• Responsible for the planning, development, implementation, and oversight of care plans for members with identified Care Management (CM) needs • Manage the care management process by improving coordination, continuity, accessibility, and appropriate utilization of health care services and community resources • Conduct telephone or face-to-face interviews to assess risk factors and care management needs • Initiate, develop, plan, and implement care plans designed to promote quality care and service for members

Role Description In this role with UnitedHealth Group, you will guide the development and support of Provider Networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. If you reside in the state of Tennessee, you will have the flexibility to work remotely* as you take on some tough challenges. - Manage unit cost budgets, target setting, performance reporting, and associated financial models - Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance, trend management, and appropriate distribution of provider specialties - Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards, and other key process controls with a focus on hospitals, clinics, and ancillary providers - Forecast and plan resource requirements - Authorize deviations from standards In this role you will be expected to: - Demonstrate expertise in provider network functions, ability to work in a fast-paced environment - Take initiative and use problem-solving skills for issue resolution - Work independently with little need for instruction, guidance, or direction - Be attentive to detail, work with flexibility, and have the capability of multi-tasking to meet deadlines and deliverables - Exhibit analytical and problem-solving skills, with a demonstrated ability to gather, understand, and evaluate information from various sources - Prioritize and manage concurrent, and occasionally, competing initiatives *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. 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 - 2+ 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. - Driver’s License and access to reliable transportation Requirements - Experience with performance-based contracts - Intermediate level of knowledge of claims processing systems and guidelines - *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) - Salary range: $91,700 - $163,700 annually based on full-time employment 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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. 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 Manager of Direct-to-Consumer Operations Also known as: Shopify DTC Operations Manager | Ecommerce Operations Lead | Customer Experience Operations Manager This role is the backbone of our direct-to-consumer experience. You will own the performance, accuracy, and clarity of our Shopify store from end to end. Your mission is simple and powerful: ensure every customer fully understands what they are buying and when they will receive it before they complete their purchase. Your Core Focus - Take full ownership of Shopify store operations and customer experience - Eliminate inconsistencies across the site, including broken links, outdated promotions, and conflicting messaging - Standardize shipping, split shipment, and pre-order communication across all touchpoints - Build and document SOPs for all operational workflows - Implement systems and automations that reduce manual work and customer confusion What You’ll Do Customer Experience Management (Daily) - Respond to customer inquiries via Shopify inbox and social channels - Process refunds, reships, cancellations, and order updates - Triage and resolve support tickets based on urgency - Identify patterns in customer feedback and recommend improvements - Ensure all communication is clear, accurate, and aligned with current messaging Order Operations and Fulfillment (Daily) - Monitor order flow across Shopify, Base, and Amazon MCF - Resolve failed orders, inventory issues, and discrepancies - Coordinate with fulfillment teams to ensure timely delivery - Manage split shipments, pre-orders, and out-of-stock scenarios - Track and resolve missing or delayed packages Store Integrity and Accuracy (Weekly) - Audit the website for broken links, incorrect pricing, and outdated promotions - Ensure consistency across product pages, landing pages, and collections - Validate all messaging related to shipping and pre-orders - Support promotion setup and ensure backend accuracy Systems, SOPs, and Automation (Weekly) - Build and maintain SOPs for recurring workflows - Identify inefficiencies and implement automation using tools like Shopify Flow - Optimize customer service platforms such as Gorgias - Improve post-purchase experience and operational workflows - Support system cleanup and tool evaluation Growth Operations and Reporting (Weekly) - Deliver weekly Shopify performance reports - Track key metrics such as CAC, LTV, and funnel performance - Identify trends, anomalies, and risks early - Ensure data accuracy for decision-making Compliance and Risk Management (Weekly) - Maintain compliance across ADA, privacy policies, and tracking regulations - Review product pages and campaigns for compliance risks - Ensure all required tools and disclosures are functioning properly - Stay updated on platform policies and changes AI and Automation Ownership (Ongoing) - Identify repetitive tasks and convert them into automated workflows - Use AI tools to improve efficiency in customer service and operations - Build prompt libraries and scalable systems - Continuously reduce manual workload while maintaining accuracy How Success Is Measured - Reduction in support ticket rate per 1000 orders - Reduction in reshipment rate per 1000 orders - Zero compliance issues - At least one new AI automation implemented per week - Zero reported issues with broken links, incorrect promotions, or inaccurate information Qualifications - 2 to 5 years of experience managing Shopify store operations - Highly detail-oriented and catch inconsistencies others miss - Strong written communicator who can simplify complex information - Hands-on experience with order management, fulfillment, and customer service - Understanding of Shopify apps, backend systems, and troubleshooting workflows - Ability to build systems, not just solutions - Thrive in a fast-moving, high-growth environment - Comfortable working cross-functionally while maintaining ownership - Belief in excellence over easy, taking initiative, and closing loops Benefits - A remote-first environment that gives you flexibility and autonomy - The ability to manage your schedule with trust and accountability - Direct access to leadership and meaningful collaboration across teams - Opportunities to build systems, implement ideas, and drive real impact - Access to training, tools, and continuous learning - A decade-strong, family-founded brand with a clear mission and vision - Free access to products that are changing how children learn Company Description Hadley Designs is a remote-first company built on trust, creativity, and autonomy. We’re a small but mighty team that believes in balancing excellence with flexibility.

• Manage IT projects within contact center environment • Implement Salesforce technical solutions • Implement and manage intelligent IVR, Chatbot, live Chat, VOIP telephony, ACD/CTI, CRM, KM, and associated tools. • Evaluate emerging contact center technologies and present findings to stakeholders • Facilitate work sessions with business users to understand business processes and requirements