Clinical Account Executive - National Accounts - Telecommute in West Region

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

UnitedHealthcare Employer & Individual National Accounts is responsible for ensuring our customers live healthier lives by receiving the right care, at the right time, and at the right place. This position is responsible for providing direct client support to National Account customers. The position is responsible to provide clinical account relationship support including strategic planning for medical performance, consultative services, clinical analytics and recommendations for benefit design, closing gaps in care, improving outcomes and identifying medical expense management opportunities.

The Clinical Account Executive will be part of an inter-disciplinary team that will include Medical Directors and members of the National Accounts client service organization to support the clinical performance of assigned customers. This position will research, develop and present new or existing strategies to improve quality and performance, reduce variation in medical spend, ensure accurate documentation of members conditions and increase Net Promoter Scores for assigned customers.

If you are located in West Coast/West Region, preferred (PST/MST), you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Provides day to day clinical account management support for assigned employer group accounts(s)
  • For assigned employer group account(s) is the liaison to the National Account Growth & Client Management Teams and the employer group account(s) for improving clinical performance and maximizing medical cost reduction opportunities
  • Provides real time data informatics and clinical insight to the Medical Director(s) for assigned employer group account(s)
  • Build strong relationships and partner with National Account teams, internal clinical teams (Optum, UnitedHealth Network, and United Clinical Services) and external partners to drive successful outcomes and improvement opportunities
  • Educate and partner with local market teams on specific needs for their business priorities
  • Create regular report highlighting employer group account specific performance. Highlight recommendations for performance improvement and ensure initiatives are in place to achieve goals
  • Negotiate priority initiatives and strategies with senior business leader for the assigned employer group(s)

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:
  • Unrestricted Registered Nurse (RN); Advance Practice Nurse (APN) license and/or an Advanced degree in health care related field (i.e. MPH, PhD)
  • 5+ years of ASO experience supporting National Accounts and/or Key Accounts
  • 5+ years of external client facing account management experience
  • Care Management experience
  • Experience in population health management
  • Project/program management experience
  • Demonstrated ability to interpret complex data and make strategic recommendations with analyzing "High Cost Claimants"
  • Demonstrated communication and presentation skills
  • Advanced PowerPoint Presentation skills
  • Demonstrated capacity to influence others through indirect and consultative skills
  • Demonstrated ability to interact with medical practices, peers, and internal company staff at all levels

Preferred Qualifications:
  • CCM (certified case manager)
  • Intermediate to Advanced ICUE proficiency
  • Knowledge of documentation and coding/risk adjustment accuracy

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $94,500 to $171,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: Clinical Account Manager, Clinical Account Executive, Onsite Wellness Nurse, Onsite Health Coach, RN, Registered Nurse, NP, ANP, Nurse Practitioner, Population Health Nurse, Population Health Management, Case Manager, Telecommute, Remote, Work From Home, West Coast, West Region, MST, Mountain Standard Time, PST, Pacific Standard Time, Denver, CO, Colorado, Las Vegas, NV, Nevada, Salt Lake City, UT, Utah, San Diego, Los Angeles, CA, California