• The Care Manager coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement, continuity, and recovery. • Acting as a central point of contact, the role integrates care management, utilization management, and collaborative partnerships to optimize outcomes, support self-management, and ensure compliance with clinical, regulatory, and organizational standards. • Conduct holistic assessments, identify barriers, develop individualized care plans, and adjust interventions to support recovery and self-management across the continuum of care. • Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare by partnering with members, providers, and health plan medical management teams. • Build trusting, collaborative relationships with members and providers using motivational interviewing, education, and ongoing communication to increase engagement and continuity of care. • Serve as the single point of contact for members, facilitating information exchange, discharge planning, and connection to behavioral health, community, and support resources. • Ensure accurate, timely documentation and service authorization in alignment with medical necessity criteria, regulatory requirements, accreditation standards, and internal policies. • Participate in audits, quality improvement initiatives, case presentations, and ongoing professional development to support high-quality care delivery and optimal resource utilization.

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. This self-directed role with OptumHealth will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You will manage contracts, cost trend, relationships and network growth/strategy for Optum’s Centers of Excellence provider networks (transplant, cancer, congenital heart disease and VAD) through provider negotiations with large academic hospitals and health systems. This position is responsible for executing on network strategies to meet client and sales goals; contracting competitive rates; evolving the payment methodology to align with the line of business; and managing provider relationships. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Analyze and evaluate payment appendices to strategize options for various contracting approaches and methodologies - Evaluate market rates and provider performance (e.g., billing patterns; referral patterns; quality and effectiveness) in order to establish provider rates and negotiation strategies - Explain the organization's direction and strategy to providers in order to justify methodologies, processes, policies, and procedures - Input contract projections accurately into appropriate tools and analyze financial impact of provider contracts to achieve company goals - Communicate proposed contractual terms with provider and negotiate mutually acceptable agreement - Establish and manage relationships with providers to navigate operational, legal, financial and clinical matters In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you’ll be driving some complex negotiations while striving to ensure accuracy. 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 network management-related role handling complex network providers with accountability for business results - 5+ years of experience in the health care industry - 3+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions - In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. - Knowledge of Medicare and Medicaid regulations - Intermediate level of proficiency with MS Excel Preferred Qualification: - Experience with organ transplant, cancer, congenital heart and/or ventricular assist device (VAD) specialties *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Coral Connect, LLC (“Coral”) is a technology-enabled service provider focused on reducing healthcare costs through intelligent data management, pharmacy optimization, and value-driven sourcing. Our mission is to make specialty care more accessible, efficient, and equitable by improving operations at community care organizations, infusion centers, and specialty providers. Job Overview: The Manager, 340B Pharmacy Operations serves as the operational and compliance lead for Coral’s 340B Infusion Leakage Program. This role owns the full lifecycle of 340B program delivery, from internal quality assurance framework design and HRSA registration validation, through go-live onboarding, policy development, and ongoing compliance auditing. The incumbent acts as the primary subject matter expert for covered entity partners and infusion providers ensuring program integrity, financial accuracy, and regulatory adherence at every stage. Responsibilities: Your key responsibilities will include: - Design, implement, and maintain Coral’s internal 340B quality assurance and compliance framework across all program workflows, including but not limited to: - 340B eligibility validation, accumulator alignment, and financial integrity oversight. - Lead pre- and post-bill reviews to identify and resolve discrepancies before and after claim submission. - Conduct monthly and quarterly compliance audits across covered entity and infusion provider sites; document findings and drive corrective action plans. - Perform cross-entity workflow validation, reinforcing consistency, and ongoing oversight across all partner sites. - Develop and maintain KPI and quality reporting dashboards for internal leadership and covered entity partners. - Provide HRSA registration and regulatory oversight including but not limited to: - Validate all covered entity HRSA OPAIS registration steps prior to 340B dispensing, including infusion provider contract pharmacy site linkage and quarterly registration window coordination. - Advise hospital partners on Medicaid carve-in vs. carve-out strategy for infusion provider sites. - Confirm AIC sites are live and active in OPAIS before any 340B dispensing commences; track registration approvals and flag delays affecting go-live timing. - Ensure compliance with all foundational HRSA patient eligibility requirements: established patient status, hospital-employed or contracted provider, hospital-written infusion orders, and infusion documentation incorporated into the hospital EHR. - Lead end-to-end program onboarding and implementation, including planning, stakeholder alignment, and execution across all workstreams, including but not limited to: - Facilitate joint kickoff sessions with health system and infusion provider stakeholders (both onsite and virtual), clearly outlining financial models, implementation plans, roles, and accountability. - Develop and maintain a comprehensive SOP library ensuring standardization across key workflows (referral/eligibility, order processing, inventory controls, billing, and audit response) - Direct training strategy and delivery across all stakeholder groups (clinical, pharmacy, billing, inventory, and 340B program staff), ensuring readiness and adherence to program requirements - Manage pre-go-live testing and implementation execution, proactively identifying risks, managing timelines, and ensuring successful program launch - Provide ongoing managed services, including but not limited to: - Oversee ongoing 340B eligibility integrity monitoring and TPA data reconciliation. - Maintain record-keeping systems and coordinate audit cooperation for covered entity compliance audits. - Lead issue resolution and corrective action processes when compliance gaps are identified. - Produce operational reporting for health system and infusion provider leadership on program performance. - Maintain and update program policies and SOPs as regulatory guidance and operational needs evolve. - Lead ongoing program governance across all partner entities, establishing structured forums to monitor performance, compliance, and strategic alignment including but not limited to: - Facilitate joint monthly performance reviews covering financial, clinical, and compliance metrics, and driving action plans where needed. - Lead New Medication Review Board meetings (biweekly) and Covered Entity compliance audit reviews (quarterly), ensuring appropriate oversight, documentation, and decision-making. - Oversee and coordinate Steering Committee meetings (quarterly) and Annual Program Reviews, aligning executive stakeholders on program performance, risks, and strategic priorities - Identify and drive optimization opportunities through ongoing performance reviews, expanding program impact across financial, operational, and clinical dimensions, including but not limited to: - Participate in monthly performance reviews to identify optimization opportunities and expand program impact. - Support leakage reanalysis initiatives and network expansion efforts in collaboration with Operations and Business Development teams. - Oversee long-term program performance and governance, driving continuous improvement and scalability across the Coral network. Qualifications: To excel in this role, you should possess the following qualifications: - Required Qualifications - Minimum 3–5 years of direct 340B program management experience, including covered entity operations, contract pharmacy oversight, and TPA administration. - Demonstrated knowledge of HRSA 340B program requirements, OPAIS registration, and Medicaid carve-in/carve-out strategies. - Experience with 340B TPAs (e.g., Verity Solutions, Macro Helix) and dispensing platforms (e.g., CareTend, WeInfuse). - Strong understanding of infusion therapy workflows, specialty drug supply chains, and payer reimbursement models. - Proven ability to develop SOPs, deliver staff training, and lead compliance audit programs. - Excellent communication and stakeholder management skills; comfortable presenting to hospital leadership and executive teams. - Preferred Qualifications - Board certification or advanced training in specialty pharmacy or managed care pharmacy. - Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines. - Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms. - Director-level candidates: 7+ years of 340B or specialty pharmacy operations leadership; experience managing direct reports and cross-functional teams. Education: Bachelor’s or Master’s degree in Healthcare Administration, Health Informatics, Public Health, Business Administration, or a related field required. Pharmacy degree (PharmD or RPh) strongly preferred. License Requirement: Active pharmacist licensure in good standing preferred. Job Benefits: Health, Dental, Vision, Life, 401k, Paid Time Off. Location: Remote with limited travel to client locations, internal business meetings, and other locations as needed.

• Lead the country acquisition team in India, consisting of 12 country representatives on a freelance basis. • Engage change-driven SMEs in PUM's impactful programmes. • Hold end-to-end responsibility for client relationship management after acquisition. • Develop and implement the Country Impact Plan (CIP) in line with PUM’s mission and strategy. • Foster strategic partnerships with SMEs and stakeholders through proactive account management. • Build, lead, and coach the country representative team. • Ensure team capacity, motivation, accountability, and performance through effective people management. • Qualify new clients using assessment criteria emphasizing diversity and alignment with PUM’s goals. • Approve project proposals for programme managers. • Collaborate closely with programme managers to ensure project success. • Personally engage with clients to ensure quality of engagement.