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Director jobs at Unum - 44 jobs

  • Medical Principal - Gastroenterologist

    The Cigna Group 4.6company rating

    Bloomfield, CT jobs

    **Medical Principal Job Description** ** Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. **Summary description of position** : A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers. He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims). This is an entry to mid-level position for a physician interested in a career in health care administration. **Major responsibilities and required results:** + Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles. + Works to achieve quality outcomes for customers/members with a focus on service and cost + Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills. + Balances customer/member needs with business needs while serving as a customer/member advocate at all times. + Participates in all levels of the Appeal process as appropriate and allowed by applicable regulatory agencies and accreditation organizations + Participates in coverage guideline development, development and maintenance of medical management projects, initiatives and committees. + Participates in quality processes such as audits, inter-rater reliability clinical reviews, and quality projects + Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes. + Improves health care professional relations through direct communication, knowledge of appropriate evidence-based clinical information and the fostering of positive collegial relationships. + Demonstrates knowledge as a peer reviewer by applying current evidence-based guidelines, including novel treatments, to support high-quality clinical decision-making across medical and behavioral health conditions, diseases, treatments, and procedures. Medical directors are required to maintain and update their knowledge base through monthly focused updates of Cigna's comprehensive evidence-based coverage policies, as well as through mandatory inter-rater reliability testing, continuing medical education, and maintenance of board certification. + Addresses customer service issues with mentoring and support from leadership staff. + Investigates and responds to client and/or regulatory questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff. + Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions. + Provides clinical insight and management support to other functional areas and matrix partners as needed or directed. **Minimum Requirements:** + Current unrestricted medical license in a US state or territory. + Current board certification (lifetime certification or certification maintained by MOC or other applicable program) in an ABMS or AOA recognized specialty (Gastroenterology) + Exhibits ethical and professional behavior. + Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency + Computer Competency: Word processing, Spreadsheet, Email, PowerPoint and Personal Information Management programs are used extensively and competency in all must be possessed or rapidly acquired. + Must not be excluded from participation in any federal health care program** + Must not be included in CMS' Preclusion List** **Preferred Skill Sets:** + Experience in medical management, utilization review and case management in a managed care setting. + Knowledge of managed care products and strategies. + Ability to work within changing business environment and balance patient advocacy with business needs. + Experience with managing multiple projects in a fast-paced matrix environment. + Demonstrated ability to educate colleagues and staff members. + Successful experience and comfort with change management. + Demonstration of strong and effective abilities in teamwork, negotiation, conflict management, decision-making, and problem-solving skills. + Successful ability to assess complex issues, to determine and implement solutions, and resolve problems. + Success in creating and maintaining cooperative, successful relations with diverse internal and external stakeholders. + Demonstrated sensitivity to culturally diverse situations, participants, and customers/members. + Service marketing, sales, and business acumen experience a plus. + Fluency in Spanish or other languages If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 206,300 - 343,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $106k-131k yearly est. 28d ago
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  • Community and State Community Initiatives Director - Ohio Market - Remote

    Unitedhealth Group Inc. 4.6company rating

    Dublin, OH jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? If you are located in the state of OH, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: * In close coordination with the Population Health Director, oversee the plan's strategic design, implementation, and evaluation of population-specific improvement efforts in the context of the MCO's population health initiatives * Oversee the plan's strategic design, implementation, and evaluation of community engagement and investment efforts in the context of the plan's population health initiatives in close coordination with the Population Health Director * Lead and manage a team responsible for advancing community health initiatives, including oversight of staff supporting health related social needs workgroups and health outcomes related measurement execution for accreditation * Serve as the lead for the Sponsorship Committee, overseeing strategy, evaluation, and alignment of sponsorships with community engagement priorities, population health goals, and the organization's business growth objectives. Ensure sponsorship efforts are integrated with broader community engagement strategies and investments to maximize impact and sustainability * Inform decision-making around best payer practices to ensure optimal outcomes for all populations through provision of applicable and relevant population-specific and community-based research and resources, as well as ensuring member perspectives from all subpopulations are incorporated into the codesign of policy and service provision, including the tailoring of population-specific intervention strategies, and ensuring alignment with NCQA Health Outcomes Accreditation &/or Community-Focused Care accreditation standards and reporting requirements * Collaborate with the MCO's Chief Information Officer to ensure the MCO collects and meaningfully uses race, ethnicity, and language data to identify opportunities for improvement * Provide strategic guidance and facilitation to internal workgroups focused on addressing health related social needs, ensuring initiatives are data-informed, and aligned with ODM & NCQA expectations * Coordinate and collaborate with members, providers, local and state government, community-based organizations, ODM, and other ODM-contracted managed care entities to impact differences in health outcomes at a population level * Ensure that efforts to address poor health outcomes are codesigned with the targeted sub-populations and their providers, developed collaboratively with other ODM-contracted managed care entities to have a collective impact, and integrated with community engagement strategies and investments. Lessons learned are incorporated into future decision-making * Designs, implements, and evaluates programs to reduce health disparities. Uses data to drive decision-making and measurement of progress * Coordinate and collaborate with members, providers, local and state government, community-based organizations, the Ohio Department of Medicaid (ODM), and other ODM-contracted managed care entities to impact population health at the population level * Ensure that efforts addressed at improving population health are designed collaboratively with other ODM contracted managed care entities to have a collective impact for the population and that lessons learned are incorporated into future decision-making * Provides visionary leadership and contributes to the successful advancement of culture, population health and social responsibility principles. Responsible for being a champion of culture, cultivating innovation, and inspiring others * Builds and deploys strategies and initiatives that identify structural impediments to disparate populations * Demonstrates organizational agility and understands how the business operates and can identify and interpret business levers. Creates experiences that shape and grow the organizations' culture programs and capabilities 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: * Bachelors Degree * 5+ years of professional work experience, preferably in public health, social/human services, social work, public policy, health care, education, community development, or justice related fields * 5+ years of experience interfacing with Senior Leadership team * Have experience in actively applying or overseeing the application of science-based quality improvement methods to reduce differences in health outcomes * Demonstrated community and stakeholder engagement experience * Experience addressing health disparity concerns * Experience and knowledge of change management principles, methodologies and tools * Experience working with and leading cross-functional teams and projects * Experience utilizing excellent time management, organizational, and prioritization skills and ability to balance multiple priorities * Experience utilizing solid problem solving and analytical and skills * Experience utilizing excellent communication skills both written and verbal * Intermediate to advanced level of proficiency with Microsoft Word, Microsoft Project, Microsoft Excel, Visio, Microsoft PowerPoint and SharePoint * Expert level of proficiency in Microsoft PowerPoint and Microsoft TEAMS * Proven self-directed, independent and track record of problem solving, initiation and leadership for extremely complex, visible and multifaceted topics * Demonstrated ability leading across organizational silos when presented with highly complex and undefined work * Reside in Ohio * Ability to travel up to 25% of the time, throughout the state of Ohio and limited nationwide travel Preferred Qualifications: * Experience working with Medicaid and/or Medicare programs * Experience working in a matrix environment and influencing all levels of employees; inspiring others to engage, participate and act * Proven excellent communication skills - including verbal, written, interpersonal, presentation, and facilitation skills - with a proven ability to manage conflict, resolve issues, mitigate risks and influence leaders * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 7d ago
  • Community and State Community Initiatives Director - Ohio Market - Remote

    Unitedhealth Group 4.6company rating

    Dublin, OH jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? **If you are located in the state of OH, you will have the flexibility to work remotely* as you take on some tough challenges.** **Primary Responsibilities:** + In close coordination with the Population Health Director, oversee the plan's strategic design, implementation, and evaluation of population-specific improvement efforts in the context of the MCO's population health initiatives + Oversee the plan's strategic design, implementation, and evaluation of community engagement and investment efforts in the context of the plan's population health initiatives in close coordination with the Population Health Director + Lead and manage a team responsible for advancing community health initiatives, including oversight of staff supporting health related social needs workgroups and health outcomes related measurement execution for accreditation + Serve as the lead for the Sponsorship Committee, overseeing strategy, evaluation, and alignment of sponsorships with community engagement priorities, population health goals, and the organization's business growth objectives. Ensure sponsorship efforts are integrated with broader community engagement strategies and investments to maximize impact and sustainability + Inform decision-making around best payer practices to ensure optimal outcomes for all populations through provision of applicable and relevant population-specific and community-based research and resources, as well as ensuring member perspectives from all subpopulations are incorporated into the codesign of policy and service provision, including the tailoring of population-specific intervention strategies, and ensuring alignment with NCQA Health Outcomes Accreditation &/or Community-Focused Care accreditation standards and reporting requirements + Collaborate with the MCO's Chief Information Officer to ensure the MCO collects and meaningfully uses race, ethnicity, and language data to identify opportunities for improvement + Provide strategic guidance and facilitation to internal workgroups focused on addressing health related social needs, ensuring initiatives are data-informed, and aligned with ODM & NCQA expectations + Coordinate and collaborate with members, providers, local and state government, community-based organizations, ODM, and other ODM-contracted managed care entities to impact differences in health outcomes at a population level + Ensure that efforts to address poor health outcomes are codesigned with the targeted sub-populations and their providers, developed collaboratively with other ODM-contracted managed care entities to have a collective impact, and integrated with community engagement strategies and investments. Lessons learned are incorporated into future decision-making + Designs, implements, and evaluates programs to reduce health disparities. Uses data to drive decision-making and measurement of progress + Coordinate and collaborate with members, providers, local and state government, community-based organizations, the Ohio Department of Medicaid (ODM), and other ODM-contracted managed care entities to impact population health at the population level + Ensure that efforts addressed at improving population health are designed collaboratively with other ODM contracted managed care entities to have a collective impact for the population and that lessons learned are incorporated into future decision-making + Provides visionary leadership and contributes to the successful advancement of culture, population health and social responsibility principles. Responsible for being a champion of culture, cultivating innovation, and inspiring others + Builds and deploys strategies and initiatives that identify structural impediments to disparate populations + Demonstrates organizational agility and understands how the business operates and can identify and interpret business levers. Creates experiences that shape and grow the organizations' culture programs and capabilities 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:** + Bachelors Degree + 5+ years of professional work experience, preferably in public health, social/human services, social work, public policy, health care, education, community development, or justice related fields + 5+ years of experience interfacing with Senior Leadership team + Have experience in actively applying or overseeing the application of science-based quality improvement methods to reduce differences in health outcomes + Demonstrated community and stakeholder engagement experience + Experience addressing health disparity concerns + Experience and knowledge of change management principles, methodologies and tools + Experience working with and leading cross-functional teams and projects + Experience utilizing excellent time management, organizational, and prioritization skills and ability to balance multiple priorities + Experience utilizing solid problem solving and analytical and skills + Experience utilizing excellent communication skills both written and verbal + Intermediate to advanced level of proficiency with Microsoft Word, Microsoft Project, Microsoft Excel, Visio, Microsoft PowerPoint and SharePoint + Expert level of proficiency in Microsoft PowerPoint and Microsoft TEAMS + Proven self-directed, independent and track record of problem solving, initiation and leadership for extremely complex, visible and multifaceted topics + Demonstrated ability leading across organizational silos when presented with highly complex and undefined work + Reside in Ohio + Ability to travel up to 25% of the time, throughout the state of Ohio and limited nationwide travel **Preferred Qualifications:** + Experience working with Medicaid and/or Medicare programs + Experience working in a matrix environment and influencing all levels of employees; inspiring others to engage, participate and act + Proven excellent communication skills - including verbal, written, interpersonal, presentation, and facilitation skills - with a proven ability to manage conflict, resolve issues, mitigate risks and influence leaders *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $110.2k-188.8k yearly 36d ago
  • Medical Principal - Gastroenterologist

    Cigna 4.6company rating

    Remote

    Medical Principal Job Description Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna. Summary description of position: A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers. He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims). This is an entry to mid-level position for a physician interested in a career in health care administration. Major responsibilities and required results: Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles. Works to achieve quality outcomes for customers/members with a focus on service and cost Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills. Balances customer/member needs with business needs while serving as a customer/member advocate at all times. Participates in all levels of the Appeal process as appropriate and allowed by applicable regulatory agencies and accreditation organizations Participates in coverage guideline development, development and maintenance of medical management projects, initiatives and committees. Participates in quality processes such as audits, inter-rater reliability clinical reviews, and quality projects Serves as a mentor or coach to other Medical Directors and other colleagues in quality and performance improvement processes. Improves health care professional relations through direct communication, knowledge of appropriate evidence-based clinical information and the fostering of positive collegial relationships. Demonstrates knowledge as a peer reviewer by applying current evidence-based guidelines, including novel treatments, to support high-quality clinical decision-making across medical and behavioral health conditions, diseases, treatments, and procedures. Medical directors are required to maintain and update their knowledge base through monthly focused updates of Cigna's comprehensive evidence-based coverage policies, as well as through mandatory inter-rater reliability testing, continuing medical education, and maintenance of board certification. Addresses customer service issues with mentoring and support from leadership staff. Investigates and responds to client and/or regulatory questions to assist in resolving issues or clarifying questions with mentoring and support from leadership staff. Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions. Provides clinical insight and management support to other functional areas and matrix partners as needed or directed. Minimum Requirements: Current unrestricted medical license in a US state or territory. Current board certification (lifetime certification or certification maintained by MOC or other applicable program) in an ABMS or AOA recognized specialty (Gastroenterology) Exhibits ethical and professional behavior. Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency Computer Competency: Word processing, Spreadsheet, Email, PowerPoint and Personal Information Management programs are used extensively and competency in all must be possessed or rapidly acquired. Must not be excluded from participation in any federal health care program** Must not be included in CMS' Preclusion List** Preferred Skill Sets: Experience in medical management, utilization review and case management in a managed care setting. Knowledge of managed care products and strategies. Ability to work within changing business environment and balance patient advocacy with business needs. Experience with managing multiple projects in a fast-paced matrix environment. Demonstrated ability to educate colleagues and staff members. Successful experience and comfort with change management. Demonstration of strong and effective abilities in teamwork, negotiation, conflict management, decision-making, and problem-solving skills. Successful ability to assess complex issues, to determine and implement solutions, and resolve problems. Success in creating and maintaining cooperative, successful relations with diverse internal and external stakeholders. Demonstrated sensitivity to culturally diverse situations, participants, and customers/members. Service marketing, sales, and business acumen experience a plus. Fluency in Spanish or other languages If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 206,300 - 343,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $84k-107k yearly est. Auto-Apply 29d ago
  • Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group Inc. 4.6company rating

    Dublin, OH jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a Senior Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Ability to pass company Motor Vehicle (MVR) background check * Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel at 24 hour notice Hospital Requirements: (may be required): * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine-Full (required) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 7d ago
  • Per Diem Corporate Director of Pharmacy - Remote

    Unitedhealth Group Inc. 4.6company rating

    Dublin, OH jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Ability to pass company Motor Vehicle (MVR) background check * Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel on a 24 hour notice Hospital Requirements: (may be required): * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine-Full (required) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $53-90.8 hourly 7d ago
  • Senior Corporate Director of Pharmacy - Remote

    Unitedhealth Group 4.6company rating

    Dublin, OH jobs

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a **Senior Corporate Director of Pharmacy** with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Ability to pass company Motor Vehicle (MVR) background check + Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel at 24 hour notice **Hospital Requirements: (may be required):** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine-Full (required) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $110.2k-188.8k yearly 60d+ ago
  • Per Diem Corporate Director of Pharmacy - Remote

    Unitedhealth Group 4.6company rating

    Dublin, OH jobs

    **Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a **per diem Corporate Director of Pharmacy** with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Ability to pass company Motor Vehicle (MVR) background check + Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice **Hospital Requirements: (may be required):** + (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months + (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity + Varicella - (2) documented doses or A Blood Titer proving + Hep B3 Series (or declination) + (Flu) Influenza-required for hire between Oct 1st-April 30th + COVID Vaccine-Full (required) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 60d+ ago
  • Evernorth BISO Principal

    Cigna Group 4.6company rating

    Denver, CO jobs

    Information Protection Business Information Security Officer (Principle / BISO) The Evernorth Pharmacy and Care Delivery BISO is a leadership role within Technology, acting as a strategic conduit between Cigna Information Protection (CIP) cybersecurity services and the Pharmacy & Care Delivery Line of Business. Serving as the primary delegate for the business line Chief Information Security Officer, the BISO ensures continuity of cybersecurity strategy and execution across evolving business needs. This role drives the “last mile” delivery of global CIP Shared Services, leads risk management activities, and influences enterprise-wide security initiatives Key Responsibilities Strategic Leadership & Business Alignment Understand business strategy and anticipate cyber risk impacts; integrate security into business planning Champion enterprise cybersecurity initiatives, including multi-year Pharmacy Security Program & risk mitigation tied to the threat landscape Risk Management & Governance Parter with the CIP Governance, Risk, and Compliance team to embed risk management into the delivery lifecycle & layered defence model Develop and maintain organizational-wide cyber risk views in collaboration with CIP, Audit, Compliance, ERM, Legal, and Privacy Ensure adherence to CIP standards and frameworks (ISO/IEC 27001/27002, NIST CSF, PCI-DSS) and management of policy exceptions Operational Execution Partner with the Strategic Delivery Office to ensure delivery of global Cyber & Privacy risk mitigation programs for Pharmacy & Care Influence secure coding and DevSecOps practices into Agile pipelines to minimize vulnerabilities Ensure visibility into incident response, regulatory reporting, and forensic investigations in partnership with the CIP Global Threat Management team Stakeholder Engagement & Communication Provide localized risk and vulnerability reporting to business governance forums for data-driven decisions Partner with Global Architecture teams to implement standard security solutions and feed local requirements into global roadmaps Change & Integration Partner with the Cyber Mergers and Acquisitions team to integrate new companies securely Qualifications & Experience Education: BA/BS in business or technical field; MBA preferred but not required Experience: Minimum 10+ years in Information Security/Cybersecurity with ability to translate technical controls into business terms Minimum 5+ years in cyber leadership roles within Fortune 500 organizations Proven ability to influence and lead matrix teams; strong business acumen and global cultural awareness Certifications: CISSP, CISM, or equivalent preferred Technical Knowledge: Implementation-level knowledge of security standards and frameworks (ISO, NIST, PCI-DSS, FedRAMP) Familiarity with GRC tools and workflow management systems Industry Experience: Healthcare or Health IT required; Insurance & Financial Services preferred Additional Band 5 Alignment Organizational Impact: Drive measurable improvements in risk posture and compliance scores across business units Strategic Contribution: Influence enterprise cybersecurity strategy and innovation Leadership Accountability: Demonstrate inclusive leadership and cultural alignment with Cigna values If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 142,200 - 237,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $74k-91k yearly est. Auto-Apply 5d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group 4.6company rating

    Portland, OR jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 50d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group 4.6company rating

    Seattle, WA jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 50d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group 4.6company rating

    Las Vegas, NV jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 50d ago
  • Associate Director, Quality Field Operations - Travel

    Unitedhealth Group Inc. 4.6company rating

    Maryland Heights, MO jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Ensure targets are met or exceeded for assigned Market(s) * Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate * Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages * Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans * Solid focus on employee development and employee experience * Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets * Create provider targets for direct reports and assist in territory management penetration * Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans * Influence the development and improvement of operations/service processes * Drive the development and implementation of short-and-long range plans * Continually assess market competitiveness, opportunities, and risks * Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market * The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance * Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years of experience in a high impact role as a leader in the managed health care industry * 5+ years of Medicare Stars experience and HEDIS experience * Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans * Experience developing and improving operations / service processes including short and long range plans * Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities * A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role * Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work Preferred Qualifications: * Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois ) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $110.2k-188.8k yearly 15d ago
  • Associate Director, Quality Field Operations - Travel

    Unitedhealth Group 4.6company rating

    Maryland Heights, MO jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** This Director level is accountable for achieving assigned targets for Medicare Advantage providers in their assigned Market(s). The Director is responsible for developing and deploying business plans at the market level with a solid focus on managing CMS Risk Adjustment, Clinical Quality, HEDIS and Stars initiatives and building relationships across Market(s) to develop and optimize business opportunities and brand strength. Serving as the local Market expert, work with central function leads to target local strategies that will result in optimal Market(s) effectiveness. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Ensure targets are met or exceeded for assigned Market(s) + Development and execution of clinical, RAF and quality strategy related HEDIS and Part D Stars Improvements in partnership with Medicare Market CEO, Executive Director, Data Support, and other Optum and UHC parties as appropriate + Regular reporting and updates to senior leadership, including Health Plan CEO, CMO, and market leads, this requires development of PowerPoint and Excel data packages + Leadership and support of achieving a minimum of 4 Star rating for assigned H contracts and for achieving 80% of our members in 4 Star or better plans + Solid focus on employee development and employee experience + Monitor Market level trends, risk and opportunities to continually evaluate ability to achieve established targets + Create provider targets for direct reports and assist in territory management penetration + Actively participate in the development and execution of site Coding Accuracy, HEDIS, (prospective and retrospective), Patient Experience and Stars strategic/business plans + Influence the development and improvement of operations/service processes + Drive the development and implementation of short-and-long range plans + Continually assess market competitiveness, opportunities, and risks + Drive initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities + Build and maintain collaborative relationships with Corporate, Business units within UHG and other Medicare Advantage Plans, Provider relations/Network Development, Marketing and Sales, Clinical Operations, Senior Director leadership in each market + The Director will be accountable to ensure direct reports that oversee the field staff are performing at a high standard of performance + Be the primary go to person for all Risk/STARS related activities within their assigned market(s) working within a matrix relationship which includes Network, Market Leads, Health Plan Medical Directors, and other Health Plan and Optum team members to assure that all STARS activities are planned and executed + Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 5+ years of experience in a high impact role as a leader in the managed health care industry + 5+ years of Medicare Stars experience and HEDIS experience + Experience in the development and execution of Coding Accuracy, HEDIS (prospective and retrospective), Patient Experience and Stars strategic/business plans + Experience developing and improving operations / service processes including short and long range plans + Demonstrated experience on driving initiatives to optimize Medicare Advantage payment and reimbursement strategy and capabilities + A broad base of experience across management care operations, extensive knowledge of health care industry, provider and insurance industry is required to be successful in this role + Weekly commitment of 50% travel for business meetings (including client/health plan partners and provider meetings) and 50% remote work **Preferred Qualifications:** + Reside in the upper Midwest (Missouri / Nebraska / Iowa / Illinois ) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $110.2k-188.8k yearly 15d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group 4.6company rating

    Phoenix, AZ jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 50d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group 4.6company rating

    Los Angeles, CA jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.** As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + All aspects of operations, including assisting in recruitment and hiring of personnel + Evaluating that all legal, accreditation, and certification requirements are being met + Ensuring provision of optimal services + Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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:** + B.S. or PharmD from an ACPE-accredited School of Pharmacy + Active Pharmacist license in good standing + 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience + Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size + Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems + Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states + Proven ability to pass company Motor Vehicle (MVR) background check + Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed + Ability to travel on a 24 hour notice + Residence in Western U.S. near an international airport *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $53-90.8 hourly 50d ago
  • Corporate Director of Pharmacy Per Diem

    Unitedhealth Group Inc. 4.6company rating

    Los Angeles, CA jobs

    Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * All aspects of operations, including assisting in recruitment and hiring of personnel * Evaluating that all legal, accreditation, and certification requirements are being met * Ensuring provision of optimal services * Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy 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: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Active Pharmacist license in good standing * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * Proven ability to pass company Motor Vehicle (MVR) background check * Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel on a 24 hour notice * Residence in Western U.S. near an international airport * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $53-90.8 hourly 7d ago
  • Director of AI and MarTech Innovation - Remote

    Unitedhealth Group 4.6company rating

    Austin, TX jobs

    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 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.** The Optum Technology Digital team is on a mission to disrupt the healthcare industry, transforming UHG into an industry-leading Consumer brand. We deliver hyper-personalized digital solutions that empower direct-to-consumer, digital-first experiences, educating, guiding, and empowering consumers to access the right care at the right time. Our mission is to revolutionize healthcare for patients and providers by delivering cutting-edge, personalized and conversational digital solutions. We're Consumer Obsessed, ensuring they receive exceptional support throughout their healthcare journeys. As we drive this transformation, we're revolutionizing customer interactions with the healthcare system, leveraging AI, cloud computing, and other disruptive technologies to tackle complex challenges. Serving UnitedHealth Group's digital technology needs, the Consumer Engineering team impacts millions of lives through UnitedHealthcare & Optum. The AI MarTech Lead will drive AI engineering initiatives within the MarTech ecosystem, ensuring our technology stack evolves with the emergence of AI. This role requires staying ahead of industry trends and translating insights into actionable strategies. The leader will guide a cross-functional team capable of taking concepts from ideas to rapid prototype, fostering innovation through a dedicated MarTech Lab. By driving experimentation and delivering scalable AI/ML solutions, this role will enable advanced personalization, automation, and enhanced customer engagement. **What This Role Offers** + Ownership of the AI engineering vision and MarTech innovation strategy + The ability to build a state-of-the-art AI platform from the ground up + Impact at national scale across one of the largest healthcare organizations in the U.S. + The opportunity to drive meaningful innovation that improves customer engagement, experience, and outcomes + A fast-moving environment with solid support for experimentation and cutting-edge AI development You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Define the roadmap for AI/ML applications within the MarTech ecosystem + Establish and lead the AI/ML development lifecycle + Lead a cross functional team focused on rapid prototyping and innovation in MarTech and help to establish the AI/ML development lifecycle + Design, development, and deployment of AI/ML models and tools for product environments + Ability to conduct code reviews, enforce best practices and ensure high quality deliverables + Identify and prioritize high-impact use cases for AI/ML in areas such as personalization, predictive analytics, and campaign optimization and move the most promising concepts into production grade systems + Establish clear KPIs and successful metrics for AI/ML initiatives + Ensure compliance with data privacy, security, and ethical AI standards + Prepare and deliver presentations to senior leaders and stakeholders, articulating strategy, progress, and business impact of AI/ML initiatives + Partner with marketing, product, engineering, and data science leaders to operationalize AI solutions across channels and platforms + Prepare and deliver presentations to senior leaders and stakeholders, articulating strategy, progress, and business impact of AI/ML initiatives 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:** + Bachelors degree in Computer Science or related quantitative field + 10+ years of experience in data analytics and machine learning frameworks + 5+ years of experience in cloud AI/ML stacks (Azure, AWS, GCP) including containerization, workloads, distributed systems, and infrastructure ideally with exposure to marketing technology environments + Experience with automate workflows using AI-driven tools and scripts to enhance productivity + Demonstrated skills in Python, REST APIs, Cloud AI platforms + Demonstrated familiarity with HIPAA, PHI/PII handling, and enterprise-level compliance requirements + Ability to translate complex technical concepts into business value + Demonstrated familiarity with agile methodologies and rapid prototyping **Preferred Qualifications:** + Expertise in Adobe Experience platforms + Hands-on experience deploying production-grade ML and/or LLM systems at scale + Solid leadership skills with experience managing cross-functional teams or innovation labs + Ability to think strategically about technology ecosystems and future evolution *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $132.2k-226.6k yearly 34d ago
  • Director - Automations & Efficiencies - UMR - Remote

    Unitedhealth Group Inc. 4.6company rating

    Wausau, WI jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Director - Automations & Efficiencies is responsible for leading strategic initiatives aimed at enhancing operational effectiveness through innovative automation solutions within UMR Medical Third-Party Administrator (TPA) environment. The role entails overseeing the identification, development, implementation, and management of automation projects designed to optimize claims processing, provider engagement, compliance, and overall service delivery. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Lead the automation strategy to streamline operational processes, reduce manual interventions, enhance accuracy, and improve turnaround times * Oversee and manage end-to-end automation projects involving claims processing, eligibility verification, provider credentialing, adjudication workflows, and payment integrity initiatives * Collaborate with internal stakeholders and technology teams to identify efficiency gaps and develop targeted automation solutions * Evaluate existing operational procedures and implement process improvements leveraging Robotic Process Automation (RPA), AI, Machine Learning, and other advanced technologies * Establish and monitor performance metrics and KPIs to track automation effectiveness, cost savings, productivity enhancements, and compliance * Provide thought leadership to continuously improve automation capabilities, ensuring alignment with company goals and industry best practices * Manage relationships with automation vendors, technology providers, and consultants to ensure successful project execution * Maintain compliance with regulatory requirements, ensuring all automation processes meet healthcare industry standards and data security protocols * Foster a culture of innovation, efficiency, and continuous improvement within the team and broader organization You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 10+ years of progressive experience in healthcare payer/TPA operations and enterprise automation * 5+ years leading cross-functional automation teams and portfolios with ownership of roadmap, budget, and outcomes * Automation and AI expertise: RPA (UiPath, Automation Anywhere/Blue Prism), workflow/BPM (Pega, ServiceNow), intelligent automation (AI/ML, NLP, IDP/OCR); proven implementation of AI-driven solutions at scale in healthcare operations (LLMs/NLP, IDP, predictive models) with model governance and monitoring * Experience with integration/engineering and platform stack: APIs, event/queue-based orchestration, basic scripting (Python/SQL), CI/CD with Git-based SDLC for automations; deep expertise with core payer platforms (IBM mainframe-based), analytics/BI (Power BI/Tableau), modern data platforms (Snowflake/Databricks), and cloud (Azure/AWS) * Proven deep knowledge of healthcare payer operations: claims adjudication and EDI (X12 837/835/270/271/276/277/278), prior authorization, eligibility/enrollment, and provider data management * Built or led an Automation Center of Excellence (standards, controls, reusable components, demand intake, and performance reporting) * Proven exceptional analytical, problem-solving, and decision-making skills; executive-level communication; stakeholder influence; vendor/SLA management; and change management Preferred Qualifications: * Lean Six Sigma (Black Belt or Green Belt), PMP, Prosci/CCMP, and/or RPA platform certifications (UiPath/AA/Blue Prism) * Direct Medical TPA experience in claims adjudication, cost containment/payment integrity, COB/subrogation, and provider network management * Compliance and security fluency: HIPAA/PHI handling, CMS requirements, audit controls, and risk management * Knowledge of interoperability and security frameworks: FHIR/HL7/X12, HITRUST, SOC 2 * Experience leading distributed (onshore/offshore) teams and managing managed-services partners * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $77k-97k yearly est. 26d ago
  • Director - Automations & Efficiencies - UMR - Remote

    Unitedhealth Group 4.6company rating

    Wausau, WI jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The Director - Automations & Efficiencies is responsible for leading strategic initiatives aimed at enhancing operational effectiveness through innovative automation solutions within UMR Medical Third-Party Administrator (TPA) environment. The role entails overseeing the identification, development, implementation, and management of automation projects designed to optimize claims processing, provider engagement, compliance, and overall service delivery. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Lead the automation strategy to streamline operational processes, reduce manual interventions, enhance accuracy, and improve turnaround times + Oversee and manage end-to-end automation projects involving claims processing, eligibility verification, provider credentialing, adjudication workflows, and payment integrity initiatives + Collaborate with internal stakeholders and technology teams to identify efficiency gaps and develop targeted automation solutions + Evaluate existing operational procedures and implement process improvements leveraging Robotic Process Automation (RPA), AI, Machine Learning, and other advanced technologies + Establish and monitor performance metrics and KPIs to track automation effectiveness, cost savings, productivity enhancements, and compliance + Provide thought leadership to continuously improve automation capabilities, ensuring alignment with company goals and industry best practices + Manage relationships with automation vendors, technology providers, and consultants to ensure successful project execution + Maintain compliance with regulatory requirements, ensuring all automation processes meet healthcare industry standards and data security protocols + Foster a culture of innovation, efficiency, and continuous improvement within the team and broader organization You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 10+ years of progressive experience in healthcare payer/TPA operations and enterprise automation + 5+ years leading cross-functional automation teams and portfolios with ownership of roadmap, budget, and outcomes + Automation and AI expertise: RPA (UiPath, Automation Anywhere/Blue Prism), workflow/BPM (Pega, ServiceNow), intelligent automation (AI/ML, NLP, IDP/OCR); proven implementation of AI-driven solutions at scale in healthcare operations (LLMs/NLP, IDP, predictive models) with model governance and monitoring + Experience with integration/engineering and platform stack: APIs, event/queue-based orchestration, basic scripting (Python/SQL), CI/CD with Git-based SDLC for automations; deep expertise with core payer platforms (IBM mainframe-based), analytics/BI (Power BI/Tableau), modern data platforms (Snowflake/Databricks), and cloud (Azure/AWS) + Proven deep knowledge of healthcare payer operations: claims adjudication and EDI (X12 837/835/270/271/276/277/278), prior authorization, eligibility/enrollment, and provider data management + Built or led an Automation Center of Excellence (standards, controls, reusable components, demand intake, and performance reporting) + Proven exceptional analytical, problem-solving, and decision-making skills; executive-level communication; stakeholder influence; vendor/SLA management; and change management **Preferred Qualifications:** + Lean Six Sigma (Black Belt or Green Belt), PMP, Prosci/CCMP, and/or RPA platform certifications (UiPath/AA/Blue Prism) + Direct Medical TPA experience in claims adjudication, cost containment/payment integrity, COB/subrogation, and provider network management + Compliance and security fluency: HIPAA/PHI handling, CMS requirements, audit controls, and risk management + Knowledge of interoperability and security frameworks: FHIR/HL7/X12, HITRUST, SOC 2 + Experience leading distributed (onshore/offshore) teams and managing managed-services partners *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $77k-97k yearly est. 26d ago

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