Curo UM (Utilization Management) Implementations and Integrations Lead – 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 Utilization Management Business Analyst Consultant is a subject matter expert in the Curo platform, providing support for new market implementations and ongoing operations. Responsibilities include system demos, documenting and refining business requirements, collaborating with product teams and stakeholders to ensure readiness, and offering post-launch and ongoing business support. The role requires the ability to drive strategic direction and represent the platform with enthusiasm for executive leadership and end users. Ideal candidates are agile, analytical, detail-oriented, customer-focused, solution-driven, and adaptable.

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

Primary Responsibilities:

• Serve as SME for the Curo Utilization Management Platform
• Apply utilization management and system expertise to support new markets
• Demonstrate the Curo UM platform to a variety of audiences
• Collaborate with teams on implementation progress
• Liaise between business and technical teams
• Document and share business requirements
• Coordinate testing and validation efforts
• Track and communicate market implementation updates
• Act as primary contact for business partners
• Present status reports to cross-functional and executive groups
• Provide post-launch support for the Curo UM platform as directed

Job Scope and Guidelines:

• Skilled in building strong relationships with colleagues and partners
• Act as a key resource on complex issues
• Demonstrated problem solving, data analysis, and organizational abilities
• Collaborate with internal and external business partners
• Work with technical and cross-functional teams
• Create and document business requirements and processes
• Test and validate business requirements
• Analyze data for program and product needs
• Develop process documents (policies, procedures, job aids)
• Excellent communication with a customer-focused approach
• Organize and track project, product, and market implementations
• Drive changes and development to meet deadlines
• Monitor progress using Agile project management methods
• Highly proficient in MS Office, especially Excel and PowerPoint

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 with prior authorization and/or inpatient concurrent reviews
• 3+ years of experience in a role that required solid working knowledge of clinical and/or business workflows
• 3+ years of experience in a role that required the knowledge of solid utilization management compliance and regulatory requirements
• 3+ years of experience working with a utilization management and/or clinical documentation system

*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 re 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 $89,800 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.