UnitedHealth Group

Senior AI - ML Engineer Location: Remote, United States Job Description: Requisition number: 2374940 Job category: Technology Primary location: Minnetonka, Minnesota Overtime status: Exempt Travel: No Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. In support of AI 10.0 Scaling and leveraging AI to apply processing rules directly from source documentation via enterprise assets, we're adding resources to our Claim Edit Hub team. This team will work to derive rules/edits directly from source documents (i.e. Policies) and expose them via Agentic workflow to make them accessible in a real time manner. This will also support our "shift left" strategy to enable claim edits/rules to be executed on Trial Claims to provide transparent cost estimates to Providers and Members. 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: - AI & Compliance - Building & Productionizing AI Systems (agentic services, APIs/SDKs, RAG/CAG, E2E pipelines) - Ensure Model Quality, Evaluation, Security & Safety - Implement Observability, Operations excellence - Drive Architecture, Governance & Engineering Standards - Cross Functional Leadership & Collaboration You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Bachelor of Science in computer science or related quantitative field - 3+ years in Programming & Packaging - Python (typing, pytest, packaging), SQL; shell for automation - 2+ years in Observability & Monitoring - SLOs for latency/cost/error; drift/skew detection - 2+ years in Model Registry, Experiment Tracking & A/B - Model registry (eg, Vertex AI Model Registry/MLflow); experiment tracking; canary/A B rollout - 2+ years in Responsible AI & Compliance - Explainability/fairness testing; PHI/PII handling; model cards; AIRB/RAI artifacts and audit ready evidence - 1+ years in GenAI & Agents - LLM evaluation methods; RAG pipelines; prompt/route registries; LangChain style orchestration - 1+ years in Serving & Inference - Batch/online endpoints, autoscaling; versioning and rollback strategies - 1+ years in Cloud Platforms - Public Cloud (Vertex AI, GPUs/TPUs), AWS/Azure AI services Preferred Qualifications: - Experience developing and deploying applications on AWS - Experience modernizing legacy systems using AI enabled microservices - Solid understanding of security, IAM, data protection, logging, monitoring, performance tuning, disaster recovery, and production operations *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 $120,100 - $214,500 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. #OptumTechPJ

Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization Location: Remote, United States Job Description: Requisition number: 2367693 Job category: Healthcare Delivery Primary location: Minneapolis, Minnesota Overtime status: Non-exempt Travel: No Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Job Summary: Responsible for completing the financial clearance process and creating the first impression of Optum services to patients, their families, and other external customers. You will articulate information in a manner that patients, guarantors, and family members understand and will know what to expect regarding their financial responsibilities. Work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial services. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic - Confirm that a patient's health insurance(s) is active and covers the patient's medication - Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible - Ensure that initial and all subsequent authorizations are obtained in a timely manner - May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role - Initiating prior authorizations for medications You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED - 6+ months of experience with insurance and pharmacy benefit verification, pre-experience with prior authorization activities in healthcare business office/insurance operations - 6+ months of experience using basic retail medication knowledge - Intermediate level of proficiency with Microsoft Office products - Must be 18 years of age OR older Preferred Qualifications: - Associate degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study - Experience working with clinical staff - Previous experience working in outpatient and/or inpatient healthcare settings - Experience working in clinical documentation - Previous experience working with a patient's clinical medical record - Retail pharmacy experience - EPIC experience - Payer portals and/or covermymeds experience - CphT or CMA certification Soft Skills: - Excellent customer service skills - Excellent written and verbal communication skills - Demonstrated ability to work in fast paced environments *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the an Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Supervisor I Contact Center Location: Pearland, TX, United States Job Description: Requisition number: 2369324 Job category: Customer Services Primary location: Pearland, Texas Overtime status: Exempt Travel: No Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Contact Center Supervisor I (CCS I) provides leadership, coaching, development and support to their team of Healthcare Service Representatives (HSRs) to attain Contact Center service and performance goals. If you are located in Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - This position is responsible for identifying training and performance needs, monitoring phone and work queue performance, developing action plans for improving and sustaining team performance as well as participating and completing special projects as assigned - The Supervisor I partners with the Workforce Management Team to ensure effective resource planning to maximize productivity of their team - The CCS I works closely with clinic partners and serves as an escalation point for providers and clinical staff - The CCS I position is responsible for ensuring that Corporate and Contact Center policies are followed as well as helping to identify and execute changes in policy and procedures - The CCS I is expected to set the example of living the Kelsey-Seybold values of quality and care You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - 2+ years of equivalent work experience - 2+ years of supervisory experience in a contact center environment (or equivalent experience) - 1+ years of experience as a Team Lead or Coordinator in Kelsey-Seybold Contact Center - Experience using Microsoft Excel, Microsoft Power Point, Microsoft Word - Proven knowledge and experience with Contact Center technologies including Call Routing and Workforce Management systems Preferred Qualifications: - 3+ years of supervisory experience in a Health care related contact center or 1+ years of supervisory experience in Kelsey-Seybold Contact Center - Experience and knowledge of Cisco - Experience and knowledge of Calabrio Workforce Management system - Fluent in conversational Spanish *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 to $88,800 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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Role Description As the Registered Nurse, you will be responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and adhering to current standards of nursing practice. Communicates and coordinates effectively with all entities involved in the care of the patient to promote safe, high quality care. Making decisions reflecting critical thinking and evidence based nursing practice. Position Details: - Location: Remote (MA Residents only) - Department: Population Health- Risk adjustment - Schedule: Full time, 40HRS Weekly If you are a MA resident, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: - Reviews encounters in the electronic medical record to ensure accuracy and appropriateness of clinician documentation using relevant risk adjustment program standards. - Utilizes abstract reports to substantiate HCC diagnoses that have been billed and/or are considered relevant but do not appear on the patient’s problem list. - Provides concurrent and retrospective abstraction for all Reliant Risk Adjustment programs. - Independently conducts chart reviews for supporting documentation of diagnosis codes which can be added to Problem List. Assigns accurate diagnosis codes to Problem List; follows standard work for adding diagnoses to Problem List. - Reviews new Reliant Medical Group patients for potential diagnoses supporting risk adjustment programs and updates problem list in the electronic medical record. - With coding education team, provides clinician training for risk adjustment programs. Ad hoc visits to clinical sites may be scheduled to enhance coordination of team-based care and to facilitate clinician education. - Participates in development, implementation, and monitoring of procedures that support organizational goals and business objective related to risk adjustment capture. - Utilizes thorough understanding of CMS/Medicare coding regulations as well as technical knowledge of ICD-10 and CPT systems. - Performs other duties as assigned. 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. Qualifications - Graduate of a State-approved school of nursing. - Current, unrestricted, license to practice professional nursing in the Commonwealth of Massachusetts. - Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC-risk, AAPC) or ability to obtain certification while working in the position. - American Heart Association Basic Life Support (BLS). - 3+ years nursing experience with at least 3+ years of clinical experience with chronic disease patient population in an ambulatory or inpatient setting required. Experience in a variety of specialties and multiple diseases within each specialty preferred. - Computer experience with the ability to use word processing and spreadsheet programs. - Electronic medical record (EMR) experience and/or aptitude to master the EMR based on other technology experience. - Proven solid written communication skills. Preferred Qualifications - Bachelor of Science in Nursing (BSN). - Advanced Cardiac Life Support (ACLS) may be required based on specialty. - 2+ years of RN experience. - Proven solid critical thinking, problem solving, interpersonal and patient interviewing skills. - Proven ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care. - Proven ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands. - Proven excellence in practice, documentation, and cost-effective care utilization. Maintains high patient satisfaction. Requirements - All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - 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). - The hourly pay for this role will range from $29 - $52 per hour based on full-time employment.

Role Description Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - Act as single accountable PO/TPM for Growth Office reporting and analytics initiatives - Lead business requirements intake, consolidate inputs, and translate value stories into a prioritized backlog - Own feature and user story creation with clear acceptance criteria and data definitions - Partner with analytics, data, architecture, and engineering teams to deliver Snowflake‑based reporting solutions - Drive backlog readiness, refinement, sequencing, and PI planning - Ensure requirements are understood, documented, and executed end‑to‑end - Proactively manage dependencies, risks, and delivery tradeoffs - Design, develop, and deploy AI-powered solutions to address complex business challenges with emphasis on responsible use of AI Qualifications - Bachelor's degree - 5+ years of experience as a Product Owner or Technical Product Manager with direct backlog ownership - 5+ years of experience in requirements intake, backlog consolidation, and user story writing - 3+ years of experience in partnering with architects, engineers, and business stakeholders - 2+ years of experience supporting analytics and reporting platforms like Adobe analytics or similar - 1+ years of experience with data integrations (Snowflake and reporting portals preferred) Requirements - Experience using AI tools - Delivery‑oriented, able to ramp quickly and drive outcomes Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week. The Model Risk Analyst will be responsible for executing on model governance and model validations in alignment with the Bank’s Model Risk Management (“MRM”) governance framework. The Model Risk Analyst will work with model owners, other MRM analysts, and management to ensure model documentation and risk management processes are implemented appropriately to meet business needs/regulatory obligations and ensure appropriate governance processes are followed and documented in all phases of the model lifecycle: model development, use, calibration/validation, and decommissioning. Responsibilities will also include: - Stress testing, back testing, replication testing and effective challenge of the Bank’s models during internal validations, including but not limited to fixed income, fraud, financial forecasting, capital adequacy, liquidity, credit underwriting and credit loss models. If qualified candidate lives in the Draper, UT / Salt Lake City, UT area, the position will be hybrid, and the candidate will be required to come to the Draper, UT office 3 days a week. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. This will be on the job training and the hours during training will be during normal business hours, Monday - Friday. Primary Responsibilities: - Assist in documenting model policies, methodologies, and processes when appropriate. - Maintain the Model Inventory tracker and Model Risk Assessment for each model. - Ensure model documentation is completed for each model or non-model tool. - Participate in completing internal and external model validations. - Provide challenge to model implementation, model performance, and model validation processes, ensuring adherence to appropriate MRM standards. - Provide recommendations for enhancements to MRM templates and procedures. - Assist the Bank in advancing its Model Risk governance framework and MRM program. Qualifications - Bachelor’s degree. - 3+ years of experience working in a bank OR other financial institution with duties focused on documenting policies, standards, and procedures related to implementing sound risk management practices, methods, tools, and processes. - 3+ years of experience with Microsoft Office PowerPoint (creating and executing presentations), and Microsoft Excel (Pivot Tables, VLOOKUP, Formulas, Formatting, etc.). - 2+ years of programming experience in high-level programming languages such as SQL, Python, OR other related languages with experience in data manipulation and analysis. - Experience with internal and external model validations, including stress testing, back-testing, and replication testing, while providing effective challenge to model implementation, model performance, assumptions, and validation results to ensure model accuracy, reliability, and regulatory compliance. - Experience developing and implementing quantitative models, CECL, Fraud, and / OR Credit underwriting within a financial institution OR relevant industry. - Ability to travel a few times a year for onsite meetings and other business-related needs. - Ability to work full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications - Bachelor’s degree in Finance, MIS, Quantitative Finance, Mathematics, Statistics, Economics, OR a related field with a focus on financial modeling. - Regulatory experience OR experience in assisting with regulatory examinations. - Knowledge of statistical modeling techniques, econometrics, time-series analysis, and risk management principles. - Functional knowledge in meeting regulatory expectations and standards in all phases of the model development, use, and maintenance process. Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills - Assertive self-starter, with strong verbal and written skills. - Ability to analyze, manage and resolve complex issues with attention to detail. Pay and Benefits 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). The salary for this role will range from $60,200 - $107,400 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.

Role Description As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Schedule: Monday through Friday from 8 am to 5 pm Eastern Standard Time. Weekends (Saturday) will be required on a rotating basis. If you reside in the state of Virginia, you’ll enjoy the flexibility to telecommute from home. Primary Responsibilities - Managing administrative intake of members - Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers - Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles - Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review - Handle resolution/inquiries from members and/or providers Qualifications - High School Diploma / GED - 2+ years of experience working with individuals receiving Medicaid - 1+ years of customer service experience - Intermediate experience with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management) - Reside in the state of Virginia - Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Requirements - Prior work at home experience - Experience working within the health care industry and with health care insurance - Experience working in a hospital, physician's office, or medical clinic setting - A clerical or administrative support background - Experience working in a call center - Bilingual in Spanish, Farsi, or Vietnamese Benefits - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Role Description This position is Remote in Eastern, Central, OR Mountain Time Zones. You will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: - Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance. - Meet department standards to adherence metric, evaluated daily. - Consistently exhibit behavior and communication skills that demonstrate Optum's commitment to superior customer service. - Multi-task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines. - Provide services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate. - Assist other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and/or document patient issues. - Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures. - Utilize Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs. - Translate oral information into concise and accurate written documentation per guidelines. - Assist new or potential members in the choice of PCP and supply general information about medical group. - Page clinicians and assist Telehealth Nurses as necessary (e.g., arranging DME, transportation, and HH). - Data enter PCP changes into the system and process paperwork as necessary. Qualifications - High School Diploma / GED OR equivalent experience - Must be 18 years of age OR older - 2+ years of experience working in a customer service-based role - Ability and proficiency with using Microsoft suite and other systems, including navigating multiple chat channels within Microsoft Teams - Ability to type at the speed of 40+ WPM - Ability to work any of our full-time (40 hours/week) Monday-Friday, 8-hour shift schedules during our normal business hours 7:00am-7:00pm Pacific (Department is 24/7), including the flexibility to work year-round, occasional overtime, weekends, and holidays based on business need Preferred Qualifications - 1+ years of experience working in a healthcare setting - 1+ years of experience in a call center environment - Experience working in a virtual environment - Experience in working with multiple computer screens while speaking to customers - Bilingual Fluency in English and Spanish Telecommuting Requirements - Reside within Eastern, Central, OR Mountain Time Zones - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Pay and Benefits 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 - 401k contribution (all benefits are subject to eligibility requirements) The hourly pay for this role will range from $16 - $29 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.

Role Description See yourself working for an industry leading healthcare provider as an EpicCare Ambulatory Analyst for our Ambulatory Shared Services Capability team, responsible for supporting and maintaining clinical workflows and tools for electronic health records. Help develop solutions that make it easy for providers and patients to connect using digital tools. Collaborate with peers in a fast-paced environment. Serve as a key contact to customers and a liaison to Optum clients. Play a primary support role in the support of EpicCare Ambulatory and related modules utilized by both patients and their care teams. As an Advisory Svcs Consultant on the EpicCare Ambulatory Shared Services Capability team, you will: - Collaborate with operational and clinical teams as well as other IT capabilities teams to ensure we meet client Service Level Agreements. - Help assess and fulfill operational requests, system and vendor requirements, fulfill system testing, standardize, and automate business processes in support of care providers and operations. - Leverage enterprise-approved AI tools to streamline workflows, automate tasks, and drive continuous improvement. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Troubleshoots and resolves issues (both user reported and vendor reported). - Participates, and occasionally leads medium and large projects. - Collaborate with team members and teams from other capability sub-domains to problem solve or manage projects. - Perform, maintain and build tools within Epic per operational and vendor requirements. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Associate's degree - 1+ years of relevant work experience in clinical support or related role within the healthcare industry - 1+ years of proven experience working with operational stakeholders and/or external vendors Requirements - Epic Healthy Planet certification (Preferred) - EpicCare Ambulatory Certification (Preferred) - General understanding of care team workflows (Preferred) - Direct experience working with Epic in an analyst role (Preferred) Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Company Description 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.

Role Description In this role, you will work directly with providers to review medical necessity for Applied Behavior Analysis (ABA) requests and provide Autism education and resources to parents and caregivers. This is a telephonic, queue-based position with a structured schedule between the business hours of 7am - 7pm CST, Monday - Friday. Florida residency and licensure are required. If you are located in Florida, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given - Obtain clinical information from providers on Applied Behavior Analysis requests for treatment - Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines - Manage outpatient cases throughout the entire treatment plan - Coordinate benefits and transitions between various areas of care including case management - Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas - Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan - Quote benefits and provide referrals as needed You’ll find the pace fast and the challenges ongoing. We’ll expect you to achieve and document measurable results. You’ll also need to think and act quickly while working with a diverse member population. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Active, unrestricted, independent clinical license in Florida: LCSW, LMFT, LMHC, or LP - 2+ years of post-licensure experience in a related mental health environment - Experience working with children and/or adolescents with Autism - Proficient in Windows and Microsoft, including MS Word, Outlook, and Teams - Proven ability to talk on the phone and type simultaneously while toggling between multiple screens/programs - Dedicated, distraction-free workspace and access to secure, high-speed internet at home - Reside in Florida Requirements - Board Certified Behavior Analyst (BCBA) - Experience working at a Managed Care Organization or health insurance company - Utilization Management or Utilization Review experience - Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Company Description 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.