Care Management Clinical Application Support - Remote

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.

The Consulting job family provides end to end life cycle consulting services to external clients to improve operation and information management for all segments of healthcare. This includes technology solutions, service solutions and data solutions - data warehousing and business intelligence applications, product implementation and consultation, service optimization, product development, selection and management.

The Care management Clinical Application Support person will be part of the application support team providing consulting support services to internal and external clients on the clinical platforms. This position is required to support Medicare Advantage, Medicaid and Commercial on Clinical platforms.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Healthcare Payor knowledge and understanding of Medicare Advantage, Medicaid and/or Commercial clients
• Knowledge of HealthEdge Guiding Care/OICS application for Care Management, Population Health, Utilization Management and Appeals and Grievance modules
• Responsible for assignment and monitoring of issue tickets submitted
• Responsible for ticket monitoring reports
• Work with internal partners to obtain status on issue tickets
• Work with vendor lead(s) to obtain status on issues related to services vendor issues and escalate as needed
• Responsible for creating the client facing product release notes and associated testing workbooks
• Responsible for user acceptance testing of product upgrade releases
• Support weekend releases as needed
• Responsible for assisting with Business Requirements through solution and delivery for new functionality and/or configuration requests
• Responsible for assisting with User Acceptance Testing for new functionality and/or configuration requests
• Ability to troubleshoot and identify issues

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:

• 2+ years of experience supporting a Care Management Clinical Application that supports UM, CM, DM and A&G (Utilization Management, Care Management, Disease Management and Appeals & Grievances)
• 2+ years of business analysis experience, deciphering business process
• 1+ year of experience configuring and/or utilizing a Care Management Clinical Application
• 1+ years of experience performing data analysis
• Proven good verbal and written communication skills
• Experience gathering and writing business requirements

Preferred Qualifications:

• Experience supporting HealthEdge's Guiding Care application
• Experience in Government Healthcare (Medicare/Medicaid)
• Consulting experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. 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.

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.