Manage client-facing retrospective chart review programs across Medicare Advantage, ACA, and Medicaid. Own project plans, drive operational execution, present performance and metrics to clients, coordinate matrix teams, forecast capacity, identify and remediate risks, and deliver training and reporting to meet SLAs and client goals.
Requisition Number: 2357276
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Client Service Delivery (CSD) team is a client-facing team that partners with Account Management and Operations to support and drive the success of clients' retrospective chart review programs. The CSD Manager is a client-facing role responsible for supporting the operational execution for specific client projects and program across Medicare Advantage, ACA, and Medicaid programs. Role includes project management, client performance accountability, and matrix team coordination. The Manager will be expected to independently manage his/her own book of clients, embody solid communication skills (written and verbal) and organization skills, use analytical skills to draw insights, have a spirit of curiosity and resourcefulness to meet client and project needs with limited supervision.
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:
Critical Success Factors:
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:
Preferred Qualifications:
*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 $91,700 to $163,700 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.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Client Service Delivery (CSD) team is a client-facing team that partners with Account Management and Operations to support and drive the success of clients' retrospective chart review programs. The CSD Manager is a client-facing role responsible for supporting the operational execution for specific client projects and program across Medicare Advantage, ACA, and Medicaid programs. Role includes project management, client performance accountability, and matrix team coordination. The Manager will be expected to independently manage his/her own book of clients, embody solid communication skills (written and verbal) and organization skills, use analytical skills to draw insights, have a spirit of curiosity and resourcefulness to meet client and project needs with limited supervision.
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:
- Client Program Management:
- Partner with cross functional operational partners, and clients to develop operational plans and strategies
- Communicate key operational plans, impacts, and corresponding deliverable dates to clients
- Actively drive operational execution: including project plans, key deliverables, and identify escalation points
- Communicate complex operational process solutions and/or training within a given complex operational process
- Coordinate with clients, operations, and leadership to support a program strategy for client goals
- Seek opportunities to improve operating efficiencies / effectiveness within operational and vendor processes
- Assist with issue escalation resolution
- Forecasting and capacity planning inputs
- Provide system and process training to clients as needed
- Attend weekly meetings with assigned clients to present end to end strategic program plans and performance updates, key metrics, needed client action items, and document and respond to client communications
- Review production reports to identify risk to meeting business objectives and compliance with client service level agreements
- Deliver, analyze and draw insights from reporting and metrics for weekly client meetings and materials for client program kick-off, client end-of-program and client quarterly business reviews
- Manage multiple chart review projects with end-to-end operational partners to ensure project goals are met within expected timeframes
- Meet with operational partners to review program progress to goal as well as join ad hoc meetings
- Partner with operational partners in identifying and resolving risks to meeting business objectives and developing remediation as appropriate
- Seek opportunities to improve operating efficiencies/effectiveness within client and operational processes
- Provide inputs to client forecasting and goal setting
Critical Success Factors:
- Able to apply critical thinking skills to adapt during interface with clients
- Able to process business needs and develop solutions
- Able to work in a matrix environment to drive efficiencies through influence
- Constantly seek ways to improve job and operational efficiency and makes suggestions as appropriate
- Able to work independently
- Able to meet deadlines
- Able to self-solution
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 with direct client relationship management
- 2+ years of business experience in healthcare industry
- 2+ years of experience in operations project management
- 2+ years of experience working in a large, matrix organization
- Mid-level to Advance proficiency in Excel (pivot tables, V or H look ups, data validation, creating internal/external reports)
- Highly proficient in Microsoft Office products, including Word and PowerPoint
- Proven solid communication (verbal, written) and organizational skills
Preferred Qualifications:
- Experience working in risk adjustment operations
- Experience understanding and analyzing complex operational processes
- Experience working in automated database management
- Proven ability to work in a matrix environment to drive efficiencies through influence
- Proven ability to seek ways to improve job and operational efficiency and make suggestions as appropriate
*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 $91,700 to $163,700 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.
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Big Data Software Engineer will design and maintain scalable solutions, develop APIs, evaluate new tools, and collaborate with teams to enhance big data platforms.
Top Skills:
AzureCassandraDatabricksDockerHadoopJavaJSONKafkaKubernetesPythonScalaSnowflakeSparkSQLWeb Services
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Pricing Consultant will provide strategic financial guidance, develop pricing recommendations, lead RFP financial responses, and maintain complex financial models across multiple business units.
Top Skills:
Excel
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
As a Senior AI/ML Engineer, design and deploy AI solutions using Generative AI techniques within cloud-native architectures, mentoring junior engineers and ensuring compliance with ethical standards.
Top Skills:
AWSAzureDatabricksDockerFastapiGCPJavaPysparkPythonRestSQL
What you need to know about the Seattle Tech Scene
Home to tech titans like Microsoft and Amazon, Seattle punches far above its weight in innovation. But its surrounding mountains, sprinkled with world-famous hiking trails and climbing routes, make the city a destination for outdoorsy types as well. Established as a logging town before shifting to shipbuilding and logistics, the Emerald City is now known for its contributions to aerospace, software, biotech and cloud computing. And its status as a thriving tech ecosystem is attracting out-of-town companies looking to establish new tech and engineering hubs.
Key Facts About Seattle Tech
- Number of Tech Workers: 287,000; 13% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Amazon, Microsoft, Meta, Google
- Key Industries: Artificial intelligence, cloud computing, software, biotechnology, game development
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Madrona, Fuse, Tola, Maveron
- Research Centers and Universities: University of Washington, Seattle University, Seattle Pacific University, Allen Institute for Brain Science, Bill & Melinda Gates Foundation, Seattle Children’s Research Institute

