Remote Optum Utilization Review Jobs in Minnesota

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Advisory Services Senior Consultant - EDS - Remote is a consulting expert within the Optum Advisory - Enterprise Delivery Services practice. Enterprise Delivery Services (EDS) is a rapidly growing business that serves clients across the health care ecosystem. We provide on-demand access to consulting talent with unparalleled experience and combine it with premium customer care and flexible contracting, allowing clients to focus on their core capabilities and create an agile workforce that scales with the demands of their business. EDS consultants combine deep healthcare expertise with AI-enabled delivery approaches, leveraging data-driven tools to accelerate insights, improve decision-making, and drive measurable outcomes across complex enterprise initiatives. Engagements are delivered through a range of structured consulting delivery models that are tailored to client needs, scope, and organizational maturity.
Our consultants are engaged to support both internal teams within UnitedHealth Group and external commercial clients in one or more of the following areas:

• Healthcare Consulting
• Project and Program Management
• Business Analysis
• Product Management
• Process Transformation
• Change Management
• Quality Assurance
• Data Analysis and Reporting
• AI-driven innovation and solution enablement
• Training, Learning and Development

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:

• Collaborate with business and technology teams to identify issues, establish objectives, develop recommendations, and implement solutions for our clients
• Provide work stream/project oversight, manage and track issue resolution, and make key decisions for the project with the project sponsor
• Leverage AI-enabled tools to support and accelerate consulting delivery activities while improving efficiency and outcomes
• Advise clients on practical applications of AI to enhance business processes, digital products, and operational performance
• Effectively build and maintain relationships with internal and external clients
• Drive outcomes without direct authority, engaging team members in a cross-functional environment
• Define, establish, and deploy Project Management Office (PMO) frameworks, standards, and best practices, leveraging advanced project management tools and artifacts (e.g., Charter/Scope, Integrated Project Plans, Issue logs, Requirements Matrices, Lessons Learned, and portfolio tracking)
• Monitor, manage, and document project milestones, deliverables, and outcomes throughout the project lifecycle, proactively identifying emerging issues and driving appropriate actions to maintain project alignment and momentum
• Develop, communicate, and execute comprehensive project risk and issue management plans, including mitigation and escalation strategies to minimize impact and ensure successful delivery
• Facilitate status updates and review of programs to client leadership and/or project sponsor
• Provide clear communications (oral and written) and share knowledge at all levels of the organization
• Conduct research studies that may include collecting, analyzing, trending, and presenting data and recommendations to management
• Provide coaching and mentoring of project team with the goal of developing talent within the organization
• Ensure that the engagement performs consistent with expected client value and internal financial targets

Limited travel may be required for this role (less than 25% on average over a year's time but may involve Monday through Thursday travel for multiple concurrent weeks to satisfy specific client project requirements). Consultants who are not local to an Optum office facility work from a home office when not at the client site.
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 Project and/or Product Management role within a healthcare environment
• 5+ years of Process Improvement experience
• 3+ years of building/creating project deliverables with the ability to manage complex work-streams in a client facing role
• 2+ years of experience working in an Agile environment
• 2+ years of experience with a nationally recognized consulting firm or a healthcare payer or provider system
• 1+ years of experience with CA Agile, Rally, JIRA, or similar application
• Experience using AI-enabled tools (e.g., generative AI, automation tools, or advanced analytics platforms) to enhance productivity and deliverables
• Proven ability to guide teams on effective and responsible use of AI tools, ensuring alignment with enterprise standards and delivery best practices
• Based in greater Minneapolis, MN OR ability to relocate at own expense to Minnesota OR ability to travel up to 25%

Preferred Qualifications:

• Agile / Scrum certified
• Formal training and proven experience leading change management efforts, with proficiency in established methodologies (e.g., ProSci certification preferred)
• Experience in all phases of the Software Development Life Cycle (SDLC)
• Experience in digital health or consumer digital products or services
• Experience in a large matrixed environment
• Proven ability to work in a highly technical, fast-paced environment
• Demonstrated solid interpersonal skills

*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 - $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.