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 and start doing your life's best work.(sm)

UHC E&I National Accounts is responsible for ensuring our customers live healthier lives by receiving the right care, at the right time, and at the right place. This clinical position is responsible for providing direct client support to National Account customers. The position is responsible to provide clinical account relationship support including strategic planning for medical performance, consultative services, clinical analytics and recommendations for benefit design, closing gaps in care, improving outcomes and identifying medical expense management opportunities.

The position will be part of an inter-disciplinary team that will include Medical Directors and members of the National Accounts client service organization to support the clinical performance of assigned customers. This position will research, develop and present new or existing strategies to improve quality and performance, reduce variation in medical spend, ensure accurate documentation of members conditions and increase Net Promoter Scores for assigned customers.

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

Primary Responsibilities:

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  Provides day to day clinical account management support for assigned employer group accounts(s)
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  For assigned employer group account(s) is the liaison to the National Account Growth & Client Management Teams and the employer group account(s) for improving clinical performance and maximizing medical cost reduction opportunities
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  Provides real time data informatics and clinical insight to the Medical Director(s) for assigned employer group account(s)
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  Build solid relationships and partner with National Account teams, internal clinical teams (Optum, UnitedHealth Network, and United Clinical Services) and external partners to drive successful outcomes and improvement opportunities
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  Educate and partner with local market teams on specific needs for their business priorities
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  Create regular report highlighting employer group account specific performance. Highlight recommendations for performance improvement and ensure initiatives are in place to achieve goals
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  Negotiate priority initiatives and strategies with senior business leader for the assigned employer group(s)

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:

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  Unrestricted Registered Nurse (RN) or Advance Practice Nurse (APN) license
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  5+ years of ASO experience supporting National Accounts and/or Key Accounts
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  5+ years of external client facing account management experience
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  3+ years of Care Management experience
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  Proven ability to interpret complex data and make strategic recommendations with analyzing “High-Cost Claimants”

Preferred Qualifications:

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  CCM
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  Experience in population health management
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  Project/program management experience
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  Expert knowledge of documentation and coding/risk adjustment accuracy
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  Intermediate to Advanced ICUE proficiency
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  Advanced PowerPoint Presentation skills
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  Excellent communication and presentation skills
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  Demonstrated capacity to influence others through indirect and consultative skills
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  Proven ability to interact with medical practices, peers, and internal company staff at all levels

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Colorado, Connecticut, Nevada, or New York City Residents Only: The salary range for Colorado residents is $97,300 to $176,900. The salary range for Connecticut/Nevada/New York City residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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  All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.