UnitedHealth Group

About the Company

UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care. At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities. Click below to search careers or join our social communities: * Search & apply for careers at careers.unitedhealthgroup.com/ * Follow us on Twitter at twitter.com/UnitedHealthGrp * Follow and like us on Facebook at facebook.com/unitedhealthgroup * Follow us on Instagram at instagram.com/unitedhealthgroup More about UnitedHealth Group can be found at unitedhealthgroup.com/

Listed Jobs

Company Name

UnitedHealth Group

Job Title

Account Services Analyst

Job Description

**Job Title:** Account Services Analyst **Role Summary:** Execute employer benefit plan design and coding, manage monthly EOB customization releases, oversee print and mailing requests, and drive workflow efficiencies in a fast‑paced office environment. **Expactations:** *Full‑time, 40 hrs/week.* Work weekdays within 7:00 am–3:30 pm CST, with flexible 8‑hour shifts and occasional overtime per business needs. **Key Responsibilities** - Build and revise benefit plan structures and maintain accurate coding. - Manage and test monthly EOB releases; implement basic programming changes. - Review incoming mailing requests to establish realistic timelines. - Negotiate revised schedules with stakeholders. - Select appropriate templates and configure print set‑ups. - Perform final front‑end print reviews for accuracy and specification compliance. - Identify and recommend workflow improvements to reduce rework and costs. - Evaluate print requests for automation potential and support implementation of new quality/workflow standards. **Required Skills** - Proficient in Microsoft Excel (creation, editing, sorting, filtering, formatting). - Skilled data entry into multiple applications and databases. - Strong keyboarding, navigation, and ability to quickly learn new software. - Ability to work independently with minimal supervision. - Excellent time‑management, organizational, and communication skills. **Required Education & Certifications** - High School Diploma or GED. - Minimum of 1 year experience navigating multiple system applications/screens. - 1+ year experience in office environments and data entry. **Preferred (but not mandatory)** - 1+ year experience in printing and mailing operations. - Basic mail merge or document composition skills using Microsoft Word. - Project management experience.

Wausau, United states

On site

Fresher

14-10-2025

Company Name

UnitedHealth Group

Job Title

Business Development Manager - Field Based - Boston, MA

Job Description

Job Title: Business Development Manager – Field Based Role Summary Lead the planning, execution, and measurement of community outreach and market engagement initiatives supporting Dual Special Needs Plan (D‑SNP) membership growth. Act as a liaison between UnitedHealth and local stakeholders, translating strategic goals into actionable outreach tactics, events, and partnership agreements. Expectations * Manage end-to‑to‑end grant and budget processes for local community projects. * Navigate state and municipal regulations governing marketing and outreach. * Travel locally up to 75 % of the time and attend events during nights or weekends. Key Responsibilities * Build and sustain relationships with local agencies, CBOs, FBOs, provider groups, and state departments. * Advise Sales & Marketing Director on development and implementation of community engagement plans. * Lead on‑market execution of engagement initiatives and events, ensuring alignment with UHC’s mission. * Pilot design and roll‑out of innovative programming aligned with state priority areas. * Maintain SharePoint documentation, providing regular activity reports. * Represent UHC at community meetings, conferences, and steering committees. * Recommend funding priorities for market engagement and special projects. Required Skills * 2+ years Medicaid/Medicare sales experience. * 2+ years community outreach and event management experience. * Strong written, verbal, analytical, organizational, and presentation skills. * Proven ability to work independently, lead cross‑functional initiatives, and think strategically. * Excellent relationship‑building, negotiation, and stakeholder engagement abilities. Required Education & Certifications * Health and Accident Producer license (or ability to obtain within 60 days). * Valid driver’s license, clean driving record, reliable transportation. ---

Boston, United states

On site

Junior

15-10-2025

Company Name

UnitedHealth Group

Job Title

Appeals Analyst - Massachusetts, New Hampshire, Connecticut, Rhode Island

Job Description

Job Title: Appeals Analyst Role Summary: Adjudicates member grievances and appeals for medical and Medicaid home‑care services, coordinates state fair‑hearing requests, and manages the appeals workflow within a health‑care organization. Expectations: Deliver accurate, timely resolutions to member appeals, maintain compliance with regulatory and documentation policies, and support data‑driven reporting for state audits. Key Responsibilities: - Analyze and research data related to denied or modified services, including clinical documentation. - Obtain and review relevant medical records, claims, authorizations, and contract language for appeal cases. - Coordinate with business partners, shared services, and utilization management to gather additional information. - Serve as liaison with regulatory agencies for member denials, appeals, and state audits. - Ensure adherence to documentation handling policies (document security, retention). - Assist leadership in generating state audit reports and analytics. - Maintain accurate case records and update the grievance system. Required Skills: - Basic SQL proficiency and certification. - Advanced Excel skills for reporting and analysis. - Experience with state appeals and denials audits in medical/Medicaid home‑care. - Data reporting, management, and reconciliation expertise. - Ability to gather documentation for state fair hearings. - Familiarity with SQL, Power BI, or SMART relational database tools (2 of 3). - Intermediate Microsoft Office and Windows PC application skills. - Strong written communication, translating complex medical/insurance terms into clear member language. - Analytical problem‑solving mindset with experience tracking and visualizing metrics. Required Education & Certifications: - High school diploma or equivalent (minimum). - SQL basic certification. - (Optional) Additional certifications in data analysis or healthcare compliance may be advantageous.

Boston, United states

On site

Junior

04-11-2025