American Medical Response Remote jobs - 2,269 jobs

The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. Primary Responsibilities: Facilitate member education and involvement of caregiver in the delivery of interventions Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources Ensure that members understand treatment options and are effectively linked to treatment resources Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support) Consider the member's needs holistically to identify gaps in care requiring intervention Exhibit excellent customer service in engaging providers in collaborative planning Create and maintain appropriate clinical records Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program Conduct condition specific research to meet member needs Maintain success stories which can be utilized to promote program Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment Explanation of authorization process Complete discharge follow-up & if needed, discharge planning / support 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: Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. Active, unrestricted clinical license to practice independently without supervision in the state of Missouri 2+ years of post-licensure experience in a related mental health environment 1+ years of case management experience Proven intermediate level computer skills including proficiency with MS Office Suite Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home Reside in Missouri Preferred Qualifications: Hospital experience including intakes, assessments, discharge planning, and/or case management Community mental health experience including case management Experience doing chart reviews Experience consulting with facility and/or hospital staff to coordinate treatment plans Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience with government funded programs Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. 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 $58,800 to $105,000 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together. Surest is transforming the way people experience health benefits by offering a smarter, simpler, and more transparent health plan. We empower individuals to make informed care decisions while helping employers manage costs and improve outcomes. As part of our growing team, you'll play a key role in driving adoption and expanding our impact across markets. The Surest AE is responsible for supporting both reactive and proactive sales efforts across local markets. This role serves as a subject matter expert (SME) on Surest products and capabilities, helping to position Surest effectively in competitive opportunities and drive pipeline growth. The ideal candidate will be a dynamic communicator, strategic thinker, and collaborative partner across internal and external stakeholders. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Reactive Sales Activities Represent Surest as a product SME in "Know Us" meetings, finalist presentations, and broker events Deliver compelling product descriptions and demos tailored to client needs Support RFP responses, including plan positioning, pharmacy and clinical capabilities, exception requests, and product options Respond to ad hoc inquiries related to product functionality and search capabilities Assist in gathering client references and presale analytics to support sales efforts Proactive Pipeline Development Drive additional Surest opportunities through strategic outreach and relationship-building Promote and schedule "Know Us" meetings to educate prospects and deepen engagement Leverage Highspot and other marketing tools to support prospecting and lead generation Collaborate with internal teams to identify and pursue new business opportunities 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: 3+ years of experience in sales, account management, or business development within healthcare or benefits 3+ years of presentation and communication skills, with the ability to tailor messaging to diverse audiences 3+ years of experience supporting RFPs and navigating complex sales cycles Ability to travel 50% in the state of California and neighboring states Located in the state of California or able to relocate Driver's License and access to a reliable transportation Preferred Qualification: Familiarity with digital sales enablement platforms (e.g., Highspot) Ability to work cross-functionally with product, clinical, and underwriting teams Self-starter with a proactive mindset and solid organizational 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 $60,000 to $130,000 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.

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 Behavioral Health Care Coordinator role will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs. Our team is made up of Behavioral Health Specialists, RNs, and Social Workers dedicated to helping members achieve their health care goals. If you reside in or within commutable driving distance Bosque, Coryell, Hamilton, or McLennan Counties, TX and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Assess, plan, and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings 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: Possess one of the following: Licensed Professional Counselor (LPC) Licensed Bachelor Social Worker (LBSW) Licensed Masters Social Worker (LMSW) 2+ years of experience working within the behavioral health setting Intermediate level of proficiency working with MS Word, Excel and Microsoft Outlook Valid driver's license, reliable transportation and the ability to travel up to 75% of the time in this assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Reside in or within commutable driving distance to Bosque, Coryell, Hamilton, or McLennan Counties, TX Preferred Qualifications: Medicaid Waiver experience LIDDA and/or LMHA experience Case Management and/or Care Coordination experience Behavioral health experience Field based work experience Experience with electronic charting Knowledge of community resources Background in managing populations with complex medical or behavioral needs *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 $28.27 to $50.48 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.

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. 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: Support internal clinical, financial and quality data analysis to support value-based care agreements with various provider types at a national and local level Create and support standard financial, utilization and quality reporting in accordance with contracting guidelines Support ad-hoc analysis through gathering claims, financial, or membership data and summarizing key findings clearly with limited guidance Support internal data analysis and other deliverables through data troubleshooting and data validation with guidance Understand conceptual strategies and be able to present key deliverables, answer questions, participate in discussions, and make recommendations via meetings and emails Lead projects to completion by contributing to the analysis and creation of financial reporting or the automation of reporting Proactively manage routine processes and anticipating customer needs through independent prioritization Serve as a resource to executive leadership in support of value based contracting strategy Solve complex and ambiguous problems with broad impact on the business through critical thinking and resourcefulness 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: 3+ years of experience in an analytics capacity with evidence of proactive critical thinking and creative problem solving Experience in the healthcare insurance industry with exposure to medical claims data Intermediate or higher level of proficiency in MS Excel and Pivot Tables Beginner or higher level of proficiency with coding in Snowflake, Toad, Snowsight, SQL, or SAS Demonstrated highly effective verbal and written communication skills for a variety of audiences Demonstrated ability to effectively manage multiple priorities Preferred Qualification: Demonstrated familiarity with SMART or other claims platform *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 $72,800 to $130,000 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.

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. At United HealthCare, your performance, your ideas and your innovative thinking will help us improve the lives of millions. As the Actuarial Consultant, you'll play a pivotal role in shaping pricing strategies and ensuring compliance for one of UnitedHealthcare's most innovative and high-profile products. The role requires a self-starter who can effectively manage timelines to meet filing deadlines and possesses the ability to communicate effectively with Departments of Insurance (DOIs) to address their objections. The challenges here are significant. You'll be responsible for the ownership of the Stop Loss rate filing preparation and submission process essential to the success of our Level Funded business and for contributing to the development of the pricing behind those filings. You'll also be counted on to perform analyses to support business leaders and inform decisions for this flagship offering. 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 the preparation and submission of Level Funded Stop Loss rate filings while adhering to a defined filing schedule Independently manage and respond to filing objections from DOIs Assist in development of Level Funded Stop Loss pricing to support traditional and non-traditional products Contribute to ad hoc analyses assigned to the broader team Collaborate and communicate effectively with broader teams and DOIs 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 or equivalent experience Fellow of Society of Actuaries (FSA), Associate of Society of Actuaries (ASA), or near ASA designation 3+ years of Actuarial/Analytical/Data Science/Healthcare experience Hands-on experience in building actuarial models Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience working with health care claims experience (i.e., understanding of costs, expected claims, benefit pricing...) Expertise in modeling for stop loss, excess of loss and reinsurance Advanced or higher proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system Excellent communication skills Excellent organizational and documentation skills Proven problem-solving skills (identification of issue, causes, solution, implementation plan) *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 $91,700 to $163,700 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.

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

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 Underwriting Consultant will analyze health benefit plan characteristics and assess risks within our underwriting guidelines to meet financial targets. This individual will analyze health benefit plan characteristics and assess risks in developing premiums. Will utilize established underwriting criteria and policies to provide proper rating methodologies. Will assist in maintaining pricing models to assist in the analysis of determining premiums. The Underwriting Consultant will evaluate and recommend alternative pricing options and plan design changes based on economic analysis and trends. This individual will also prepare financial modeling for budget calculation, and other ongoing reviews that directly aligns with client strategies. They will validate renewals and request for proposals for accuracy including utilization & experience reporting. 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: Prepare financial experience rating calculations and other ongoing financial reviews that directly aligns with client strategies Validate renewals and request for proposals for accuracy including utilization and experience reporting Evaluate and negotiate potential alternatives and options for New Business and Renewal groups with internal and external customers Collaborate with the Sales and Account Management teams to project pricing and profitability and participate in the development of the business strategy Support all requests associated with designated account(s) including annual renewal preparation, ad-hoc reporting, consultation, 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: 5+ years of experience in healthcare underwriting for any variety of products: PPO, HMO, self-funded, ASO/fully-insured, group or individual Intermediate level of proficiency with MS Office suite (including Word, Excel and PowerPoint) Preferred Qualifications: Experience working with Medicare products including Part D Proven excellent communication skills, both orally and in writing and solid negotiation skills Proven solid analytical, problem solving and critical decision-making 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 $72,800 to $130,000 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.

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 You never thought your career could help millions of lives. Well, here you can. As a Community Outreach Eligibility Specialist, you'll utilize innovative strategies and programs to ensure access to health care coverage for the underserved and impact millions of lives. You'll use your energetic, empathetic approach to marketing and add value to our team. Through community marketing and outreach efforts, you will have direct impact on membership growth and retention. You'll use your creativity, strategic lens and outspoken attitude to be part of an elite team to rewrite the history of UnitedHealth Group. If you are located in Boston, MA, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Maintain detailed knowledge of State and Federal insurance programs and effectively utilize such programs to insure all eligible are enrolled in appropriate MassHealth programs Maintain detailed knowledge of MassHealth and attend all required MassHealth training forum meetings Assist in eligibility determination and completion of MassHealth applications Monitor, analyze and investigate pending applications and follow up as necessary Interview all prospects/members and authorized representatives to screen for eligibility and obtain vital information for the purpose of completing and submitting MassHealth applications Work with individual and/or family to obtain all required documentation for the completion of MassHealth application Maintain proper documentation of all consumer interactions Assist existing members with MassHealth Renewal process Support the Sales/Marketing team by facilitating MassHealth applications for purpose of enrollment Support existing COR team by conducting community events when needed Establish and maintain internal and external relationships by leveraging the MassHealth Eligibility program Conduct educational presentations to community organizations Meeting or exceeding targeted growth, retention, and enrollment expectations Provide explanations and interpretations within area of expertise Share our mission to help people live healthier lives, throughout the communities we service 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: To be considered for this position, applicants need to meet the qualifications listed in this posting Ability to obtain Health/Accident Insurance License within first 60 days of employment Basic knowledge of MassHealth/Medicare Ability to work flexible hours as needed Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area Ability to travel up to 75% of the time (local domestic travel within the community) Preferred Qualifications: Experience completing MassHealth Applications Community Outreach experience within Healthcare Bilingual in English/Spanish *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 $28.94 to $51.63 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.

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. If you are located within commutable distance of Warwick, RI, you will have the flexibility to work remotely* as you take on some tough challenges. Travel is required about 10% of the time in Rhode Island. Primary Responsibilities: Oversee and manage health Plan Accreditation (e.g., trilogy documents such as program description, workplan, evaluation) Oversee and manage health equity accreditation (e.g., action plan, evaluation) Develop and oversee future accreditations Develop, implement and maintain policies and procedures Oversee and manage member and provider newsletters/ handbooks to ensure they are continuing to meet NCQA guidelines Work with external vendor to conduct provider access surveys. Analyze results and develop mitigation plans Review and coordinate approvals for clinical practice guidelines Monitor and present on provider credentialing and recredentialing Oversee and manage quality committees (e.g., PAC, CAC, QMC). This includes prep and post calls, agenda and meeting materials, meeting minutes, and etc. Oversee and manage state reporting and submissions (e.g., QIPs/ CAHPS/ etc.) Meet and present quality information regularly to state partners and UHC Board of Directors Oversee and manage provider and member facing programs at the RI level Develop and maintain positive relationships external state organizations within the scope of Quality Improvement Oversee and manage state audits (e.g., EQRO) Develop and get state approval for member and provider facing materials Coordinate work within C&S quality (i.e., local, regional and national) in order to improve performance and to close gaps in care Collaborate across business segments to achieve goals and targets Other activities as they may apply 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: 3+ years experience with HEDIS and NCQA - this includes HEDIS and or NCQA project experience including audit and project management of the submissions to the state and NCQA 3+ years of experience with health plan accreditations such as health plan, health equity, health equity plus and long term services and supports distinction 3+ years of experience with outside audit organizations such as EQROs 3+ years of QI project experience with QIP and PIPs (quality improvement projects) Leadership experience (e.g., Review work of others, Serve as an expert in their field, Serve as a mentor and leader, Lead functional or segment teams or projects, Motivate and inspire team members) Experience with managed care and insurance industry Experience in writing reports and analyzing performance data Experience creating detailed reports and project management Ability to travel 10% of the time in Rhode Island Resides within commutable distance of the Rhode Island office Preferred Qualifications: Certified Professional in Healthcare Quality (CPHQ) certification 3+ years demonstrated management experience with responsibility for team performance management Quality improvement experience within a health plan Clinical experience / background Experience with corrective action plans Performance driven Ability to make independent decisions Change management experience and demonstrated skills Demonstrated staff development skills Solid team building, collaboration and motivational skills Results-oriented Ability to work in a fast-paced environment Experience with excel (working with pivot tables) and creating PPT presentations *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 $89,900 to $160,600 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.

Ideal candidates will be based in Boston, MA. This position will require candidates to work onsite at a customer location in Boston, MA. The schedule will be onsite Monday through Thursday during standard business hours, working from home on Fridays. What Customer Solutions contributes to Cardinal Health The Customer Solutions team provides sales consultation through direct engagement “inside the four walls” of our customer's sites of care, through a menu of standard assessments, insights, and analytical tools to improve the customer's supply chain performance and provide value, while advancing differentiation for Cardinal Health. We partner with Customers and our Distribution Centers to optimize and improve the overall supply chain by serving as a Trusted Advisor. Support RFI/RFP process with a focus on ValueLink and supply chain optimization opportunities Lead supply chain assessments, cost to serve and actively involved with go-live and supply chain design meetings Provide expertise in healthcare supply chain internally and with customers Leverage data and insights to recommend supply chain best practices Consult on new business implementations, contracting and pricing strategy Help Customers to optimize our service offerings post implementation Responsibilities Responsible for supporting supply chain expertise and working with the customer onsite to support inventory reconciliation process changes to maintain and optimize the service / solution Works onsite at customer locations, which could range from a hospital department to a Surgery Center Cultivate relationships to ensure successful customer experience and long-term relationship with customers. Articulate benefits and adoption strategies to customer's supply chains to drive efficiency and optimization that helps drive a more positive customer experience and help retain business with Cardinal Health. Customer Presentations and Internal Account Planning Responsible for customer advocacy to ensure issues are resolved in a timely and effective manner while adhering to Customer Solutions Team policies and procedures. Collaboration with Sr. Consultant, Customer Solutions Team on opportunities within the account. Work in a cross functional team consisting of Operations, Engineering, Customer Support, and other functions to ensure Successful installation and adoption of the Customer Solutions Team solutions. Responsible for reporting via Excel learning and utilizing Cardinal Health Customer Optimization tools and reporting Qualifications 3+ years of experience preferred BA, BS or equivalent experience in related field. Advance Degree preferred Ability to work independently and biased toward problem solving Strong supply chain and customer facing experience Data and Analytics Proficient in (fluid in Excel, pivot tables, and Tableau) Experience working within inventory management systems and other databases, preferred Anticipated salary range: $90,600 - $100,000 Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 02/13/26 *if interested in opportunity, please submit application as soon as possible. ** The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.** Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together. At UHG, we've built focused businesses organized around one giant objective: making healthcare work better for everyone. Through our two business platforms, UnitedHealthcare (UHC) and Optum, we strive to improve the healthcare system and advance the health and well-being of individuals and communities. This includes the entire spectrum of healthcare participants: individual consumers, employers, commercial payers, intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more. For you, that means working on high performance teams against sophisticated challenges. It's a culture of optimism that's unlike any place you've ever worked. Incredible ideas in one incredible company. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Are you ready? The UnitedHealth Group Leadership Experience (ULE) provides select participants pursuing advanced degrees with superior, cohort-based exposure, experiences, and development opportunities through best-in-class intern and full-time programs, specifically designed to develop the next generation of leaders, requiring highly motivated, passionate individuals with bright ideas and the will to lead. The ULE Internship is ten weeks long and delivered remotely, with the option to travel. Projects will vary by business and are scoped and assigned closer to Internship start. We offer full-time placement opportunities post-graduation, based on performance. The start date is June 2, 2026 During your ULE internship experience, you will: Lead high-priority work that supports one of our core businesses Gain exposure to and knowledge of the healthcare industry, Enterprise-wide businesses, functions, strategies, and senior leaders Develop relationships and networks Receive hands-on training and support Leverage business acumen and work experience to drive transformation Learn from and present to executives Contribute to fun and engaging cohorts Lay the groundwork for a meaningful and impactful career at UHG Examples of Intern projects: Build a comprehensive go-to-market strategy for UHG's Type-2 diabetes program for direct-to-consumer, risk-bearing entity (ACO), multi-payer, Medicare, and / or Medicaid channels Complete a market sizing analysis, including MVP definition and product / capability requirements for a new product in service of Optum's Health organizations and consumers Refine and implement the digital services plan for one of Optum's CDOs via the identification and strategic development of digital health initiatives and capabilities Comprehensive health equity strategy that reduces geographic health disparities and addresses specific populations' (ex. behavioral health, individuals of childbearing age) outcomes Market expansion strategy driven by data focused on geographical areas coupled with demographic information to make strategic decisions on smart growth through expansion, implementation and system readiness 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: Undergraduate degree Currently pursuing an MBA or other relevant graduate degree with a target graduation date no later than July 2027 5+ years of previous professional work experience Eligible to work in the U.S. without company sponsorship, CPT/OPT now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered) Preferred Qualifications: Outstanding academic achievement Consulting and/or healthcare experience and/or involvement with consulting/healthcare clubs Excellent interpersonal, influencing and communication skills at all levels Practiced project management and navigating competing priorities Demonstrated ability to articulate and solve complex problems through strategic, analytical and creating thinking Adaptable and comfortable in ambiguity and high-impact situations High emotional intelligence and capacity to GSD (get stuff done) Champion of change and customer orientation Learning/growth oriented Aligned to UHG's values of Integrity, Compassion, Relationships, Innovation and Performance *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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.

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 Nursing Facility Care Manager 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 in Nursing Facilities. 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 Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care. The Nursing Facility Care Manager 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. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families. The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures. This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA. If you reside within a commutable distance of Washington, Grayson and Smyth County, VA, 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: Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *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 $23.89 to $42.69 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.

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 Member and Administrative Operations Leader is responsible for overseeing all elements of the Health Plan member experience along with assigned administrative functions including policies and procures, audit readiness, contract compliance and business continuity. While the role will give preference to candidates living in Washington and familiar with Washington Medicaid programs, this is not a requirement. This position will require limited travel to Washington (10%). You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Washington preferred. 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: Member Operations Leadership: Lead a team of professionals primarily focused on member and provider materials Create and execute the member experience strategy. This includes maintaining awareness of current member sentiment, creating strategies to improve experience within budget limitations, collaborating across the health plan and UHG enterprise to execute that strategy, and monitoring outcomes to adjust future iterations of the plan Maintain situational awareness of local market factors that may impact members and create and implement member engagement strategies to address Responsible for state required reporting on a monthly, quarterly and annual basis Create new solutions to address difficult and long-standing challenges in improving health care outcomes including development and oversight of value added benefits Oversee value added benefits (VABs) for Washington Medicaid. Maintain awareness of market dynamics and member needs. Understand and communicate strategic advantage of VABs. Advocate to leadership for VABs. Partner with national procurement teams to implement VABs. Track utilization of VABs Set priorities to ensure task completion and performance goals are met for Enrollment Services Oversee member call center functions and member materials creation and execution, including member handbook, ID card, welcome kit materials and member website Communicate any observed enrollment issues to Washington Health Care Authority (HCA) state partners and ensure the adoption of policies, processes and best practices required for success Partner with UHC policy team to create member experience and enrollment advocacy strategy. Represent that strategy directly to HCA and equip other Health Plan leaders to do so Maintain awareness of all contract elements related to member experience and create and execute business plans to manage those requirements Responsible for all elements of member materials, including creation, HCA approval, and publication. Responsible for selected provider materials, including, but not limited to Provider Manuals Administrative Operations Leadership: Oversee Health Plan Policy and Procedure committee and process Represent Health Plan in regulatory audits for assigned business areas Partner with enterprise resiliency team to oversee Health Plan Business Continuity requirements, including simulation facilitation, recovery team contact testing, and completion of related HCA reports Partner with Compliance Officer and COPA Director to lead Health Plan leaders in the creation and maintenance of contract compliance business plans 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 Medicaid experience 3+ years project management or strategy development and execution 2+ years representing Health Plan to regulators, such as HCA or other Medicaid agencies 1+ years of supervisory/leadership experience with direct responsibility for managing performance of employees Proficiency with MS Office, which includes the ability to navigate and learn new and complex computer system applications Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive presence Proven ability to articulate business strategies and formulate concise solutions to complex problems Ability to travel to Washington periodically (no more than 4 times annually) Preferred Qualification: Resident of Washington and familiarity with Washington Medicaid *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 $89,900 to $160,600 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.

**Premium pay offered for evenings, overnights, weekends, and holidays** 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 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. You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. For this role you must have an active and unrestricted license in your state of residence and you must be able to work nights, weekends and holidays. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Assess patients and determining appropriate levels of care based on medical necessity Assess and manage member crisis calls Determine if additional clinical treatment sessions are needed Manage inpatient mental health cases throughout the entire treatment plan Identify ways to add value to treatment plans and consulting with facility staff Attend compliance training and team meeting You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population. 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: Independent, Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in behavioral health Residence and licenses must be independent, active and unrestricted in the State of California Proficient Microsoft skills (Word, Excel, Outlook) Proven ability to talk and type at the same time and have the ability to navigate between multiple screens Proven ability to work nights, weekends and holidays according to your schedule Preferred Qualifications: Inpatient experience Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients *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 $60,200 to $107,400 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.

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. There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your solid customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. If you are in the State of Kansas or within 50 miles of the border, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Assist in end-to-end provider claims processing and resolution Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist in identifying gaps in network composition and services to support network contracting and development teams Use pertinent data and facts to identify and solve a range of problems within area of expertise Investigate non-standard requests and problems, with some assistance from others Work exclusively within a specific knowledge area Prioritize and organize own work to meet deadlines Provide explanations and information to others on topics within area of expertise. Use pertinent data and facts to identify and solve a range of problems within area of expertise Investigate non-standard requests and problems, with some assistance from others Work exclusively within a specific knowledge area Provide explanations and information to others on topics within area of expertise. Analyzes and investigates claim issues Responsible for training providers on a variety of topics in both small and large settings 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: 2+ years of experience working with Medical Providers 1+ years of experience with Medicaid Regulations 1+ years of experience in providing training or education 1+ years of medical insurance claims/billing experience Willingness and ability to speak and meet with Providers directly on a variety of topics Demonstrated excellent written and oral communication skills Ability to work independently and remain on task with little to no day to day supervision Demonstrated good organization, planning skills Ability to prioritize and meet deadlines from multi staff members through the department Intermediate level of proficiency in claims processing and issue resolution Exceptional presentation, written and verbal communication skills Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access Driver's license and access to reliable transportation Ability to travel on up to 25% of the time within the State of KS Preferred Qualifications: 2+ years of provider relations and / or provider network experience 2+ years of experience of Medicaid experience 1+ years of KS Medicaid and Kansas Billing requirements Previous experience with CSP Facets Intermediate level knowledge MS Word, Excel, PowerPoint Intermediate level of claims processing and issue resolution *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 $58,800 to $105,000 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.

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. The Actuarial Consultant will be a vital contributor to the UHG Trend Analytics team, focused on supporting Optum Health with medical expense reporting, analytics and forecasting. This role is responsible for developing and executing quarterly medical expense reporting and forecasting processes that enhance consistency, transparency, and collaboration across UnitedHealth Group. The ideal candidate will have at least 4 years of actuarial experience, strong analytical skills, and a keen interest in driving best-in-class trend methodologies. 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: The Consultant in this role will work with detailed healthcare claims data to build and maintain actuarial models to support medical expense reporting and forecasting. Develop and run quarterly medical expense reporting and/or forecasting processes using standardized actuarial trend methods Support ongoing enhancements to reporting and forecast accuracy, transparency, and consistency across the enterprise Analyze large healthcare datasets to identify cost trends, variances, and emerging patterns Collaborate with cross-functional teams-including finance, operations, and other analytics groups-to ensure alignment in medical expense drivers and against forecast expectations Prepare and communicate clear and concise reports and presentations for business stakeholders Contribute to process improvements and automation initiatives Support ad-hoc analytic requests related to medical cost trend analysis 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 Actuarial Science, Mathematics, Statistics, or related field Progress toward Associate of the Society of Actuaries (ASA) credential 4+ years of actuarial experience Experience analyzing large claim data sets Familiarity with standard actuarial trend methods Intermediate or higher level of proficiency in Excel (including extensive experience with VBA) Basic or higher level of proficiency in SAS and SQL Proven solid written and verbal communication skills; ability to present findings effectively Preferred Qualifications: Experience with medical expense forecasting or financial reporting in a payer/provider environment Experience in healthcare or managed care environments Experience in Healthcare Consulting *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 $89,900 to $160,600 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. #UHCPJ

**_Ideal candidates will be based in Boston, MA. This position will require candidates to work onsite at a customer location in Boston, MA. The schedule will be onsite Monday through Thursday during standard business hours, working from home on Fridays._** **_What Customer Solutions contributes to Cardinal Health_** The **Customer Solutions** team provides sales consultation through direct engagement "inside the four walls" of our customer's sites of care, through a menu of standard assessments, insights, and analytical tools to improve the customer's supply chain performance and provide value, while advancing differentiation for Cardinal Health. We partner with Customers and our Distribution Centers to optimize and improve the overall supply chain by serving as a Trusted Advisor. + Support RFI/RFP process with a focus on ValueLink and supply chain optimization opportunities + Lead supply chain assessments, cost to serve and actively involved with go-live and supply chain design meetings + Provide expertise in healthcare supply chain internally and with customers + Leverage data and insights to recommend supply chain best practices + Consult on new business implementations, contracting and pricing strategy + Help Customers to optimize our service offerings post implementation **_Responsibilities_** + Responsible for supporting supply chain expertise and working with the customer onsite to support inventory reconciliation process changes to maintain and optimize the service / solution + Works onsite at customer locations, which could range from a hospital department to a Surgery Center + Cultivate relationships to ensure successful customer experience and long-term relationship with customers. + Articulate benefits and adoption strategies to customer's supply chains to drive efficiency and optimization that helps drive a more positive customer experience and help retain business with Cardinal Health. + Customer Presentations and Internal Account Planning + Responsible for customer advocacy to ensure issues are resolved in a timely and effective manner while adhering to Customer Solutions Team policies and procedures. + Collaboration with Sr. Consultant, Customer Solutions Team on opportunities within the account. + Work in a cross functional team consisting of Operations, Engineering, Customer Support, and other functions to ensure Successful installation and adoption of the Customer Solutions Team solutions. + Responsible for reporting via Excel learning and utilizing Cardinal Health Customer Optimization tools and reporting **_Qualifications_** + 3+ years of experience preferred + BA, BS or equivalent experience in related field. Advance Degree preferred + Ability to work independently and biased toward problem solving + Strong supply chain and customer facing experience + Data and Analytics Proficient in (fluid in Excel, pivot tables, and Tableau) + Experience working within inventory management systems and other databases, preferred **Anticipated salary range:** $90,600 - $100,000 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** **02/13/26** *if interested in opportunity, please submit application as soon as possible. _**_ _The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.**_ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

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. This is a field-based position with a home-based office in Eastern Shore, VA Market. 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. If you are located in commutable distance of Eastern Shore, VA Market, you will have the flexibility to work remotely* 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: 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: Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree 3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers Driver's license and reliable transportation and the ability to travel within assigned territory to meet with members and providers Preferred Qualifications: CCM certification Experience working with Medicaid / Medicare population Experience working in team-based care Long term care / geriatric experience Background in Managed Care Physical Requirements: Ability to transition from office to field locations multiple times per day Ability to navigate multiple locations/terrains to visit employees, members and/or providers Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.) Ability to remain stationary for long periods of time to complete computer or tablet work duties *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 $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ 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.

The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems. 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 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. 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 Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. This is a full-time, Monday - Friday, 8am-5pm position in your time zone. You'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. 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 state of residence Active Compact RN License or ability to obtain upon hire 3+ years of experience in a hospital, acute care or direct care setting Proven ability to type and have the ability to navigate a Windows based environment Have access to high-speed internet (DSL or Cable) Dedicated work area established that is separated from other living areas and provides information privacy Preferred Qualifications BSN Certified Case Manager (CCM) 1+ years of experience within Medical/Oncology Case management experience Experience or exposure to discharge planning Experience in a telephonic role Background in managed care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license