Remote Utilization Management Jobs in Chaska, MN

OptumInsightis 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, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives?Join us to startCaring. Connecting. Growing together.

The Advisory Director, Care Transformation - Remote will be a part of a team responsible for solving some of the most complex issues facing health systems across the US. Our clients seek transformational solutions to managing clinical operations - including Care Management, Workflow, and Clinical Variation Reduction - to reduce cost of care, improve quality and patient outcomes, and bring innovative solutions to solve complex problems. This individual will lead opportunity analysis, solution design, financial measurement and implementation. The ideal candidate must be passionate about improving care delivery, effective at working in a fast-paced, high energy environment and confident in their interactions with senior leaders (C-suite), providers, and business partners.

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:

• Provide clinical subject matter expertise to initiative teams to drive financial and quality outcomes, focused primarily on transformational partnership due diligence and implementation
• Structure complex care delivery challenges into frameworks that can be analyzed and solved, and coordinate integration of Optum solutions across the continuum of care into client partnerships
• Leads and participates in activities to establish scope of Optum partnership with the health system to address continuum of care, including transition, transformational and implementing Optum solutions, and integrating with the client best practices in partnership with Optum partners
• Participates in client delivery, solution design, and analytic requirements of high quality clinical variation/transformational engagements or services, including presenting executive level reports and dashboards for demonstrating outcome trends
• Assesses, designs and implements strategic client goals related to clinical variation initiatives targeted to promote the growth and enhancement of existing structures working in partnership with the organization's executive and physician leadership
• Provides subject matter expertise and/or oversight to engagements or other clinical consulting engagements depending upon additional clinical expertise
• Oversees and manages OAS team members either directly or through a matrixed, client-based environment
• Ensures that client expectations and contract deliverables are met during assigned engagement
• Coordinates the development of short and long plans to drive effective clinical and non-clinical sourcing and utilization
• Support the creation of sales pursuit materials and other business development activities (e.g. proposals and Change Notices)
• Support ongoing design of best practice methodologies in ambulatory and acute

You'llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• Licensed Registered Nurse  
• 7 years of professional experience in an acute care hospital operations setting driving cost reduction
• 7 years of Case Management experience  
• Experience working in a highly matrixed organization
• Proven experience developing and implementing operating plans, analyzing financial and quality data
• Proven engagement experience with physicians, and ability to provide valuable insights and logical explanations when faced with difficult questions
• Clinical consulting experience across multiple clinical and cost improvement-related areas
• Demonstrated success in yielding unprecedented results within the area of clinical variation
• Ability to use Microsoft products, develop and deliver presentations
• Able and willingness to travel up to 80% of the time

Preferred Qualifications:

• Experience in provider management and / or clinical transformation consulting engagements resulting in significant recurring financial benefit
• Experience developing care continuum, cost reduction and clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
• Foundational understanding of health systems / provider organizations

*All employees working remotely will berequiredto 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 $134,600 to $230,800 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,locationand 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 marginalizedgroupsand those with lower incomes. We are committed to mitigating our impact on the environment and enabling and deliveringequitablecare 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 adrug -free workplace. Candidatesare required topass a drug test before beginning employment.