Description

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 Senior Clinical Application Director - Remote serves as a subject matter expert (SME) for Optum Integration Care Suite (OICS) and GuidingCare (GC), supporting implementations, enhancements, training, and ongoing client operations. This role partners closely with clients, clinical consultants, technical teams, and HealthEdge (HE) to design, configure, and optimize clinical workflows while driving adoption of best practice solutions across OICS applications, including member, provider portal, and mobile platforms.

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:

• Requirements & Solution Design
  • Gather, analyze, and refine business and clinical requirements for new client implementations and post implementation enhancements
  • Partner with HealthEdge (HE) to refine solutions and ensure alignment with platform capabilities and best practices
  • Design application architecture and workflows that support optimal clinical and operational outcomes within OICS
  • Evaluate enhancement requests for upstream and downstream impacts and recommend appropriate solutions or workarounds
  • Review Statements of Work (SOWs) to ensure deliverables and contract compliance
• Implementation & New Client Delivery
  • Support end-to-end OICS/GC implementations, including configuration, workflow design, and system transition planning
  • Partner with client stakeholders, clinical consultants, and technical teams to deliver integrations and APIs
  • Configure OICS modules during implementation and coordinate testing and validation activities
  • Design, configure, and test client letters, including fulfillment integrations (fax, letters, reconciliation)
  • Provide product demonstrations of OICS/GC capabilities during implementations and RFP processes
  • Coordinate client sign off for implementations, new functionality, and defect resolution
• Training & Knowledge Enablement
  • Serve as OICS/GC Subject Matter Expert (SME) for clinical workflows and application functionality
  • Create and maintain training materials, job aids, and documentation
  • Deliver Train the Trainer sessions, ad hoc training, and HE release training for new features
  • Provide ongoing user guidance on OICS/GC applications, including member, provider portal, and mobile applications
  • Support knowledge transfer (KT) to application consultants, technical resources, and client teams
• Client Maintenance & Ongoing Support
  • Provide post implementation configuration and ongoing client support
  • Troubleshoot client questions and application issues, coordinating with Account Managers and HE as needed
  • Perform OICS/GC testing for updates and enhancements
  • Review compliance documentation and support audits or regulatory requests
  • Consult with clients to help them understand how the applications function, think, and support next step workflows
  • Identify gaps in processes and recommend continuous improvement opportunities
• Change Requests (CRs) & Enhancements
  • Manage HealthEdge Change Requests (CRs), including intake, analysis, and tracking
  • Maintain accounting of CR hours by client and request
  • Implement new features and coordinate HE monthly showcases for CM/UM/AG
  • Provide level of effort (LOE) estimates for enhancements and new functionality
  • Open and manage Jira tickets for configuration and enhancement work
• Defect Management
  • The Clinical Application Consultant serves as a subject matter expert (SME) for Optum Integration Care Suite (OICS) and GuidingCare (GC), supporting implementations, enhancements
  • This role partners closely with clients and clinical consultants to document business requirements, configure clinical workflows, test and report issues to HE

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:

• 8+ years of healthcare experience within Payer or Provider space
• 6+ years of Health Information Management, Clinical or Business Analysis
• 3+ years of hands-on, recent experience with HealthEdge Guiding Care application
• Consulting firm experience including engagement leadership, client relationship management, business development
• Familiarity with a variety of problem-solving approaches and frameworks
• Proficiency in MS Office Suite - Word, PowerPoint, Excel
• Proven ability to drill down to the root cause of issues and be creative in problem solving
• Proven ability and established track record of leading multiple projects and initiatives
• Proven ability to travel up to 50% when required

Preferred Qualifications:

• 6+ years of experience in management consulting
• Experience and highly proficient in managing projects that achieved budget and timeline goals

*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 salary for this role will range from $134,600 to $230,800 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.

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.