CONA Services Jobs

*** $20,000 sign-on bonus for external candidates! *** Uptown Psych, part of the Optum family of businesses is seeking a Clinical Medical Director / Psychiatrist to join our team in Chicago, IL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Behavioral Care Team, you'll be an integral part of our vision to make healthcare better for everyone. Established in 2011, Uptown Psych is committed to bringing the best possible, evidence-based mental health services to the Chicago metropolitan area. As the Clinical Medical Director, you will work with clinicians at our centers in Illinois, Wisconsin, and Indiana while promoting a just culture and safe clinical environment for our patients and providers. You will maintain a clinical caseload (0.6 FTE) and provide clinical oversight (0.4 FTE ), allowing you to continue providing patient care while leveraging your expertise on a broader scale. You will collaborate with operational leadership to offer clinical insight into operational processes as needed. This 1.0 FTE position provides the flexibility of a hybrid work arrangement, combining time at our center located at 4753 N. Broadway St. in Chicago with the ability to work from home. This is a salaried position with quarterly bonus potential based on productivity after six months. Primary Responsibilities: Engage in clinical work, including patient care and clinical supervision Manage a team of psychiatrists and advanced practice clinicians (APCs) Serve as the collaborating physician and/or clinical supervisor of APCs Serve as a multi-state, dyadic partner to center operations leader Maintain quality assurance programs by participating in chart reviews and analyzing outcome metrics Contribute to initiatives for continuing education, including CMEs Champion patient safety through RLDatix reporting and reviews Benefits Include: Full medical, dental, and vision benefits Life and AD&D Insurance plus Short- and Long-Term Disability coverage 401(k) and Employee Stock Purchase Plan Generous PTO plus paid company holidays Reimbursement and time off allotment for CME activities Peloton and gym memberships discounts 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: M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) Active, unrestricted Psychiatrist license in at least one of the following states: Illinois, Wisconsin, or Indiana. Must be willing to obtain licensures in remaining states within 90 days, if applicable Active Drug Enforcement Administration (DEA) license for prescribing controlled substances Board-certified by the American Board of Psychiatry and Neurology (ABPN) Basic Life Support (BLS) certification 3+ years of clinical work experience, post-residency Eligible to enroll as a Medicare provider or ability to terminate opt-out, if applicable Preferred Qualifications: Experience with clinical supervision / collaboration Experience working in an outpatient clinic setting Experience working with computers for professional communication and medical documentation - Excel, Outlook, Athena RMS or other Electronic Health Record systems (EHRs) Knowledge of Spravato or willing to be trained Knowledge of Transcranial Magnetic Stimulation (TMS) or willing to be trained Demonstrated leadership skills and/or experience; i.e., implementing strategic initiatives, leading/mentoring teams, managing projects, etc. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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. The salary range for this role is $214,000 to $382,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Diversity creates a healthier atmosphere: OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

About the Role: CrowdStrike is seeking a Corporate Sales Engineer who is passionate about cybersecurity. In this role, you will learn to articulate how current security solutions are designed and deployed, and why they are failing so that you can provide value to potential customers. You will be part of a team responsible for changing what the security market and customers believe is possible with a next-generation endpoint technology. Our Corporate Sales Engineers partner with our Account Executives to acquire new logos . Through our interview process, the hiring team will learn about your skills and background. From there, they'll be able to identify which segment is the best fit for you. This is a remote role and can be based anywhere in the United States. What You'll Do: Be the expert in endpoint or network security space - eg. AV, EDR, incident response, forensics, SIEM, firewall, HIPS/IDS, etc. Solid understanding of Windows, mac OS, and Linux operating systems Articulate basic security problems to a set of audiences Strong self-starter with the ability to work independently Work collaboratively with Sales, Marketing, Support, and Engineering; the Sales Engineer should be the technical bridge between CrowdStrike and prospects/customers Conduct demonstrations and proof of values with ability to present technical concepts to a variety of external audiences up to C-level executives Effective time management and organizational skills a must What You'll Need: 2+ years of relevant experience in sales engineering, IT, consulting, Digital Forensics and Incident Response,, or related field. Ability for travel as required Knowledge of malware, threat intelligence, and/or sandbox analysis. Ability to write and modify basic scripts. Preferred languages are PowerShell, Python, and Bash Experience with virtualization/VDI technologies Experience with large scale cloud platforms such as AWS, Azure, GCP, etc. Proficient understanding of legacy and modern identity and SSO providers; such as, Active Directory, Entra ID, PAM Solutions, etc Customer facing experience and being comfortable leading presentations Certifications such as CEH, CISSP, OSCP, and SANS or participating in security events such as capture the flag is a bonus #LI-HK1 #LI-JN1 #LI-Remote PandoLogic. Category:Sales, Keywords:Pre-Sales Engineer, Location:Austin, TX-78703

Who We Are Applied Materials is the global leader in materials engineering solutions used to produce virtually every new chip and advanced display in the world. We design, build and service cutting-edge equipment that helps our customers manufacture display and semiconductor chips - the brains of devices we use every day. As the foundation of the global electronics industry, Applied enables the exciting technologies that literally connect our world - like AI and IoT. If you want to work beyond the cutting-edge, continuously pushing the boundaries of science and engineering to make possible the next generations of technology, join us to Make Possible a Better Future. What We Offer Salary: $148,000.00 - $203,500.00 Location: Albany,NY At Applied, we prioritize the well-being of you and your family and encourage you to bring your best self to work. Your happiness, health, and resiliency are at the core of our benefits and wellness programs. Our robust total rewards package makes it easier to take care of your whole self and your whole family. We're committed to providing programs and support that encourage personal and professional growth and care for you at work, at home, or wherever you may go. Learn more about our benefits. You'll also benefit from a supportive work culture that encourages you to learn, develop and grow your career as you take on challenges and drive innovative solutions for our customers. We empower our team to push the boundaries of what is possible-while learning every day in a supportive leading global company. Visit our Careers website to learn more about careers at Applied. Key Responsibilities Process Engineer 5 Solves unique and complex problems that have a broad impact on the business. Contributes to the development of functional strategy. Leads project to achieve milestones and objectives to support IMS (Integrated Materials Solutions) business strategy. Key Responsibilities Project lead for IMS FEOL project for Advanced CMOS Logic Design, collect data, analyze and compile reports on significantly complex process engineering experiments for a range of products, within safety guidelines Design and implement new technology, products and analytical instrumentation Develop, plan and execute process engineering projects for a range of products Generate internal and external documentation for presentations, technical reports for integrated products and generate process engineering specifications for integrated products Develops and executes complex technology and engineering projects and leads research and development of new technologies as appropriate. Within safety guidelines design, perform, collect data, analyze and compile reports on unusually complex engineering experiments and provides solutions which are highly innovative and ingenious. Develop innovative solutions as part of proven track record of significant technology contributions. Conceive and implement new technology, normally named as primary inventor on critical patents and recognized through awards and/or published papers. Provide technical leadership for new module development and roadmap Functional Knowledge Very familiar with FEOL products and key CMOS modules/processes Demonstrates in-depth and/or breadth of expertise in own discipline and broad knowledge of other disciplines within the function Business Expertise Anticipates business issues; recommends product, process or service improvements Aware of publicly available technical and business direction of key customers and key competitors. Problem Solving Solves unique and complex problems with broad impact on the business; requires conceptual and innovative thinking to develop solutions Interpersonal Skills Communicates complex ideas, anticipates potential objections and persuades others, often at senior levels, to adopt a different point of view Education Master's Degree, PhD preferred 10-15 Years of Experience Applied Materials is committed to diversity in its workforce including Equal Employment Opportunity for Minorities, Females, Protected Veterans and Individuals with Disabilities. Additional Information Time Type: Full time Employee Type: Assignee / Regular Travel: Yes, 10% of the Time Relocation Eligible: Yes The salary offered to a selected candidate will be based on multiple factors including location, hire grade, job-related knowledge, skills, experience, and with consideration of internal equity of our current team members. In addition to a comprehensive benefits package, candidates may be eligible for other forms of compensation such as participation in a bonus and a stock award program, as applicable. For all sales roles, the posted salary range is the Target Total Cash (TTC) range for the role, which is the sum of base salary and target bonus amount at 100% goal achievement. Applied Materials is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, national origin, citizenship, ancestry, religion, creed, sex, sexual orientation, gender identity, age, disability, veteran or military status, or any other basis prohibited by law. In addition, Applied endeavors to make our careers site accessible to all users. If you would like to contact us regarding accessibility of our website or need assistance completing the application process, please contact us via e-mail at Accommodations_****************, or by calling our HR Direct Help Line at ************, option 1, and following the prompts to speak to an HR Advisor. This contact is for accommodation requests only and cannot be used to inquire about the status of applications.

Who We Are Applied Materials is the global leader in materials engineering solutions used to produce virtually every new chip and advanced display in the world. We design, build and service cutting-edge equipment that helps our customers manufacture display and semiconductor chips - the brains of devices we use every day. As the foundation of the global electronics industry, Applied enables the exciting technologies that literally connect our world - like AI and IoT. If you want to work beyond the cutting-edge, continuously pushing the boundaries of science and engineering to make possible the next generations of technology, join us to Make Possible a Better Future. What We Offer Salary: $163,000.00 - $224,000.00 Location: Santa Clara,CA At Applied, we prioritize the well-being of you and your family and encourage you to bring your best self to work. Your happiness, health, and resiliency are at the core of our benefits and wellness programs. Our robust total rewards package makes it easier to take care of your whole self and your whole family. We're committed to providing programs and support that encourage personal and professional growth and care for you at work, at home, or wherever you may go. Learn more about our benefits. You'll also benefit from a supportive work culture that encourages you to learn, develop and grow your career as you take on challenges and drive innovative solutions for our customers. We empower our team to push the boundaries of what is possible-while learning every day in a supportive leading global company. Visit our Careers website to learn more about careers at Applied. Key Responsibilities Independently, develops and implements opto-mechanical concepts high performance imaging and/or illumination optics, including tolerancing, alignment and automated mechanisms Technically lead and/or execute engineering projects and spearhead research and development of new technologies, as appropriate Problem identification and troubleshooting a wide range of significantly complex engineering problems Specify or perform significantly complex engineering analysis Interface with internal and external customers regarding significantly complex engineering issues to address customers High Value Problems (HVP) for a range of products Generate product specifications. Define, coordinate, perform, and document engineering tests. Specify the development, design, or modify engineering layouts/schematics and/or detailed drawings/specifications of significantly complex scope Specify and review engineering documentation and engineering processes Qualifications BS or MS in Mechanical Engineering or related fields Minimum 10 years of experience in the mechanical design field Proficient in opto-mechanical, precision mechanical and mechanism design and familiar with high precision optical design implementations Experienced with 3D CAD such as Solidworks or Inventor, and FEA for static and dynamic analysis, CFD for flow analysis Functional Knowledge Regarded as the technical expert in their particular field Demonstrates in-depth and/or breadth of expertise in own discipline and broad knowledge of other disciplines within the function Business Expertise Anticipates business and regulatory issues; recommends product, process or service improvements Leadership Leads projects with notable risk and complexity; develops the strategy for project execution Problem Solving Solves unique and complex problems with broad impact on the business; requires conceptual and innovative thinking to develop solutions Impact Impacts the direction and resource allocation for program, project or services; works within general functional policies and industry guidelines Interpersonal Skills Communicates complex ideas, anticipates potential objections and persuades others, often at senior levels, to adopt a different point of view Additional Information Time Type: Full time Employee Type: Assignee / Regular Travel: Yes, 10% of the Time Relocation Eligible: Yes The salary offered to a selected candidate will be based on multiple factors including location, hire grade, job-related knowledge, skills, experience, and with consideration of internal equity of our current team members. In addition to a comprehensive benefits package, candidates may be eligible for other forms of compensation such as participation in a bonus and a stock award program, as applicable. For all sales roles, the posted salary range is the Target Total Cash (TTC) range for the role, which is the sum of base salary and target bonus amount at 100% goal achievement. Applied Materials is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, national origin, citizenship, ancestry, religion, creed, sex, sexual orientation, gender identity, age, disability, veteran or military status, or any other basis prohibited by law. In addition, Applied endeavors to make our careers site accessible to all users. If you would like to contact us regarding accessibility of our website or need assistance completing the application process, please contact us via e-mail at Accommodations_****************, or by calling our HR Direct Help Line at ************, option 1, and following the prompts to speak to an HR Advisor. This contact is for accommodation requests only and cannot be used to inquire about the status of applications.

GridPoint is an established leader in smart energy solutions, providing Fortune 1000 enterprises, government agencies and utilities with the tools to implement and maintain sustainable energy management practices that improve operational efficiency and maximize energy savings. Founded in 2003, GridPoint is headquartered in Reston, Virginia, with an office in Roanoke, Virginia. Job Description The Software Architect shall be the principal author and advocate for the specification of software architecture and design for GridPoint's product and service offerings portfolio. The Software Architect shall work closely with members of the Engineering and Operations teams to identify optimal solutions which best integrate and support legacy products, evolving products, and new product initiatives. The ideal candidate shall be well experienced in successfully applying computer science based models, founded on best design patterns, to achieve successful application solutions in a variety of domains. The Software Architect's responsibilities shall be to: * limit choices available during software development by -- choosing and specifying a standard way of pursuing application development -- creating, defining, or choosing an application framework for the application * recognize potential software assets reuse in the organization or in the application by -- observing and understanding the broader system environment -- creating the component design -- having knowledge of other applications in the organization * subdivide a complex application, during the design phase, into smaller, more manageable pieces * grasp the functions of each component within the application * understand the interactions and dependencies among components * communicate these concepts to developers In order to perform these responsibilities effectively, the Software Architect shall use tools, standard models, industry best practices, and creative design approaches to represent systems and/or to develop system prototypes, assets, or supporting assets. The Software Architect may also select and/or specify particular technical standards, tools, components, platforms which may be collectively tailored for a consistent and optimal overall system specification/design. The Software Architect shall: * initially and periodically thereafter fully review the inventory of system design and software assets to assess degree of efficiency and effectiveness in supporting desired functional, usability, performance, scalability, reliability, and security capabilities. * prepare a comprehensive suite of designs/specifications and associated migration plan(s) to achieve optimal system design implementation to fully support all known and required system capabilities * prepare reference design examples for selected components or design patterns which may be more widely used and/or tailored in system implementation efforts * provide technical support and guidance to the Engineering team at large for the orderly and reliable maintenance and evolution of system design and capabilities * provide architectural/design support to the Data Warehouse team to achieve optimal DWH system design/implementation. * continuously assess emerging technologies for suitability/applicability in the master application framework of GridPoint system design * continuously monitor evolving GridPoint Product Management product initiatives to identify best solution paths as well as to identify critical errors in new product plans with respect to existing system fundamentals. Qualifications * B.S. Computer Science or related field... M.S. Computer Science highly preferred * Minimum 10 years of professional experience in highly senior design/architect roles * Minimum 10 years of experience with Unix internals; Java or .NET; XML/JSON; Oracle, Postgres, or SQL Server; application frameworks (e.g. J2EE, JBOSS, Spring, Hibernate, OSGI) * Minimum 5 years of experience with web services applications... RESTful designs preferred * Minimum 10 years of hands-on experience with database programming in Java or .NET with Oracle, Postgres, SQL Server or other RDBMS * Experience with one or more of the following is desired: scala, service oriented architectures, continuous integration, automated configuration management * Desired experience with identity/authentication frameworks for any of OAuth, SAML, OpenID * Desired experience with large scale data management using Hadoop, Cassandra or similar leading technologies. * Excellent written and verbal communication skills Additional Information GridPoint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, or disability. Note: no unsolicited 3rd party resumes accepted

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Optum's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

GridPoint is an established leader in smart energy solutions, providing Fortune 1000 enterprises, government agencies and utilities with the tools to implement and maintain sustainable energy management practices that improve operational efficiency and maximize energy savings. Founded in 2003, GridPoint is headquartered in Reston, Virginia, with an office in Roanoke, Virginia. Job Description The Senior Software Engineer shall perform with a high degree of independence and expertise to implement solutions for a variety of complex software products/features... both wholly new efforts and also enhancements/maintenance to established assets. The Senior Software Engineer's responsibilities shall be to: • participate in specification development and provide critical review of software specifications prepared by others • develop and document responsive software design solutions based on software requirements specifications which also conform to established system level architecture/design specifications • develop software assets based on software requirements and design specifications, system architecture/design specifications... working either singly or in combination with other software engineers and test engineers • ensure high quality software products through deliberative design, implementation, unit/integration testing, and active support to verification/validation testers • perform Production support work as assigned (issue investigation and findings reporting, rapid issue resolution for critical issues) In order to perform these responsibilities effectively, the Senior Software Engineer shall use tools, standard models, industry best practices, and creative design approaches to represent systems and/or to develop system prototypes, assets, or supporting assets. Our current technology and tool mix includes: Java7, Scala, Akka, AngularJS, JPA, Hibernate, PostgreSQL, SQL Server, Cassandra, git, Jira, Bamboo. Qualifications • B.S. Computer Science or related field (or equivalent experience)... M.S. Computer Science highly preferred • Minimum 8 years of professional experience in progressively more senior software engineering roles • Minimum 8 years of experience with Unix internals; Java or .NET; XML/JSON; Oracle, Postgres or SQL Server; application frameworks (e.g. J2EE, JBOSS, Spring, Hibernate, OSGI) • Minimum 5 years of experience with web services applications... RESTful designs preferred • Minimum 8 years of hands-on experience with database programming in Java or .NET with Oracle, Postgres, or other RDBMS • Experience with one or more of the following is desired: scala, service oriented architectures, continuous integration, automated configuration management • Excellent written and verbal communication skills Additional Information GridPoint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, or disability. Note: no unsolicited 3rd party resumes accepted

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested 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: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care Demonstrated ability to work within a team environment while completing multiple tasks simultaneously Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals Demonstrated competence in use of electronic health records as well as associated technology and applications Proven excellent organizational, analytical, verbal and written communication skills Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues Proven highest level of ethics and integrity Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

GridPoint is an established leader in smart energy solutions, providing Fortune 1000 enterprises, government agencies and utilities with the tools to implement and maintain sustainable energy management practices that improve operational efficiency and maximize energy savings. Founded in 2003, GridPoint is headquartered in Reston, Virginia, with an office in Roanoke, Virginia. Job Description The Software Architect shall be the principal author and advocate for the specification of software architecture and design for GridPoint's product and service offerings portfolio. The Software Architect shall work closely with members of the Engineering and Operations teams to identify optimal solutions which best integrate and support legacy products, evolving products, and new product initiatives. The ideal candidate shall be well experienced in successfully applying computer science based models, founded on best design patterns, to achieve successful application solutions in a variety of domains. The Software Architect's responsibilities shall be to: * limit choices available during software development by -- choosing and specifying a standard way of pursuing application development -- creating, defining, or choosing an application framework for the application * recognize potential software assets reuse in the organization or in the application by -- observing and understanding the broader system environment -- creating the component design -- having knowledge of other applications in the organization * subdivide a complex application, during the design phase, into smaller, more manageable pieces * grasp the functions of each component within the application * understand the interactions and dependencies among components * communicate these concepts to developers In order to perform these responsibilities effectively, the Software Architect shall use tools, standard models, industry best practices, and creative design approaches to represent systems and/or to develop system prototypes, assets, or supporting assets. The Software Architect may also select and/or specify particular technical standards, tools, components, platforms which may be collectively tailored for a consistent and optimal overall system specification/design. The Software Architect shall: * initially and periodically thereafter fully review the inventory of system design and software assets to assess degree of efficiency and effectiveness in supporting desired functional, usability, performance, scalability, reliability, and security capabilities. * prepare a comprehensive suite of designs/specifications and associated migration plan(s) to achieve optimal system design implementation to fully support all known and required system capabilities * prepare reference design examples for selected components or design patterns which may be more widely used and/or tailored in system implementation efforts * provide technical support and guidance to the Engineering team at large for the orderly and reliable maintenance and evolution of system design and capabilities * provide architectural/design support to the Data Warehouse team to achieve optimal DWH system design/implementation. * continuously assess emerging technologies for suitability/applicability in the master application framework of GridPoint system design * continuously monitor evolving GridPoint Product Management product initiatives to identify best solution paths as well as to identify critical errors in new product plans with respect to existing system fundamentals. Qualifications * B.S. Computer Science or related field... M.S. Computer Science highly preferred * Minimum 10 years of professional experience in highly senior design/architect roles * Minimum 10 years of experience with Unix internals; Java or .NET; XML/JSON; Oracle, Postgres, or SQL Server; application frameworks (e.g. J2EE, JBOSS, Spring, Hibernate, OSGI) * Minimum 5 years of experience with web services applications... RESTful designs preferred * Minimum 10 years of hands-on experience with database programming in Java or .NET with Oracle, Postgres, SQL Server or other RDBMS * Experience with one or more of the following is desired: scala, service oriented architectures, continuous integration, automated configuration management * Desired experience with identity/authentication frameworks for any of OAuth, SAML, OpenID * Desired experience with large scale data management using Hadoop, Cassandra or similar leading technologies. * Excellent written and verbal communication skills Additional Information GridPoint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, or disability. Note: no unsolicited 3rd party resumes accepted

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. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO Current, active, and fully unrestricted medical license Current board certification in Neurosurgery 5+ years of clinical experience in Neurosurgery; experience in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Optum's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Optum's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participate in daily clinical rounds as requested Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Call coverage rotation 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: M.D or D.O Active unrestricted license to practice medicine Board certification in either Medical Oncology or Radiation Oncology 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM) Solid PC skills, specifically using MS Word, Outlook, and Excel Proven ability to participate in rotational holiday and call coverage as needed Preferred Qualifications: Current license in MN, AZ, TX, DC, MD, VA, CA Experience in utilization and clinical coverage review Data analysis and interpretation aptitude Innovative problem-solving skills Excellent presentation skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

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. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participate in daily clinical rounds as requested Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Call coverage rotation 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: M.D or D.O Active unrestricted license to practice medicine Board certification in either Medical Oncology or Radiation Oncology 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM) Solid PC skills, specifically using MS Word, Outlook, and Excel Proven ability to participate in rotational holiday and call coverage as needed Preferred Qualifications: Current license in MN, AZ, TX, DC, MD, VA, CA Experience in utilization and clinical coverage review Data analysis and interpretation aptitude Innovative problem-solving skills Excellent presentation skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Optum's Whole Health Solutions team enables value-based care across the health care system by developing and deploying innovative, integrated, person-centered solutions that improve access, reduce cost and simplify experiences, ultimately leading to better health outcomes. The Optum Whole Health Solutions (WHS) Medical Director for Oncology will provide clinical guidance to drive the transformation on cancer care at Optum and its partner health plans. This position will provide clinical oversight of Optum's programs and solutions ensure our members receive high quality, evidence based and cost-effective care. The medical Director will also be responsible for driving Optum's value-based care initiatives in oncology. This role requires an innovative clinician leader with clinical experience in oncology. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide clinical oversight and ensure the clinical quality of oncology case management programs and identify opportunities of improvement and innovation Deliver innovative member-centered services and care that impacts the overall health and wellness of oncology members through program enhancement, planning, strategy implementation, and program oversight. This includes comprehensive care, utilization, and cancer care management Perform P2P as needed with providers to address gaps in care Collaborate with oncology case managers, social workers, pharmacists, and behavioral health experts as part of integrated care team Collaborate with experienced data analysts to develop hypotheses, evaluate opportunities, and design program evaluations (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise - wide research, clinical and quality initiatives to enhance Optum impact in the oncology field Develop and implement measurement strategies and the associated metrics to track the processes and clinical and financial outcomes of clinical programs Identify training and education opportunities and direct the training or provide education to support the clinical team Collaborate with clinical, analytics and business partners to develop criteria for centers of excellence and value-based care models and provide clinical leadership for the evaluation process Collaboratively work with the product directors, analytics team, and clinical and operational staff to develop strategies and design solutions to improve the value of care, clinical outcomes, and patient experience Collaborate with internal partners and team developing and maintaining evidence-based cancer pathways Remain current on the scientific literature and leverage knowledge to inform product strategy and solution design In conjunction with Clinical Operations leadership, assure that all clinical accreditation and performance standards are met, quality issues are addressed, and help support an environment of continuous quality improvement Work in a highly matrixed environment and use influence to work with lead physicians and their staff in local markets to implement programs to meet affordability targets Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Develop and deliver presentations to a variety of internal and external audiences Foster exemplary teamwork and strengthen a culture of continuous improvement and accountability You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted medical license Current Board Certification in an Oncology specialty 5+ years of clinical practice experience Demonstrated accomplishments in at least one of the following areas: quality improvement/management, implementing change in health care delivery systems, utilization management, case management, and/or development of clinical pathways Presentation and persuasion skills; ability to speak clearly and lead discussions with senior executives and large groups Analytic and critical thinking skills with proven ability to use clinical, administrative and claims data to identify opportunities, inform program design and measure process, clinical and financial outcomes Ability to communicate effectively and efficiently (both verbal and written) in a highly matrixed organization Consensus builder and effective influencer and motivator of teams, staff, providers, and ability to lead through influence in a matrixed organization Strategic thinking with business acumen and ability to align clinical related strategies and recommendations with business objectives Ability and willingness to travel 25% as needed Preferred Qualifications: Master's degree or fellowship in a population health science (e.g. epidemiology, health services research), Masters in Business Administration or comparable experience Experience in palliative care or hospice care Experience in managed care Experience in design and/or implementation of value-based care payment models and/or initiatives to improve the value of cancer care Experience presenting at national conferences and major academic meetings Experience in client - facing customer relationship management Experience with analyzing medical cost trends and implementing clinical programs to improve value and lower the total cost of care Demonstrated ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees and supporting ongoing training and development of staff Proven ability to quickly gain credibility, influence and partner with staff and the clinical community *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO Current, active, and fully unrestricted medical license Current board certification in Neurosurgery 5+ years of clinical experience in Neurosurgery; experience in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

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. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO Current, active, and fully unrestricted medical license Current board certification in Neurosurgery 5+ years of clinical experience in Neurosurgery; experience in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested 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: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care Demonstrated ability to work within a team environment while completing multiple tasks simultaneously Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals Demonstrated competence in use of electronic health records as well as associated technology and applications Proven excellent organizational, analytical, verbal and written communication skills Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues Proven highest level of ethics and integrity Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested 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: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and willing to maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care Demonstrated ability to work within a team environment while completing multiple tasks simultaneously Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals Demonstrated competence in use of electronic health records as well as associated technology and applications Proven excellent organizational, analytical, verbal and written communication skills Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues Proven highest level of ethics and integrity Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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.