At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together.
Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.
If you reside within a commutable distance of Brooklyn, NY Kings County (Bensonhurst, East New York, Midwood, Brighton Beach, Sheepshead Bay, and Bay Ridge area) you'll enjoy the flexibility to work remotely as you take on some tough challenges. The specific zip codes are 11209, 11214, 11226, 11229, 11218, 11235, 11214, 11234, 11223, 11213, 11219 ,11204 and 11220
Primary Responsibilities: Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housings, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for member to provide excellent service and enrollment experience Lead pipeline management Responsible for meeting or exceeding sales and enrollment expectations within assigned territory Conduct product information presentations in multiple settings, including in-home consultations Function independently and responsibly with minimal need for supervision Track and measures various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems Provide input, support and feedback on promotional opportunities, benefits, and other issues Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner Input consumer demographics and interactions into company systems as appropriate Performs other duties as required
Demonstrated Skills: Execute excellent communication, interpersonal, time management and organizational skills Excellent relationship building skills Ability to be compassionate while selling Function independently and responsibly with minimal need for supervision Ability to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients
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: High School Diploma/GED Health & Accident Insurance license. If you do not already have one, you must be willing to obtain a (company-sponsored) state health/life insurance license within 30 days of hire 2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience Proficient in MS Office (Outlook, Word, Excel, Power Point) Ability to travel locally up to 100% of time within assigned sales territories in this NY market area Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required Reside within/commutable distance of their target geography Bilingual Preferred Qualifications: Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Outside sales and territory management experience Valid driver's license, good driving history, reliable transportation, and current automobile insurance Insured, dependable vehicle with current driver's license Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Bilingual (Russian, Spanish, English, Arabic, French, Urdu , Hindi , Bengali, Nepali, Persian , Pashto, Punjabi) Proven established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory Proven to act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
New York Residents Only:The hourly range for this role is $19.23 to $38.46 per hour. Role is also eligible to receive bonuses based on sales performance. 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.
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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. This position is responsible for the overall management of a book of business of fully-insured and self-funded Key Account customers. The Strategic Account Executive is accountable for the maintenance, growth, retention and profitability of existing business, the acquisition of new business on existing accounts, customer satisfaction and the strategic direction of assigned accounts. The SAE will develop strategic initiatives and business plans to meet customers' ever-changing needs and increase retention, satisfaction, and net-promoter scores. If you are located in Boston, MA, you will have the flexibility to work remotely , as well as work in the office as you take on some tough challenges. Primary Responsibilities: Forge relationships with key customers and consultants, and act as main contact for UnitedHealthcare and as "CEO" of their account Renewing the customer year over year in the 100 - 5,000 lives segment Clearly demonstrate the value propositions for specialty and ancillary business to improve customer growth and retention Develop and monitor client financial performance, including renewal planning and negotiation Act as account management team lead, providing direction and support as required Exceed objectives for customer and broker satisfaction, persistency, and for developing new business with existing accounts Secure new business through marketing and effective product and service expansion Work with Account Executives to win new business and to participate in finalist presentations and RFP activity Become a subject matter expert of products, service and technology for customers and brokers Demonstrate sales, marketing, and technical expertise in customer and broker meetings 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: MA Insurance license
5+ years of strategic and consultative selling experience within the Insurance industry
Experience working with brokers and consultants, especially for Key Account ( employee) groups
Be visible in the market by meeting with Brokers and Customers in person quarterly to establish, cultivate, influence, and manage relationships Preferred Qualifications: Solid working knowledge of UHC's portfolio of products, marketing and managed care knowledge
Solid working knowledge of business planning and financial / underwriting
Proficiency in Microsoft Word, Excel and PowerPoint
Proven excellent communications and interpersonal skills (internally/externally)
Proven ability to navigate an often ambiguous and complex organization to resolve customer issues
Proven solid negotiation and leadership skills
Proven ability to create a strategic vision and plan its implementation
Proven solid team player and Customer Focused
Proven superior verbal, written and presentation skills All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $60,000 to $130,000 annually based on full-time employment. Role is also eligible to receive bonuses based on sales performance. 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. 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. You'll enjoy the flexibility to work remotely from anywhere within the U.S as you take on some tough challenges. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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: ASA Credential or greater 5+ years of Actuarial experience Experience with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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. 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together.
The Sr. Field Account Manager is responsible for supporting service and engagement with customers to further the relationship with UnitedHealthcare. The role will be responsible for educating customers on their benefit plans, UnitedHealthcare's wellness resources, and communicating various administrative/service-related changes to the customer (i.e., network or pharmacy preferred drug changes). A solid focus of this role will be coordinating with internal stakeholders and teams to address customer and member service issues. The Sr. Field Account Manager will also be responsible for conducting open enrollment meetings and wellness fairs. This role also includes facilitating the relationship between the customer and internal service teams and providing education on the correct service escalation paths for our customers.
If you reside in the state of Indiana, you will have the flexibility to work remotely as you take on some tough challenges.
Primary Responsibilities: Support the service experience of customers at the field level by working with the UMR Operations Team and other matrix partners as required to ensure issues are resolved promptly and accurately meeting the customers' expectations Develop and maintain solid relationship with internal to manage customer service experience Fully accountable for supporting the SAE (in facilitating resolution of all elevated customer service requests by working with the Operations Team, and conducting customer consultations as required Facilitate customer meetings with the Operations Team regularly to keep abreast of any escalating issues and service trends Train customers on web services and reporting Maintain and provide updates to the SAE on customer service trends, reporting usage, wellness initiatives, and improvement opportunities, etc. Participate/support new business and finalist presentations to represent service experience, or coordinate attendees from other service-related areas to support SAE/AE Establish and maintain solid and appropriate relationships with customers to maintain persistency Establish and maintain Broker/Consultant relationship as needed, but primarily with customer Coordinate ordering of enrollment materials/directories for customers Coordinate resolution of pre-implementation service and eligibility issues with Implementation Team Coordinate implementation activities such as intent calls Conduct enrollment meetings and customer sponsored health fairs for assigned customers Demonstrate a high level of healthcare industry knowledge as well as the customers' specific industry Perform other assignments and responsibilities as required by management
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: Insurance license as required by law within 30 days of hire 2+ years of work experience in a client-facing service role Proficient in Microsoft Office and other virtual productivity tools Proven excellent oral and written communication skills Proven superior presentation skills in both small and large group settings Proven solid interpersonal skills with the ability to communicate and influence internal business partners Proven advanced analytical and problem-solving skills Ability to travel as required (approximately 20%) Valid Driver's License
Preferred Qualifications: 5+ years of health care industry experience Experience working with Labor & Trust or Taft-Hartley health and welfare funds Human Resources or Medical Benefits experience
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The hourly range for this role is $24.04 to $55.29 per hour based on full-time employment. 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.
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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. What's your next step? How will you leverage the study, training, certifications, and your energy to help develop solutions to transform the health care industry? As an Actuarial Consultant in our Actuarial Leadership Development Program at UnitedHealth Group, you can do just that. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Understand and interpret key drivers of dental trends in the Medicaid and/or Medicare space Help develop dental pricing for Medicare and Medicaid customers Assist in developing analytics that serve as the foundation for Medicaid dental rate advocacy Help drive ongoing efficiency gains on new and existing processes Become a trusted resource to our business leaders and other non-actuarial partners Adapt to tight external deadlines to help the business meet its financial goals Analyze and interpret quantitative data from a variety of internal and external sources to create ad hoc exhibits Develop pricing models and make recommendations for management review Perform analyses of Medicaid claims that provides management with statistical findings and conclusions Assist with development of materials, exhibits and visuals to communicate results internally and externally Present findings directly to leadership and functional partners The challenges here are significant. You'll be part of an intensely driven and focused team that is accountable for constantly improving business results. You'll be a trusted subject matter expert who's called on to incorporate traditional actuarial expertise into novel, cutting edge actuarial solutions. 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: Bachelor's Degree in Actuarial Science, Mathematics, Statistics, Accounting, Finance, Economics, or another related technical field from an accredited college/university 5+ actuarial exams passed and in process of obtaining Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation 3+ years of actuarial experience Advanced or higher proficiency in MS Excel (i.e.: formulas, calculations, charts, graphs, data manipulation, VBA) Basic proficiency (able to read and interpret code) with SAS (Statistical Analysis System) and / or SQL (Structured Query Language) Proven analytical, organizational, and problem-solving skills Proven ability to quickly learn and use computer software tools effectively Preferred Qualifications:
Attainment of Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential Actuarial experience that includes working with dental, vision, and / or Medicaid insurance Experience working in finance or the health care industry including collecting, analyzing, and summarizing qualitative/quantitative data Experience with R, Python and/or other predictive analytic platforms Experience with data visualization, i.e.: Power BI, Tableau Experience and interest in developing original quantitative work Advanced capability of SAS and SQL Demonstrated ability to communicate effectively, including written and verbal forms of communication All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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 environmentand 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: UnitedHealth Group 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. 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: Analyzes and investigates actuarial questions/problems Provides explanations and interpretations of current and developing trends in healthcare utilization and costs Supports efforts to identify affordability opportunities to lower the cost of healthcare for the members we serve Communicates results and technical concepts to broad audiences Works with detailed claim and membership data from various sources/data warehouses (e.g. STRATUS) Creates and maintains actuarial models/reports 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: Bachelor's degree in Actuarial Science, Math, Economics or related field 4+ years of actuarial work experience Healthcare related experience Preferred Qualifications: Four or more exams and on track for Associate of the Society of Actuaries or Fellow of the Society of Actuaries designation Demonstrated advanced proficiency with Excel Demonstrated basic level of proficiency with coding such as SAS/SQL/R/Python Proven excellent oral and written communication skills All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $89,800 to $176,700 annually based on full-time employment. 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. 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. The Consultant provides year-round strategic consultative services with an integrated focus on the UnitedHealthcare Value Story by diving deep into the analytics of health plan performance to further support UnitedHealth Group's position as a trusted advisor and carrier of choice. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: This role is part of a dedicated strategic team that supports complex employer groups within Local Markets, generally within a geographic region Consultants will create compelling, client-specific insights and content for a variety of client engagements Consultants will present a portion of client engagements as determined by the Strategist based on client needs (internal/external), resource availability and development opportunity Consultant will focus on insights and storytelling. Distillation of compelling and/or actionable insights from data and reporting is required Navigation of data, tools, and related resources will be necessary for success in telling a story with actionable insight Distillation of compelling and/or actionable insights from data and reporting is required Consultants will focus on insights and storytelling In-depth knowledge of adopted and proposed client solutions Collaborate with market strategic team members as needed Provide colleague feedback to all participants in the market strategic team to support leadership goals around talent assessment, career planning, and growth opportunities Will have no direct reports Collaborate with the broader Account Management Team (AMTs) and other internal business partners to solve complex customer analytic needs and serve as a strategic analytic subject matter expert Communicates information openly and in an articulate and professional manner as a strategic consultative subject matter expert 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: Bachelor's degree 2+ years in a customer-facing role, preferably within a sales, account management, TPA, or consulting environment Knowledgeable of healthcare cost and quality topics, as well as able to speak to emerging industry trends Intermediate or higher skills within Office 365 applications, particularly Excel and PowerPoint Demonstrated presentation skills, preferably with a director-level and higher audience Travel may be required up to 25% of the time depending on customer needs Preferred Qualifications: Experience in data analytics, data science, statistics or underwriting Clear and concise written & verbal communication skills; successful virtual presentation experience All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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. 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.
Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Dine', we can show you how to put all of your skills, your passions and your energy to work in a fast- growing environment. AtUnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together.
Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You'll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity.
This position is full-time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:30 am - 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer a comprehensive 10-week paid training program, held Monday through Friday from 8:30 am - 5:30 pm CST (schedule subject to change).Training is conducted virtually. Please note that 100% attendance is required throughout the training period to ensure your success in the role.
Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.
This video features some of our Consumer Service team members sharing insights on the best parts of their job, as well as the challenges. You'll also hear about the culture and career pathing opportunities at UnitedHealthcare.
If you are located in New Mexico, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Support customers in confidently navigating and other UnitedHealth Group websites, while encouraging and reassuring them to become self-sufficient by using our digital self-service tools and resources Serve as a key support resource across multiple Medicaid markets This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
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: High School Diploma / GED OR equivalent work experience Must be 18 years of age OR older 2+ years of customer service OR relevant experience analyzing and solving issues / concerns This position involves member calls, with an expected volume of 50 - 70 calls daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Bilingual fluency in English and Dine' Ability to work full-time between 9:30 am - 6:00 pm CST from Monday - Friday including the flexibility to work occasional overtime based on business need Preferred Qualifications: Health Care / Insurance environment (familiarity with medical terminology, health plan documents, OR benefit plan design) Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations) Sales OR account management experience
Telecommuting Requirements: Reside within New Mexico Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. (UHG requires a wired internet connection: cable, DSL or fiber internet service with upload and download speeds suitable for the role and approved by operations. Minimum speed standard is 20mbps download/5mbps upload. Wireless service such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.) 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 hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. TheDirect to Consumer Sales Supervisoris responsible for achieving results for their individual team by providing frontline leadership and management to DTC sales agents. Their main objective is to enroll consumer prospects into UnitedHealthcare Medicare plans. Responsibilities also include overseeing the performance of assigned team members, providing coaching and development to enhance their sales capabilities. Work Location:Onsite at 1000 NW 57TH CT, Miami, FL Primary Responsibilities: To provide effective people leadership, oversee/support personal development and drive team engagement Perform additional duties, including performance management to achieve company and business segment objectives Maintain overall team performance and ensure successful implementation of new processes and practices Provide one-on-one coaching to agents to improve call handling, documentation, and compliance adherence by engaging in regular discussions about performance and identified opportunities for improvement Proactively recommend and provide learning and development resources to enhance agent skills and knowledge Educate agents on effectively leveraging digital resources to enhance the customer experience Maintain and enhance agents' knowledge of systems, tools, and processes Collaborate with other supervisors and leadership to foster a positive organizational culture and employee experience Participate in peer feedback sessions to drive continuous improvement Work in partnership with other supervisors on projects related to systems, processes, and inter-departmental initiatives 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 $50,000 to $115,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together.
Providing outstanding service to our Medicaid Health plans and members takes a solid mix of business skills, technical expertise, industry knowledge, and clinical fortitude.
The Pharmacy Director for the Ohio Medicaid Health Plan is responsible for the execution, administration, and oversight of the drug benefits, operations, programs, and initiatives that align with company goals, comply with contractual and regulatory obligations, and ensure that Medicaid members have timely access to affordable care and services. The Pharmacy Director provides strategic, financial, clinical, relationship, and organizational leadership for the Medicaid health plan, its leadership team, and stakeholders. The role exercises broad strategic and operational oversight for planning, organizing, and directing all aspects of pharmacy and drug benefit programs, including clinician administered drugs and programs, preferred drug list(s) or formulary design and maintenance, utilization reviews, reporting & analytics, and quality initiatives. In partnership with Health Plan leaders and Shared Services, the Pharmacy Director is responsible to manage and oversee the pharmacy benefits manager (PBM) contractual accountabilities, benefit operations, service levels, and escalations for their Health Plan.
If you are located in the state of Ohio and able to travel about 10% of the time, you'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities: Utilize deep and broad understanding of managed care, health plan operations, and PBM knowledge to develop, execute, and drive strategic plans and goals while ensuring compliance with the state contract and/or state/federal statutes and regulations Work cross-functionally across departments to ensure timely implementation of benefit changes, regulatory requirements, and cross-departmental initiatives with providers, members, and other stakeholders to achieve business and clinical outcomes Develop, implement/execute, and oversee the drug benefit including formulary management, administration, monitoring, reporting, communication, clinical programs, and utilization management strategies for pharmaceuticals, including clinician administered drugs Partner with the PBM account team to coordinate Plan specific PBM pharmacy requirements and resolve implementation issues and ongoing operational issues through root cause analyses, resolution execution, and continuous quality improvement disciplines Analyze, review, and present pharmacy/drug financials, drug rebates, forecast, and trend information for operational and business planning (short and long term) Conduct financial impact analysis and cost-benefit analysis (CBAs) to inform decision-making, enhance strategic roadmap(s), and align/accelerate company and health plan priorities Build and maintain solid relationships with internal cross department partners and serve as the primary point of contact for Plan pharmacy/drug services Create and maintain state specific polices, programs, collaterals, artifacts, etc. Serves as the Plan SME single point of contact for formulary, prior authorization, and benefit coding requirements and execution and responsible for communication with stakeholders for implementation Have a solid working knowledge of health plan operations (compliance, finance, encounters, claims adjudications, networks, clinical, case management, HEDIS measures, etc.) to develop and analyze efficiency and quality metrics and improves performance on a continuous basis Collaborate with internal partners to identify, prioritize, and execute key growth, innovative projects, member and provider experience and affordability opportunities to address on-going needs of the plan, Medicaid members, and providers Collaborate with shared services partners to provide content and proof points to support Requests for Proposals (RFP), bids, and competitive market checks on the PBMs and competitors as circumstances dictate Monitor under and over-utilization of pharmaceuticals and identify opportunities for cost-effective alternatives, vendor administration, and quality improvement through approved/denied claims, prior authorization volume, and step therapy effectiveness with timely claims review to ensure appropriate adjudication at point of sale Coordinate production and submission of timely reports and data analytics as required for, but not limited to, all drug benefits and services, compliance dashboard, regulatory requirements, productivity, clinical operations, benefit changes, implementation, and service quality monitoring, etc. as required by health plan, Medicaid Agency, regulators, auditors, etc. Assist Health Services team, Medical Directors, and other health plan partners with activities to meet departmental and organization objectives and implementing action plans to address issues and improve key performance indicators and select utilization, economic, and quality outcomes Communicate drug program changes with all impacted external and internal parties Engage with State Medicaid, pharmacy and health plan Associations, and other key stakeholders to strengthen relationships Attend the Agency Pharmaceutical & Therapeutics (P&T) Committee and Drug Utilization Review (DUR) Commission meetings, and other forums as requested Support health plan partners to ensure timely resolution of pharmacy/drug related issues, advance advocacy efforts, and foster deeper collaborations with the state Learns, understands and lives the United cultural values Other duties as assigned
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: Current, unrestricted Registered Pharmacist license and residing in Ohio 3+ years of progressively responsible and direct work experience of Clinical Pharmacy, Sales, or Account Management experience or combination thereof with the duties and responsibilities as described above OR a minimum of 2 years of experience in Managed Care Health Plan or PBM or Managed Care Pharmacy residency Direct experience with Medicaid/Medicare plans Intermediate to advance proficiency in Microsoft Office Suite, including Word, Excel and PowerPoint Advance analytics and data skills, with experience and knowledge of pharmacy/medical analytics and health economics outcomes research Experience with government contracts/programs in a PBM or health plan Knowledge of medical drug CPT/HPCS coding Solid clinical knowledge and ability to interpret evidence-based guidelines, complex clinical information, claims data, and regulatory requirements to deliver product and program development solution Ability to effectively facilitate meetings and deliver information/presentations to management, regulators, or partners Ability to direct, implement, and manage large-scale, complex, cross-functional, multi-departmental projects to completion, with performance (leading and lagging) KPIs, and minimum supervision Ability to think critically, creatively, and work strategically, to help drive innovative solutions yielding measurable results to the organization Ability to travel locally 10% of the time based on business needs Driver's license and access to reliable transportation
Preferred Qualifications: Pharm D
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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.
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.
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