Group
·
Full Time
·
4 hours ago
UnitedHealth Group
Responsible for reviewing electronic medical records to ensure accurate clinician documentation and risk adjustment capture. Conducts concurrent and retrospective abstraction to assign accurate diagnosis codes to patient problem lists.
Senior Network Pricing Consultant - Remote CST/EST preferred
UnitedHealth Group
·
Full Time
·
4 hours ago
UnitedHealth Group
Own and maintain Out of Network and hospital-based physician pricing models while ensuring compliance with the No Surprises Act. Perform complex financial analyses and develop SQL-based reporting to inform network strategy and leadership recommendations.
The Install Specialist is responsible for implementing and maintaining pharmacy benefit requirements within the RxCLAIM adjudication system. This includes performing new plan builds, validating system configurations, and collaborating with cross-functional teams to ensure accurate claim adjudication.
Handle a high volume of patient calls to provide login assistance and support for the MyChart patient portal. Assist patients with telehealth appointment setup and troubleshooting while maintaining strict HIPAA compliance.
Clinical Consultant Pharmacist, Health Plans
UnitedHealth Group
·
Full Time
·
6 hours ago
UnitedHealth Group
Lead and manage contract relationships and pharmacy benefit analysis for assigned health plan clients. Serve as the primary clinical liaison to provide proactive recommendations and manage clinical program goals to improve health outcomes.
RN Call Us First - Remote in WA State
UnitedHealth Group
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Full Time
·
6 hours ago
UnitedHealth Group
Provide telephone triage assessments to primary care patients using approved protocols and telecommunications technology. Document all patient inquiries accurately and make appropriate referrals for health services.
Manage ongoing contract relationships and service delivery for large or complex employer group accounts. Coordinate with internal operations teams to implement client systems, resolve escalated issues, and lead annual open enrollment activities.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
6 hours ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients in nursing homes and assisted living settings. Coordinate care between caregivers, facilities, and providers while managing acute and chronic conditions.
Coordinate referrals and develop individualized care plans for high-risk members while acting as a liaison between providers and health plans. Provide member education, coaching, and clinical monitoring to ensure high-quality care across the continuum.
The Software Engineer is responsible for the end-to-end development, delivery, and quality of features, including both backend and frontend implementation. This includes designing, coding, and testing user stories while automating business solutions and AI-powered applications.
TPA Field Account Manager - Remote in NY, NJ, or PA
UnitedHealth Group
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Full Time
·
19 hours ago
UnitedHealth Group
The TPA Field Account Manager serves as the primary service owner and liaison between customers and the Operations Service team to ensure prompt issue resolution. Responsibilities include conducting customer training on web tools, managing service trends, and coordinating open enrollment meetings.
Install, configure, and maintain PostgreSQL databases while managing availability, security, and performance tuning. The role involves automating database operations and providing best-practice guidance to development teams.
Manage and analyze capitation revenue and financial performance across multiple healthcare plans. Deliver accurate month-end reporting, data loads for accounting, and handle ad hoc financial requests.
Design, implement, and manage cloud data platform infrastructure using Azure and Snowflake. Develop CI/CD pipelines with GitActions and automate cloud resources using Terraform.
Provide operational support and performance tuning for Oracle databases across various environments from development to production. Manage data migrations, patching, and automation to streamline database operations and support cloud platforms.
Investigate and resolve dental claims issues, including tax levies, returned checks, and subrogation recoveries. Serve as the financial subject matter expert for the claims processing team and prepare required financial reports.
Design, develop, and deploy AI-powered solutions using various platforms to enhance business workflows and decision-making. Collaborate with cross-functional teams to maintain software applications and ensure compliance with security and privacy standards.
Remote Registered Nurse RN, 3-11:30 PM, Call Center
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
The RN provides patient care and triage via telephone, addressing wellness, acute illness, and chronic disease needs. Responsibilities include collecting health status information, documenting data in the EHR, and implementing care plans in partnership with physicians and patients.
The Medication Navigator engages with patients, providers, and pharmacies to ensure adherence to prescribed medications and resolve barriers to filling prescriptions. They serve as a subject matter expert on pharmacy-related quality measures and track performance metrics to improve clinical outcomes.
Medical Director - Otolaryngology - Remote (PST Hours)
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and renders determinations based on member plan benefits and medical necessity. They collaborate with multidisciplinary teams and providers to ensure cost-effective, high-quality medical care.
Design, develop, and maintain high-quality software applications and services to improve global health outcomes. This includes full-stack engineering, implementing DevOps practices, and collaborating on system architecture and delivery planning.
Inpatient Care Management Nurse RN - Remote
UnitedHealth Group
·
Full Time
·
a day ago
UnitedHealth Group
Perform initial and concurrent reviews of inpatient cases using evidence-based criteria to ensure proper utilization of health services. Collaborate with medical directors and healthcare professionals to facilitate appropriate levels of care and effective discharge planning.
Design and maintain scalable backend services, APIs, and event-driven microservices using Java, Python, and Kafka. Build and integrate AI/ML-powered features and data processing pipelines while ensuring production readiness through CI/CD and monitoring.
Partnership Operations Manager – Ancillary Benefit Management
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
The role focuses on executing and optimizing operational processes for internal and external partnerships within the Ancillary Benefit Management business. Key duties include managing SLAs, preparing performance dashboards, and coordinating cross-functional teams to ensure partner alignment and efficiency.
Inpatient Care Management, Medical Director licensed in MO - Remote in MO
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
Conduct acute level of care and length of stay reviews for medical necessity across various health plans. Collaborate with treating providers and business partners to implement evidence-based medicine and clinical quality initiatives.
Manage high-volume billing transactions and reconcile accounts receivable for government and commercial contracts. Maintain general ledger accounts and prepare financial statements in accordance with GAAP to support month-end and quarter-end closing processes.
Clinical Specialty Program Pharmacist - Remote
UnitedHealth Group
·
Full Time
·
a day ago
UnitedHealth Group
Lead and manage client relationships by providing pharmacy benefit analysis and clinical specialty pharmacy consultation. Coordinate internal functions to implement client systems and execute clinical strategies, including quality initiatives and quarterly business reviews.
Associate Director, Behavioral Health Value Creation
UnitedHealth Group
·
Full Time
·
a day ago
UnitedHealth Group
Lead continuous process improvement and root cause analysis to enhance provider and member experiences within behavioral health solutions. Collaborate cross-functionally with technology, legal, and clinical teams to drive operational excellence and cost effectiveness.
Design, develop, and maintain full-stack applications using ReactJS, Java microservices, and GraphQL. Architect cloud solutions on Azure and Kubernetes while optimizing CI/CD pipelines and ensuring robust automation testing.
Provide telephone triage assessments and health advice to primary care patients using approved protocols. Document all inquiries accurately and make appropriate referrals for health services.
Design and optimize scalable data and AI platforms on Azure using Databricks and Spark. Collaborate with AI teams to operationalize ML models and build robust data pipelines for production workflows.
The role involves consulting and validating provider network contracting and unit cost management through financial modeling and utilization analysis. It also requires supporting network pricing strategies and communicating financial impacts to stakeholders.
Design, code, test, and debug applications to modernize legacy systems into cloud-native platforms. Collaborate with stakeholders to refine business requirements into technical solutions and mentor junior engineers.
Part-Time Behavioral Medical Director - Licensed in Minnesota - Remote
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
Provides oversight and direction for the Utilization Management Program and performs clinical peer reviews. Collaborates with leadership to implement evidence-based treatments and improve healthcare system outcomes.
Develop and manage a geographically competitive provider network by negotiating contracts and managing unit cost budgets. Establish strong business relationships with high-profile providers to ensure network adequacy and affordability.
Associate Director Actuarial Services - Remote
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
Lead complex supplemental product reserving projects for the individual market using actuarial analysis and SQL-based applications. Manage monthly close activities, regulatory filings, and provide technical guidance to stakeholders and staff.
Define and evolve AI-enabled test strategies and develop automation-first frameworks to optimize coverage and defect detection. Partner with engineering teams to embed AI-assisted testing into the delivery pipeline and resolve production issues using automated diagnostics.
Associate Director, Network Contracting - Remote
UnitedHealth Group
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Full Time
·
a day ago
UnitedHealth Group
Guide the development of competitive provider networks and manage unit cost performance through financial modeling and reporting. Develop market-level strategies and resolve operational problems to improve healthcare quality and efficiency.
The analyst reviews patient medical records to extract case details and craft defensible appeal letters using evidence-based medical literature. They recommend coding changes to optimize financial impact and represent clients during Administrative Law Judge hearings.
Design and develop scalable user interfaces using React and integrate them with backend services. Lead the implementation of AI-powered solutions and AI-assisted development practices to improve code quality and efficiency.
Specialty Navigator – Surgery Prior Authorization
UnitedHealth Group
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Full Time
·
2 days ago
UnitedHealth Group
The Specialty Navigator reviews and processes inpatient and outpatient surgical cases while coordinating between patients, providers, and insurance payers. They are responsible for verifying insurance benefits, explaining denials to patients, and ensuring safe clinical handoffs.
Specialty Account Sr. Director Pharmacist - Remote
UnitedHealth Group
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Full Time
·
2 days ago
UnitedHealth Group
Oversee the effectiveness of the Specialty Pharmacy benefit program for a large regional health plan, ensuring clinical strategy and quality initiative execution. Manage a team of specialty account directors and maintain high-level strategic relationships with clients and stakeholders.
Licensed Psychologist, Peer Reviewer - Remote
UnitedHealth Group
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Full Time
·
2 days ago
UnitedHealth Group
Apply clinical criteria and benefit plan requirements to make coverage determinations for Commercial, Medicaid, and Medicare cases. Conduct non-MD clinical reviews for outpatient treatment plans, psychological testing, and appeals.
Associate Director Medical Clinical Operations, Care and Value - Remote
UnitedHealth Group
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Full Time
·
2 days ago
UnitedHealth Group
Lead and execute high-impact enterprise initiatives focused on affordability and total cost of care within the WellMed organization. Establish disciplined operating rhythms and partner with senior leadership to translate strategy into actionable plans and measurable results.
Design and deploy AI-powered voice solutions and generative AI agents using various Large Language Models. Architect scalable cloud-based services and APIs to support real-time voice interactions and optimize bot performance.
Maintain the accuracy and integrity of enterprise item master and integrated system data to support procurement, charging, and financial reporting. Ensure correct data configuration across ERP and downstream systems to prevent revenue leakage and operational errors.
Handle inbound and outbound communications with pharmacies, injured workers, and payers to process medications for workers' compensation claims. Ensure high-quality customer support and accurate documentation while meeting performance metrics and privacy requirements.
The Triage Nurse is responsible for conducting after-hours and holiday triage calls to assess patient status and intervene based on established protocols. They must ensure accurate documentation in electronic medical records and coordinate with on-call nurses to schedule necessary assessments.
Design, develop, and deploy AI-powered solutions to solve complex business challenges using responsible AI practices. Actively participate in agile scrum mechanisms to deliver maintainable, secure, and testable software.
Lead the investigation and resolution of healthcare fraud and abusive conduct by medical providers. This includes performing root-cause analysis, mentoring investigators, and collaborating with law enforcement and legal entities to recover losses.
Appeals M.D. Cardiologist Requried - Remote
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes handling regulatory responses and collaborating with medical directors to ensure benefit interpretations and quality issues are addressed.
Appeals M.D. - Oncologist Required - Remote
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes performing regulatory responses for CMS and Department of Insurance and collaborating with medical directors on decision rationales.
After Hours Registered Nurse (MNA) Pediatrics Atrius Health
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The Registered Nurse is responsible for delivering effective pediatric care, managing patient transitions, and conducting telephone triage. They must coordinate with clinical teams to ensure safe, high-quality care and maintain accurate documentation in the EMR.
Consumer and Employment Advocate – Massachusetts, Rhode Island, New Hampshire
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The role involves resolving complex member issues and grievances while supporting individuals with disabilities in finding employment and educational opportunities. It also requires collaborating with internal teams and community partners to improve member satisfaction and health outcomes.
Act as a patient advocate to resolve issues regarding claims, benefits, and physician access while managing high-volume inbound calls. Serve as a liaison between patients and various departments to ensure high-quality health outcomes and customer service.
Registered Nurse (MNA) Occupational Health Atrius Health (Per Diem)
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Responsible for delivering effective patient care and management within a specialty using the nursing process and evidence-based practice. Duties include conducting telephone triage, managing acute conditions, and coordinating care transitions for patients and families.
Implement and support inbound and outbound data integrations to satisfy corporate requirements and deliver reporting products. Design and deploy AI-powered solutions and mentor junior developers to ensure project deadlines are met.
RN - Clinical Documentation Improvement Specialist - Remote
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Perform expert-level reviews of clinical records to ensure alignment with evidence-based guidelines and provide recommendations for documentation improvement. Collaborate with physicians and leadership to provide education and resolve clarifications regarding clinical diagnoses and procedures.
Responsible for the configuration, maintenance, and optimization of Epic Tapestry Claims and integrated third-party applications. The role involves troubleshooting claims processing issues and partnering with stakeholders to align system performance with business needs.
Strategic Account Executive Provider Market - Remote in New York
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The Strategic Account Executive serves as the primary executive contact for key provider clients to drive profitable growth and deployment of the provider portfolio. They are responsible for developing strategic plans, managing C-suite relationships, and coordinating matrixed teams to ensure client satisfaction and revenue goals.
Local Markets Strategist- Remote in OH/IL
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The Market Strategist is responsible for the planning, execution, and outcomes of the business within a specific market or health plan. This includes performing risk assessments, managing resource allocation, and delivering industry analytics to clients and stakeholders.
Office Manager- Heart of Hospice Jackson
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The Business Manager directs administrative support and non-clinical operations to ensure agency efficiency. Key duties include managing HR files, reconciling invoices, performing billing audits, and overseeing clerical staff.
UM Patient Navigator - LVN REMOTE - Kelsey - Seybold Clinics.
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
The Patient Navigator supports early, discharge-focused care coordination to ensure safe transitions from inpatient settings to the next level of care. The role acts as a liaison between clinical teams, providers, and caregivers to reduce readmission risks and improve length of stay.
Specialty Operations Manager Pharmacist - Remote
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Lead and manage client relationships by providing pharmacy benefit analysis and clinical specialty pharmacy consultation. Oversee day-to-day specialty program operations, including performance reporting, KPI review, and the execution of clinical strategies.
Per Diem Virtual Therapist - Remote - Wyoming
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Deliver remote, measurement-informed behavioral health care using evidence-based treatment models. Monitor participant progress, coordinate care, and maintain strict confidentiality in accordance with HIPAA policies.
Per Diem Virtual Therapist - Remote - South Dakota
UnitedHealth Group
·
Full Time
·
2 days ago
UnitedHealth Group
Deliver remote, measurement-informed behavioral health care using evidence-based treatment models. Monitor participant progress, coordinate care, and maintain strict confidentiality in compliance with HIPAA policies.
Manage the quality and economic performance of physician practices to develop a high-performing provider network in Kansas. Drive process improvements impacting revenue, quality metrics, and total cost of care through data analysis and stakeholder relationship management.
Handle 70-90 incoming and outbound calls daily to assist customers with medical referrals and prescribed equipment. Verify insurance eligibility and research complex issues across databases to resolve customer concerns.
Perform authorization review and entry for HCBS services using Virginia-specific criteria. Coordinate with providers, Care Managers, and Medical Directors to assess and expedite patient care needs.
Behavioral Health Care Advocate - Utilization Mgmt. - Remote
UnitedHealth Group
·
Full Time
·
3 days ago
UnitedHealth Group
Perform utilization review and management for behavioral health admissions and continued stays to ensure medical necessity and appropriate care settings. Manage provider requests and de-escalate crisis calls from members while coordinating transitions between care settings.
Medical Director Oncology - Utilization Management - Remote anywhere in US
UnitedHealth Group
·
Full Time
·
4 days ago
UnitedHealth Group
Perform utilization review determinations for oncology populations and serve as a subject matter expert in evidence-based oncology guidelines. Collaborate with providers and internal teams to improve clinical outcomes and enhance oncology care processes.
Telephonic Nurse Practitioner (Per Diem Weekends) - New England License
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff to manage acute and chronic conditions. Coordinate care transitions between providers and facilities while ensuring compliant documentation and cost-effective outcomes.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Provide 24/7 telephonic and virtual urgent care to patients, caregivers, and facility staff. Coordinate care transitions and manage acute and chronic conditions in collaboration with a multidisciplinary team.
Telephonic Nurse Practitioner (Per Diem Weekends) - Pennsylvania License Required
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Provide virtual acute and chronic care to patients, caregivers, and facility staff via telephonic and video platforms. Coordinate transitions of care between providers and facilities while ensuring compliant documentation and cost-effective treatment plans.
Sr PBM Strategic Account Executive Commercial and Med D - Remote
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
The role serves as a senior liaison for assigned client accounts, focusing on trend management, strategic plan execution, and contract renewals. It involves managing client performance reviews, overseeing staff development, and ensuring all pharmacy benefit requirements are met.
Oversee coding denial resolution, quality auditing, and compliance monitoring for professional fee services. Lead a team of specialists to identify denial trends and implement sustainable process improvements to improve revenue integrity.
Strategic Account Executive, Public Sector - Central Region Preferred - Remote
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Build and maintain strategic relationships with customers and brokers to ensure medical persistency and product upsell. Lead internal partnerships and utilize analytics to deliver strategic value and improve customer retention.
Telephonic Nurse Practitioner - OH, MO, WI or IN License Required
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Provide telephonic and virtual acute care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage medical, behavioral, and chronic conditions in collaboration with physicians.
The role involves installing Worklist systems at customer sites and diagnosing software and hardware malfunctions. Additionally, the engineer performs final quality assurance and handles project meetings and administrative tasks.
Director, Technology Product Management - 2367486
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Lead UHG's cloud FinOps and optimization strategies to maximize financial viability and performance of cloud investments. Partner with stakeholders to drive cost savings, accountability, and enterprise-wide efficiencies in IT delivery.
Sr. Strategic Account Executive - PBM Health Plans - Remote
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Manage strategic partnerships and ongoing relationships for Health Plan clients, focusing on contract performance and membership retention. Responsible for upselling services, conducting performance reviews, and ensuring high client satisfaction through effective solution delivery.
State Government Account Executive - Remote in CST or EST
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Manage and grow a portfolio of State Government client relationships, specifically focusing on Medicaid and Health & Human Services agencies. Act as a trusted advisor to senior officials to align Optum's enterprise solutions with state priorities and budgets.
Clinical Appeals RN - Remote - M-F working alternating Saturdays
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
The Clinical Appeals RN analyzes and evaluates clinical appeals and grievances to determine coverage eligibility based on plan benefits. They also act as a Clinical Interface Liaison to resolve issues between facilities, providers, and members.
Senior Network Pricing Consultant - Remote
UnitedHealth Group
·
Full Time
·
5 days ago
UnitedHealth Group
Support network pricing strategies by analyzing the financial impact of provider contracts and reimbursement methodologies. Lead complex analytical projects to influence rate development and safeguard favorable pricing structures across various provider types.
Collaborate with business and technical teams to define requirements and integrate storage solutions. Provide day-to-day support for storage infrastructure, including provisioning, performance monitoring, and security remediation.
Assign accurate diagnostic and procedure codes for outpatient hospital professional accounts based on clinical documentation. Monitor work queues to ensure timely charging and generate queries for physician clarification when needed.
The role involves processing and sending formal appeal responses and provider packets to clients and providers. Additionally, the representative is responsible for entering outbound mail tracking numbers and performing other assigned administrative duties.
Associate Director of Network Programs - Remote PST
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Lead and manage provider network programs, focusing on clinical provider grouping by specialty and service line. Act as the primary point of contact for payer networks and oversee regulatory compliance and network quality improvement initiatives.
Assign accurate diagnostic and procedure codes for outpatient hospital professional accounts in urology. Monitor work queues to ensure timely charging and generate queries for physician documentation clarification.
Design and maintain data pipelines and ETL processes within a Snowflake environment to ensure healthcare data accuracy. Collaborate with stakeholders to translate business requirements into technical specifications and deliver integrated business reporting.
Design and deploy AI-powered solutions and scalable data pipelines to process large volumes of data. Transition on-premise ETL pipelines to the cloud while maintaining existing .Net frameworks.
Design and maintain scalable backend services, APIs, and event-driven microservices using Java, Python, and Kafka. Build and integrate AI/ML-powered features and data processing pipelines while ensuring production readiness through CI/CD and monitoring.
The Network Quality Manager oversees operational quality, governance, and audit readiness for provider data operations across medical and dental networks. This role manages a team of auditors and analysts to ensure data integrity, network adequacy, and compliance with regulatory requirements.
Appeals and Grievances Medical Director - Otolaryngology (ENT) Specialty Required - Virtual - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes handling regulatory responses for CMS and Department of Insurance while collaborating with medical directors on decision rationales.
Appeals Medical Director - Family Medicine Required - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes handling regulatory responses and collaborating with medical directors to ensure benefit interpretations and quality standards are met.
Sr. Strategic Account Executive - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Manage a book of business by securing renewals, upselling services, and acting as the primary advocate for assigned clients. Coordinate with internal functional areas to implement benefits and resolve complex service issues to ensure client satisfaction.
Appeals M.D. - Plastic Surgeon Required - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes providing regulatory responses and collaborating with medical directors on decision rationales and benefit interpretations.
DSS II- Cardiology - Main Campus - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Perform clerical and typing duties to support Managing Physicians and Department Chiefs. Responsibilities include analyzing eligibility media, interpreting medical plan benefits, and utilizing system applications for reporting.
Define and own the end-to-end enterprise data architecture to ensure scalability, performance, and long-term sustainability. Lead the design of data models and cloud-native platforms while implementing governance, security, and DevOps automation.
Utilization Review Spec LVN Remote - Kelsey Seybold Clinics - Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Conduct medical reviews and benefit verifications to determine medical necessity for healthcare services. Serve as a liaison between providers and the Grievance and Appeals Department while ensuring compliance with TDI and CMS requirements.
Design, develop, and deploy AI-powered voice solutions and generative AI agents to solve complex business challenges. Architect scalable cloud-based services and integrate Large Language Models to enhance conversational capabilities.
Build and maintain short and long-range demand forecasts and capacity plans to optimize business performance and service delivery. Act as a trusted advisor to operations by analyzing performance metrics and leading process improvement efforts within workforce planning.
Deploy and integrate Threat and Vulnerability Detection Platforms across the enterprise and integrate them with security toolsets like SIEM and XDR. Conduct vulnerability assessments and audits to ensure compliance with federal regulations such as FedRAMP and NIST.
RN Concurrent Review - UM - Remote - Kelsey Seybold Clinic
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
The Concurrent Review Case Manager performs telephonic monitoring and documentation of medical treatment to ensure it meets established guidelines. They also track patient progress to identify continuing care needs and facilitate timely discharge.
Outreach Care Coordinator - Remote in Colorado - Mesa County, CO preferred
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Coordinate physical and behavioral health information through home visits and phone outreach for Medicaid members. Act as a community liaison to reduce barriers to care and facilitate access to preventive health services.
PBM Medicaid Sr. Strategic Account Executive Remote
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Serve as the senior liaison for assigned client accounts, focusing on trend management, strategic plan execution, and contract renewals. Responsible for maintaining client relationships, managing staff development, and ensuring all pharmacy benefit requirements are met.
Vice President Contracting - Remote in California
UnitedHealth Group
·
Full Time
·
6 days ago
UnitedHealth Group
Develop and execute strategic growth and reimbursement plans for the California market through payor negotiations. Lead payor operations and revenue cycle teams while maintaining high-impact partnerships with health plans and insurance brokers.
Strategic Account Executive -Telecommute
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
Manage client growth, retention, and satisfaction for a book of business, focusing on the renewal of contracts and up-selling services. Act as the primary point of contact to translate technical needs to IT and coordinate internal functions for service delivery.
Senior I O Engineer - Azure Cloud Ops and Linux
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
Design and implement cloud infrastructure solutions while managing the installation and configuration of application components. Ensure system performance, security compliance, and disaster recovery readiness for server and application environments.
Lead the design and implementation of scalable cloud-based data architectures and pipelines to support enterprise analytics. Collaborate with cross-functional teams to ensure data reliability, security, and the deployment of AI-powered business solutions.
Assign accurate diagnostic and procedure codes for outpatient cardiology professional accounts based on clinical documentation. Monitor work queues to ensure timely charging and generate queries for physician clarification when necessary.
The Senior Architecture Analyst designs and documents technical architectures while assessing existing platforms for scalability, security, and cost efficiency. They provide technical leadership to implement AI-powered solutions and align technical blueprints with business goals.
Senior Software Engineer - Data Engineering
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
Design and operate scalable data engineering platforms and AI-powered solutions using modern ETL/ELT frameworks. Lead the architecture of lakehouse designs and mentor engineers in cloud and Generative AI technologies.
Behavioral Health Clinical Program Manager - Remote, New York
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
Oversee a remote team of Behavioral Health Care Advocates focusing on utilization and case management for diverse populations. Manage professional employees, coordinate with internal and external partners, and ensure adherence to regulatory benchmarks.
Senior PBM Strategic Account Executive - Remote
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
The role serves as a senior liaison for assigned client accounts, focusing on trend management, strategic plan execution, and contract renewals. It involves managing client performance reviews, supervising implementation plans, and mentoring staff to ensure high service levels.
Sr. Director of PBM Health Plan Strategic Partnerships - Remote
UnitedHealth Group
·
Full Time
·
7 days ago
UnitedHealth Group
Lead a team of Strategic Account executives to manage and expand relationships with health plan clients and their executive leadership. Develop and execute strategic client plans to ensure satisfaction, contract compliance, and the delivery of measurable value across multiple lines of business.
Provide technical product execution for Behavioral Health Utilization Management initiatives supporting payer and government channels. Coordinate between engineering, clinical, and business stakeholders to ensure compliant delivery and timely client implementations.
Lead a team of Sales Executives to drive net new revenue and growth for Revenue Cycle Services and Technology within the Eastern US. Develop sales strategies, manage pipelines, and collaborate across a matrixed organization to achieve annual bookings targets.
Lead a team of Sales Executives to drive growth and net new revenue for the Decision Support Portfolio across the US. Develop and execute sales strategies while collaborating with internal matrix partners to achieve annual bookings targets.
Associate Care Consultant - Remote Nationwide
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Serve as the primary day-to-day service contact for medical management products for a large book of business. Build and maintain positive relationships with employer and group clients to address service issues and implement client systems.
Director of National Accounts - Remote
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Drive new business development and strategic client acquisition for national accounts through a consultative sales process. Manage the full lifecycle from prospecting and enrollment to ongoing account growth and utilization reviews.
Own end-to-end accountability for prescription drug pricing accuracy and claims adjudication outcomes. Develop financial models and validate pricing logic to ensure contractual compliance and regulatory adherence.
Medical Assistant I/II/III - Patient Care (Remote)
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Provide supportive patient care and perform clinical tasks under the supervision of licensed medical professionals. Responsibilities scale from basic support to advanced clinical procedures and mentoring staff based on the MA level.
Senior Revenue Data & Analytics Specialist - Remote
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Lead recurring revenue forecasting and manage critical data pipelines across Enterprise Imaging business units. Develop Power BI dashboards and perform complex financial analysis to support cross-functional teams.
Assign accurate diagnostic and procedure codes for outpatient hospital professional accounts based on clinical documentation. Monitor work queues to ensure timely charging and generate queries for physician clarification as needed.
The Business Manager directs administrative support and non-clinical operations to ensure efficiency for the Executive and Clinical Directors. Key duties include managing HR files, reconciling invoices, performing billing audits, and overseeing clerical staff.
Design, build, and deploy scalable cloud-based platforms and intelligent AI systems to improve healthcare outcomes. Collaborate with stakeholders to drive project delivery, mentor development teams, and manage operational support for core services.
ENT Final-Year Residents & Fellows | Optum Pathways Program *Remote*
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Participate in a customized transition program to learn how to operate within a value-based care model. Engage in mentorship and clinical exposure to primary and specialty care with a commitment of a few hours per month.
Neurology Final-Year Residents & Fellows | Optum Pathways Program *Remote*
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Participate in a customized program to transition from residency/fellowship into clinical practice within a value-based care model. Engage in mentorship and gain exposure to primary and specialty care settings with a commitment of a few hours per month.
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes performing regulatory responses for CMS and communicating decision rationales to medical directors.
ENT Final-Year Residents & Fellows | Optum Pathways Program *Remote*
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Participate in a customized pathways program to transition from residency/fellowship into professional practice. Engage in a few hours per month of virtual or on-site exposure to primary and specialty care within a value-based care model.
Neurology Final-Year Residents & Fellows | Optum Pathways Program *Remote*
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Participate in a customized program to transition from residency/fellowship into clinical practice. Engage in a few hours per month of activity focusing on value-based care and population health initiatives.
GI Final-Year Residents & Fellows | Optum Pathways Program *Remote*
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Participate in a customized program to transition from residency/fellowship into clinical practice. Engage in a few hours per month of virtual or on-site activities focusing on value-based care and population health.
Senior Clinical Admin Nurse RN - Remote
UnitedHealth Group
·
Full Time
·
8 days ago
UnitedHealth Group
Provide comprehensive care and support for patients and caregivers by coordinating with an interdisciplinary team of healthcare professionals. Manage clinical administration tasks and navigate patient care between various providers in a remote setting.
Assign appropriate medical codes by utilizing reference materials and applying knowledge of anatomy, physiology, and coding guidelines. Manage multiple medical records to maintain productivity standards and provide guidance during quality audits.
Responsible for the procedure and diagnostic coding of professional charges to ensure accuracy and compliance. Conducts internal audits of physician billing and medical records while providing education to clinical staff to maximize revenue integrity.
The Sales Account Manager is responsible for enrolling Medicare beneficiaries in skilled nursing facilities into the UnitedHealthcare Institutional Special Needs Plan. This involves developing account-specific strategies to engage facility personnel and generating enrollments consistent with territory targets.
Telephonic Case Manager RN Transplant Medicine - Remote
UnitedHealth Group
·
Full Time
·
12 days ago
UnitedHealth Group
The role involves coordinating and providing appropriate levels of care for transplant patients through assessment, planning, and monitoring. Responsibilities include making outbound calls, identifying treatment gaps, and connecting members with necessary health resources.
Assign appropriate medical codes by utilizing reference materials and applying knowledge of anatomy, physiology, and coding guidelines. Manage multiple medical records to maintain productivity standards and provide guidance during quality audits.
Analytics Consultant - Remote in North East Region
UnitedHealth Group
·
Full Time
·
12 days ago
UnitedHealth Group
The Consultant provides strategic consultative services by analyzing health plan performance to create actionable insights and storytelling for complex employer groups. They collaborate with account management teams and internal partners to solve complex customer analytic needs.
Telephonic Nurse Practitioner - Pennsylvania License Required
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff on a 24/7 rotating schedule. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Lead Software/ DevOps Engineer - Remote (EST/CST)
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
Collaborate with engineering teams to monitor system performance, conduct post-incident reviews, and mentor junior engineers. Design and deploy AI-powered solutions while maintaining high availability for load balancers, databases, and messaging systems.
Clinical Care Manager - King County, WA
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
The Clinical Care Manager will provide Reentry Targeted Case Management services to Medicaid members, focusing on care coordination and support during transitions from incarceration. Responsibilities include member education, medication reviews, and collaboration with care teams to improve health outcomes.
Clinical Care Manager, Pierce or Thurston County, WA - Remote
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
The Clinical Care Manager will provide Reentry Targeted Case Management services to Medicaid members, focusing on care coordination and support during transitions from incarceration to community. Responsibilities include member education, medication reviews, and collaboration with care teams to improve health outcomes.
Field Service Coordinator RN - McKinney and Prosper, TX
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
Assess, plan, and implement individualized care strategies for patients while managing care plans throughout the continuum of care. Communicate with stakeholders to ensure quality coordinated care and advocate for patients and families as needed.
Design, develop, and support data and reporting solutions while automating pipelines to meet customer deliverables. Investigate data inconsistencies and perform quality validation to ensure the integrity of sensitive healthcare data.
Design and develop scalable user interfaces using React and integrate them with backend services and APIs. Lead the implementation of AI-powered solutions and AI-assisted development practices to improve code quality and efficiency.
Support UMR's Claim, Eligibility, and Billing applications within a Mainframe environment. Design and deploy AI-powered solutions to solve complex business problems while performing application maintenance and production support.
Director Service Delivery - Account Management - Remote
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
The Director of Service Delivery leads strategic client-facing engagements to ensure the execution of service commitments and operational excellence for Health Plan clients. This role serves as the primary escalation point and manages contractual obligations and performance guarantees across complex accounts.
Senior Director, Service Delivery - Account Management - Remote
UnitedHealth Group
·
Full Time
·
13 days ago
UnitedHealth Group
Lead the strategic and operational delivery of service commitments for Health Plan clients to ensure contractual obligations and performance guarantees are met. Partner with leadership to align client priorities, manage executive relationships, and oversee issue remediation and risk mitigation.
Clinical Review Medical Director - Neurology - Remote
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and renders determinations based on member plan benefits and medical necessity. They collaborate with providers and internal partners to ensure cost-effective, quality medical care for members.
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Design and develop ETL/ELT practices and data architecture while ensuring data reliability and integrity. Collaborate with product owners and business stakeholders to implement AI-powered solutions and complex data initiatives.
Director of AI/ML Engineering Remote Nationwide or Hybrid in MN/DC
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Lead the technical vision and engineering strategy for large-scale AI/ML initiatives to personalize healthcare journeys. Oversee the end-to-end development and deployment of scalable models while mentoring a high-performing engineering team.
Sr AI/ML Engineer - Remote Nationwide or Hybrid in MN/DC
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Design, develop, and deploy scalable AI-powered solutions and Generative AI systems to solve complex business challenges. Build large-scale training and inference pipelines while mentoring junior engineers and ensuring ethical AI standards.
Negotiate and prepare competitive facility agreements and value-based contracts to manage unit cost performance. Collaborate with the Provider Network team to ensure appropriate distribution of provider specialties and network composition.
Physician Pathways Program - Optum NY
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Participate in a customized pathways program to transition from residency/fellowship into professional practice. Engage with value-based care models and population health initiatives to improve patient outcomes.
Physician Pathways Program - Optum NY
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Participate in a customized pathways program to transition from residency into professional practice. Engage with primary and specialty care environments to learn value-based care models and population health initiatives.
Appeals and Grievances Medical Director - Radiation Oncologist Required - Virtual
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes performing regulatory responses for CMS and communicating decision rationales to medical directors.
UHO Sales Support Specialist - Remote Nationwide
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Conduct consultative sales conversations to assess customer needs and recommend appropriate healthcare products. Manage the enrollment process, handle inbound/outbound interactions, and convert inquiries into sales opportunities.
Telephonic Nurse Practitioner (Part-Time) - Pennsylvania License Required
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Provide telephonic and virtual acute care to patients, caregivers, and facility staff in a 24/7 coverage model. Coordinate care transitions and manage medical and behavioral conditions in collaboration with physicians.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple New England states. Coordinate care transitions and manage acute and chronic conditions in collaboration with an interdisciplinary medical team.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff in a 24/7 coverage model. Coordinate care transitions and manage acute and chronic medical and behavioral conditions using evidence-based guidelines.
UHO Market Option Advisor - Remote Nationwide
UnitedHealth Group
·
Full Time
·
14 days ago
UnitedHealth Group
Handle inbound calls to provide recommendations and quotes for Marketplace ACA plans and private insurance products. Manage the full application process, maintain CRM records, and support the launch of new sales products.
Design and develop Azure cloud-native enterprise data solutions focusing on integration, transformation, and governance. Lead a team of data engineers to build scalable pipelines and deploy AI-powered solutions for complex business challenges.
The RN Case Manager serves as the primary care manager for members with complex medical and behavioral needs. Responsibilities include conducting comprehensive assessments, developing person-centered care plans, and coordinating with providers and community resources.
The National Coding Educator provides expertise in risk adjustment and quality coding to provider clients to improve documentation accuracy and recapture rates. They develop and deliver training materials and conduct audits to ensure compliance with CMS and national coding guidelines.
Practice Support Assistant II - ENT- Atrius Health
UnitedHealth Group
·
Full Time
·
15 days ago
UnitedHealth Group
Provide real-time remote documentation support to physicians and advanced practice providers during patient encounters. Accurately transcribe medical histories, exams, and treatment plans into electronic health records.
UnitedHealthcare Employer and Individual Chief Medical Officer - Surest - Remote
UnitedHealth Group
·
Full Time
·
15 days ago
UnitedHealth Group
The CMO will shape the clinical strategy for the Surest health plan, focusing on affordability, clinical outcomes, and growth. This includes serving as a clinical advisor to business leaders and representing the organization to clients and external health professionals.
Senior Consultant, Payer Performance - Remote
UnitedHealth Group
·
Full Time
·
15 days ago
UnitedHealth Group
The role focuses on optimizing Optum Health's payer portfolio by managing performance, identifying growth opportunities, and developing data-driven tracking and reporting. The consultant will partner with Finance and Healthcare Economics to model financial impacts and inform executive strategic decisions.
Associate Medical Director - Community & State - Florida
UnitedHealth Group
·
Full Time
·
15 days ago
UnitedHealth Group
Provide clinical leadership for utilization management, prior authorizations, and quality activities for Medicaid, LTC, and D-SNP populations in Florida. Collaborate with providers and cross-functional teams to improve member outcomes and ensure compliance with AHCA regulations.
Manage end-to-end provider credentialing data entry and system loading within MD Staff and related platforms. Conduct audits to identify process improvements and ensure compliance with NCQA, CMS, and state requirements.
Conduct utilization reviews and determine medical necessity for behavioral health services across various levels of care. Manage ABA treatment plans and handle the administrative process for medical necessity denials and appeals.
Design and operate CI/CD pipelines and cloud infrastructure focusing on Azure and Databricks environments. Implement AI-assisted DevOps practices and AIOps to optimize system performance and automate operational tasks.
The Investigator identifies and prevents healthcare fraud, waste, and abuse through claims data analysis and investigative methodologies. Responsibilities include conducting interviews, collecting evidence, and preparing detailed investigative reports for regulatory compliance.
Drive growth and manage relationships with strategic top 10 pharmaceutical clients, focusing on Real World Data and clinical research solutions. Partner with internal consulting and delivery teams to architect solutions that meet client strategic objectives and ensure successful execution.
Manage end-to-end provider credentialing and enrollment workflows across multiple markets and payers. Conduct audits and partner with Revenue Cycle Management to resolve billing issues and improve operational efficiency.
Senior Underwriting Consultant Specialty Pricing - Remote
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Lead strategic pricing and risk assessments for specialty drug business to ensure profitability and sustainable economic value. Provide financial modeling and strategic guidance to organizational leaders to support complex deals and underwriting policy execution.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Provide 24/7 telephonic and virtual urgent care to patients, caregivers, and facility staff. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Lead the Sales, Retention, and Customer Success strategies to expand pharmacy partnerships and achieve revenue goals. Oversee multi-tiered sales organizations and manage P&L accountability for growth and client retention functions.
Clinical Consultant Pharmacist, Health Plans
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Lead and manage contract relationships and pharmacy benefit analysis for assigned health plan clients. Serve as the primary clinical liaison between OptumRx operations and clients to optimize health outcomes and manage pharmacy trends.
Medical Director - UnitedHealthcare Community & State (Wisconsin)
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Provide clinical leadership for utilization management, quality improvement, and provider collaboration across Medicaid, D-SNP, and LTC populations in Wisconsin. Ensure alignment with state and federal regulations while partnering with the CEO to advance clinical strategies and member outcomes.
Strategic Account Executive, KA - Boston, MA Territory
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Manage a book of business by maintaining client and broker relationships to ensure persistency and revenue growth. Coordinate internally to implement benefits and support new business sales through finalist presentations.
Sr. Account Manager PBM Service Delivery - Remote
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Acts as the primary liaison between OptumRx and Health Plan teams to ensure seamless service delivery and contractual compliance. Leads cross-functional collaboration to manage client requirements, resolve systemic issues, and drive client retention and growth.
VP, Payer Sales - Medical Network - Remote
UnitedHealth Group
·
Full Time
·
16 days ago
UnitedHealth Group
Lead a team of field sales executives to maximize value realization and achieve an annual new sales bookings target of over $75 million for Medical Network payers. Develop and execute go-to-market plans while collaborating with internal business units to align product solutions with customer needs.
Manager Clinical Quality - Remote in NE Market Only
UnitedHealth Group
·
Full Time
·
17 days ago
UnitedHealth Group
Lead the Clinical Practice Consultant team to advance quality improvement and population health initiatives. Develop data-driven strategies and collaborate with providers and stakeholders to improve health outcomes and ensure regulatory compliance.
Assign appropriate ICD-10, CPT, and modifiers for facility outpatient and emergency services while adhering to official coding guidelines. Maintain high quality and productivity standards and query physicians when necessary to ensure accuracy.
Design and develop scalable .NET applications and microservices-based architectures within Azure cloud environments. Responsibilities include optimizing SQL databases, implementing CI/CD pipelines, and deploying AI-powered business solutions.
Associate Director Actuarial Services – Remote - Minnetonka, MN preferred
UnitedHealth Group
·
Full Time
·
19 days ago
UnitedHealth Group
Lead actuarial efforts including data analysis and Excel modeling to support the annual Medicare Advantage bid process. Conduct studies on pricing, utilization, and health care costs to provide statistical findings for management decision-making.
Assign CPT and ICD-10 codes for outpatient ambulatory observation services while adhering to official and client guidelines. Analyze CCI and Medical Necessity edits and provide documentation feedback to providers through physician queries.
Investigate, analyze, and contain security incidents within a 24/7 operation across on-premises and cloud environments. Lead remediation efforts, produce detailed incident reports, and collaborate with cross-functional teams to improve security controls.
Senior Data Engineer - Remote in Canada
UnitedHealth Group
·
Full Time
·
19 days ago
UnitedHealth Group
Design, develop, and maintain scalable data pipelines to ingest and transform healthcare data from various enterprise sources. Act as a technical leader to implement security improvements, automation processes, and high-quality Big Data solutions.
Financial Clearance Representative Associate
UnitedHealth Group
·
Full Time
·
20 days ago
UnitedHealth Group
Responsible for completing the financial clearance process and securing necessary authorizations prior to patient services. Acts as the primary financial point of contact for patients and coordinates with medical staff and insurance payers.
Health and Safety Specialist - Remote in New Jersey
UnitedHealth Group
·
Full Time
·
20 days ago
UnitedHealth Group
The specialist supports organizational environmental, occupational health, and safety initiatives by ensuring regulatory compliance and promoting a safe workplace culture. Key duties include conducting inspections, investigating incidents, and managing EOHS data and reporting across the region.
National Accounts Sr. Medical Director - Remote
UnitedHealth Group
·
Full Time
·
20 days ago
UnitedHealth Group
Serve as the senior clinical leader for national employer clients, focusing on proactive medical trend management and cost-reduction strategies. Translate complex clinical and pharmacy data into actionable insights for executive-level stakeholders and HR leadership.
Medical Director - General Surgery - Remote
UnitedHealth Group
·
Full Time
·
20 days ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and renders determinations based on member plan benefits and medical necessity. They collaborate with multidisciplinary teams and providers to ensure cost-effective, high-quality medical care.
Behavioral Health Utilization Management Clinical Coordinator - Remote in Colorado preferred
UnitedHealth Group
·
Full Time
·
20 days ago
UnitedHealth Group
Responsible for processing Behavioral Health and Substance Use Disorder authorizations by applying medical necessity criteria and coordinating care for members. The role involves collaborating with medical directors on complex cases and managing transitions between levels of care.
Physician Pathways Program - Gastroenterology - Auburn, MA or Remote
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
Participate in a customized pathways program to transition from residency/fellowship into clinical practice. Engage in a value-based care model and population health initiatives while providing specialty care.
Physician Pathways Program - Gastroenterology - Auburn, MA or Remote
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
Participate in a customized transition program to move from residency/fellowship into clinical practice. Engage with value-based care models and population health initiatives within the Reliant Medical Group.
HSS Care Coordinator, RN - Healthy First Steps, Remote in TX
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
Coordinate long-term care needs for patients by assessing, planning, and implementing individualized care strategies. Act as a single point of contact to manage care plans and advocate for patients to ensure they receive appropriate health and social services.
Network Pricing Consultant - Remote in CST/EST preferred
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
The role involves pricing provider networks across East Region markets through financial modeling, analysis, and reporting. You will validate contracting activities and collaborate with network management to strategize rates and contract methodologies.
Develop and execute a territory sales plan to identify targets and close sales for specialty medications. Manage medical practice accounts and coordinate efforts with strategic manufacturing partners to improve health outcomes.
Responsible for enrolling behavioral health providers with appropriate payers and processing applications into database tracking systems. The role involves conducting audits to reduce errors and ensuring compliance with NCQA, CMS, and state credentialing standards.
UHO Inside Sales Product Advisor - Hybrid in Carmel, IN
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
Guide customers to suitable health insurance and ancillary products through a mix of inbound and outbound leads. Meet sales targets while maintaining strict quality standards and updating CRM data.
Build and scale high-performing data systems, pipelines, and applications within a public cloud and on-prem environment. Collaborate with cross-functional teams to automate infrastructure and migrate ETL pipelines from .Net to Azure.
Pharmacist Manager (Call Center Operations) - San Juan, PR
UnitedHealth Group
·
Full Time
·
21 days ago
UnitedHealth Group
Lead and develop a team of pharmacists to achieve performance goals and ensure the successful execution of clinical programs. Oversee call center operations, monitor key metrics, and partner with cross-functional stakeholders to meet client expectations.
Senior Director of Engineering, AI & Mobile Growth Platforms - Remote
UnitedHealth Group
·
Full Time
·
22 days ago
UnitedHealth Group
Lead the modernization and scaling of technology platforms for sales and growth, focusing on AI agent integration and mobile-first experiences. Own all technical decisions, architecture, and engineering standards to drive cross-sell and upsell outcomes across Optum lines of business.
Senior Provider Enrollment Representative
UnitedHealth Group
·
Full Time
·
23 days ago
UnitedHealth Group
Responsible for enrolling behavioral health providers with appropriate payers and processing applications into database tracking systems. The role involves conducting audits to reduce errors and acting as a technical resource for the team.
Coordinate and process prior authorization requests for medications by communicating with patients, insurance providers, and clinical staff. Act as a liaison to resolve reimbursement issues and assist patients with financial assistance programs.
UM Medical Director - Orthopedic Spine, Neurosurgery or Spine Surgery - Remote
UnitedHealth Group
·
Full Time
·
23 days ago
UnitedHealth Group
Responsible for conducting medical coverage reviews and rendering determinations for musculoskeletal and spine surgery services. The role involves coordinating utilization review activities, ensuring regulatory compliance, and collaborating with healthcare providers.
Sr. Provider Engagement Specialist - Jackson, TN - Remote
UnitedHealth Group
·
Full Time
·
23 days ago
UnitedHealth Group
Acts as a subject matter expert in Client Service operations to analyze provider group performance and drive operational business planning. Develops and implements strategic solutions to improve revenue, quality metrics, and stakeholder relationships.
Sr. Provider Engagement Specialist - Roanoke, VA
UnitedHealth Group
·
Full Time
·
23 days ago
UnitedHealth Group
Acts as a subject matter expert in Client Service operations to analyze provider group performance and implement strategic business solutions. Responsible for driving revenue, quality metrics, and maintaining strong relationships with healthcare stakeholders and providers.
Design, build, and operate scalable cloud-native data platforms and ETL/ELT pipelines to enable analytics and AI/ML workloads. Collaborate with stakeholders to translate business requirements into production-grade data solutions while ensuring data quality and governance.
Technology Governance Automation Engineer
UnitedHealth Group
·
Full Time
·
23 days ago
UnitedHealth Group
Engineer scalable, automated solutions to reduce manual effort across the bank's Risk Level 1 control environment and regulatory examinations. Partner with Risk, Compliance, and Security teams to ensure governance activities are consistent, auditable, and data-driven.
The role involves assigning accurate ICD-10 and CPT codes for various facility outpatient services while adhering to official and client guidelines. Responsibilities include querying physicians for clarification and maintaining high quality and productivity standards.
Conduct clinical coding reviews of MS-DRG and APR-DRG assignments to identify overpayments and ensure billing accuracy. Compose detailed rationales supporting audit findings based on official coding guidelines and clinical criteria.
Senior Pharmacy PA/Appeals Technician
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Manage a high volume of inbound and outbound calls to process prior authorization requests for formulary and non-formulary medications. Ensure clinical review compliance with legal and contractual requirements while providing professional customer service to providers and members.
SB Account Executive - Hybrid in KY and IN preferred or Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Renewal Account Executive focuses on retaining existing agent and broker groups in the small business market segment. Responsibilities include promoting health care products, educating brokers on pricing, and developing sales proposals to meet regional goals.
Senior Account Executive, Specialty - Houston, TX
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Account Executive is responsible for driving specialty product sales and persistency by collaborating with brokers and health plan sales teams. They act as a subject matter expert to promote employer-paid and voluntary products while managing market profitability and sales goals.
Senior IO Engineer IAM AD SME - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Manage and maintain Active Directory domains and infrastructure applications to ensure secure and uninterrupted business operations. Act as a subject matter expert for Zero Trust architecture and provide technical leadership and mentoring for IAM projects.
Pathways Program - Primary Care Physician, (FM/IM), Eugene, Oregon
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The physician will operate within a value-based care model to drive population health initiatives. They will transition from training into practice through mentorship and the Quadruple Aim framework.
Principal Tech Product Mgmt - Machine and Agentic Identity - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Define and deliver the product strategy and roadmap for non-human identity, focusing on machine identities and AI agents. Lead vendor evaluations and collaborate with security, architecture, and engineering teams to establish identity governance.
Serves as the primary clinical liaison for HealthTrust, providing proactive recommendations and managing day-to-day clinical pharmacy service delivery. Responsibilities include formulary development, managing client relationships, and collaborating with internal departments to implement clinical initiatives.
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Marketing Specialist - Las Vegas, NV
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Support the digital and marketing services team with collateral development, project administration, and approval process management. Analyze data to solve problems and ensure brand consistency across digital and print channels.
The role involves assessing and validating security risk policies and testing controls to ensure adherence to regulatory obligations and frameworks. The auditor collaborates with stakeholders to identify gaps, validate evidence, and recommend improvements for remediation.
Medical Director - Oncology - Remote from anywhere
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and renders determinations based on member plan benefits and medical necessity. They collaborate with multidisciplinary teams and providers to ensure cost-effective, high-quality medical care.
Assign appropriate ICD-10 and CPT codes for various outpatient facility services while adhering to official and client guidelines. Maintain high quality and productivity standards and query physicians when necessary to ensure coding accuracy.
Medical Director - Spine and Brain Surgery - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Medical Director provides leadership and direction for the claims review program, ensuring the quality and effectiveness of medical services. Responsibilities include reviewing surgical claims for correct coding and conducting telephonic discussions with providers regarding medical necessity.
Medical Director - Part Time - Fertility Solutions - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Medical Director guides members through fertility treatment options and performs utilization management and peer-to-peer reviews. They also collaborate with nursing staff and product leadership to improve clinical outcomes and product offerings.
Utilization Management RN & Coding Specialist
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The role involves reviewing patient medical records to extract case details and crafting defensible appeal letters using evidence-based medical literature. The specialist will also recommend coding changes to optimize financial impact and represent clients during Administrative Law Judge hearings.
Sr. Director of Health Plan Strategic Partnerships - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Lead a team of Strategic Account executives to manage health plan partnerships and align pharmacy trends with client organizational goals. Own the overall strategy for client satisfaction, contract compliance, and the expansion of business relationships across multiple lines of business.
Vice President, Strategic Partnerships - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Accountable for the overall success and contract execution for high-profile Blue Cross Blue Shield Health Plan partners. Leads a client management team to drive growth, retention, and financial performance through strategic C-suite relationships.
Telephonic Registered Nurse Case Manager - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Conduct inbound and outbound calls to assess member health status and identify barriers in treatment plans. Provide patient education, coordinate care, and document findings to improve health outcomes.
The RN Field Clinical Care Manager assesses, plans, and implements individualized care strategies for members while acting as a single point of contact. They perform home-based assessments, initiate social service referrals, and advocate for patient needs across the continuum of care.
Teleradiologist Body / MSK - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology interpretations including radiography, fluoroscopy, and procedures. They will also provide expertise in ultrasound, body CT, and potentially MSK or PET imaging within a multi-specialty group.
Teleradiologist Body / MSK - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and procedures while interpreting ultrasound and body CT scans. The role involves working within a 30+ radiologist group to deliver coordinated and accountable patient care.
Senior Manager - Software Engineering (Enterprise Imaging) - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Manager will lead multiple software engineering teams to deliver and operate the Stratus Imaging Archive platform. They are responsible for engineering execution, people leadership, and driving cloud-native enterprise imaging strategies.
Telephonic Nurse Practitioner - Massachusetts & New York Licenses Required
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Advanced Practice Clinician provides telephonic and telehealth care to patients, coordinating with caregivers and facility staff to manage acute and chronic conditions. They are responsible for performing comprehensive assessments, documenting encounters in the EMR, and facilitating care transitions across various settings.
Telephonic Nurse Practitioner - OH, MO, WI or IN License Required
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Provide telephonic and telehealth clinical care to patients across various settings while coordinating with interdisciplinary teams. Manage acute and chronic conditions, perform comprehensive assessments, and ensure all care is documented in compliance with CMS regulations.
Travel Psychologist, OptumServe - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Travel Psychologist will conduct thorough mental health evaluations and medical opinions for veterans in accordance with VA guidelines. They will also collaborate with multidisciplinary teams and act as a subject matter expert on mental health disability benefits questionnaires.
Technical Lab Specialist South Texas
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The specialist will manage laboratory operations, including CLIA compliance, quality assurance programs, and the development of standard operating procedures. They will also collaborate with clinic leadership to optimize laboratory equipment, testing menus, and electronic medical record integration.
Clinical Staff Pharmacist - Part time - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The pharmacist will ensure the accuracy of medication orders, verify technician-prepared products, and safeguard controlled substances. They will also mentor staff, oversee pharmacy technicians, and support the Director in optimizing pharmacy performance.
Conduct reviews on suspicious or potentially fraudulent medical records using standard coding guidelines. Document findings and coordinate with team members to identify billing trends and schemes.
Complex Care Manager RN - Charlottesville, VA Market
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Complex Care Manager is responsible for facilitating and advocating for the ongoing self-sufficiency of high-risk patients through comprehensive health assessments and care planning. They act as the primary point of contact for members and the interdisciplinary care team to coordinate services and community resources.
The consultant will identify and assign appropriate medical codes by interpreting clinical documentation and utilizing coding software and reference materials. They are also responsible for managing productivity standards, participating in quality audits, and mentoring team members to improve coding accuracy.
Regulatory Adherence Consultant - Regulatory Finance - Minnetonka, MN
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Regulatory Adherence Consultant manages regulatory adherence processes and projects across Regulatory Finance, ensuring compliance with organizational standards and timelines. The role also supports vendor management, governance processes like the Model Audit Rule, and facilitates cross-functional collaboration to improve regulatory and data-enabled processes.
Senior Software/Infrastructure/Platform Engineer - Remote (EST/CST)
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Design, build, and operate foundational Wallet platform infrastructure while ensuring high availability, security, and scalability. Provide end-to-end ownership of platform SLAs and collaborate with application teams to enable new integrations and capabilities.
Director, Program Management - Technology & Software Engineering - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Director leads the orchestration of large-scale, technology-driven initiatives and manages the Enterprise Imaging portfolio to ensure reliable software delivery. They are responsible for mentoring program managers, driving AI and automation adoption, and aligning engineering strategy with business outcomes.
The Sales Account Manager is responsible for enrolling Medicare beneficiaries into the UnitedHealthcare Institutional Special Needs Plan by generating leads and managing facility relationships. They must document all sales activities to ensure compliance with Medicare Marketing Guidelines while meeting territory enrollment targets.
Radiologist Body Abdominal - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will join a group to perform general radiology duties including radiography, fluoroscopy, and procedures. They are expected to provide high-quality patient care and may rotate between the main campus and satellite clinics.
Radiologist Body Abdominal - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will join a group to perform general radiology duties including radiography, fluoroscopy, and procedures. They will also be responsible for the interpretation of ultrasound and general body CT scans.
The Sales Account Manager is responsible for enrolling Medicare beneficiaries into the UnitedHealthcare Institutional Special Needs Plan by managing facility relationships and generating leads. They must document all sales activities to ensure compliance with Medicare Marketing Guidelines while meeting territory enrollment targets.
Radiologist Pet Imaging / Body Focus - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and interpretation of ultrasound and body CT scans. The role involves working within a 30+ radiologist group with potential rotations to satellite clinics.
Radiologist Pet Imaging / Body Focus - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and interpretation of ultrasound and body CT scans. The role involves working within a 30+ radiologist group with potential rotations to satellite clinics.
Radiologist / Teleradiologist Body Imaging - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and interpretation of ultrasound and body CT scans. They will work as part of a 30+ member group to deliver coordinated, high-quality patient care.
Radiologist / Teleradiologist Body Imaging - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and interpretation of ultrasound and body CT scans. The role involves working within a multi-specialty group to deliver high-quality, coordinated patient care.
The Sales Account Manager is responsible for enrolling Medicare beneficiaries into the UnitedHealthcare Institutional Special Needs Plan by generating leads and managing facility relationships. They must document all sales activities to ensure compliance with Medicare Marketing Guidelines while meeting territory enrollment targets.
Account Executive, Specialty Benefits - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Account Executive will manage specialty product sales by collaborating with broker and health plan sales teams to meet market goals. They act as a subject matter expert to drive enrollment, conduct presentations, and develop competitive strategies for key agencies.
Senior Provider Enrollment Representative
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Provider Enrollment Representative is responsible for processing behavioral health provider applications and re-applications for various payers. They also conduct audits to ensure accuracy and act as a technical resource to resolve complex problems within the team.
Full Time Regional Traveler Nurse Practitioner, Optum HouseCalls – OH/WV/MI/IN/IL
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Senior Physical Red Team Security Analyst
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Conduct physical security assessments and covert operations to evaluate and improve the security posture of facilities and personnel. Collaborate with cross-functional teams to document findings, create risk profiles, and implement remediation strategies.
Clinical Practice Performance Consultant - Remote in Wilmington, NC and Surrounding Areas
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The consultant will provide oversight and performance evaluation for CMARC/CMHRP programs while building strategic relationships with OB providers and local health departments. They will also analyze data to identify trends and provide technical assistance to improve quality outcomes and program performance.
The Licensed Clinical Social Worker will screen and assess patients for mental health and substance abuse disorders while providing evidence-based psychotherapy. They are also responsible for maintaining accurate electronic medical records and monitoring patient treatment progress.
The Licensed Clinical Social Worker will screen and assess patients for mental health and substance abuse disorders while providing evidence-based psychotherapy. They are also responsible for maintaining accurate clinical documentation and monitoring patient treatment progress.
Radiologist Body Imaging / MSK - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Perform general radiology duties including radiography, fluoroscopy, and various procedures. Interpret ultrasound and general body CT scans while contributing to high-quality, coordinated patient care.
Radiologist Body Imaging / MSK - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and various procedures. They will also be responsible for the interpretation of ultrasound and general body CT scans.
The Senior Medical Coder performs concurrent reviews of coding rules to ensure accurate billing and minimal denials. They also identify incomplete clinical documentation and generate queries to obtain necessary information for accurate code assignment.
Integrated Behavioral Health Clinician - Collaborative Care
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The clinician will provide treatment planning and brief therapeutic interventions for primary care patients in both in-person and virtual settings. They will also collaborate with multidisciplinary teams to provide clinical consultation and education.
The Medical Director conducts clinical coverage reviews and renders medical necessity determinations based on plan benefits and national policies. They collaborate with multidisciplinary teams and providers to ensure the delivery of cost-effective, high-quality medical care.
Behavioral Medical Director - TX or AZ licensure - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Behavioral Medical Director provides clinical oversight for the Utilization Management Program and performs peer reviews to ensure quality care. They also collaborate with leadership to develop evidence-based treatment initiatives and advise on health care system improvements.
The Senior Quality Engineer will design and maintain scalable data quality frameworks and automate validation checks within Databricks and ETL pipelines. They will also collaborate with analytics teams to ensure the accuracy of Power BI datasets and leverage AI-driven insights for data observability.
Sr. Director, Software Engineering - Remote (Minneapolis, MN or Irvine, CA preferred)
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Director will define and own the technology strategy for clinical and client experience platforms while leading large-scale digital transformation programs. They will also champion AI adoption and lead a high-performing engineering organization to drive innovation and operational excellence.
The Clinical Review Clinician analyzes hospital facility bills and conducts forensic reviews to identify payment adjustments. They also research clinical standards and maintain documentation in accordance with departmental guidelines and HIPAA privacy standards.
Behavioral Health Sr Clinical Admin Nurse RN
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Clinical Administrative Nurse conducts structured telephonic outreach to engage members, assess their clinical needs, and introduce available health services. The role also involves collaborating with caregivers and medical providers to facilitate coordinated care and support members through health system navigation.
Nurse Practitioner or Physician Assistant - HouseCalls - Statewide Traveler - MN
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
Conduct comprehensive in-home clinical assessments, including physical exams and medication reconciliation, to identify health risks and coordinate follow-up care. Educate patients on disease processes and medication compliance while identifying urgent health situations for appropriate intervention.
Value Creation Senior Clinical Program Manager - Devices and Durable Medical Equipment - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Senior Clinical Program Manager will develop and optimize programs for medical devices and durable medical equipment across Medicare, Medicaid, and Commercial lines of business. They will serve as a subject matter expert to address stakeholder inquiries and collaborate with cross-functional teams to improve program performance and access.
The Business Manager is responsible for managing administrative support and non-clinical operations, including overseeing contracts, HR files, and billing audits. They also manage clerical staff and ensure that all administrative functions operate effectively and efficiently.
Nurse Practitioner, HouseCalls Statewide Traveler - ID
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
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 patients on disease processes and health management.
The role involves developing, maintaining, and optimizing SQL Server databases and ETL processes while leveraging AI tools for automation. You will also perform data analysis, generate ad-hoc reports, and provide production support for critical healthcare operations.
Medical Director Post Acute Care Management - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Medical Director will provide daily utilization oversight, conduct clinical case reviews, and collaborate with cross-functional teams to implement innovative health management strategies. They are responsible for fostering provider relationships and ensuring cost-effective, high-quality healthcare delivery within the post-acute care sector.
VP Sales, National Accounts - South Central Region - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Vice President of Sales is responsible for driving new business growth and developing regional sales strategies within the National Accounts business. This role involves fostering consultant relationships, leading sales teams, and representing the company as an industry expert to prospective customers.
The Sales Account Manager will drive membership growth for the Essential Plan by building strategic relationships with key market influencers and community institutions. They are responsible for prospecting new business, conducting product presentations, and managing the sales pipeline within their assigned territory.
Clinical Practice Performance Consultant - Remote in Asheville, NC and Surrounding Areas
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The consultant will provide oversight and performance evaluation for CMARC/CMHRP programs while building strategic relationships with OB providers and local health departments. They will also analyze data to identify program needs and facilitate quality improvement initiatives to enhance health outcomes.
The Essential Plan Account Manager will enroll eligible members in the UHC Essential Plan and build relationships with key accounts. They will also manage sales pipelines and provide excellent service to members.
The Essential Plan Account Manager will enroll eligible members in the UHC Essential Plan and build relationships with key accounts. They will also manage sales pipelines and provide excellent service to members.
State Government Account Executive - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Account Executive serves as the primary relationship owner for state government clients, managing portfolios and driving growth across Optum's healthcare and technology solutions. They lead multi-year account planning and act as a trusted advisor to senior state officials to ensure client satisfaction and retention.
The therapist will screen and assess patients for mental health and substance abuse disorders while providing evidence-based treatment. They are also responsible for maintaining accurate electronic medical records and participating in patient growth strategies.
The role involves securing IBMi servers and applications to prevent unauthorized access while managing security reporting and investigating potential breaches. Additionally, the position requires supporting audit evidence collection and leveraging automation tools to streamline security workflows.
Field HSS Clinical Coordinator RN – Maternity – Wyandotte County, KS & Surrounding Areas
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The Clinical Coordinator provides evidence-based education and care coordination for high-risk pregnancies and NICU babies to improve health outcomes. They manage a panel of members, assist with care plans, and facilitate referrals to social and medical services.
Radiologist Body Imaging - Radiology - Kelsey-Seybold - Remote
UnitedHealth Group
·
Full Time
·
a month ago
UnitedHealth Group
The radiologist will perform general radiology duties including radiography, fluoroscopy, and procedures. They will also interpret ultrasound and general body CT scans while working within a multi-specialty clinic environment.
Senior State Government Account Executive - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Senior Account Executive leads and expands complex State Government client accounts by serving as a primary executive-level point of contact. They are responsible for driving long-term account strategy, profitable growth, and enterprise solution integration across a matrixed organization.
The Social Worker will provide individual or group therapy and develop comprehensive treatment plans for patients with various mental health conditions. They will also assist patients in accessing community resources and maintain accurate medical documentation.
Technical Product Owner – Enterprise GRC Platforms
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Technical Product Owner manages the product backlog for enterprise GRC platforms, translating risk and compliance requirements into actionable technical specifications. They collaborate with engineering teams and vendors to ensure platform stability, scalability, and operational excellence.
RN Health Coordinator - Field Based - Hilo, HI
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Health Coordinator will assess, plan, and implement individualized care strategies for patients while acting as a single point of contact for their long-term care needs. They will also advocate for patients and families, ensuring they receive appropriate social services and coordinated care within the community.
Medical Director - Prior Authorization - DME - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews for DME and therapy services to ensure cost-effective, quality medical care. They collaborate with multidisciplinary teams and providers to facilitate accurate benefit determinations and educate stakeholders on medical policies.
Medical Director - Clinical Advocacy and Support - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and medical necessity determinations to ensure cost-effective, quality care for members. They collaborate with multidisciplinary teams and providers to manage medical benefits and facilitate accurate, timely service requests.
The Patient Service Representative screens incoming patient inquiries and resolves issues related to patient satisfaction, flow, and administrative needs. They also maintain accurate patient records and facilitate effective communication between patients, providers, and the interdisciplinary team.
Per Diem Virtual Therapist - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Deliver remote measurement-informed care using evidence-based treatment models and monitor participant progress. Coordinate care, document session notes, and respond to high-risk encounters while maintaining HIPAA compliance.
Sr AI/ML Engineer Remote - Remote in Eastern Time Zone
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Design, develop, and deploy AI/ML models using generative AI technologies like LLMs and RAG within the pharmacy domain. Collaborate with cross-functional teams to solve real-world challenges and implement production-ready solutions on cloud platforms.
Nurse Practitioner - HouseCalls - Northeast Regional Traveler - CT, MA, ME, NH, NJ, NY, RI, VT
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Analytics Consultant - Remote in Washington or Oregon
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The consultant provides strategic consultative services by analyzing health plan performance data to support employer groups. They present actionable insights and solution recommendations to clients in coordination with sales and account management teams.
Telephonic Nurse Practitioner (Part-Time) - Colorado License Required
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Provide telephonic and telehealth clinical care to patients while coordinating with caregivers, facilities, and the interdisciplinary care team. Manage acute and chronic conditions, perform comprehensive assessments, and ensure all encounters are documented in compliance with CMS regulations.
Physician Resident Pathways- Primary Care (Remote)
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Participate in a primary care pathway program while completing residency training. Engage in value-based care initiatives and receive mentorship from experienced physicians.
Nurse Practitioner or Physician Assistant - HouseCalls - Statewide Traveler - Maine
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams, medication reconciliation, and evidence-based screenings. Identify and document diagnoses, educate patients on disease processes, and collaborate with primary care providers to address gaps in care.
Field Based Community Health Worker - Thurston/Kitsap/Cowlitz Counties, WA
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Community Health Worker acts as a liaison for Medicaid members, providing home and social assessments, member education, and support for accessing care. They engage members face-to-face in the community to manage health outcomes and drive quality performance.
Field Based Community Health Worker (CHW) - Rural/Tribal Region (Western Washington)
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Community Health Worker acts as a liaison for Medicaid members, providing home assessments, health education, and support to ensure access to quality care. They spend 50-75% of their time in the field engaging directly with members to drive quality performance and health outcomes.
Senior Clinical Transformation Manager – Central / Mountain Time Zones
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Senior Clinical Transformation Manager leads multi-disciplined practice transformation and performance improvement initiatives for physician practices within value-based programs. They act as the primary clinical point of contact, driving progress toward quality, efficiency, and savings goals through data analysis and workflow optimization.
Nurse Practitioner HouseCalls State Wide Traveler, IL
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Educate patients on disease processes and collaborate with primary care providers to address gaps in care.
Field Service Coordinator RN - Tarrant County
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Assess, plan, and implement individualized care strategies while serving as a single point of contact for patients throughout the continuum of care. Advocate for patients and families to ensure their needs are met and coordinate with stakeholders to provide quality health services.
Cloud Integration Engineer - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Lead Cloud PACS implementations and design hybrid cloud imaging architectures to integrate on-premise modalities with cloud platforms. Monitor system performance and provide L3 production support for mission-critical imaging systems while collaborating with clinical and engineering teams.
Nurse Practitioner or Physician Assistant - HouseCalls - Statewide Traveler - OR
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Appeals and Grievances Medical Director Reconsiderations - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Medical Director is responsible for the clinical review and adjudication of appeals and grievances for various health insurance products. They also manage regulatory responses and communicate with internal medical directors regarding clinical rationales and network quality issues.
Nurse Practitioner, HouseCalls Statewide Traveler - ID
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Medical Director Utilization Management - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and medical necessity determinations to ensure cost-effective, quality care for members. They collaborate with multidisciplinary teams and providers to manage medical benefits and communicate clinical findings in accordance with regulatory requirements.
Nurse Practitioner or Physician Assistant HouseCalls State Wide Traveler, Albuquerque, NM
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Associate Director, Corporate Accounting Policy
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Associate Director will lead technical accounting consultations, perform research, and draft accounting policies to support business operations and mergers. They are also responsible for monitoring accounting developments, managing internal controls, and providing guidance on complex financial transactions.
The Principal Data Engineer will lead the design, development, and optimization of large-scale data platforms and analytical solutions. They will also mentor team members and collaborate with cross-functional partners to align data strategies with business goals.
Nurse Practitioner or Physician Assistant HouseCalls State Wide Traveler, Detroit, MI
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Licensed Social Worker or LMHC Health Coordinator - Field Based on Oahu, HI
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The coordinator will assess, plan, and implement individualized care strategies while serving as a single point of contact for patients. They will also advocate for members and facilitate referrals to necessary social and community support services.
Sr. Solution Strategist - Optum Financial, Commercial Payments - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Sr. Solution Strategist will lead go-to-market strategies and develop compelling value propositions for commercial payment solutions. They will partner with cross-functional teams to align product roadmaps with market needs and drive revenue growth.
The Senior Observation Medical Coder is responsible for assigning accurate ICD-10-CDM and CPT-4 codes for hospital observation services while maintaining high standards of documentation. They also provide feedback to providers, perform chart reviews, and ensure compliance with coding quality and productivity benchmarks.
The Director of Pharmacy oversees all pharmacy operations, including planning, organizing, and supervising activities in accordance with hospital policies and legal standards. They also provide professional guidance to pharmacy personnel and drive clinical and operational performance for the health system.
VP Business Development Executive - State Government - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Vice President of Business Development leads sales efforts for State Government Solutions, focusing on new business growth and maintaining a predictable sales pipeline. They are responsible for developing strategies aligned with state goals and coordinating cross-functional teams to deliver complex health services and technology solutions.
The role involves delivering services and maintaining on-premises PACS and cloud-based products through remote support and occasional on-site visits. Responsibilities include diagnosing technical issues, performing system installations and upgrades, and ensuring high customer satisfaction through timely resolution.
Medical Coder - Primary Care or Family Medicine
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Assign accurate diagnostic and procedure codes based on clinical documentation and official guidelines. Monitor work queues to ensure timely coding and generate queries for physician documentation clarification.
Design, develop, and productionize machine learning and generative AI solutions to support healthcare-related use cases and clinical decision support. Build and maintain end-to-end ML pipelines while ensuring model reliability, performance, and adherence to Responsible AI practices.
Principal Data Engineer/Architect - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The candidate will provide technical leadership for data engineering efforts on the public cloud for the Optum Rx Data Estate team. They will design and build scalable, cost-effective Azure-native solutions while managing team deliverables in collaboration with product owners.
Regional Account Manager- Optum Specialty Oncology
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The role involves communicating with physician's offices to qualify prospects, present solutions for Optum Specialty Pharmacy, and collaborate with internal partners to meet customer and patient expectations. Responsibilities also include overcoming obstacles, achieving revenue goals, establishing relationships with manufacturer reps, and utilizing sales tools to grow the book of business.
Clinical Quality Consultant - Oncogenetic Program - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Clinical Quality Consultant provides guidance and support for utilization management concerning advanced molecular and genetic testing within the oncology program. This involves ensuring evidence-based decision-making, compliance with standards, and optimal patient outcomes through expert genomic data interpretation and team collaboration.
The Senior Data Engineer is responsible for the architecture, implementation, and end-to-end optimization of Oracle Exadata Database Machines both On-Prem and Cloud Services, ensuring 24/7 operational availability for petabyte-scale data environments. Key duties include infrastructure performance engineering, operations support (including on-call), automation, DevOps, lifecycle management, security, compliance, and leveraging AI in these areas.
Medical Director, Utilization Management Physician - Optum - Remote
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Medical Director will support utilization management by making determinations, identifying utilization trends, and suggesting improvements to the utilization management program. Responsibilities also include assisting in developing and maintaining an efficient UM program and overseeing physician compliance with the UM plan.
Inside Sales Account Manager - Infusion - Remote (Mountain or Pacific Time Zone)
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Inside Sales Account Manager is responsible for achieving sales goals by developing and executing a territory sales plan, maintaining and growing referral sources, and coordinating sales efforts with partners. Key duties include calling on specialists to generate Biologic and IG referrals and processing necessary documentation with medical office staff.
This role involves driving end-to-end generative AI and machine learning projects characterized by high ambiguity, scale, and complexity, which includes designing robust, scalable, and secure AI architectures. Responsibilities also cover building, optimizing, and deploying machine learning models to production, partnering with software engineers for productionization, and performing hands-on analysis of healthcare data sets.
The role involves designing and implementing analytics or AI/ML solutions to automate prior authorization and utilization management workflows, collaborating with teams to translate requirements into actionable AI solutions, and communicating insights to leadership. Responsibilities also include designing, training, deploying, and iterating ML models in production using techniques like generative AI/LLMs, NLP/NLU, computer vision, and deep learning.
Per Diem Virtual Therapist - California
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
Primary responsibilities include delivering remote, measurement-informed care using evidence-based models, monitoring participant progress, and providing follow-up communications and care coordination. The therapist will also participate as a care team member, assist with resource access, and respond to high-risk encounters following company protocols.
Senior Pharmacy PA/Appeals Technician
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Senior Pharmacy PA/Appeals Technician provides expertise and customer service support by handling incoming requests for prior authorizations for formulary and non-formulary medications via fax or telephone. This role involves performing clinical reviews for authorizations while ensuring accuracy, compliance with turnaround times, and professional documentation of all interactions.
The primary responsibility involves identifying the appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while strictly adhering to official and client coding guidelines. This includes abstracting additional data elements during chart review and querying physicians when necessary to maintain coding quality and productivity standards.
Analytics Consultant - Remote in IL, IN, MI, OH
UnitedHealth Group
·
Full Time
·
2 months ago
UnitedHealth Group
The Consultant provides year-round strategic consultative services focusing on the UnitedHealthcare Value Story by analyzing health plan performance to support UnitedHealth Group's trusted advisor position. Primary duties involve creating client-specific insights and content, distilling actionable insights from data, and presenting findings for complex employer groups.
Emerging Solutions, Solution Sales Executive II - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
This executive role focuses on bringing new, innovative solutions and services to health plan partners by developing and closing product and service opportunities within the payer market. Responsibilities include building a sales strategy for new solutions, creating compelling value propositions, and managing the full sales cycle from lead identification to contract negotiation.
Field Care Coordinator - Richmond County, VA
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Field Care Coordinator engages members face-to-face or telephonically to conduct comprehensive needs assessments, developing and implementing person-centered care plans addressing medical, behavioral, functional, and socioeconomic needs. This role involves collaborating with teams to implement care plans, providing education, supporting discharge planning, and advocating for members' needs.
Principal Amazon Connect Architect - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
This role leads the design and architecture of Amazon Connect-based contact center solutions, integrating various telephony and support systems, while providing technical leadership through best practices and mentoring engineers. Responsibilities include owning the Amazon Connect platform, defining reference architectures, ensuring scalability and security, and driving innovation with AI/GenAI capabilities.
Field-based Behavioral Health Case Manager (Re-entry) - Paducah, KY
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Case Manager will provide a complete continuum of quality care by interacting with members via phone, virtual, or in-person methods, assisting them with the transition from incarceration back to the community through assessment and care planning. Responsibilities also include partnering with the care team to reduce emergency department utilization, hospital readmissions, and recidivism.
Senior AI/ML Engineer Voice Bots - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Senior AI/ML Engineer will provide team lead oversight for voice bots on omnichannel contact center platforms, leading the design and hands-on implementation of AI/ML Voice bots using GenAI and traditional ML on the cloud. Responsibilities include owning end-to-end delivery, mentoring a small team, and partnering with various stakeholders to translate requirements into scalable AI voice bot systems.
The Senior Inpatient Medical Coder will assign appropriate ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring adherence to official and client coding guidelines while understanding the impact on DRGs. Responsibilities also include abstracting data, providing documentation feedback to providers, and maintaining required coding quality and productivity levels.
Per Diem Virtual Therapist - Hawaii - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The therapist will deliver remote, measurement-informed care using evidence-based models, monitor participant progress, and provide follow-up communications and care coordination recommendations. Key duties also involve participating in the care team, accessing resources for participants, and identifying/responding to high-risk encounters following company protocols.
The Principal Data Scientist will lead the design, development, and deployment of advanced machine learning and generative AI solutions, defining end-to-end ML architecture and guiding productionization efforts. This role involves hands-on execution, providing technical mentorship to junior engineers, and partnering with cross-functional teams to deliver high-impact AI solutions.
Obstetrics Medical Director - Healthy First Steps - Per Diem, Weekend Only - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Medical Director provides clinical expertise and reviews data trends, communicating with hospital physicians and utilization management staff to champion best practices for evidence-based care. Responsibilities include reviewing clinical information with nurses, conducting utilization management reviews, and facilitating discharge planning for high-risk maternity patients.
Medical Director - Post-Acute Care Management - Care Transitions - Remote anywhere in US
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Medical Director will provide daily utilization oversight, conduct UM reviews including authorizations and denial reviews, and engage in peer-to-peer conversations for clinical case reviews as needed. Responsibilities also include communicating with providers regarding cost-effective healthcare delivery and quality of care, and serving as a non-promotional medical contact point.
The role involves building and productionizing AI systems, including agentic services, APIs, RAG/CAG, and E2E pipelines, while ensuring model quality, security, and safety. Responsibilities also include driving architecture, governance, engineering standards, and cross-functional leadership.
Radiologist / Teleradiologist Body Imaging - Radiology - Kelsey-Seybold - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The role involves joining a radiologist group, primarily based at the Main Campus with possible rotation to a satellite clinic, focusing on general radiology duties. Key responsibilities include performing radiography, general fluoroscopy, procedures, and interpreting ultrasound and general body CT scans.
RN Health Coordinator - Field Based on Oahu, HI
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The RN Health Coordinator will assess, plan, and implement individualized care strategies, acting as a single point of contact to manage the care plan throughout the continuum of care. This involves identifying and initiating referrals for social service programs and communicating necessary health information to all stakeholders to ensure coordinated, quality care.
Senior Infrastructure and Operations Engineer
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
This role involves designing, deploying, and operationalizing an enterprise-wide asset discovery platform to establish a single source of truth for IT, IoT, IoMT, and unmanaged assets through continuous network-based discovery. Responsibilities include leveraging AI tools, maintaining discovery tools, analyzing network data, and collaborating with cross-functional teams for seamless integration and stable operations.
The Senior Developer designs, builds, and maintains highly scalable internal and external-facing APIs using the .NET Core technology stack, collaborating with product owners to deliver secure and reliable software in an Agile environment. Responsibilities include translating requirements into technical designs, developing tests, supporting production incidents, and performing code reviews to enforce standards.
Senior Big Data Software Engineer Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The role involves designing, coding, testing, documenting, and maintaining high-quality, scalable big data solutions while researching, evaluating, and deploying new tools and frameworks for a sustainable platform. Responsibilities also include defining APIs, translating customer requirements into solution designs, and making development effort estimates.
Medical Director - Post-Acute Care Management - Care Transitions - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Medical Director will provide daily utilization oversight, conduct utilization management reviews including authorizations and denials, and engage in peer-to-peer clinical case reviews with network physicians and hospitals. Responsibilities also include communicating with providers regarding cost-effective healthcare delivery and quality of care, and representing the organization externally to establish thought leader relationships.
This role focuses on maintaining the reliability, scalability, and availability of the Log management solution and the Metrics and Observability platform, heavily utilizing automation tools like Terraform and Ansible. Primary duties include maintaining and deploying monitoring and alerting systems, designing large-scale log aggregation solutions, and setting up ingestion pipelines.
Sr AI/ML Engineer Remote Nationwide or Hybrid in NJ/MN/DC
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The role involves leading AI/ML adoption, driving innovative use of Generative AI and traditional ML, and designing, developing, testing, deploying, and maintaining AI-powered software solutions for customer and business needs. Responsibilities also include building responsible AI solutions and providing technical leadership for initiatives like Chatbots and conversational AI.
Field-Based Behavioral Health Care Advocate - Toledo, OH
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The advocate will visit Medicaid members in their homes or other settings, providing quality care through close communication, supporting members with condition education, medication reviews, and connecting them to necessary resources. Key duties include assisting members with transitions from care facilities back to their homes and acting as an intermediary between providers and members.
Sales Account Manager - Bilingual Spanish - Boston, MA - Remote
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The role involves applying sales acumen to generate and close leads while developing and managing relationships to meet business goals, including conducting presentations to various community groups to sell and promote Medicare products. Responsibilities also include managing time efficiently for appointments, lead generation, territory development, and enrolling eligible members into specific UHC plans while meeting monthly sales goals.
Medical Director - Post-Acute Care Management - Care Transitions - Remote anywhere in US
UnitedHealth Group
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Full Time
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3 months ago
UnitedHealth Group
The Medical Director will provide daily utilization oversight, conduct utilization management reviews including peer-to-peer conversations, and communicate with network and non-network providers regarding care transitions services. Responsibilities also include collaborating with internal teams, contributing to strategic initiatives, and ensuring appropriate management of local patient case management queries.
Sr AI/ML Engineer Remote Nationwide or Hybrid in MN/DC/NJ
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The role involves driving the responsible adoption of AI/ML, including Generative AI, to design, develop, and deploy innovative software solutions for the provider community. Responsibilities include providing technical leadership for AI initiatives like Chatbots and ensuring solutions align with enterprise AI strategies and best practices.
Sr AI or ML Engineer Remote Nationwide or Hybrid in NJ, MN, DC
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The role involves leading AI/ML adoption, driving innovative use of Generative AI and traditional ML, and designing, developing, testing, deploying, and maintaining AI-powered software solutions for customer and business needs. Responsibilities also include building responsible AI solutions, providing technical leadership for initiatives like Chatbots, and collaborating on integrating AI into cloud modernization efforts.
Lead Engineer - Mobile Platform (AI & Cross-Platform) - Remote
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The role involves defining and driving the technical roadmap for native and cross-platform mobile solutions, focusing heavily on implementing and optimizing AI/ML models within mobile applications. Responsibilities include hands-on development, architecting hybrid apps using React Native features, and establishing shared SDKs and components.
Senior Director Architecture - Remote
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
This role is accountable for shaping the architectural direction of complex healthcare platforms, ensuring systems are scalable, resilient, secure, and interoperable across member, provider, payer, and clinical operations. The leader must apply an AI-aware mindset to modernization, define architectural guardrails, and mentor teams to advance enterprise-wide excellence.
Senior Inpatient Facility Medical Coder
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The Senior Inpatient Medical Coder will assign appropriate ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring compliance with official and client coding guidelines while understanding the impact on DRGs. Responsibilities also include abstracting data during chart review, adhering to ethical coding standards, providing documentation feedback to providers, and maintaining required quality and productivity levels.
Senior Inpatient Facility Certified Medical Coder
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The Senior Inpatient Facility Certified Medical Coder will assign appropriate ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring adherence to official and client coding guidelines while understanding the impact on DRGs. Responsibilities also include abstracting data, providing documentation feedback to providers, and maintaining required levels of coding quality and productivity.
Senior Inpatient Facility Medical Coder
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
As a Senior Inpatient Medical Coder, you will provide coding services directly to providers and ensure high standards for documentation processes are met. You will also abstract additional data elements during the Chart Review process and provide documentation feedback to providers.
Senior AI/ML Software Engineer - Remote
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The Senior AI/ML Software Engineer will be responsible for owning the inference and delivery of machine learning insights to multiple customers while managing, monitoring, and scaling these machine learning systems. This role involves partnering with cross-functional teams to implement scalable pipelines that integrate AI innovations into real-world products.
Physician Resident Paid Mentorship Program (Remote) – Optum Colorado Springs
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The role involves participating in a mentorship program designed for 3rd year physician residents, focusing on enhancing their training and preparing them for a full-time role post-residency. Residents will gain exposure to primary care and population health models while receiving financial and mentoring support.
Physician Resident Paid Mentorship Program (Remote) – Optum Colorado Springs
UnitedHealth Group
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Full Time
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4 months ago
UnitedHealth Group
The role involves participating in a mentorship program designed for 3rd year residents, focusing on enhancing their training and preparing them for a full-time role post-residency. Residents will gain exposure to primary care and population health models while receiving financial and mentoring support.
Nursing Facility Care Manager - Western, VA Markets
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
The Nursing Facility Care Manager is responsible for facilitating and advocating for enrollees’ self-sufficiency and independence while conducting assessments and planning for patients in nursing facilities. They collaborate with the Interdisciplinary Team to coordinate comprehensive patient care and assist with care transitions.
Physician Resident- Pathways- Indianapolis, IN (Remote)
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
As a Pathways Physician, you will prepare for your practice while completing your residency or fellowship. You will receive mentorship and learning experiences focused on value-based care and easing your transition into practice.
Appeals M.D. - Gastroenterologist Required - Remote
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases. This includes performing individual case reviews and communicating with various stakeholders regarding appeals decisions and benefit interpretations.
Physician Resident - Paid Mentorship Program (Remote) - Optum New Mexico
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
As a member of the Optum Care Delivery team, you will participate in a mentorship program focused on primary care. The role involves contributing to healthcare improvement initiatives and advancing community health.
Physician Resident - Paid Mentorship Program (Remote) - Optum New Mexico
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
As a member of the Optum Care Delivery team, you will participate in a mentorship program focused on primary care. The role involves contributing to healthcare improvement initiatives and gaining exposure to next-generation population health models.
Field Care Coordinator - Halifax County, Charlotte County, and Campbell County in VA Markets
UnitedHealth Group
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Full Time
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5 months ago
UnitedHealth Group
The Field Care Coordinator is responsible for facilitating and advocating for enrollees' self-sufficiency and independence, conducting assessments, and developing care plans. They collaborate with the Interdisciplinary Team to ensure comprehensive patient care and assist with care transitions.
Senior Provider Relations Advocate - Remote - Middle, TN
UnitedHealth Group
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Full Time
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7 months ago
UnitedHealth Group
Oversee performance of end-to-end provider servicing and resolve complex problems. Drive the design and implementation of programs that build positive relationships between the health plan, providers, and practice managers.
