UnitedHealthcare

Advisory Manager, Care Management – Provider – Remote

Posted on

September 28, 2025

Job Type

Full-Time

Role Type

Care Management

License

RN

State License

Minnesota

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Company 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. Connect

Job Description

The Advisory Manager, Care Management (Provider) – Remote opportunity for a self-driven, collaborative case manager to partner with Optum leadership, remote and onsite teams to lead, assess, develop and implement an integrated, cohesive solution across Optum business units and key client services. This role is critical to ensuring Optum meets and exceeds our client expectations to Care Management and Clinical Variation services. The Manager will have a client- and patient-centric approach to program management, balanced with meeting Optum financial and non-financial business goals. We are looking for a proactive professional who is client savvy and can effectively execute against business objectives. This individual will work with leadership to structure to ensure seamless, consistent delivery of services and solutions. The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Requirements

Required Qualifications: Licensed Registered Nurse 5+ years of hospital care management including both discharge planning and utilization management experience 3+ years of experience in customer relationship management 3+ years of Acute Care experience Proficient with MS Excel and PowerPoint for creating presentations Demonstrated planning, organization, analytical and problem-solving skills Proven self-guided, motivated, and able to simultaneously manage multiple activities with little direction Proven solid strategic thinking and business acumen with the ability to align clinical strategies and recommendations with business objectives Proven solid presentation, written and verbal communication skills, including communicating with senior leadership Proven track record of working collaboratively with internal business partners and stakeholders across a large matrixed organization Proven ability to develop relationships with clinicians and business leadership Proven adaptable and flexible style; able to thrive in fast-paced, ambiguous situations Ability to travel up to 80% to client sites Preferred Qualifications: Healthcare consulting experience with a reputable consulting firm in a client facing capacity Experience in hospital care management and/or leading complex clinical transformation consulting engagements resulting in significant recurring financial benefit Experience developing clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment

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Responsibilities

Supports the project team by participating in assessment, solution design, implementation, execution through coordination, documentation, and tracking metrics and outcome activities Supports the combined client and Optum Clinical Practice team by identifying opportunities and risks, facilitating solutions, and maintaining alignment with cross-functional priorities Works directly with the frontline leadership and client on daily operational development Drives clear, concise lines of communication with key stakeholders across Optum and client teams in coordination with the Optum leader to ensure effective implementation of service commitments and capturing needs for project success Ensures cross-project cohesion by identifying areas of dependency and collaboration, scheduling and facilitating team meetings to ensure cross-business organization and harmonization Supports client relationship and program management activities, including but not limited to: manages historical, current, and future state Care Management and Clinical services content, ensuring accessibility to team members manages and tracks the Care Management project plans and scoping documents, including tasks, activities and milestones in partnership with the assigned consultants organizes status reports, identifying and escalating risks and issues when appropriate manages and tracks Care Management data and information requests and documentation coordinates across business units to create cohesive, client-ready business deliverables; and tracks performance against contractual obligations Provides thoughtful input to optimize overall Care Management and Clinical Variation performance, advising leaders on performance management and improvement activities Works with Care Management and Clinical Variation leadership to establish and track measured outcomes, criteria, standards and levels using appropriate methods Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence Identifies business unit gaps and helps to develop action plans to mitigate risks and issues Helps to onboard new team members Builds trusting relationships with senior leaders, clinicians, and business partners

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