Clinical Consultant - Remote

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 Clinical Consultant collaborates with sales, account management, and other business SMEs to develop and execute client-specific strategies across the Decision Support client base. This role leverages solid clinical, analytical, and industry knowledge to build relationships with senior executives and operational leaders. The goal is to understand strategic priorities and identify opportunities to leverage decision management solutions. Responsibilities include supporting pre- and post-sales activities, delivering advisory services, and contributing to product implementations from a clinical consulting perspective.

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

Primary Responsibilities:

• Assist sales in consultative discussions and product demonstrations for strategic or top-tier accounts, especially those requiring specialized support
• Contribute to the development of sales collateral and provide input on content and messaging
• Conduct product and solution demonstrations and presentations to customer executives to validate ROI opportunities and review clinical workflows
• Lead clinical reviews of solution blueprints to validate design and workflow impact
• Support validation of client business problems and participate in the sales process with comprehensive portfolio knowledge
• Maintain domain and product expertise by collaborating with clinical, services, and product teams; train others as needed
• Serve as the senior clinical resource responsible for developing, completing, and presenting consulting deliverables and procedural plans
• Provide both immediate solution recommendations and long-term roadmap guidance for assigned clients, collaborating with CHC resources to ensure successful delivery
• Assess client risks and engage appropriate business SMEs for defined activities
• Ensure clients fully understand the solution portfolio and workflows to maximize value
• Partner with analytics leads to conduct value analysis and share findings with internal teams and clients

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:

• Registered Nurse with 10+ years of experience in care management, utilization management, and consulting
• Proven solid executive presence and communication skills, with experience engaging clinical and non-clinical stakeholders, including C-suite executives
• Proven subject matter expertise in InterQual, MCG, or Xsolis content
• Proven in-depth knowledge of case and care management workflows and denials
• Proficiency in Microsoft Office, including Excel, for building business cases and supporting consultative efforts
• Proven understanding of healthcare industry trends and strategic considerations for payers and providers
• Demonstrated analytical skills to support data-driven consulting and solution optimization
• Willingness to travel 25%
• Driver's License and access to reliable transportation

Preferred Qualifications:

• Master's degree
• Experience with technical application implementation in the healthcare payer or provider industry

*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 $89,900 to $160,600 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.