• Responsible for making accurate decisions on assigned claims through proactive case management • Consult with other team members and the Professional Resource Team to assist claimants with return to work efforts • Utilize problem solving, analytical, written and verbal communication skills to deliver timely and appropriate disability claim decisions • Partner with coworkers to broaden and enhance their knowledge of complex claim handling • Administer claims within a variety of group sizes from small to large market • Determine integrated income to ensure appropriate financial risk and accurate payments are made • Ensure all plan provisions are met through the duration of the claim • Consult with legal, investigative resources, and financial specialists

Role Description As a Capability Manager, you’ll be responsible for leading the vision, definition, & execution of a product or group of products. Capability Managers collaborate with business experts, developers, and technical architects to incorporate business requirements into backlogs, align priorities with the product roadmap, and deliver results within scope and budget. - Define the product vision from the point of view of multiple customers/users/stakeholders. - Document & prioritize requirements. - May wear many hats on an agile scrum team, including writing features, verifying/accepting user stories, and driving execution. Role Details: - Focus on creating & scaling Provider data quality, transformation, and/or loading capabilities across UHG. - Business goals will typically focus on improving provider data accuracy and/or driving operational efficiency, leveraging Artificial Intelligence and/or Automation capabilities. Responsibilities - Engage business leaders, teams & subject matter experts to prioritize needs. - Identify & document goals, value, & benefits. - Build relationships with customers across UHG, infusing their voice throughout the product lifecycle. - Create, document, & communicate a clear product vision & roadmap. - Own the product/capability P&L, partnering with finance and business operations leaders. - Ensure prioritized work aligns with the delivery of agreed upon business value. - Own the product lifecycle from ideation to development to release. - Provide clear product direction to the development team(s). - Lead all capability planning activities (e.g. PI Planning, PMC, Sprint Planning). - Partner with Director & VP levels to understand relative prioritization across products & teams. Qualifications - 3+ years working on an Agile software development project(s) and/or equivalent experience. - 3+ years experience tracking, planning, and working on software development projects. - Intermediate Level Microsoft Office skills (Teams, Word, Excel, Outlook, Visio, OneNote, SharePoint, PowerPoint). Requirements - Bachelor’s degree in business, Finance, Health Administration or related field (preferred). - Experience with Artificial Intelligence and/or machine learning capabilities. - Agile Product Manager and/or Scrum Master Certification, or equivalent. - Experience in Aha, CA Agile (formerly known as Rally), or equivalent agile deployment technology. - Health care experience or internal experience within UnitedHealth Group (UHG). - Experience with data quality, stewardship, and governance. - Familiarity with UHG’s provider data ecosystem and related operational workflows. - Experience building process flows and/or architecture design diagrams. - Ability to define and prioritize product backlogs, compose features and user stories, and collaborate effectively with cross-functional teams. - Ability to communicate ideas clearly and concisely to leadership and technical teams. - Ability to execute strategic and tactical direction. - Ability to work with individuals with high technical acumen. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements).

• Support HCP offices in acquiring appropriate access to Regeneron products • Ensure efficient access, effective pull-through, and understanding of access services • Drive and support the company and divisional reimbursement strategy for Regeneron products • Work cross-functionally with Regeneron and Alliance sales organizations • Build and execute a Strategic tactical plan for access and reimbursement initiatives • Provide process, payer and specialty pharmacy support services • Educate physician offices regarding coverage of alliance products • Establish relationships within targeted healthcare provider offices • Assist healthcare professionals in resolving payer coverage issues • Maintain knowledge on the local and national payer landscape

• Performs as a Clinical Case Manager supporting healthcare providers and patients through telephonic support for client funded contracts. • This includes: telephonic support to healthcare providers, review of payor specific coverage criteria, completing clinical review of prior authorization and appeal submissions and providing written communication utilizing client approved program resources. • This role will build and develop strong customer relationships and support all activities that facilitate patient access. • Adhere to principles as stipulated by program specific contractual agreements and company practices. • Demonstrate clinical competency regarding reimbursement, product, and medical records and will review and train other team members on these concepts. • Troubleshoot complex cases, identify trends (spanning multiple disease-states), investigate data, and resolve escalated issues related to complex reimbursement from both internal and external stakeholders including prior authorization denials and/or appeals. • Perform review of payer product coverage criteria and denial letters for documentation required for submission for coverage determination. • Provide consistent and effective communication with healthcare providers, utilizing approved resources, regarding payer coverage criteria and information that is missing for payor submission. • Professional resource for IB/OB inquiries with focus on data collection, assembling accurate, timely, clear updates and documenting summary of follow up phone calls, patient inquiries, and outcomes including clinical notes and medical record/chart review when applicable. • Gathers, analyzes, and prepares data for Quarterly Business Reviews (QBRs) and/or client meetings. • Participates in program specific customer meetings and training sessions. • Report Adverse Drug Events that have been experienced by the patient in accordance with manufacturer requirements. • Attend manufacturer hosted conferences, customer meetings/training, and QBRs as requested (including requests to travel for in-person attendance). • Special projects and other duties as assigned.