Urwah Admin

Optum

Optum is dedicated to evolving health care to ensure everyone has the opportunity to live their healthiest life. By putting individual needs at the forefront, Optum makes managing health and well-being easier and more affordable. The company focuses on delivering the right care at the right time, providing support for smarter health choices, and simplifying prescription services to help save money. Optum is a part of UnitedHealth Group and operates in the Hospitals and Health Care industry.

<div>
 
 $7,500 Sign-on Bonus for External Candidates
 
 
 
 Explore opportunities with Caretenders VNA, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of
 
 Caring. Connecting. Growing together.
 
 
 
 As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
 
 
 
 Primary Responsibilities
 
 
 
 <ul>
 <li>
 Clinical Competence
 </li>
 <ul>
 <li>
 Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
 </li>
 <li>
 Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
 </li>
 <li>
 Provides required supervisory visits
 </li>
 </ul>
 <li>
 Documentation and Care Delivery
 </li>
 <ul>
 <li>
 Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
 </li>
 <li>
 Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
 </li>
 <li>
 Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
 </li>
 </ul>
 <li>
 Quality
 </li>
 <ul>
 <li>
 Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
 </li>
 <li>
 Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
 </li>
 <li>
 Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
 </li>
 </ul>
 <li>
 Teamwork
 </li>
 <ul>
 <li>
 Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
 </li>
 <li>
 Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
 </li>
 <li>
 Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
 </li>
 <li>
 Participates in on-call and weekend rotation as needed to meet patient needs
 </li>
 <li>
 Adheres to and participates in the agency's utilization management model
 
 </li>
 </ul>
 </ul>
 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
 
 
 
 <ul>
 <li>
 Current and unrestricted RN licensure in state of practice
 </li>
 <li>
 Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
 </li>
 <li>
 Current CPR Certification
 </li>
 <li>
 Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Ability to work independently
 </li>
 <li>
 Solid communication, writing, and organizational skills
 
 
 </li>
 </ul>
 Pay Range
 
 
 Target Pay - $75,450 - $113,174
 
 
 Hourly Pay Range - $36.27 - $54.41
 
 
 Per Visit Point Pay Range - $43.53 - $65.29
 
 
 Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, 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.
 
 
 #LHCJobs
 
 
 
 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.
 
</div>

Registered Nurse $7,500 Sign-on Bonus

<div>Explore opportunities with Elite Home Health a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. 
As the Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition. RN or LPN Required 
Primary Responsibilities:<ul><li>
Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions</li><li>
Assess readmission risk using the LACE tool</li><li>
Ensure patients and families have agency contact information</li><li>
Coordinate ancillary services (DME, Infusion) as needed</li><li>
Assist in preparing for patient care post-discharge</li><li>
Liaise between the agency and healthcare providers</li><li>
Communicate patient transfers and coordinate resumption of care</li><li>
Provide feedback on readmissions and non-admit decisions</li><li>
Perform other duties as assigned</li></ul> 
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:<ul><li>
Current, unrestricted RN, LPN, or SW licensure in state of practice.</li><li>
Current CPR certification</li><li>
Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation.</li><li>
Minimum 1 year home health experience or 1 year of hospital case management experience.</li></ul> 
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 $53,064 to $79,596 annually based on full-time employment. We comply with all minimum wage laws as applicable.
#LHCJobs
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.</div>

Transitional Case Manager-Home Health

<div>For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 
The Sr. Healthcare Data Engineer is a highly technical development role that partners closely with Strategic Finance and Accounting to deliver scalable, data-driven solutions. This position is responsible for reporting accurate financial information; performing advanced financial analyses, forecasting, and modeling; and automating internal reporting processes across Finance and enterprise stakeholders. 
This role serves as a critical bridge between financial strategy, healthcare economics, and data engineering-delivering insights that drive affordability initiatives and operational decision-making. The position also provides leadership with statistical findings and actionable insights; coordinates cross-functional data efforts; and resolves complex data challenges across multiple departments. 
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:<ul><li>
Design, develop, and deliver advanced analytics across healthcare data domains including capitation, utilization, claims, Medicare Advantage, and financial accounting data</li><li>
Serve as a Subject Matter Expert in healthcare financial and operational data, including Medicare Advantage plan structures and performance drivers</li><li>
Extract, transform, and analyze data from the Enterprise Data Warehouse (EDW) to support internal and external reporting needs</li><li>
Partner with Finance and Accounting teams to support forecasting, modeling, and strategic planning initiatives</li><li>
Build and maintain complex data models, queries, and reporting solutions for ad hoc and recurring analyses</li><li>
Enhance reporting methodologies and automate processes using analytic tools (e.g., Tableau) to improve accuracy, efficiency, and scalability</li><li>
Analyze benchmarking data and key managed care indicators to identify trends and support financial performance improvement</li><li>
Lead development of innovative data solutions that improve deliverables and operational efficiencies</li><li>
Function as a team lead by mentoring analysts, guiding technical development, and ensuring consistency in reporting outputs</li><li>
Collaborate cross-functionally to diagnose and resolve data integrity issues</li><li>
Perform other related duties as assigned</li></ul> 
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:<ul><li>
Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field (or equivalent experience)</li><li>
4+ years of experience in a reporting and analytical role</li><li>
Proven solid understanding of healthcare financial data, including Medicare Advantage plans, claims, revenue recognition, and member accounting</li><li>
Proficiency in Tableau or similar analytic reporting tools</li><li>
Advanced SQL, SSMS, and Excel skills (or equivalent data tools)</li><li>
Demonstrated ability to work across large, complex datasets and translate findings into actionable insights</li></ul> 
Preferred Qualifications:<ul><li>
5+ years of reporting and analytics experience</li><li>
3+ years of experience in a managed care environment</li><li>
3+ years of experience in healthcare accounting, finance, or operations</li></ul><ul><li> 
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul> 
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 to $193,200 annually 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. 
OptumCare 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. 
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment</div>

Strategic Affordability Analyst (Sr. Healthcare Data Engineer) - Remote

<div>
 Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind
 
 Caring. Connecting. Growing together.
 
 
 
 The registered nurse provides nursing care to patients in an assigned clinical area and leadership on the unit, under the supervision of a Nurse Supervisor, or RN Coordinator. The RN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. The RN utilizes critical thinking to identify priorities and make judgments concerning basic and comprehensive needs of multiple patients in order facilitate appropriate and timely care.
 
 
 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
 
 
 
 <ul>
 <li>
 Graduate from an approved professional registered nursing program
 </li>
 <li>
 Current and valid Texas RN license
 </li>
 <li>
 Current BLS through American Heart Association
 </li>
 <li>
 6+ months in a clinical area. 1 year KSC experience may be considered in lieu of 6 months RN experience with approval from Sr Dir Nursing Services
 </li>
 <li>
 Computer experience
 </li>
 <li>
 Proven ability to use equipment and related supplies for selected patient population for the assigned clinical area. Including CPR, oxygen administration, and intravenous therapy
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's degree in nursing
 </li>
 <li>
 Specialty nursing certification in ambulatory care or one appropriate to the specialty area assigned
 </li>
 <li>
 ACLS and/or PALS
 </li>
 <li>
 2+ years of ambulatory care
 </li>
 <li>
 EPIC experience
 </li>
 <li>
 Proven windows bases computer skills
 
 
 </li>
 </ul>
 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 $28.94 to $51.63 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.
 
 
 
 
 OptumCare 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.
 
 
 
 
 OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
</div>

Registered Nurse (RN) - Endo -  Kelsey Seybold Clinic: Westchase

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Schedule: Monday to Friday, 9AM- 5 PM CST
Location: Remote - Nationwide
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:<ul><li>
Install, configure,upgrade and maintain PostgreSQL databases in production and non‑production environments</li><li>
Manage database availability, high availability configurations, and failover processes</li><li>
Leverage enterprise-approved AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks. Evaluate emerging trends to drive continuous improvement and strategic innovation</li><li>
Monitor database health and performance; proactively identify and resolve performance bottlenecks</li><li>
Perform query and system-level performance tuning</li><li>
Perform regular recovery testing and execute disaster recovery procedures as required</li><li>
Ensure data integrity and recoverability at all times</li><li>
Monitor database security and prevent unauthorized access</li><li>
Manage user access, roles, and permissions in alignment with security standards and compliance requirements</li><li>
Schedule and execute routine database maintenance activities</li><li>
Troubleshoot and resolve production database issues, including data-related incidents</li><li>
Provide best-practice guidance to development and application teams on database usage</li><li>
Develop and enhance automation to streamline database operations and data loading processes</li><li>
Utilize PostgreSQL utilities and tools and monitoring/management solutions to maintain the environment</li><li>
Manage user access and permissions by adding and removing users as required</li><li>
Maintain the database using different utilities. This includes using pg_ctl and psql</li></ul>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:<ul><li>
High School Diploma/GED</li><li>
3+ years of experience as a PostgreSQL Infrastructure DBA supporting Postgres in a large‑scale enterprise environment, including managing databases of 10+ TB</li><li>
2+ years of experience working with public cloud environment</li></ul>
Preferred Qualifications:<ul><li>
Healthcare experience</li><li>
Experience with MySQL or additional relational database platforms</li><li>
Working knowledge of implementing AI-driven tools used in database operations, monitoring, and support environments</li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul> 
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 $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 
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. 
#RPO #GREEN</div>

Data Engineer (PostgreSQL DBA)

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Sr. Strategic Account Executive is an individual contributor role serving as the senior - level liaison to assigned client accounts. Responsible for developing client trend management strategies, retaining, and growing assigned clients, cultivating multi-level client relationships, and managing staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:<ul><li>
Managing assigned accounts with a focus on client trend management, strategic plan development and execution, cultivating multi-level client relationships and management staff</li><li>
Managing client contract renewal activities with the primary goals of retaining client, obtaining multiple-year agreements and maintaining or improving profitability</li><li>
Maintaining consistent and regular client communications. Preparing and presenting regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization and cost reports</li><li>
Prioritizes and conducts regular on - site or telephonic client meetings as appropriate to proactively review client benefits, drug utilization and trend management strategies</li><li>
Ensure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. Reviews Benefit Design Summary documents at least annually with clients and receives appropriate client signature approval</li><li>
Maintaining a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees. Ensuring that all assigned contracts are monitored and reported as stated in the terms</li><li>
Developing strategies for staff development and retention</li><li>
Cultivating in - group growth through these relationships</li><li>
Staying abreast of industry trends and developments and demonstrating solid communication skills in presenting these to clients and staff</li><li>
Demonstrating expertise in pharmacy benefit strategies and clinical programs</li><li>
Supervising and assisting in the development of client specific implementation plans and managing overall client implementations</li><li>
Providing leadership to client services team members in departmental and corporate initiatives</li><li>
Providing regular feedback to management team regarding client requirements and business development opportunities</li><li>
Participating in sales preparation meetings and finalist sales presentations as necessary</li><li>
Ensuring quick response and follow - up to client inquiries, including returning phone calls and emails within 2 hours and attempted resolution of all issues in less than 48 hours</li><li>
Follows - up with client within 24 hours after issue resolution</li><li>
Regularly attending and actively participating in company meetings as requested</li><li>
Participating as preceptor / mentor to new staff as requested. Assisting in the development of ongoing training topics and materials for staff</li><li>
Following all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate</li><li>
Performing other duties as assigned to meet corporate objectives</li><li>
Providing support to other departments as requested</li></ul> 
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:<ul><li>
4+ years of strategic PBM client account and contract management</li><li>
2+ years of experience in the Health Plan Commercial Market</li><li>
Understanding of pharmacy benefit strategies and pricing practices</li><li>
Advanced proficiency in delivering presentations to various audiences</li><li>
Proficient with MS suite - Word, Excel, PowerPoint</li><li>
Proven ability to handle complex client issues</li><li>
Proven solid PBM business and financial acumen</li><li>
Demonstrates a high degree of client focus and attention to service</li><li>
Proven excellent negotiation skills</li><li>
Ability to travel up to 25% of the time</li></ul> 
Preferred Qualifications:<ul><li>
1+ years PBM Medicaid client management experience</li> 
<li>
Project Management Experience/Certification</li><li>
3+ years of experience with upsell programs to clients</li><li>
2+ years of PBM operations experience</li><li>
Familiarity with RxClaim; Tracker and Navigator</li></ul><ul><li> 
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy</li></ul> 
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 to $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.</div>

PBM Medicaid Sr. Strategic Account Executive Remote

<div>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 
You're looking for something bigger for your career. How about inventing the future of health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management. Here you'll find a professional culture where you can use your talent and our resources to make an impact on a huge scale. With better schedules than retail and more reach than any hospital, you'll open doors for yourself that simply do not exist in any other organization, anywhere. 
 
The team comprises clinical pharmacists, clinical nurses, certified pharmacy technicians, and customer service representatives that complete various functions to successfully meet the operational requirements of each clinical service. The work hours required will have flexibility to work between the hours of 8:00 AM and 8:00 PM CST, Monday through Friday. 
The Operations Team Manager will report to the Director. The Operations Manager plays a critical leadership role responsible for overseeing a team of pharmacists, driving performance outcomes, and ensuring the successful execution of clinical programs. This role partners closely with cross-functional stakeholders, including program owners and leadership teams, to ensure program objectives, consult goals, and client expectations are consistently achieved. 
Primary Responsibilities:<ul><li>
Lead, coach, and develop a team of pharmacist staff to achieve individual and departmental performance goals</li><li>
Monitor team performance through key metrics (e.g., consult completion, productivity, quality, adherence to schedules) and implement improvement plans as needed</li><li>
Foster a high-performance, positive work environment that promotes engagement, accountability, and continuous development</li><li>
Partner with program owners and cross-functional stakeholders to ensure program goals, client expectations, and consult targets are met</li><li>
Oversee execution of clinical and operational programs, ensuring alignment with departmental and business objectives</li><li>
Manage and support various projects related to call center operations, including process improvements, workflow optimization, and operational initiatives</li><li>
Utilize data and analytics to identify trends, gaps, and opportunities for process improvement and operational efficiency</li><li>
Provide regular feedback, coaching, and performance evaluations for team members</li><li>
Handle escalated issues, ensuring timely resolution while maintaining professionalism and member satisfaction</li><li>
Ensure compliance with HIPAA regulations, company policies, and operational procedures</li><li>
Maintain a strong understanding of call center operations, systems, workflows, and program requirements</li><li>
Communicate effectively with leadership and team members through meetings, reporting, and presentations</li><li>
Support departmental initiatives, special projects, and organizational changes as needed</li><li>
Demonstrate flexibility in scheduling to support business needs, including extended hours or peak operational periods</li><li>
Other duties as assigned by Director</li></ul> 
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:<ul><li>
BS Pharm (RPh.), PharmD., or Pharmacy Residency experience</li><li>
Active, unrestricted Pharmacist license in Puerto Rico (Puerto Rico Board of Pharmacists)</li><li>
5+ years of experience leading, supervising, or overseeing staff, preferably in a healthcare, pharmacy, or call center environment</li><li>
Experience using data and performance metrics to drive decision-making and improve outcomes</li><li>
Experience monitoring team performance and implementing performance improvement plans</li><li>
Solid leadership skills with the ability to motivate, coach, and develop team members</li><li>
Proven critical thinking and problem-solving skills to analyze situations and implement effective solutions</li><li>
Solid technical proficiency with Microsoft Office applications (Excel, PowerPoint, Outlook, Word)</li><li>
Excellent English verbal and written communication skills, including presentation abilities</li><li>
Solid understanding of business operations, departmental goals, and client expectations</li><li>
Ability to troubleshoot technical or operational issues and guide team members effectively</li><li>
Ability to work independently in a remote environment while managing multiple priorities</li><li>
Willingness to work flexible schedules, including extended hours as needed</li></ul> 
Preferred Qualifications:<ul><li>
Experience in healthcare operations or clinical call center environments</li><li>
Experience managing clinical teams (pharmacists, nurses, or technicians)</li><li>
Experience with program management and/or project management</li><li>
Experience working in a matrixed or cross-functional organization</li><li>
Knowledge of call center operations, workflows, and performance metrics</li><li>
Familiarity with clinical programs such as MTM, adherence programs, or utilization management</li><li>
Advanced proficiency in data analysis and reporting tools</li></ul> 
Soft Skills:<ul><li>
Inspire and motivate team members to achieve performance goals</li><li>
Lead by example and foster a positive, collaborative work environment</li><li>
Adapt to changing priorities, business needs, and operational challenges</li><li>
Demonstrate openness to feedback and a commitment to continuous improvement</li><li>
Maintain professionalism and a strong commitment to departmental success</li><li>
Clearly convey information, expectations, and instructions to team members</li><li>
Deliver effective presentations and communicate across all levels of the organization</li><li>
Maintain strong interpersonal communication with team members and leadership</li><li>
Demonstrate strong analytical and problem-solving skills, especially with escalated issues</li><li>
Make timely, informed decisions in a fast-paced environment</li><li>
Collaborate cross-functionally to resolve complex operational challenges</li><li>
Effectively manage and resolve conflicts within the team and with stakeholders</li><li>
Maintain composure and professionalism in high-pressure situations</li><li>
Demonstrate empathy and patience when interacting with team members and members</li></ul> 
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.</div>

Pharmacist Manager (Call Center Operations) - San Juan, PR

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