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

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

Provide legal counsel and expertise to Medicare Part D business, including product, clinical, marketing, and regulatory requirements. Collaborate with legal and compliance departments and support regulatory advocacy. Juris Doctorate degree and 5+ yea..

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

Develop policies and procedures, lead due diligence and underwriting process, assess and recommend risk ratings for underwritten loans, and assist with driving strategic initiatives for a private credit portfolio.

• WA, CA, UT, ID, OR

Leads contract negotiations with health plans, manages contractual relationships, and reviews health plan contract language. Collaborates with multiple teams and develops tools to provide key contract data.

• WI, MN

Codes medical records using coding classifications to ensure data integrity and proper assignments. Analyzes medical records to ensure accurate coding and sends provider feedback to improve the quality of documentation. Collects and abstracts data el..

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

Reviews data and industry trends to identify new opportunities. Implements value-based strategies and creates materials to support clinical strategies. Provides pharmacist support, communicates with stakeholders, and stays up-to-date in managed care.

• Pittsburg, KS

Coordinate clinical activities in NE KS, work with community health settings, travel to visit Medicaid members, manage complex medical and behavioral needs. Associate degree and 4+ years of experience required. Preferred qualifications include case m..

• Dallas, TX

Collaborate with care team to create transition plan, act as clinical liaison, perform reviews, assess discharge needs, and maintain documentation. RN license and case management certification required.

• MD

Engage members to assess their medical, behavioral, and socioeconomic needs. Develop and implement person-centered care plans. Collaborate with internal care team, providers, and community resources. Provide education and coaching for member self-man..

• Winchester, VA

Assess and manage high-risk pregnancies and NICU infants, develop care plans, collaborate with care team and community resources, provide education and coaching, and advocate for members. RN license and 2+ years maternal/child clinical experience req..

• Fredericksburg, VA

Engage members, assess needs, develop care plans, coordinate transitions, provide education, advocate. Must have RN licensure and maternal/child clinical experience. Preferred: community case management and team-based care experience.

• WA

Perform clinical documentation reviews, collaborate with healthcare teams, coordinate discharge planning, monitor progress towards goals, and maintain accurate documentation. Must have an active, unrestricted clinical license and 5+ years of clinical..

• WA, OR, CA, NV, ID, UT, AZ, MT, WY, CO, NM

Create and review denial letters, perform quality control reviews, identify and correct letter deficiencies, collaborate with business partners, develop new templates, analyze inventory, and present findings to supervisor.

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

Design, develop, and implement analytics rules engines. Research, evaluate, and deploy new tools, frameworks, and patterns for a sustainable Big Data platform. Identify gaps, opportunities for improvement, and develop APIs for data source integration.

• US National

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

• Overland Park, KS, Kansas City, MO

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

• Worcester, MA

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

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

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

• San Francisco, CA

Sales representative for Key Accounts responsible for broker and direct sales to customers in the 100-5000 employee range. Develops and maintains solid broker relationships, identifies potential healthcare business customers, and attains targeted sal..

• Minnetonka, MN, or US National

Work with internal clients and attorneys to address inquiries, assess projects, and provide patentability guidance. Mentor inventors on patentability and manage patent filings. Perform analytics on patent portfolio and assist in developing internal I..

• Minnetonka, MN, or US National

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

• Miami, FL

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

• ME, MA, NH

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

• Eden Prairie, MN, or US National

Lead HEOR studies in designated therapeutic area, manage internal study team and budgets, contribute to HEOR business development, provide consultative customer service, improve HEOR infrastructure, contribute to growth of therapeutic area.

• Falls Church, VA, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Design and conduct statistical analyses, supervise research staff, produce client-ready deliverables, and present findings to technical and non-technical audiences for a Senior Healthcare Economist role in the oncology field.

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

Drive efforts to monitor and improve CAHPS goals by developing, implementing, and monitoring a successful strategy to achieve client CAHPS goals and objectives. Manage vendor relationships and analyze key KPIs and data to derive progress and opportun..

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

As an Actuarial Modeling Specialist, you will work with a team to develop and maintain cloud-based Actuarial Models, analyze and reconcile data from internal and external sources, and provide technical support to clients.

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

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

• GA, FL, NC, SC, WV, VA, PA, DC

Develop and execute direct network contracting strategy, maintain provider relationships, manage team towards growth goals, ensure cost-effective provider network. Analyze payment and utilization data, negotiate contract language, coordinate implemen..

• US National

Developing and implementing models and methods to enhance LLM capabilities and reliability. Researching, designing, and implementing scalable machine learning models and RAG architectures. Developing new solutions and best practices in Responsible AI.

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

Provide day-to-day paralegal and legal services support, research and analyze regulations, assist with drafting and administering internal procedures and policies, support Legal Team with various tasks such as document management and meeting preparations.

• HI

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

• TN

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

• AZ

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

• Minnetonka, MN, or US National

Responsible for researching and resolving payroll tax issues, acting as an SME for tax questions, managing escalated cases, maintaining accurate tax records, and collaborating with various teams to support payroll operations and tax changes.

• KY

Coordinate care for EPSDT aged members to meet quality and performance measure goals. Develop and implement data collection methodology to meet performance standards. Analyze and interpret data to ensure compliance and manage key relationships.

• WI, MN

Coordinate resolution of unpaid accounts, receive and resolve calls from patients/insurance companies/attorneys/departments, obtain and process payments, collaborate with patients to create payment arrangements.

• San Diego, CA

Provide behavioral health access and crisis work services through phone and chat. Conduct screenings, triage calls, provide referrals, and ensure safety. Uphold cultural values, meet performance goals, and participate in training.

• Eden Prairie, MN

Develop, analyze, and report on business and financial metrics. Collaborate with cross-functional teams to improve profitability and cost efficiencies. Support business leaders with analytical analysis for decision making.

• Minnetonka, MN

Seek process improvement, assist with tax provision and compliance, prepare responses to tax auditors, track tax attributes, support planning initiatives, and partner with income tax teams. Bachelor's degree and tax accounting experience ..

• MN

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

• Buffalo, NY

Build and maintain relationships with brokers, develop action plans and strategies, manage sales results, and coach staff to achieve performance targets. State health insurance license and 3+ years of sales experience required.

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

Conduct applied research experiments, build and test machine learning and deep learning models. Implement and design novel machine learning and deep learning approaches inspired by relevant literature. Build robust machine learning pipelines to suppo..

• Eden Prairie, MN, or US National

Identify, track, and analyze threats. Develop and maintain threat actor profiles, intelligence requirements, and reporting. Monitor threat landscape, conduct research, support teams, and maintain relationships with partners.

• VT

Provide clinical consultation and account management to Medicaid clients, including relationship building, clinical recommendations, contract management, drug information, benefit analysis, and collaboration with account management for client reviews.

• Ireland

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

• Des Moines, IA, or US National (Not hiring in CA, CO, CT, HI, NV, NJ, NY, RI, WA)

Conduct financial and network pricing modeling, analysis, and reporting. Perform unit cost and contract valuation analysis. Lead projects by contributing to database creation, statistical modeling, and financial reports. Summarize and communicate com..

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

Analyze provider contracts' financial impact, model network pricing, and communicate results to stakeholders. Collaborate with network management to create optimal contracts and review competitive analysis for appropriate pricing rates.

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

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

• Toledo, OH, Cleveland, OH

Identify, negotiate, and sell multiple products to customers in the 2-50 employee range. Develop and maintain broker relationships, accurately forecast sales activity, and present market data to leadership. Sales insurance license required.

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

Drive product strategy and execution for Market Performance Partnerships (MPPs). Lead product launch, align teams, coordinate rollout strategy, and engage with partners. Influence senior leadership and serve as a thought leader in the market.