Campus Pride Jobs

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. 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:

• Provides leadership to and is accountable for the performance of managers and/or senior level professional staff

• Impact of work is most often at the operational or local business unit or market level

• Owns an end-to-end process

• Develops functional, market level, and/or site strategy, plans, production, and/or organizational priorities

• Identifies and resolves technical, operational, and organizational problems outside own team

• Product, service, or process decisions are most likely to impact entire functions and/or customer accounts (internal or external)

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:

• 7+ years of experience in Prior Authorization for Medicaid and/or Medicare and/or commercial lines of business health care and insurance industry, including regulatory and compliance requirements

• Experienced with systems development and implementations

• Experienced working with multiple teams across the organization to achieve companies objectives

• Solid understanding of healthcare laws, regulations, and policies, as well as significant experience in healthcare administration or related field

• Proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Visio

Preferred Qualifications :

• Experienced with Curo

• Experienced with Facets

• Demonstrated experience with affordability and cost saving initiatives including remediation strategies for savings

• Demonstrated leadership skills in change management and implementations

• Demonstrated operational mindset and ability to use data

• Demonstrated problem solving and decision-making skills with the ability to operationalize strategic objectives

• Demonstrated emotional resilience

• Demonstrated ability to assist with focusing activities on a strategic direction as well as develop tactical plans, drive performance and achieve targets

• Demonstrated ability to demonstrate and require integrity and ethical behaviors from self and others

• Demonstrated excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and

• interpret complex information from others

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.