Optum is a global organization that delivers care, aided by technology to help millions of people ... reviews, providing insights on performance, cost drivers, utilization, and strategic ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... reviews, providing insights on performance, cost drivers, utilization, and strategic ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... reviews, providing insights on performance, cost drivers, utilization, and strategic ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... reviews, providing insights on performance, cost drivers, utilization, and strategic ...
$309K - $413K/yr
This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.
$309K - $413K/yr
This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.
$309K - $413K/yr
This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.
$309K - $413K/yr
This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.
Medical Director, General Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, General Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Orthopedic Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Orthopedic Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Optum Insight is improving the flow of health data and information to create a more connected ... Facilitate status updates and review of programs to client leadership and/or project sponsor
Optum Insight is improving the flow of health data and information to create a more connected ... Facilitate status updates and review of programs to client leadership and/or project sponsor
Medical Director, General Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, General Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Vascular Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Vascular Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Vascular Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Vascular Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Optum Insight is improving the flow of health data and information to create a more connected ... Facilitate status updates and review of programs to client leadership and/or project sponsor
Optum Insight is improving the flow of health data and information to create a more connected ... Facilitate status updates and review of programs to client leadership and/or project sponsor
Medical Director, Orthopedic Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Orthopedic Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience in utilization and clinical coverage review * Proven excellent oral, written ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience in utilization and clinical coverage review * Proven excellent oral, written ...
Medical Director, Orthopedic Spine Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Orthopedic Spine Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience in utilization and clinical coverage review * Proven excellent oral, written ...
Medical Director PM&R or Internal Medicine - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Experience in utilization and clinical coverage review * Proven excellent oral, written ...
Medical Director, Orthopedic Spine Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director, Orthopedic Spine Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director - Spine and Brain Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director - Spine and Brain Surgery - Remote
Minneapolis, MN · Remote
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director - Spine and Brain Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Medical Director - Spine and Brain Surgery - Remote
Minneapolis, MN · On-site +1
$248K - $373K/yr
As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN · On-site +1
$292K - $438K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ...
Senior Medical Director, Transplant Solutions - Remote
Minneapolis, MN · On-site +1
$292K - $438K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Lead clinical discussions, case reviews, and performance reviews with clients * Build relationships ...
Optum Insight is improving the flow of health data and information to create a more connected ... Closely monitors actual vs. expected team utilization * Effectively and appropriately apply both ...
Optum Insight is improving the flow of health data and information to create a more connected ... Closely monitors actual vs. expected team utilization * Effectively and appropriately apply both ...
Remote Optum Utilization Review information
What is a Remote Optum Utilization Review?
What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?
How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?
What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?
| Aspect | Remote Optum Utilization Review | Remote UnitedHealthcare Utilization Review |
|---|---|---|
| Credentials | Licenses in relevant states, certifications like CCM or CRC often preferred | Licenses in relevant states, certifications like CCM or CRC often preferred |
| Work Environment | Remote, home-based with flexible hours | Remote, home-based with flexible hours |
| Employer & Industry | Optum, healthcare services and utilization management | UnitedHealthcare, health insurance and utilization review |
Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.
What are the most commonly searched types of Optum Utilization Review jobs in Minnesota?
The most popular types of Optum Utilization Review jobs in Minnesota are:
What are popular job titles related to Remote Optum Utilization Review jobs in Minnesota?
For Remote Optum Utilization Review jobs in Minnesota, the most frequently searched job titles are:
- Remote Behavioral Health Utilization Review
- Remote Hedis Review Nurse
- Temporary Utilization Review Nurse
- Utilization Review Nurse
- Overnight Utilization Review Nurse
- Part Time Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Evening Optum Health Utilization Review
- Evening Utilization Review Nurse
- Remote Utilization Management Nurse
What job categories do people searching Remote Optum Utilization Review jobs in Minnesota look for?
The top searched job categories for Remote Optum Utilization Review jobs in Minnesota are:
- Utilization Review 1099
- Overnight Remote Utilization Review
- Remote Utilization Review Nurse Practitioner
- Nurse Practitioner Utilization Review
- Aetna Utilization Review Nurse
- Remote Weekend Utilization Review
- Remote Cigna Utilization Review Nurse
- Remote Chiropractic Utilization Review
- Therapy Utilization Review
- Optum Utilization Review Nurse
What cities in Minnesota are hiring for Remote Optum Utilization Review jobs?
Cities in Minnesota with the most Remote Optum Utilization Review job openings:
Sr Strategic Account Executive Healthplans - Remote
Eden Prairie, MN • On-site, Remote
Full-time
Retirement
Posted 8 days ago
UnitedHealth Group rating
7.6
Based on 146 frontline employees who took The Breakroom Quiz
192nd of 898 rated healthcare providers
Job description
The Sr. Strategic Account Executive manages ongoing contract relationships and service delivery for large, complex client accounts. This role serves as the primary, outward-facing point of contact for assigned clients and is accountable for day-to-day relationship management, strategic planning, and overall service delivery.
This is a highly visible role supporting complex, high-profile clients and requires solid autonomy, initiative, and the ability to navigate challenging and dynamic client environments. The Sr. SAE collaborates across internal teams to drive client success, influence outcomes, and ensure long-term retention and growth.
The Sr. Strategic Account Executive (Sr. SAE) is an experienced account executive that has demonstrated knowledge of pharmacy benefit management activities including relationship building, client contracts/negotiations, reporting, and finance. This individual must have exceptional verbal, written and presentation skills to effectively manage all aspects of the client relationship. The Sr. SAE is responsible for supporting the client's sales and growth goals which includes marketing campaigns, new products and integrated Optum programs.
The Sr. SAE will work with cross functional partners to develop and execute strategy to support client retention goals, audits, and innovation. This individual will also be responsible for coaching and mentoring team members and leading teams, indirectly. The Sr. SAE will manage financial guarantees, lead data analytic efforts, and client renewal efforts.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Serve as the primary point of contact for assigned accounts, owning the overall client relationship and day-to-day service delivery
- Demonstrate solid initiative by independently leading client conversations, including complex or sensitive topics, with minimal oversight
- Develop and execute strategic account plans focused on client retention, performance improvement, and long-term partnership growth
- Build and maintain multi-level client relationships, including executive stakeholders, and act as a trusted strategic advisor
- Navigate complex and sometimes challenging client dynamics with professionalism, resilience, and accountability
- Lead client contract renewal activities with a focus on retention, multi-year agreements, and sustainable profitability
- Partner with sales and internal stakeholders to identify and support growth opportunities, including cross-sell and upsell initiatives
- Monitor and manage financial guarantees, reporting, and reconciliation activities, including audit support
- Deliver quarterly and ongoing business reviews, providing insights on performance, cost drivers, utilization, and strategic recommendations
- Collaborate cross-functionally (e.g., operations, analytics, legal) to implement solutions, resolve issues, and continuously improve client outcomes
- Proactively identify risks, opportunities, and process improvements; challenge the status quo and contribute to innovation across teams
- Provide guidance, mentorship, and leadership to team members, contributing to a collaborative and high-performing environment
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 client relationship management and/or account management experience
- 2+ years of experience managing large, complex client accounts with multiple stakeholders
- 2+ years of experience within healthcare, pharmacy benefit management (PBM), or a related industry
- Experience with contract renewals, client negotiations, and working through amendments in partnership with legal or contracting teams
- Experience analyzing performance, delivering business reviews, and communicating value to clients
- Demonstrated ability to independently lead client interactions and drive outcomes in a high-visibility environment
- Proven ability to collaborate cross-functionally and influence without direct authority
- Proven ability to operate in a self-directed environment with a high level of accountability and initiative
- Proven solid communication, presentation, and interpersonal skills, with the ability to navigate challenging client interactions with professionalism and composure
- Willing or ability to travel as required based on client needs
Preferred Qualifications:
- Experience supporting client growth initiatives in partnership with sales teams
- Familiarity with Medicare, Exchange, or similar healthcare programs
- Demonstrated ability to identify and implement process improvements or innovative solutions
- Proven track record of meeting or exceeding client performance and retention goals
*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 $112,700 - $193,200 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.
What UnitedHealth Group employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About UnitedHealth Group
Sourced by ZipRecruiter
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Minnetonka, MN, US
Year founded
1977