Requisition Number: 2345026 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. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Support monthly and quarterly revenue forecasting processes under direction of senior analysts and managers - Assist in validating data inputs, reconciling outputs, and documenting key assumptions and changes - Work with large healthcare datasets using SQL and Excel to manipulate, extract, and analyze data - Collaborate with data engineering and finance teams to ensure accurate and timely data availability - Help build and refine standardized forecast models and dashboards - Interpret CMS Risk Adjustment model logic and incorporate changes into existing templates - Participate in data validation, forecast review sessions, and documentation efforts - Present findings and insights in a clear and concise manner to internal stakeholders - Learn risk adjustment methodologies, forecasting techniques, and CMS specifications through project work and team mentorship - Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses - Generally work is self-directed and not prescribed - Works with less structured, more complex issues - Serves as a resource to others You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Undergraduate degree or equivalent experience. - 1+ years of experience working with healthcare or financial data in a business or academic setting - Experience with Medicare Advantage data files such as MMR, MOR, and MAO-004 reports through academic or professional experience - Intermediate proficiency in SQL - Proven solid Microsoft Excel skills (e.g., PivotTables, SUMIFS, VLOOKUPs) - Ability to manage multiple tasks and meet deadlines with attention to detail Preferred Qualifications: - Demonstrated familiarity with Medicare Advantage or healthcare revenue forecasting - Hands-on experience working with CMS files such as Monthly Membership Report (MMR), Medicare Advantage Outbound Reconciliation (MOR), or MAO-004 submission/return files - Experience working in Snowflake or similar modern data platforms - Exposure to data visualization tools and reporting (e.g., Tableau, Power BI) - Proven solid written and verbal communication skills - Demonstrated willingness to learn and grow into more advanced forecasting and modeling roles *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Fraud Investigator locations Nottingham, Eng time type Full time job requisition id R241880 Nottingham Trent House (95002), United Kingdom, Nottingham, Nottinghamshire Fraud Investigator   Salary of £28,000   About this role Our Fraud team protects the business from fraud losses whilst putting the customer at the heart of everything we do. They apply judgement to all investigations and reach the right outcome for our customers.   As a member of the Fraud team, you’ll work to investigate:  - Application Fraud - Account Takeover - Disputes   What you'll do - Investigate inbound and outbound customer contact for all areas of Fraud and Disputes, including Application Fraud, Account Takeover and Disputes - Protect the business from fraud losses by proactively identifying fraudulent applications and transactions; and protect victims of fraud and genuine customers  - Be the point of contact for offshore vendors and other areas of the UK business - Take ownership of cases with end to end case management and one call resolution.   What we’re looking for - Adaptable in a fast-paced environment  - Expert attention to detail would make you a superstar in this role - A team player that acts with integrity and treats our customers with respect - Demonstration of solid judgement  - A great communicator, both verbal and written, communicating effectively to customers and third parties   We are committed to creating a level playing field and seek to create teams that are representative of our customers and the communities we serve.  We’d love to hear from you if you identify with a typically under-represented group in our industry and are particularly keen to hear from women, the LGBTQ+ community and ethnic minority candidates.   Where and how you'll work   We have developed a blended learning and support programme involving in-person, remote and self learning. This means: -  You’ll get full training in the role for 12 weeks where you’ll be based in our Nottingham office. This supports your development in the role but also allows you to learn more about our culture and build relationships with colleagues. During your training, your working hours will be 09:00 to 17:30, Monday to Friday.  - Once you've completed training, your hours will be 09:00 to 17:00, Monday to Friday. You’ll transition to mostly working from home and you’ll spend a day in our office every 2 weeks.   This will be for team building, collaboration and the opportunity to meet and spend time with your colleagues face to face. However, if you want to work from the office more, you can!    What’s in it for you - Salary of £28,000.00 - Laptop provided on your first day - Life and private medical insurance - Enhanced parental leave and family care days - 25 days holidays per year with the option to buy up to 5 more - Excellent training in our open plan offices for your first 12 weeks - Primarily remote working upon completion of training (work from home, with 2 days per month in our Nottingham office for team building and collaboration).  - Advanced career progression - Open-plan workspaces and accessible facilities designed to inspire and support you. Our Nottingham head-office has a fully-serviced gym, subsidised restaurant and  mindfulness space.   What you should know about how we recruit   We pride ourselves on hiring the best people, not the same people. Building diverse and inclusive teams is the right thing to do and the smart thing to do. We want to work with top talent: whoever you are, whatever you look like, wherever you come from. We know it’s about what you do, not just what you say. That’s why we make our recruitment process fair and accessible. And we offer benefits that attract people at all ages and stages. We also partner with organisations including the Women in Finance and Race At Work Charters, Stonewall and upReach to find people from every walk of life and help them thrive with us. We have a whole host of internal networks and support groups you could be involved in, to name a few: - REACH – Race Equality and Culture Heritage group focuses on representation, retention and engagement for associates from minority ethnic groups and allies - OutFront – to provide LGBTQ+ support for all associates - Mind Your Mind – signposting support and promoting positive mental wellbeing for all - Women in Tech – promoting an inclusive environment in tech - EmpowHER - network of female associates and allies focusing on developing future leaders, particularly for female talent in our industry

Title: Principal Value Advisor Location: - Austin, TX 78719, USA - Remote - Solution.Engineer - Full-Time - Requisition #: PRINC001395 PRINCIPAL VALUE ADVISOR WHO WE ARE Certinia delivers a Services-as-a-Business platform that powers and connects all aspects of services operations, from services estimation and delivery to customer success management and financial planning and accounting. The company’s Professional Services Automation (PSA), Customer Success (CS), and Financial Management (FM) solutions delivered on Salesforce’s leading cloud platform provide the ability to run a connected services business, deliver with intelligence, and achieve business agility. Headquartered in Austin, Texas, with presence around the world, Certinia is backed by Haveli Investments, TA Associates, General Atlantic and Salesforce Ventures. For more information, visit www.certinia.com. THE ROLE We seek a dynamic, analytical, and customer-focused Principal Value Advisor to complement the existing team in our Value Advisory team in North America. This role will focus specifically on a subset of our largest strategic accounts & impact the region’s success in a significant way. The Value team consists of ex-consultants and industry experts driving growth and success for Certinia. We collaborate extensively with senior business executives at prospects and customers to identify business challenges, align investments with strategic objectives of the company and create compelling business cases for change. If you excel in dynamic settings, prioritise customer excellence, have a strong record of collaborating with account teams and are ready to be part of a high-performing sales team dedicated to excellence, we’d love to meet you! WHAT YOU WILL DO IN THIS ROLE * Lead engagements with prospective customers and use your business/financial acumen to build a compelling business case aligned to their objectives, pains, and improvement opportunities. * Act as a subject matter expert and interact, prioritise and manage relationships with field sales organisations and supporting GTM functions to align and drive value engagement. * Create and present boardroom-quality business case presentations showcasing the projected business impact the customer can achieve using Certinia solutions, typically to senior execs. * Keep informed about industry trends and advancements related to our solutions portfolio * Influence & work with Certinia colleagues to coach, scale value adoption and improve their understanding of business value & customer excellence. * Lead the development of collateral for internal and customer-facing use. Develop industry-specific value propositions and use cases which can scale across other regions and influence Certinia’s marketing messaging. * Help build the future of the value practice at Certinia: contribute to the development of best practices and tools for an enhanced value-based selling adoption. * Travel is required and varies throughout the year WHAT YOU NEED TO BE SUCCESSFUL IN THIS ROLE * Excellent customer-facing skills with a knack for credibility, trust, and influence with senior executives and business leaders within target accounts. * Demonstrated experience and sound judgement in building and presenting business cases to senior client audiences, including C-Suite executives. * Financial modelling, benchmarking, quantitative skills and experience developing/defending large-scale capital appropriation requests, including solid familiarity with PowerPoint & Excel. * Expertise in client discovery, identifying and prioritising use cases, suggesting improvement measures and becoming a change agent for Certinia customers. * Demonstrated capacity for independent decision-making and decisive action in complex, ambiguous environments. * Proven aptitude to work in / lead a virtual team environment and ability to build consensus WHAT ELSE WOULD. BE GREAT * A minimum of 10-15 years of experience in a business consulting, technology consulting or value consulting role. * An MBA from a top-rated business school and an undergraduate degree in Business, Finance or a quantitative field. * Proven background in value-based technology selling or consulting, ideally within a commercial/ sales setting. The reasonably expected base salary range for this full-time position is $180,000-$200,000 with an OTE up to $250,000. Please note that the final offer will be determined by a variety of factors, including the candidate’s relevant experience, skills, and qualifications, as well as internal equity and market data. In addition to a competitive base salary, Certinia offers: - Holistic Wellness Program: Monthly wellness stipends to use toward gym memberships, mental health resources, or fitness equipment, alongside access to premium wellness apps. - Flexible Work Environment: We support work-life balance through a variety of remote, hybrid and flexible scheduling options for many roles. - Industry-Leading Parental Leave: Generous fully-paid parental leave for birthing and non-birthing parents to support your family’s newest additions. - Comprehensive Coverage: Premium medical, dental, and vision insurance, a 401(k) with a competitive company match, and generous paid time off (PTO) plus observed company holidays. - Growth & Development: A commitment to your professional evolution through internal workshops, skill-building initiatives, and supported learning paths. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Role Description As a Senior Risk & Fraud Specialist, you’ll support the proactive management of risks and fraud across the Leaving Violence Program by assisting with: - Risk assessments - Fraud monitoring - Incident management - Continuous improvement initiatives Working closely with operational leaders, stakeholders, and the Senior Risk & Fraud Manager, you’ll help support a strong risk and integrity culture while ensuring activities align with enterprise risk and fraud frameworks. This role suits someone who enjoys: - Analytical problem solving - Stakeholder engagement - Governance - Working in a fast-paced, purpose-driven environment What you’ll be doing: - Supporting the management, investigation, and reporting of suspected fraud cases within the Leaving Violence Program - Working with the business to identify, assess, and document risks across the program - Assisting risk owners to develop, implement, and monitor risk treatments and controls - Maintaining and updating the LVP Risk Register in line with enterprise frameworks and governance requirements - Conducting risk reviews and supporting risk workshops across the business - Reviewing the effectiveness of controls and supporting improvement initiatives - Identifying emerging risks, incidents, and control weaknesses and escalating where appropriate - Supporting incident and issue management activities, including root cause analysis and corrective actions - Performing data analytics and monitoring activities to identify anomalies, trends, and potential fraud indicators - Supporting fraud awareness, education, and proactive risk management initiatives - Partnering with internal stakeholders to support risk and compliance activities - Assisting with risk and fraud reporting activities as required Qualifications - 5+ years’ experience in a Risk role, including developing and leading compliance and assurance activities across an organisation - Degree qualification in finance, science, data analytics, or a related field desirable - Extensive experience in risk management and operating within Risk and Compliance Frameworks and Policies - Experience developing and implementing compliance frameworks, governance frameworks, and monitoring reports - Strong analytical and problem-solving capability - Exceptional communication and influencing skills - Strong judgement, integrity, and collaborative mindset - Ability to engage effectively with diverse stakeholders - Continuous process improvement mindset - Proactive, resilient, and commercial approach with the ability to navigate complex matters and make informed decisions - Experience with fraud within a financial or health organisation desirable - Experience using Salesforce, reporting systems, or related platforms desirable Benefits - Free Telstra mobile & plan (eligible employees only) - 25% off Telstra products & services - 16 weeks paid gender-equal parental leave + extra leave options - Career breaks, study support & ongoing learning programs - Free 24/7 professional support for you & your family - Employee rewards program: discounts on shopping, gyms, movies, health insurance & more