Senior Software Engineer
UnitedHealth Group
**
Basking Ridge, NJ
Posted about 5 hours ago
**Requisition number:** 2385470
**Job category:** Technology
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
As a **Senior Software Engineer** in the Identity Risk Platform (IRP) organization within Enterprise Security & Risk Organization (ESRO), you will play a critical role in transforming enterprise identity data into actionable intelligence that identifies, predicts, prevents, and remediates identity-related risk across the organization. Our mission is to prevent identity collisions before they create customer, privacy, or operational incidents, while driving remediation directly at the source. You will work on flagship platforms including IRP (detecting enterprise identity risks), RemHub (remediation enablement platform supporting thousands of SSN corrections), and FRED (Fraud and Risk Entity Discovery & Diagnostics next-generation portal).
Our engineering environment is a cloud-native AWS platform featuring 25+ microservices, event-driven architectures, Kafka-based data pipelines, Java/Spring Boot services, React/TypeScript portals, Kubernetes, Terraform, and modern AI-assisted engineering practices. In this role, you will leverage enterprise AI tools and techniques to optimize engineering productivity and build next-generation identity risk and fraud detection solutions.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Design, develop, and deploy scalable, cloud-native fullstack applications and microservices using Java, Spring Boot, React, Next.js, and TypeScript
+ Design, develop, and deploy AI-powered solutions and automations to address complex identity risk, fraud intelligence, and entity discovery challenges with an emphasis on responsible AI practices
+ Leverage enterprise-approved AI tools and modern technologies to streamline software engineering workflows, automate routine tasks, and drive continuous productivity improvements
+ Build and maintain resilient event-driven architectures and Kafka-based data pipelines supporting core identity risk platforms (IRP, RemHub, FRED)
+ Design and manage relational databases (e.g., PostgreSQL) and efficient data structures to support high-throughput identity data diagnostics and risk evaluation
+ Collaborate with UI/UX designers, product teams, and security stakeholders to build intuitive portals for risk investigation and remediation enablement
+ Evaluate emerging technical and AI trends to inform system architecture design, strategic innovation, and platform evolution
+ Enforce high standards of code quality, testability, security, CI/CD pipeline automation, and cloud infrastructure management using Kubernetes, Docker, and Terraform
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED
+ 5+ years of full stack software engineering experience
+ 2+ years of experience with server-side microservice development using Java and Spring Boot
+ 2+ years of experience building event-driven architectures and data pipelines using Apache Kafka
+ 2+ years of experience with AWS cloud services or similar and containerization platforms (Docker, Kubernetes, or Terraform)
+ 2+ years of experience designing and optimizing relational databases (e.g., PostgreSQL or similar)
**Preferred Qualifications:**
+ Experience using enterprise software engineering AI tools or developing AI-assisted automations to streamline solution delivery
+ Bachelor's degree in Computer Science, Computer Engineering, or related technical discipline
+ Experience with Next.js, modern front-end package managers, and state management libraries
+ Experience in enterprise identity access management (IAM), identity risk detection, fraud discovery, or account-takeover prevention
+ Hands-on experience integrating AI/ML models or developing AI-driven features for pattern recognition, risk evaluation, or operational diagnostics
+ Experience creating and maintaining CI/CD pipelines (e.g., Jenkins, GitHub Actions)
+ Solid understanding of web security standards, modern authorization frameworks (e.g., OAuth, JWT), and enterprise data privacy standards
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Inside Sales Representative
UnitedHealth Group
**
Philadelphia, PA
Posted about 5 hours ago
**Requisition number:** 2390856
**Job category:** Sales Support
**Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you are part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and can follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.**
We seek an **Inside Sales Representative** who can effectively source viable sales leads with a concentration on mental health facilities, recovery centers, hospitals, psychiatry practices, and behavioral health clinics. This person will also be responsible for developing and maintaining the operational infrastructure while supporting sales. The **Inside Sales Representative** is a patient-inspired, results-oriented and collaborative sales role. This is a high performing Team, and this role is critical to the growth of our division. The **Inside Sales Representative** will call on mental health facilities, recovery centers, hospitals, psychiatry practices, and behavioral health clinics focused on generating new sales meetings. They will work closely with the west Business Development Representative team to process behavioral health leads. This position also requires attending applicable sales training sessions.
The successful candidate will have a proven track record of achieving results, building relationships, customer focus, and promoting all sales and marketing programs.
**Hours:** Monday-Friday 8:00am to 4:00pm EST
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities** :
+ Completes daily outreach to prospective customers including cold calls, emails, mailers, and executes marketing campaigns
+ Research key territories to identify top prospects within behavioral health, addiction, and other priority markets
+ Utilizes Microsoft Dynamics 365 to manage customers
+ Up to 10% of travel is required to attend bi-annual sales and team meetings
+ Works with minimal guidance; seeks guidance on only the most complex tasks
+ Provide responsive customer service with assigned accounts, evaluating current and future needs or existing and new accounts
+ Research and identify sales targets by utilizing available sales and market data
+ Demonstrate a thorough understanding of Genoa Healthcare Services and their impact on patients and healthcare providers
+ Utilize effective communication via phone, email, and MS Teams, to deliver the Genoa Healthcare values
+ Qualify prospects and uncover providers offices' needs
+ Present solutions and promote a patient-centered culture that strives to exceed needs, requirements, and expectations to provider's offices to influence them to direct prescriptions to our Genoa pharmacies
+ Achieve sales goals through scheduled sales meetings
+ Partner with Business Development Representatives on territory growth strategy
+ Take initiative and be a problem solver
+ Utilize CRM Dynamics and all marketing tools to successfully achieve stated goals
+ Uphold the highest ethical standards while complying with all UHG and government policies and regulations
**What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:**
+ Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED
+ 2+ years of experience in a sales role OR 2+ years of Pharmacy Technician experience
+ Ability to travel up to 10% of the time
+ Access to reliable transportation
**Preferred Qualifications:**
+ Undergraduate Degree in Sales or Marketing
+ 2+ years of experience working with pharmacy or specialty pharmacy sales
+ Experience using Microsoft Dynamics 365
**Soft Skills:**
+ Proven ability to drive results in a challenging and ambiguous market
+ Demonstrate understanding of business goals and sales strategy to build upon
+ Demonstrated ability to solve complex problems and develop innovative solutions
+ Proven track record of sales success
+ Excellent organizational, interpersonal, and communication skills
+ High level of achievement drive, interpersonal agility, and ability to handle rejection
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Director of Pharmacy
UnitedHealth Group
**
Louisville, KY
Posted about 5 hours ago
**Requisition number:** 2389071
**Job category:** Pharmacy
Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a full time, exempt Clinical Pharmacy Manager at The Brook in Louisville, KY you will oversee all pharmacy operations including planning, organizing, controlling, and supervising activities, according to hospital policies, standards of practice of the profession, and state and federal laws with the assistance and oversight of 5 Pharmacists and 6 Pharmacy Technicians. You will recommend innovations in the practice and function of the pharmacy to hospital administration and carry out mutually agreed upon programs with assistance from a full support team.
Schedule: This is a full time role plus weekend on call 1 weekend a month
About the Facility: The Brook Hospital - KMI is a 98 bed, Joint Commission accredited facility that offers psychiatric and substance abuse treatment for adolescents ages 5-17, adults and seniors. Adolescent services include Psychiatric Inpatient, Extended Care Inpatient, Substance Use Treatment & Recovery Rehabilitation (STAR), Psychiatric Partial Hospitalization (PHP), Dual Diagnosis Partial Hospitalization (PHP), Psychiatric Intensive Outpatient (IOP), Substance Use Intensive Outpatient (IOP), Dual Diagnosis Intensive Outpatient (IOP). Adult services Psychiatric Inpatient, Substance Use Inpatient, Substance Use Rehabilitation, Transitional Residential Living House for Men (TL House) and Electroconvulsive Therapy (ETC).
The Dupont location is all adult admissions
About the Pharmacy: The pharmacy is open Monday-Friday from 7:30AM to 4:00PM. The pharmacy utilizes Omnicell automated cabinets, HCS pharmacy order entry services, CPOE and EMAR. Weekend remote on call at least once a month or as needed. 4 Hours Saturday and 4 Hours Sunday
**Primary Responsibilities:**
+ Lead and manage hospital pharmacy operations, ensuring safe, efficient, and timely medication distribution
+ Supervise, coach, and develop pharmacy staff, including pharmacists, technicians, and interns
+ Oversee medication safety and quality initiatives, reducing errors and improving patient outcomes
+ Ensure compliance with regulatory and accreditation standards, including Joint Commission, USP, and state/federal laws
+ Manage departmental budgets, inventory, and purchasing, controlling costs while maintaining service levels
+ Collaborate with clinical leaders and interdisciplinary teams to support patient care and organizational goals
+ Implement policies, procedures, and performance metrics, driving continuous improvement and accountability
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Pharmacy degree (BS or PharmD) from an ACPE accredited school of pharmacy; PharmD preferred
+ Current Kentucky Pharmacist license in good standing
+ Experience using computer applications including word processing, spreadsheets, and pharmacy information systems
+ Proven ability to work independently, set priorities, make critical decisions, and respond to client concerns
+ Demonstrated accuracy and timeliness in a work setting
**Preferred Qualification:**
+ Behavioral Health experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Field Care Coordinator - Charlottesville, VA
UnitedHealth Group
**
Charlottesville, VA
Posted about 5 hours ago
**Requisition number:** 2381383
**Job category:** Medical & Clinical Operations
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together**
The **Field Care Coordinator** is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports. The Field Care Coordinator collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Field Care Coordinator will be traveling into enrollees' homes, nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Field Care Coordinator actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. Field Care Coordinators act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. Field Care Coordinators follow established professional standards of care, Commonwealth guidelines and policy and procedures.
This is a field-based position with a home-based office that will travel throughout Charlottesville, VA and surrounding areas.
If you are located in commutable distance of the **Charlottesville, VA** area, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
+ Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
+ Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
+ Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
+ Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
+ Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Bachelor's degree in Social Work or Human Services (or related field)
+ 3+ years of experience in care coordination, behavioral health experience, and/or work in a healthcare environment
+ 3+ years of experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers
+ 1+ years of experience with MS Office, including Word, Excel, and Outlook
+ Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers
**Preferred Qualifications:**
+ Current and unrestricted Licensed Practical Nurse in the state of Virginia
+ CCM certification
+ Experience working with Medicaid / Medicare population
+ Experience working in team-based care
+ Long term care / geriatric experience
+ Background in Managed Care
+ ACM Certification
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #RED
Specialty Benefits, Financial Protection Practice Leader - East Region
UnitedHealth Group
**
Philadelphia, PA
Posted about 5 hours ago
**Requisition number:** 2386154
**Job category:** Sales/Direct Selling
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
The FP Market Solutions Practice Leader is a key member of the Specialty Benefits Growth team and serves as a market-facing resource responsible for driving FP growth activities across all segments of our commercial business within three critical focus areas:
+ Sales/sales effectiveness - new sales activity, sales effectiveness and broker and market development
+ Products - FP product and brand recognition, marketplace intelligence and value proposition integration
+ Underwriting - holistic new sales, retention and cohesive sales and underwriting strategies
+ This leader must collaborate across a diverse group of stakeholders to foster alignment and promote a working environment consistent with Our United Culture and the Team of Teams framework - Common Purpose, Trust, Shared Consciousness, and Empowered Execution.
**Primary Responsibilities:**
+ Drive the execution of sales strategies aligned with Specialty Benefits growth initiatives for sales goal achievement
+ Collaborate with Specialty Benefits functional partners, local markets and health plan leadership in order to generate growth, ensure a positive customer/consumer experience, and further the role of Financial Protection in the broader health of a member
+ Contribute creatively, innovatively, and transparently to the FP Growth team to ensure alignment and to share insights
+ Establish and cultivate strategic business relationships with sales and account management leadership and staff
+ Develop and implement competitive differentiation strategies to drive growth and retention in collaboration with Specialty RVPs and other key partners
+ Provide direct coaching and support to Specialty sales and account management personnel relative to product knowledge, sales effectiveness, and broker and market development activities - to close sales
+ Represent the "voice of the field" with the FP product team and senior leadership - identifying market trends, suggesting new plan designs and product options
+ Support implementation and roll-out of new FP product solutions
+ Provide direct, case-level support, for complex FP sales - including, but not limited to: RFP responses, client/broker visits, negotiating with FP Underwriting, UHC site visits and finalist meetings
+ Forge meaningful business relationships with key consulting and brokerage partners to establish FP sales pipeline and drive growth
+ Serve as a FP Subject Matter Expert (SME) for key client meetings and training; presenting product solutions in person, over the phone or virtually
+ Drive the adoption of our Bridge2Health value story and other market differentiators to advance FP sales and market leadership
+ Serve as a FP "ambassador" across the enterprise and externally, communicating a consistent message and helping to advance our position in the FP marketplace
+ Use relationships and information gathered at external industry events to inform business decisions, innovation, and competitive posture
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 5+ years of specialty benefits or employee benefits sales, underwriting, product development or marketing experience in a large, complex and successful ancillary insurance organization with responsibilities for financial protection products
+ Cross-functional experience - working collaboratively with sales, marketing, underwriting, actuarial, finance, operations, legal, IT, human capital, etc.
+ Proven experience with delivering product and sales training
+ Willingness to travel (30%, depending on requirements)
**Preferred Qualifications:**
+ Current state L&H insurance license
+ Proven established FP industry relationships with thought-leaders, and other relevant parties
+ Proven excellent presentation skills with the expertise and sophistication needed to credibly represent the company, our values, culture, and quality commitments
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $75,000 to $160,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Radiation Oncology Preservice Review Nurse RN - Remote
UnitedHealth Group
**
Downers Grove, IL
Posted about 5 hours ago
**Requisition number:** 2387943
**Job category:** Nursing
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of outpatient services following evaluation of medical guidelines and benefit determination. Ready for a new path? Apply today!
This position is work at home. Work schedule is full time and offers some flexibility with a combination of day and consumer hours. Some evening, holidays and weekend hours will be required. Core schedule is normal daytime business hours. Three evenings per month will be required to work until 7pm, one weekend day will be required approximately every 3 months, ability to work 5/8's or 4/10's after training based on business need.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial)
+ Validate that cases/requests for services require additional researchIdentify and utilize appropriate resources to conduct non-clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources)
+ Prioritize cases based on appropriate criteria (e.g., date of service, urgent, expedited)
+ Ensure compliance with applicable federal/state requirements and mandates (e.g., turnaround times, medical necessity)
+ Review/interpret clinical/medical records submitted from provider (e.g., office records, test results, prior operative reports)
+ Identify missing information from clinical/medical documentation, and request additional medical or clinical documentation as needed (e.g., LOI process, phone/fax)
+ Review and validate diagnostic/procedure/service codes to ensure their relevance and accuracy, as applicable (e.g., PNL list, EPAL list, state grid, LCDs, NCDs)
+ Identify and validate usage of non-standard codes, as necessary (e.g., generic codes)
+ Apply understanding of medical terminology and disease processes to interpret medical/clinical records
+ Make determinations per relevant protocols, as appropriate (e.g., approval, denial process, conduct further clinical or non-clinical research)
+ Review care coordinator assessments and clinical notes, as appropriate
+ Identify relevant information needed to make medical or clinical determinations
+ Identify and utilize medically-accepted resources and systems to conduct clinical research (e.g., clinical notes, MCG, medical
+ This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure (Application fees and filing costs paid for by UHG)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current, unrestricted RN license in your state of residence
+ Ability to obtain licensure in other states as needed
+ 2+ years of Radiation Oncology experience as a Nurse
+ Computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment
+ Access to high speed internet from home (Broadband cable, Fiber or DSL)
+ Dedicated workspace for home office set up
+ Ability to work schedule listed
**Preferred Qualifications:**
+ OCN Certification
+ Chemo/Bio Certification
+ Certified Case Manager (CCM)
+ 7+ years of Radiation Oncology experience
+ ICD Coding experience or solid knowledge of codes
+ NCCN experience
+ Background in preservice review/utilization review/utilization management
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Appeals M.D. Pulmonologist/Pulmonary Allergy - Remote
UnitedHealth Group
**
Chicago, IL
Posted about 5 hours ago
**Requisition number:** 2387047
**Job category:** Medical & Clinical Operations
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together**
**Work at home!**
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include:
+ Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
+ Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
+ Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
+ Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
+ Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
+ Provide clinical and strategic input when participating in organizational committees, projects, and task forces
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ MD or DO with an active, unrestricted license
+ Board Certified in an ABMS or AOBMS specialty
+ 5+ years of clinical practice experience
+ 2+ years of Quality Management experience
+ Familiarity with current medical issues and practices
+ Intermediate or higher level of proficiency with managed care
+ Proven excellent telephonic communication skills; excellent interpersonal communication skills
+ Proven excellent project management skills
+ Proven data analysis and interpretation skills
+ Proven excellent presentation skills for both clinical and non-clinical audiences
+ Proven creative problem-solving skills
+ Proven basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
+ Proven solid team player and team building skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $248,500 - $373,000 annually based on full-time employment. We comply with all minimum wage laws as applicable."
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
SB General Agent Growth Manager in Philadelphia, PA or Newark, NJ
UnitedHealth Group
**
Newark, NJ
Posted about 5 hours ago
**Requisition number:** 2384252
**Job category:** Sales/Direct Selling
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
The General Agent Growth Manager is based on the Employer & Individual Small Business Sales team and is responsible for driving growth in the 2-50 space by maximizing our General Agent distribution channel. The General Agent Growth Manager drives medical and specialty sales to customers in the 1-100 (or more depending on the market) employee range. The role manages all aspects of the GA relationships for in-state and out-of-state business. GA partnerships are critical to the success of the 2-50 segment and represents anywhere from 20-80% of our sales depending on the market.
You'll enjoy the flexibility to work remotely* from Philadelphia, PA or Newark, NJ area as you take on some tough challenges.
**Primary Responsibilities:**
+ A successful General Agent Growth Manager will need to strategically and methodically manage a list of General Agencies to educate, train, and support GA partners to drive new business growth and persistency in partnership with the SBS AE and RAE. This role will be performed remotely within NJ and PA and is not a telemarketing position. This role will require a tactical and motivated sales professional
+ In this role, the GA Growth Manager will be accountable for and have oversight of all GA relationships in a market. The Growth Manager will be responsible for building relationships with assigned agencies, driving GA specific sales initiatives, educating agents on UHC programs and processes, monitoring growth metrics, holding their GAs accountable for results as well as meeting and exceeding sales targets and activity metrics. Successful Growth Managers will be able to demonstrate profound market knowledge and sales acumen, be analytical, business plan execution and excellent relationship building skills
+ Build, manage, and maintain oversight of all General Agency relationships in a market
+ Lead contract negotiations where necessary in collaboration with internal national GA contacts as well as SBS and health plans
+ Understand, effectively communicate, and educate GA partners of portfolio changes, requiring knowledge of medical and specialty products within both fully insured and level funded offerings
+ Ensure that we are effectively connected to GA technology solutions to drive growth
+ Present market data and results to health plan and GA leadership, including competitor intelligence, pipeline activity and forecasting
+ Knowledgeable about market competition and trends, conducts competitive market analysis and consults on findings
+ Leverage technology to build and manage effective, consultative relationships that drive sales activity
+ Maintain and cultivate sound internal relationships with matrix partners including National GA teams, SBS and health plans
+ Accurate reporting of activity and results through multiple sales tools and CRM
+ Subject matter expert and point of escalation for GA issues, including the broker portal
+ Maintain inventory of forms, marketing materials, and pricing grids to ensure they are up-to-date and readily available to agents and sales teams
+ Requires professional presentation skills both in-person and remotely
+ Motivated to proactively engage and seek training opportunities to maintain success in current role
+ Be willing to work remotely and in General Agent offices to help solidify relationships
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Insurance license or willingness to obtain required license within 30 days of hire.
+ 3+ years of proven successful customer relationships experience in a complex sales environment (health care industry preferred)
+ Intermediate computer skills (Microsoft Excel, Microsoft Word, Outlook)
+ Driver's License and access to a reliable transportation
+ Willing and able to travel up to 25% +/- depending on business need
+ Reside in commuting distance to Philadelphia, PA or Newark, NJ
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,000 to $130,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Director of Pharmacy Operations
UnitedHealth Group
**
Petersburg, VA
Posted about 5 hours ago
**Requisition number:** 2391102
**Job category:** Pharmacy
**Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care.
Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start **Caring. Connecting. Growing together.**
The **Director of Pharmacy Operations** will be responsible for aligning pharmacy programs and day to day operations at multiple pharmacies around the needs of our customers. This will require listening to our clients' needs and creating a great customer experience. This individual will need to think of large scale out of the box solutions and innovative ways to continually grow our business. The Director will need to develop, retain and acquire top talent to meet the evolving needs of the business. This individual will be a servant leader who invests in creating an inclusive environment that fosters innovation, employee development and a highly engaged, top performing leadership team and workforce. There will be a multiple level of stakeholders, complexities, compliance adherence and balancing priorities amongst several different locations.
*****This field-based position will oversee pharmacy operations in Virginia and must live in or near the region*****
**Primary Responsibilities:**
+ Provide strategic direction and manage the operations across multiple pharmacies
+ Invest time with multiple clinic partnerships to develop and enhance the relationships
+ Develop innovative ways to capture new patients and overall business growth
+ Collaborate well with internal business partners and vendors to communicate strategic vision to provide more value-add partnerships
+ Act as a Talent Steward by motivating and developing a high-performance management team; attract, recruit, and retain world-class talent
+ Lead efforts and model behaviors that encourage maximum team performance and engagement
+ Create a culture that promotes inclusion, diversity, fostering innovation, collaboration and employee development
+ Ensure all pharmacy operational standards are in compliance with local, state and federal regulations and follow the Board of Pharmacy protocol
+ Responsible for all the financial performance and budget at the assigned region
+ Comply with all HIPAA rules and regulations
+ Ensure security measures are taken to avoid theft or loss within pharmacy sites
+ Serve as liaison between Genoa and the Community Mental Health Centers we serve
**Management Success Practices:**
+ Being Customer-Centric: focus the team on the customer and design from the outside in. They find out what their customers want, then design processes and plan the work to create a better customer experience
+ Cultivating Team Engagement: be responsible for creating and maintaining a high level of engagement with team members and others. The interpersonal climate that exists in a team is the combined result of how well each member works with others, deals with motivational ups and downs, resolves conflict, and communicates optimism and energy
+ Facilitating Execution Plans: translate an enterprise strategy into a workable local tactical plan. Managers must decide what path to follow, what tasks need to be done and by whom, how progress is going to be measured, what resources are needed and what contingency plans to put in place if something goes wrong Finally, the plan needs to be properly communicated so everyone on the team can follow it
+ Fostering Innovation: adapt and innovate in response in response to changes in customer sentiment and conditions surrounding the team. Creating the conditions to be restless, stay curious and foster innovation requires that managers listen without judgement and employees stay open to change and are willing to explore new ideas and possibilities
+ Acquiring, Assessing and Deploying Talent: responsible for sourcing, screening, hiring, on boarding, orientation, deploying, training, developing, and terminating employment when that is called for
+ Growth Mindset: with a growth mindset you are positive, optimistic, and confident things will get better and turn out well. You stay curious, expect success and are courageous
**Benefits:**
+ Full benefits (medical, dental, vision)
+ 8 paid holidays and generous PTO
+ Tuition Reimbursement
+ 401K Retirement Benefits
+ Bonus potential
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 5+ years of multi-site operations leadership experience
+ Proven adherence to the highest ethical standards
+ Ability and willingness to travel up to 75%
**Preferred Qualifications:**
+ Pharmacy degree
+ 3+ years of multi-site pharmacy operations leadership experience
+ Proven exceptional interpersonal and communication (verbal, listening) skills
+ Proven high level of business acumen
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Enterprise Data Warehouse (EDW) Architect - OI State Government Solutions - Remote
UnitedHealth Group
**
Schaumburg, IL
Posted about 5 hours ago
**Requisition number:** 2385712
**Job category:** Business & Data Analytics
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.**
The Senior Application & Technical Architect will provide hands-on architecture and engineering leadership for enterprise data warehousing, reporting, and analytics modernization. The role is responsible for architecting and delivering scalable reporting and analytics solutions across data integration, application, infrastructure, and cloud platforms, and for leading technical teams through solution design, proof-of-concept, development, testing, implementation, support, and operational efficiency. Experience supporting Medicaid or federal reporting modernization is preferred.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
**Primary Responsibilities:**
+ Own end-to-end application and technical architecture for reporting, analytics, data integration, and transaction-based processing solutions across on-premises platforms and future cloud services
+ Translate business, operational, and regulatory requirements into maintainable system designs, including configurable business rules, effective-dated reference data, traceability, auditability, and reconciliation
+ Design and lead modernization of legacy ETL, SQL logic, Linux/Unix scripts, and manual processing into Python-based applications and automation, using enterprise data platforms efficiently for high-volume processing
+ Provide hands-on technical leadership across architecture, development, code review, testing, deployment, performance tuning, and production support to unblock the team
+ Build proof-of-concepts that compare solution options, document measurable results, and support architecture decisions with the customer and leadership
+ Define technical architecture across web/UI, API and service layers, processing engines, databases, orchestration, scheduling, security, identity/access, monitoring, and backup/recovery, in partnership with infrastructure, security, cloud, and data peers
+ Lead BI and analytics delivery including enterprise report design, drill-down and detail reporting, reconciliation, data quality, and modernization of legacy reporting capabilities
+ Establish engineering practices using Azure DevOps or equivalent - epics and user stories, repositories, branching, pull requests, code review, CI/CD, release traceability, and production deployment - and apply AI and automation with appropriate governance to accelerate analysis, conversion, documentation, and testing
+ Produce architecture diagrams, solution designs, technical specifications, dataflow and interface documentation, implementation of roadmaps, estimates, risks, and operational support models
+ Lead and mentor architects, data engineers, ETL and BI developers, modelers, analysts, and testers; build backup coverage and develop team capability
+ Present architecture, options, risks, and recommendations concisely to customer stakeholders and Optum leadership, creating clarity across ambiguous scope, legacy constraints, and accelerated timelines
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 10+ years of information technology experience, including senior-level application, solution, technical, or data architecture for large enterprise systems
+ Proven experience architecting enterprise data warehouse, reporting, analytics, and claims or transaction-processing solutions from the ground up - architecture, infrastructure, design, development, proof-of-concept, testing, implementation, and support
+ Hands-on development experience with Python and advanced SQL, including automation, data processing, troubleshooting, and code review
+ Experience designing application architecture including APIs, services, web components, databases, security, identity/access, job scheduling, monitoring, and environment management
+ Hands-on BI/reporting experience with BusinessObjects, Power BI, Tableau, SAS, or comparable enterprise reporting tools
+ Experience implementing source control, branching, pull requests, CI/CD, and automated deployment in Azure DevOps or a similar platform
+ People leadership experience leading BI, data, and engineering staff, with solid written, verbal, and presentation skills for customer and executive audiences
**Preferred Qualifications:**
+ Healthcare payer, Medicaid, managed care, or health-insurance experience, including claims, adjustments, voids, eligibility, providers, payments, and regulatory reporting data
+ Federal reporting experience, especially CMS-64, quarterly expenditure reporting, reconciliation, certification, or related state Medicaid reporting
+ On-premises to cloud migration experience with Microsoft Azure, Azure Data Factory, Databricks, Data Lake Storage, Snowflake, or comparable cloud data services
+ ETL/ELT and data engineering experience with Informatica, Teradata, or comparable enterprise integration and large-scale MPP data warehouse platforms
+ Experience applying AI-assisted engineering or automation to code conversion, source-to-target mapping, testing, documentation, and data-quality activities within enterprise governance
+ Experience with data modeling across conceptual, logical, and physical models, effective-dated reference data, dimensional models, and transaction lineage; experience with Linux/Unix scripting and job orchestration
+ Demonstrated knowledge of HIPAA, PHI, PII, security architecture, and public-sector compliance expectations; advanced degree or relevant architecture, cloud, data, or agile certifications
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Senior Pharmacy Care Technician - Schaumburg, IL
UnitedHealth Group
**
Schaumburg, IL
Posted about 5 hours ago
**Requisition number:** 2391257
**Job category:** Pharmacy
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
As a **Senior Pharmacy Care Technician** , you will perform live telephonic outreach to UHC Medicare members and their physicians/pharmacies to improve health quality outcomes (i.e., medication adherence, appropriate drug utilization). This is your opportunity to join a pharmacy team with a focus on clinical and business collaboration. You will find an incredible team culture that provides opportunities to learn and evolve every day.
**Schedule:** Monday - Friday, 8-hour shift between the hours of 8am - 5pm. This is a office based-remote role. You will be required to work onsite 1 day per month and work remotely (work from home) all other days of the month.
**Office Location:**
+ Schaumburg, IL - 1600 McConnor Parkway, Schaumburg, IL 60173
**Training:** 100% onsite for initial 2-3 weeks of starting employment
If you reside in **Schaumburg, IL** , you will enjoy the flexibility of an office based-remote role as you take on some tough challenges.
This position follows a office based-remote schedule with 1 in-office day per month.
**Primary Responsibilities:**
+ Perform telephonic customer outreach to improve health quality outcomes in collaboration with Clinical Pharmacists
+ Provide additional telephonic engagement with providers and pharmacies
+ Assess and interpret customer needs and requirements, triaging to a Clinical Pharmacist when appropriate
+ Outbound calls to CAHPs detractors and MedAdhmembers to improve member experience and reduce barriers to adherence drugs
+ Document and track member engagement
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED
+ Active and unrestricted Pharmacy Technician license in your state of residence
+ National Pharmacy Technician Certification
+ 3+ years of Pharmacy Technician experience
+ Beginner level of proficiency with navigating Microsoft Office and a Windows-based environment
+ Reside within commutable distance to Schaumburg, IL office location
+ Ability to work Monday - Friday, 8-hour shift between the hours of 8am - 5pm
**Preferred Qualifications:**
+ Retail and/or mail order pharmacy experience
+ Experience with Part D claims adjudication
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #YELLOW
Page 1 of 2