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.

Clinical Excellence is charged with effectively implementing, monitoring, and executing on programs related to driving affordability, clinical quality and risk adjustment activities across all lines of business for OptumCare a $9 billion a year organization, touching over 9 million patients, 80 payers, and 22,000 providers. This position will report to the Director Program Management and will be responsible for driving business and data process initiatives to complement the Compliance and Quality Assurance programs across Optum Clinical Excellence, including support for Clinical Documentation Review program.

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

Primary Responsibilities:

Support Clinical Excellence Quality Assurance programs in the following capacities:

• Collaborate in a cross‐matrixed environment with business partners to collect and document business requirements, translating into technical requirements to be used for development

• Track and manage project workload from initial requirements gathering, through to delivery and production rollout of development efforts, including UAT signoff and closeout documentation (SOPs, Job Aids, etc.)

• Identify, document, and assist in design/build of small‐scale end‐to‐end business processes aimed toward increasing efficiencies

• Communicate and provide report outs to key stakeholders, informing of progress/status updates, issues/delays, and targeted timelines for delivery

• Assists in the management, tracking, and documentation of SharePoint sites, Power Platform apps, and SQL data flows created to support key initiatives

• Technical writing support and content management creating job aids, process and data flow diagrams, and policy and procedure documentation

• Self‐motivated, working with minimal guidance, seeking assistance on only the most complex tasks

• Think through challenges analytically and logically to derive solutions, connecting the dots in determining how processes and data are connected

• Must have proven skills to effectively communicate and present

• Must be a self‐starter, a fast learner, and the ability to work both collaboratively and independently

• Performs all other related 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:

• 5+ years of experience writing technical requirements including business requirements documents, solution / business process diagrams, job aids and SOPs

• 5+ years of experience managing project workload(s) within a healthcare setting, from project inception, through to project close‐out

• 3+ years of experience with Microsoft Power Platform (Power Apps, Power Automate)

• 3+ years of experience with Microsoft Power BI and/or SSRS

• Familiarity with SQL environments including relational database structures, SSIS package automation, and basic query knowledge (for purposes of requirements gathering/building)

• Possess enhanced communication skills; experience interacting with and presenting to all levels of business; including SMEs, project sponsors and senior level leadership

• Ability to articulate business needs into technical requirements, as well as complex technical issues to non‐technical audiences in an easily understood fashion

• Ability to influence and build strong relationships with internal and external stakeholders/resources to move projects and programs forward and overcome any challenges

Preferred Qualifications:

• Basic understanding of ICD‐10 CM coding and/or clinical documentation improvement programs, and associated data

• Basic understanding of healthcare data concepts including Medicare Advantage Risk Adjustment concepts

• Familiarity with Rally and/or JIRA ticketing software

• General understanding of security concepts including MS/Azure global groups (MS Active Directory, Azure Cloud / SharePoint security)

• Advanced PC skills (Excel, PowerPoint, Word, Visio, Outlook, SharePoint)

*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, or Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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.

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.