Clinical Program Specialist, Population Health Medical Management - West Region Remote

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Clinical Program Specialist - Population Health supports the execution of population health initiatives across the West Region by translating data into actionable insights that improve clinical outcomes and care delivery. This role partners with clinical, operational, and analytics teams to identify performance gaps, support care gap closure strategies, and enable effective implementation of population health programs.

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

Primary Responsibilities:

• Analyze population health data to identify care gaps, utilization trends, and performance opportunities
• Support execution of programs focused on chronic disease management, preventive care, and care coordination
• Translate data findings into clear, actionable recommendations for clinical and operational stakeholders
• Partner with provider groups and market teams to support quality improvement efforts (HEDIS/STARS), medical management, and accurate clinical documentation
• Develop and maintain reports, dashboards, and performance tracking tools
• Monitor program performance and support continuous improvement efforts
• Identify opportunities to enhance member engagement and clinical outcomes
• Support implementation of best practices and standardized workflows across markets
• Communicate findings and recommendations to stakeholders in a clear and structured manner

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:

• 3+ years of experience in healthcare analytics, population health, or healthcare operations
• Experience working with healthcare data (claims, EMR, population health platforms, care management programs, or other clinical reporting)
• Experience partnering with provider groups and market teams to support medical management, clinical affordability, or other value-based programs
• Demonstrated experience analyzing complex data and identifying root causes and recommending solutions that improve process efficiency, quality, or business outcomes
• Experience working independently and manage multiple priorities
• Experience translating data into insights and effectively communicating to stakeholders and leadership
• Advanced Excel, data visualization/analytics (Tableau, PowerBI), Smartsheets, and PowerPoint skills

Preferred Qualifications:

• Experience with medical management or clinical affordability programs
• Experience working with provider groups or clinical teams
• Knowledge of evidence-based clinical guidelines used by medical groups, health plans, hospitals, and utilization management teams

Key Competencies:

• Data analysis and insight translation
• Population health understanding
• Cross-functional collaboration
• Problem-solving and execution
• Communication and stakeholder support
• Provider/practice performance support
• Execution and continuous improvement

*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 $72,800 - $130,000 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.    

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment